Better Health 2011 Provider Directory - Medicare Advantage
Better Health 2011 Provider Directory - Medicare Advantage
Better Health 2011 Provider Directory - Medicare Advantage
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<strong>Better</strong> Care | <strong>Better</strong> <strong>Health</strong><strong>2011</strong> <strong>Provider</strong> <strong>Directory</strong>Northwest RegionH0908_MEM011_003CMS Approved 9/29/2010
<strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan (HMO SNP)<strong>Provider</strong> <strong>Directory</strong>This directory provides a list of the <strong>Advantage</strong> by Buckeye (HMO SNP)(Buckeye) network providers and pharmacies.This directory is for the Northwest Region, including the following counties:Allen, Auglaize, Defiance, Fulton, Hancock, Hardin, Henry, Lucas, Putnam,Sandusky, Seneca, Van Wert, Williams, and Wood.This directory is current as of October 1, 2010. Some network providers andpharmacies may have been added or removed from the list after this directorywas printed. We do not guarantee that each provider is still accepting newmembers. To get the most up-to-date information about the Buckeye networkproviders and pharmacies in your area, you can visit www.bchpohio.com or callour Member Service Department at 866-389-7690, 8:00AM to 8:00PM, 7 days aweek. TTY/DDD users should call 800-750-0750.Note: All providers in this directory accept fee-for-service Medicaid. As amember with full Medicaid, you should not have to pay anything for medicalcare. If a provider is asking you to pay, make sure they have a copy of bothyour Buckeye <strong>Advantage</strong> ID card and your Ohio Medicaid ID card – they willneed to bill us for any <strong>Medicare</strong>-covered services and Medicaid for anyMedicaid-covered services (including your <strong>Medicare</strong> copays and coinsurance).This directory is available in alternative formats and languages, includingSpanish. To request information in alternative formats or languages please callour Member Services Department at 866-389-7690 (TTY 800-750-0750) 8:00AMto 8:00PM, 7 days a week.Este directorio está disponible en formatos e idiomas alternativos, inclusive enespañol. Para solicitar información en formatos e idiomas alternativos sírvasellamar a nuestro Departamento de Servicios para los Miembros al 866-389-7690(TTY 800-750-0750) de 8:00 a.m. a 8:00 p.m., los 7 días de la semana.
How do you find Buckeye providers in your area?The provider directory is organized by type of provider, then by county, andcity. Look for the type of provider first (PCP, specialist), then look for yourcounty and city to find a provider close to your area.Primary Care <strong>Provider</strong>s……………………….…........... Page 5Specialists……………………...…………………………… Page 14Ancillary <strong>Provider</strong>s………………………………………… Page 52Ambulance…………………………………………. Page 52Ambulatory Surgery Center…………………… Page 52Audiology (Hearing) ……………………………… Page 52Dialysis……………………………………………… Page 53Durable Medical Equipment…………………… Page 53Family Planning…………………………………… Page 64Home <strong>Health</strong>………………………………………. Page 65Home Infusion……………………………………... Page 67Imaging……………………………………………… Page 67Laboratory…………………………………………. Page 68Orthotics & Prosthetics…………………………. Page 68Physiatry, Rehabilitative Medicine……………. Page 69Radiology…………………………………………… Page 71Urgent Care………………………………………… Page 72Hospitals…………………………………………………….. Page 73Skilled Nursing Facilities………………………………… Page 75Outpatient Mental <strong>Health</strong> <strong>Provider</strong>s………………….. Page 77Pharmacies………………………………………………… Page 78If you have questions about Buckeye or require assistance in selecting a PCP,please call our Member Services Department at 866-389-7690 8:00AM to8:00PM, 7 days a week. TTY/TDD users should call 800-750-0750. Or visitwww.bchpohio.com.
Section 2 – List of Plan <strong>Provider</strong>sPrimary Care <strong>Provider</strong>sAllen County Gaynier, Christine MD Milligan, Steve MD Shannon-Irizarry, JudithBluffton750 W High StLima, OH 45801Lima Pediatrics1005 Bellefontaine AveMDLima Pediatrics419-996-2500 POB II Ste 245 1005 Bellefontaine AveShelly, Marion DO Lima, OH 45804 POB II Ste 245Bluffton Physicians, Inc. Hanna, Salim MD 419-998-8230 Lima, OH 45804132 Garau St Heart Institute of 419-998-8230Bluffton, OH 45817 Northwest Ohio, Inc. Monroe, Melvin MD419-358-5916 951 Commerce Parkway Med-Care Clinic Stallkamp, Eric MDSte 101 939 W Market St 750 W High StCridersvilleLima, OH 45804419-227-3077Lima, OH 45805419-996-5077Lima, OH 45801419-996-2500Wical, Shelden DOCridersville Medical Iboaya, Iyabo MD Morris, Susan MD Tumblin, Sheryl CNPCenterLima Family Care, Inc. Lima Group Family 3123 W Elm St306 Reichelderfer Rd 1005 Bellefontaine Ave Physicians Lima, OH 45805Cridersville, OH 45806 Ste 100 1003 Bellefontaine Ave 419-221-8811419-645-4140Lima, OH 45804 Ste 125419-227-5298 Lima, OH 45804 Waldron, Laura MDLimaForeign Language(s):Yoruba419-998-8205 Laura Waldron FamilyPracticeAggarwal, Manu MDMueller, Mark MD 525 N Eastown RdPraveen K. Malhotra,Leahy, William MD Heart Institute of Lima, OH 45807M.D., Inc.Leahy Family Care, Inc. Northwest Ohio, Inc. 419-998-46992765 Ft Amanda Rd825 S Cable Rd Unit A 951 Commerce ParkwaySte 200Lima, OH 45805 Lima, OH 45804 Winerman, Mark MDLima, OH 45805419-224-1234 419-227-3077 Pediatrics of Lima, Inc.419-227-4472830 W High St Ste 102Foreign Language(s):Martin, Jay MD Mueller, Mark MD Lima, OH 45801HindiFamily Practice Martz & Heart Institute of 419-222-4045MartinNorthwest Ohio, Inc.Bajwa, Rajbir MD825 W Market St Ste 205 951 Commerce Parkway Zakelj, Mary MDPediatrics of Lima, Inc.Lima, OH 45801 Ste 101 Lima Pediatrics830 W High St Ste 102419-996-5780 Lima, OH 45804 1005 Bellefontaine AveLima, OH 45801419-227-3077 POB II Ste 245419-222-4045Martz, Michael DO Lima, OH 45804Family Practice Martz & Nallu, Ramchandra MD 419-998-8230Baldauf, Frank MDMartinChildren’s CenterLima Group Family825 W Market St Ste 205 1220 East Elm St Ste 220 SpencervillePhysiciansLima, OH 45801 Lima, OH 458041003 Bellefontaine Ave419-996-5780 419-229-5437 Mack, Donald MDSte 125Foreign Language(s): Spencerville Physicians,Lima, OH 45804McNamara, Bonnie MD Hindi Ltd.419-998-8205Lima Group Family107 N Canal StPhysicians Oen, Connie NP Spencerville, OH 458871003 Bellefontaine Ave 3123 W Elm StCurry, Robert MD419-647-4188658 W Market St Ste 111Ste 125 Lima, OH 45805Lima, OH 45801Lima, OH 45804 419-221-8811 Ringwald, Ronald MD419-222-7010419-998-8205 Spencerville Physicians,Foreign Language(s):Ltd.FrenchMcNeal, Sheilla MD107 N Canal StPediatrics of Lima, Inc. Spencerville, OH 45887830 W High St Ste 102 419-647-4188Lima, OH 45801419-222-4045<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan Page 5
Primary Care <strong>Provider</strong>sSection 2 – List of Plan <strong>Provider</strong>sAllen County cont. Herman, George MD Doyle Jr, Harry MD Osborn, Claire DOWaynesfieldAuglaize Family PracticeCenter, LLC1400 E Second StDefiance, OH 435121400 E Second StDefiance, OH 435121007 W Augalize St 419-784-1414 419-784-1414Tran, Kha MD Wapakoneta, OH 45895Ada Life Medical Center 419-738-9601 Foldvary, Robert MD Rohrs, Rita MD529 N Wminster Ave 1400 E Second St 1400 E Second StWaynesfield, OH 45896 Herman, Parmie MD Defiance, OH 43512 Defiance, OH 43512419-568-1222 Auglaize Family Practice 419-784-1414 419-784-1414Center, LLCAuglaize County 1007 W Augalize StWapakoneta, OH 45895Fout Jr, Larry MD1400 E Second StRoy, Vicki MD1400 E Second StSt Marys 419-738-9601 Defiance, OH 43512 Defiance, OH 43512Foreign Language(s): 419-784-1414 419-784-1414Buhariwalla, Reeshad FrenchMD Gaspar, Allen MD Strubing, Kori NP1300 Greenville Horman, Deron MD 1400 E Second St 1400 E Second StSt Marys, OH 45885 Auglaize Family Practice Defiance, OH 43512 Defiance, OH 43512419-394-4813 Center, LLC 419-784-1414 419-784-14141007 W Auglaize StHanna, Salim MD Wapakoneta, OH 45895 Grego, Gary MD Thomas, Janis NPHeart Institute of 419-738-9601 1400 E Second St 1400 E Second StNorthwest Ohio, Inc. Defiance, OH 43512 Defiance, OH 435121134 Hager St Jose, Mathew MD 419-784-1414 419-784-1414St Marys, OH 45885 1015 S Blackhoof St419-394-3387 Wapakoneta, OH 45895 Karatsordis, Stavros DO Vandehey, Tricia DO419-738-3317 1400 E Second St 1400 E Second StKuck, Cheryl MD Foreign Language(s): Defiance, OH 43512 Defiance, OH 435121010 Hager St Malayalam 419-784-1414 419-784-1414St Marys, OH 45885419-394-2610 Crawford County Kraska, Joseph MD1400 E Second StHicksvilleLuedeke, James MD CrestlineDefiance, OH 43512 Blad, Denise MDBrementown Physicians, 419-784-1414 208 N Columbus StLLC Siddiqui, Siraj MD Hicksville, OH 43526200 St Clair St 216 W Main St Lenhart, Peter MD 419-542-6692St Marys, OH 45885 Crestline, OH 44827 1400 E Second St419-629-2662 419-683-8041 Defiance, OH 43512 Johnson, Duane DO419-784-1414 208 N Columbus StWapakoneta Defiance CountyHicksville, OH 43526Mathur, Muktak MD 419-542-6692Cunningham, Frank MD Defiance1400 E Second StLincoln Family PracticeDefiance, OH 43512 Miller, Laverne MD1251 Lincoln Ave Bower, Meagan MD 419-784-1414208 N Columbus StWapakoneta, OH 45895 1400 E Second St Hicksville, OH 43526419-738-5151 Defiance, OH 43512 McDonel, Karla NP 419-542-6692419-784-14141400 E Second StFreytag, Thomas MDDefiance, OH 43512419-784-1414NapoleonLincoln Family Practice Brose, Paul MD1251 Lincoln Ave 1400 E Second StOkuley, Gary MD McDonel, Karla NPWapakoneta, OH 45895 Defiance, OH 435121400 E Second St 1426 N Scott St419-738-5151 419-784-1414Defiance, OH 43512 Napoleon, OH 43545419-784-1414419-783-3211 419-599-5600Page 6<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan
Section 2 – List of Plan <strong>Provider</strong>sPrimary Care <strong>Provider</strong>sFulton County Kamp, Kenton MD Findlay Mt VictoryDelta495 S Shoop AveWauseon, OH 43567 Aggarwal, Manu MD Recob, Holly DO419-335-7921 Praveen K. Malhotra, 460 S Main StMurry, Susan NP M.D., Inc. Mt Victory, OH 433406696 US Hwy 20A McClarren, Rebecca MD 2459 S Main St 937-354-2027Delta, OH 43515 495 S Shoop Ave Findlay, OH 45840419-822-3242 Wauseon, OH 43567 419-227-4472 Henry County419-335-7921Murtiff, Harry DO Rioch, Scott MD Napoleon6696 US Hwy 20A Mendoza, Leonardo MD 1733 Wern Ave # ADelta, OH 43515 447 N Shoop Ave Findlay, OH 45840 Gensolin, Dexter MD419-822-3242 Wauseon, OH 43567 419-423-2754 11644 State Rte 424419-337-7980 Ste 107Phillips, Dexter Do Rooney, John Do Napoleon, OH 435456696 US Hwy 20A Music, Ronald MD 1733 Wern Ave # A 419-592-0800Delta, OH 43515 735 S Shoop Ave Findlay, OH 45840419-822-3242 Wauseon, OH 43567 419-423-2754419-335-2663Holmes CountySteck, Ann MD6696 US Hwy 20AHardin County MillersburgShivaprasad, Shetty MDDelta, OH 43515 137 S Fulton St Ada419-822-3242McFadden, Dwight MDWauseon, OH 43567 931 Wooster Rd419-335-2811 Das, Kalyan MD Millersburg, OH 44654Swanton Ada <strong>Health</strong> Services 330-674-5035Wawsean520 W Lincoln Ave Ste DEl Sayyad, Mohammad Ada, OH 45810MD 419-634-7300NashvilleHagerman, Kimberly MD1 Turtle Creek Circle 128 Depot StSwanton, OH 43558Hanna, Salim MDDailey, Janet MDWawsean, OH 43567419-825-5151 Heart Institute of107 W Millersburg St419-335-3624Northwest Ohio, Inc.Nashville, OH 44661520 W Lincoln Ave330-378-4951WauseonUribes, Anthony MD128 Depot StAda, OH 45810Wawsean, OH 43567 866-359-5915Huron CountyFrederick, Scott MD447 N Shoop Ave 419-335-3624Tran, Kha MDGreenwichWauseon, OH 43567419-337-7980 Hancock CountyAda Life Medical Center520 W Lincoln Ave Ste A Back, Billy MDAda, OH 45810Mercy Family Practice ofGalani, Jayantilal MD Arlington419-634-2015Greenwich447 N Shoop Ave 65 W Main StWauseon, OH 43567 Freshwater, Stephen Greenwich, OH 44837419-337-7980 MD Kenton 419-752-1811906 N Main StGensolin, Glenda MD495 S Shoop AveArlington, OH 45814419-365-5153Smith, Leonard MD900 E Franklin St Indiana CountyWauseon, OH 43567419-335-7921 Walton, Michael MDKenton, OH 43326937-592-9545Harlon906 N Main StGrieser, Richard MD Arlington, OH 45814Waters, Scott MD495 S Shoop Ave 419-365-515318218 SR 37 EWauseon, OH 43567Harlon, IN 46743419-335-7921260-657-5159<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan Page 7
Primary Care <strong>Provider</strong>sSection 2 – List of Plan <strong>Provider</strong>sLogan County Rasor, Travis DO Farooq, Shabana MD PerrysburgBellefontaine5705 Monclova RdSte 2052702 Navarre Ste 206Oregon, OH 43616 Heizelman, Robert MDMaumee, OH 43537 419-696-6000 Mercy Family MedicineAggarwal, Manu MD 419-482-6800 PerrysburgPraveen K. Malhotra, Hafeez, Nazima MD 1103 Village Square DrM.D., Inc.OregonNavarre Family Medicine Ste 202120 Dowell Ave Associates Perrysburg, OH 43551Bellefontaine, OH 43311Adil, Jahangir MD 2702 Navarre Ave 419-872-3243419-227-4472Navarre Family Medicine Ste 206AssociatesOregon, OH 43616 Matyas, Florence MDLucas County 2702 Navarre Ave 419-696-6000 1021 Sandusky St Ste ESte 206Perrysburg, OH 43560Maumee Oregon, OH 43616 Hulsemann, Susan MD 419-872-3232419-696-60002702 Navarre Ste 206Croci, John MD Foreign Language(s): Oregon, OH 43616 Sylvania5705 Monclova Rd Urdu419-696-6000Ste 205Chikkala, Jane MDMaumee, OH 43537 Andrabi, Imran MD Kanama, Enas MD 5300 Harroun Rd Ste 208419-482-6800 Navarre Family Medicine 2702 Navarre Ste 206 Sylvania, OH 43560Associates Oregon, OH 43616 419-882-2962Edje, Louito MD 2702 Navarre Ave 419-696-60005705 Monclova Rd Ste 206Ste 205Riaz, Hamid MD ToledoOregon, OH 43616Maumee, OH 43537 419-696-6000 2702 Navarre Ste 206419-482-6800 Oregon, OH 43616 Adil, Jahangir MDForeign Language(s):419-696-6000Mercy Family Practice atUrduGuibord, Roberta DOGandy Clinic5109 Monclova Rd Siebenaler, Jack MD 2200 Jefferson AveBertka, Kenneth MDMaumee, OH 435373232 Navarre Ave Toledo, OH 43604Navarre Family Medicine419-893-5968 Oregon, OH 43616 419-251-1400Associates419-691-0636Foreign Language(s):2702 Navarre AveKanama, Enas MD UrduSte 2065705 Monclova Rd Oregon, OH 43616 Thompson, Joseph MDSte 205Navarre Family Medicine Andrabi, Imran MD419-696-6000Maumee, OH 43537AssociatesMercy Family Practice at419-482-6800 2702 Navarre AveGandy ClinicBodkin, Kevin DOSte 2062200 Jefferson AveNavarre Family MedicineLee, Scott MD Oregon, OH 43616 Toledo, OH 43604Associates5705 Monclova Rd 419-696-6000419-251-14002702 Navarre AveSte 205Foreign Language(s): Krio Foreign Language(s):Ste 206Maumee, OH 43537 UrduOregon, OH 43616419-482-6800 419-696-6000 Zimmerman, Janis MDNavarre Family Medicine Artis, Kimberly MDMiller, Brian MDAssociatesFamily Care CenterCasey, Lisa DO5705 Monclova Rd 2702 Navarre AvePediatric Clinic2702 Navarre Ste 206Ste 205 Ste 2062213 Franklin AveOregon, OH 43616Maumee, OH 43537 Oregon, OH 43616 Toledo, OH 43620419-696-6000419-482-6800 419-696-6000419-251-2415Restriction(s): 18 yrs &Conrad, Edward MDPineda, Joy MD under2702 Navarre Ste 2065705 Monclova Rd Oregon, OH 43616Ste 205 419-696-6000Maumee, OH 43537419-482-6800Page 8<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan
Section 2 – List of Plan <strong>Provider</strong>sPrimary Care <strong>Provider</strong>sLucas County cont. Bydash, Jason DO Farooq, Shabana MD Mardolkar, Sanjay MDFamily Care Center Mercy Family Practice at Family Care CenterToledo cont. Medical Clinic Gandy Clinic Pediatric Clinic2213 Franklin St 2200 Jefferson Ave 2213 Franklin AveBaldwin, Tanya MD Toledo, OH 43620 Toledo, OH 43604 Toledo, OH 43620Navarre Park Family 419-251-2360 419-251-1400 419-251-2415<strong>Health</strong> CenterRestriction(s): 18 yrs &1020 Varland Ave Casey, Lisa DO Guibord, Roberta DO underToledo, OH 43605 2200 Jefferson Ave 635 N Erie St Foreign Language(s):419-696-1515 Toledo, OH 43604 Toledo, OH 43624 Hindi419-251-1400 419-865-0196Banerjee, Sunita MDMardolkar, Sanjay MDFamily Care Center Christner, Jennifer MD Hafeez, Nazima MD Mercy <strong>Health</strong> PartnersMedical Clinic 2213 Cherry St Mercy Family Practice at Pediatric Specialties2213 Franklin Ave Toledo, OH 43608 Gandy Clinic Meylo ClinicToledo, OH 43620 419-251-8052 2200 Jefferson Ave 2222 Cherry St Ste 2300419-251-2360 Toledo, OH 43604 Toledo, OH 43608Restriction(s): 18 yrs & Cifuentes, Douglas DO 419-251-1400 419-251-8015over 2213 Franklin Ave Restriction(s): 18 yrs &Foreign Language(s): Toledo, OH 43620 Hasan, Samina MD underHindi 419-251-2360 6800 W Central Ave Foreign Language(s):Unit KHindiBelow, Angela MD D’Agostino, Rosemary Toledo, OH 436172213 Cherry St MD 419-841-1510 McBride, John MDToledo, OH 43608 Family Care Center 2213 Cherry St419-251-8052 Pediatric Clinic Ho-a-lim, Fred MD Toledo, OH 436082213 Franklin Ave 4759 Violet Rd 419-251-8052Bertka, Kenneth MD Toledo, OH 43620 Toledo, OH 43623Mercy Family Practice at 419-251-2415 419-474-4942 McCormick, Randall MDGandy Clinic Restriction(s): 18 yrs & 2213 Franklin Ave2200 Jefferson Ave under Hulsemann, Susan MD Toledo, OH 43620Toledo, OH 43604 2200 Jefferson Ave 419-251-2360419-251-1400 Dasani, Haridas MD Toledo, OH 436041500 N Superior St 419-251-1400 Miller, Kellie CNPBlood, Jeffrey DP Ste 310 Family Care Center2213 Franklin Ave Toledo, OH 43604 Kanama, Enas MD Pediatric ClinicToledo, OH 43620 419-729-6400 2200 Jefferson Ave 2213 Franklin Ave419-251-2360 Toledo, OH 43604 Toledo, OH 43620Espinoza, Nicholas DO 419-251-1400 419-251-2415Bodkin, Kevin DO Mercy Family Practice at Restriction(s): 18 yrs &Mercy Family Practice at Gandy Clinic Kleinberg, Warren MD underGandy 2200 Jefferson Ave 2213 Cherry St2200 Jefferson Ave Toledo, OH 43604 Toledo, OH 43608 Mills, Robert MDToledo, OH 43604-7101 419-251-1400 419-251-8052 2213 Cherry St419-251-1400 Foreign Language(s): Toledo, OH 43608Spanish Kleinberg, Warren MD 419-251-8052Boehm, Kathryn MD2213 Franklin Ave3454 Oak Alley Ct Fairchild, Darlene MD Toledo, OH 43620 Natividad, Recto MDSte 210 6800 W Central Ave 419-251-2360 635 N Erie StToledo, OH 43606 Unit K Toledo, OH 43624419-724-6888 Toledo, OH 43617 Leonard, Patricia CPNP 419-865-0196419-841-1510 3454 Oak Alley CtSte 210Toledo, OH 43606419-724-6888<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan Page 9
Primary Care <strong>Provider</strong>sSection 2 – List of Plan <strong>Provider</strong>sLucas County cont. Rayford, Kristie CPNP Stausmire, Julie CNS Zeiler, Alean MD3454 Oak Alley Ct Mercy Family Practice at Family Care CenterToledo cont. Ste 210 Gandy Clinic Pediatric ClinicToledo, OH 43606 2200 Jefferson Ave 2213 Franklin AveNicholson, Jonathon MD 419-724-6888 Toledo, OH 43604 Toledo, OH 436202213 Cherry St 419-251-1400 419-251-2415Toledo, OH 43608 Riaz, Hamid MD Restriction(s): Under 18419-251-8052 Mercy Family Practice at Thompson, Joseph MDGandy Clinic Mercy Family Practice at Zimmerman, Janis MDOatis, Pamela MD 2200 Jefferson Ave Gandy Clinic 1500 N Superior St2213 Franklin Ave Toledo, OH 43604 2200 Jefferson Ave Ste 310Toledo, OH 43620 419-251-1400 Toledo, OH 43604 Toledo, OH 43604419-251-2360 Foreign Language(s): 419-251-1400 419-729-6400UrduForeign Language(s): KrioOrlop, Stanley DOZimmerman, Janis MD2213 Franklin Ave Rogalski, Francis MD Ware, Theodore MD Mercy Family Practice atToledo, OH 43620 2213 Cherry St Family Care Center Gandy Clinic419-251-2360 Toledo, OH 43608 Medical Clinic 2200 Jefferson Ave419-251-8052 2213 Franklin Ave Toledo, OH 43604Ott, Thomas MD Toledo, OH 43620 419-251-14003232 Central Park W Ross, Johnathon MD 419-251-2360Ste B Family Care Center Restriction(s): 18 yrs &Toledo, OH 43617Marion CountyMedical Clinic over419-473-6615 2213 Franklin Ave MarionToledo, OH 43620 Wehrmeister, John MDPahl, Nancy CNP 419-251-2360 Family Care Center Arora, Chander MD3454 Oak Alley Ct Restriction(s): 18 yrs & Medical Clinic 1728 Marion Waldo RdSte 210 over 2213 Franklin Ave Marion, OH 43302Toledo, OH 43606 Foreign Language(s): Toledo, OH 43620-1402 740-389-2297419-724-6888 French 419-251-2360Restriction(s): 18 yrs & Khan, Muhammad MDPatel, Ashalata MD Saad, Michael MD MPH over 970 S ProspectFamily Care Center Northern Lights Medical Foreign Language(s): Marion, OH 43302Pediatric Clinic Center German 740-382-92932213 Franklin Ave 2100 W Alexis RdToledo, OH 43620-1402 Toledo, OH 43623 Welt, Ionel MD Reddy, Sudesh MD419-251-2415 419-479-7000 635 N Erie St 402 S State StRestriction(s): 18 yrs & Toledo, OH 43624 Marion, OH 43302under Schaeufele, John MD 419-865-0196 740-387-0650Foreign Language(s): 2213 Cherry StHindi Toledo, OH 43608 Wentz, Mark MD Singh, Parminder MD419-251-8052 6800 W Central Ave 970 S ProspectPatel, Madhusudan MD Unit K Marion, OH 43302Mercy Family Physicians Schaeufele, John MD Toledo, OH 43617 740-382-9293Phillips Ave 2213 Franklin Ave 419-841-1510723 Phillips Ave Bldg A Toledo, OH 43620Ste 201 419-251-2360 Young, Mark MDMedina CountyToledo, OH 43612-1351 Navarre Park Family419-476-2124HinckleySheldon, Charles DO <strong>Health</strong> Center2213 Franklin Ave 1020 Varland AvePeterson, Duane MDPerng, Wuu-Jau MDToledo, OH 43620 Toledo, OH 436052450 N Reynolds Rd2546 Center Rd419-251-2360 419-696-1515Toledo, OH 43615Hinckley, OH 44233419-535-3214330-225-4811Page 10<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan
Section 2 – List of Plan <strong>Provider</strong>sPrimary Care <strong>Provider</strong>sMercer County Wolters, Nancy CNP Monroe County KalidaCelina809 Pro DrCelina, OH 45822 Lambertville Horstman, Anna MD419-586-3113 Horstman & Klir MD, Inc.Aggarwal, Manu MD Chinta, Shashi MD 109 S Broad Stop BoxPraveen K. Malhotra,ColdwaterMercy Family Physicians- 417M.D., Inc. Lambertville Kalida, OH 45853950 S Main StHurm, Thomas DO3486-90 W Sterns Rd 419-532-3959Celina, OH 45822809 W Main St Ste 1Units 11-13419-227-4472Coldwater, OH 45828Lambertville, MI 48144- Klir, Wesley MDForeign Language(s):419-678-23819576 Horstman & Klir MD, Inc.Hindi 734-856-6830 109 S Broad StSchramm, Melanie DOKalida, OH 45853Dabis, Nazih MD850 S Main St Ste 1 Paulding County 419-532-3959950 S Main StCelina, OH 45822Coldwater, OH 45828419-678-2381 Antwerp419-586-7940LeipsicWellman, Linda NP Wiley, Todd MDHeinrichs, Timothy MDSchultz, David MD800 W Main St 422 W River St724 E Wayne St19 E Main StColdwater, OH 45828 Antwerp, OH 45813Celina, OH 45822Leipsic, OH 45856419-678-5244 419-258-5195419-586-3113419-943-2130Heinrichs, Timothy MD RockfordPutnam County Ottawa801 Pro DrSell, Jerry MDColumbus GroveCelina, OH 45822Nallu, Ramchandra MD419-586-3113 506 S MainSandy, J. MDOttawa PediatricsRockford, OH 45882Lima Group Family110 Selhorst DrHolleran, Neal MD 419-363-3008Physicians atOttawa, OH 45875208 S Main St Columbus Grove419-523-5566Celina, OH 45822 Michigan County 204 Sycamore419-584-1664 Columbus Grove, OH OttovilleTemperance 45830Masser, Philip MD419-659-2134Knerr, Joel MD724 E Wayne St Chiu, Sin-Ching MD 290 E Third StCelina, OH 45822 8765 Lewis AveGlandorfOttoville, OH 45876419-586-3113 Temperance, MI 48182 419-453-3321734-847-3802Satyanarayana, ShanthiKlass, Mandy MDMDKoehl, Mark MD M & K Family & Sports Sandusky County950 S Main St Ste 2 8765 Lewis Ave Medicine, Inc.601 SR 224BellevueCelina, OH 45822 Temperance, MI 48182419-586-1618 734-847-3802 Glandorf, OH 45848419-538-7330Aichholz, Lisa CNP1400 W Main StSchramm, Melanie DO Rao, Upamaka MDMansfield, Linda MD Bellevue, OH 44811615 S Main St Ste 6 8765 Lewis AveM & K Family & Sports 419-483-4040Celina, OH 45822 Temperance, MI 48182419-678-2381 419-586- 734-847-3802 Medicine, Inc.601 SR 224Alt-Coan, Amy MD1722Glandorf, OH 45848 1255 W Main St Ste A419-538-7330Bellevue, OH 44811Wolters, Nancy CNP 419-483-7240724 E Wayne StCelina, OH 45822419-586-3113<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan Page 11
Primary Care <strong>Provider</strong>sSection 2 – List of Plan <strong>Provider</strong>sSandusky County Rohrbach, Rebecca CNP Hiestand, John MD Sears, Christopher MDcont. 402 W McPherson Hwy 2575 Hayes Ave Ste 1 81 Ashwood DrBellevue cont.Clyde, OH 43410419-483-4040Fremont, OH 43420419-332-1551Tiffin, OH 44883419-443-8505Ball, Benjamin MD Yuhas, John DO Hoelzle, Mark MD1255 W Main St Ste A Shelby CountyNorthwest Primary Care Family MedicineBellevue, OH 44811 455 W McPherson Hwy Associates of419-483-7240SidneySte B Sandusky County, LLCClyde, OH 43410 1479 N River RdBraun, Marcia MDHanna, Salim MD419-547-8555 Fremont, OH 434201255 W Main St Ste AHeart Institute of419-334-9440Bellevue, OH 44811Northwest Ohio, Inc.419-483-7240 Fremont915 W MichiganMauric, John DO Sidney, OH 45365Primary Care ofHerring, Daniel DO Brown, Frank MD419-224-5915Fremont Family Medicine, Northwest Ohio, Inc.521 N Sandusky StInc.605 Third Ave Bldg BBellevue, OH 44881Ste DVan Wert County419-484-7700 1916 Glen Springs DrFremont, OH 43420 Fremont, OH 43420 Van Wert419-332-4223419-355-8070Rohrbach, Rebecca CNP1400 W Main St Coplin, Mary CNPDeFrance, David MD Schermerhorn, ClaraBellevue, OH 448111151 Wood Dr2265 Hayes Ave MD419-483-4040 Van Wert, OH 45891Fremont, OH 43420 2539 Hayes Ave 419-238-6747419-332-2616Fremont, OH 43420Clyd 419-334-9716 Hanna, Salim MDDiller, Jonathan MDHeart Institute ofBryan, Dwight DO 2575 Hayes Ave Ste 4 Stierwalt, Howard MD Northwest Ohio, Inc.Memorial Family Care - Fremont, OH 43420 2575 Hayes Ave Ste 3 140 Fox RdClyde 419-332-9978 Fremont, OH 43420 Van Wert, OH 45891819 N Main St 419-332-7371 419-224-5915Clyd, OH 43410 Elkambergy, Hussam419-547-0200 MDWonderly, Mary MD Hohman, Jennifer MDCommunity & Rural 2575 Hayes Ave Ste 5 140 Fox RdClyde <strong>Health</strong> Services, Inc. Fremont, OH 43420 Van Wert, OH 45891410 Birchard Ave 419-332-3560419-238-6747Aichholz, Lisa CNP Fremont, OH 43420402 W McPherson Hwy 419-334-3869 Seneca County Lautzenheiser, ThomasClyde, OH 43410419-483-4040 Furlong, Dennis DO TiffinMD140 Fox RdHeather A. Haynes, MD, Van Wert, OH 45891Brown, Jennifer MD, LLC Masood, Naghmana MD 419-238-6747MPH2265 Haynes Ave McAuley <strong>Health</strong> ServicesNorthwest Primary Care Fremont, OH 43420 486 W Perry StStoller, Carrie CNP455 McPherson Hwy 419-332-2616 Tiffin, OH 44883 140 Fox RdClyde, OH 43410 419-455-8140Van Wert, OH 45891419-547-8555 Haynes, Heather MD 419-238-6747Fremont Family Medicine, Moorjani, Romena MDEdgar, Philip MD Inc. 19 W Market St Ste F Ulrich, Christine CNPNorthwest Primary Care 1916 Glen Springs Dr Tiffin, OH 44883 140 Fox Rd455 W McPherson Hwy Fremont, OH 43420 419-448-8118Van Wert, OH 45891Ste B 419-332-4648 419-238-6747Clyde, OH 43410419-547-8555Page 12<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan
Section 2 – List of Plan <strong>Provider</strong>sPrimary Care <strong>Provider</strong>sWilliams County Noceti-Dunphy, Sanchez, Rogelio MD PerrysburgEdgertonStephanie MDWood <strong>Health</strong> Company,960 W Wooster Ste 106Bowling Green, OH 43402 Carrigan, Catherine MDLLC 419-352-5700 Mercy Family MedicineKooistra, Michael MD 1180 N Main St Perrysburg104 S W St Bowling Green, OH 43402 Sidiq, Mohammad MD 1103 Village Square DrEdgerton, OH 43517 419-354-8766 Wood <strong>Health</strong> Company, Ste 202419-298-2458 Restriction(s): 21 yrs & LLC Perrysburg, OH 43551under 1039 Haskins Rd Ste A 419-872-3243Wood CountyNoceti-Dunphy,Bowling Green, OH 43402419-352-1121 Finney, Kelly CNPBowling Green Stephanie MD 1103 Village Square DrWood <strong>Health</strong> Company, Sidiq, Nazia DO Ste 100Bell, David MD LLC Wood <strong>Health</strong> Company, Perrysburg, OH 43551Wood <strong>Health</strong> Company, 970 W Wooster St LLC 419-872-3213LLC Ste 130 1039 Haskins Rd Ste A1037 Conneaut AveSte 206Bowling Green, OH 43402419-352-6890Bowling Green, OH 43402419-352-1121Wyandot CountyBowling Green, OH 43402419-353-6225Restriction(s): 21 yrs &under Trimpey, Randy MDUpper SanduskyWood <strong>Health</strong> Company, Cha, Chong MDHorrigan, Elizabeth MD Noftz II, Jeffrey MD LLC 777 N Sandusky AveBowling Green Family Wood <strong>Health</strong> Company, 1039 Haskins Rd Ste A Upper Sandusky, OHPhysicians, Inc. LLC Bowling Green, OH 43402 433511215 Ridgewood Dr Ste B 1039 Haskins Rd Ste A 419-352-1121 419-294-2375Bowling Green, OH 43402 Bowling Green, OH 43402419-352-9071 419-352-1121 Walsh, Richard MD Park, Kyle MDPinewood Family Practice 107 Houpt DrKuebeck, Edelbert MD Park, Chris MD 960 W Wooster St Upper Sandusky, OH1052 W Wooster St Wood <strong>Health</strong> Company, Ste 115 43351Bowling Green, OH 43402 LLC Bowling Green, OH 43402 419-294-5757419-354-3921 1039 Haskins Rd Ste A 419-353-6262Bowling Green, OH 43402Thornton, Thomas MDLemon, Michael MD 419-352-1121 Wojeciechowski, 224 W Johnson StWood <strong>Health</strong> Company, Restriction(s): 16 yrs & Thomas MD Upper Sandusky, OHLLC over Wood County Medical 43351970 W Wooster St Associates 419-294-5711Ste 130 Power, Kenneth MD 970 W Wooster StBowling Green, OH 43402 Wood County Medical Ste 130419-352-6890 Associates Bowling Green, OH 43402Restriction(s): 21 yrs & 970 W Wooster St 419-352-5081under Ste 130 Restriction(s): 21 yrs &Bowling Green, OH 43402 overMachanda, Sean MD 419-352-9461BG Family Physicians1215 Ridgewood Dr Ste B Rader, Eric DONorth BaltimoreBowling Green, OH 43402 WHC Medical Services Coates, John DO419-352-9071 970 W Wooster St Wood <strong>Health</strong> Company,Ste 130LLCMiller, Jr., Ronald MD Bowling Green, OH 43402 209 Briar Hill Rd Ste A960 W Wooster St 419-352-6890 North Baltimore, OHSte 205 Restriction(s): 21 yrs & 45872Bowling Green, OH 43402 under 419-257-1417419-352-2105<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan Page 13
SpecialistsSection 2 – List of Plan <strong>Provider</strong>sAllergy and Lenawee County Roberts, Sr, James MD Arabpour, Mehran DOImmunology2575 Hayes Ave, Ste 3 951 Commerce Parkway,Tecumseh Fremont, OH 43420 Ste 100Allen County419-333-4000 Lima, OH 45804Rehman, Syed MD 419-224-5915Lima602 N EvansTecumseh, MI 49286Van Wert CountyBamdad, A. MDKhan, Rizwan MD 419-843-8815Van Wert1001 Bellefontaine Ave830 W High St Ste 108 Lima, OH 45804Lima, OH 45801 Lucas County Nelson, Lois MD 419-998-4573419-227-0087 1250 S Washington StToledoVan Wert, OH 45891 Bamdad, A. MDPudupakkam,419-251-8040 419-536- 951 Commerce Prkwy,Ramachandra MD Khan, Rizwan MD 1322Ste 100528 W Market St, 7247 W Central Ave Lima, OH 45804Ste 120 Ste AWood County419-224-5915Lima, OH 45801 Toledo, OH 43617 Foreign Language(s):419-224-7056 419-843-8815 Bowling Green FrenchForeign Language(s):Tamil Negrich, Ronald MD Nelson, Lois MD Battula, Venkat MD5923 Renaissance Place 960 W Wooster Ave 1001 Bellefontaine AveRehman, Syed MD Toledo, OH 43615 Bowling Green, OH 43402 Lima, OH 45804830 W High St Ste 108 419-824-5067 419-353-3666419-998-4573Lima, OH 45801419-227-0087 419-224- Nelson, Lois MD Roberts, Sr, James MD Battula, Venkat MD7586 419-424-0503 2222 Cherry St Ste 2300 960 W Wooster St, 951 Commerce Pkwy,Toledo, OH 43608 Ste 102Ste 100Sheikh, Farrukh MD 419-251-8040 Bowling Green, OH 43402 Lima, OH 45804830 W High St Ste 108 419-824-5067419-224-5915Lima, OH 45801 Nelson, Lois MD Foreign Language(s):419-227-0087 3454 Oak Alley Ct TelusuSte 504CardiologyHancock County Toledo, OH 43606Gardner, Pamela DO419-536-1322 Allen County 1001 Bellefontaine AveFindlayLimaLima, OH 45804Rehman, Syed MD 419-998-4573Khan, Rizwan MD 7247 W Central AveSte AAnike, Paul DO1319 N Main St Ste C 1001 Bellefontaine AveGardner, Pamela DOFindlay, OH 45840 Toledo, OH 43617Lima, OH 45804951 Commerce Parkway,419-843-8815 419-843-8815419-998-4573Ste 100Lima, OH 45804Rehman, Syed MD Sheikh, Farrukh MDAnike, Paul DO419-224-59151319 N Main St Ste C 7247 W Central AveSte A951 Commerce Parkway,Findlay, OH 45840 Ste 100Jitan, Raed MD419-843-8815 Toledo, OH 43617Lima, OH 458042615 Fort Amanda Rd419-843-8815419-224-5915Lima, OH 45804Sheikh, Farrukh MD419-996-51631319 N Main St Ste C Sandusky County Arabpour, Mehran DOFindlay, OH 458401001 Bellefontaine AveJitan, Raed MD419-843-8815 Fremont Lima, OH 45804730 W Market St419-998-4573Lima, OH 45801Negrich, Ronald MD419-996-58682575 Hayes Ave, Ste 3Fremont, OH 43420419-333-4400Page 14<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan
Section 2 – List of Plan <strong>Provider</strong>sSpecialistsCardiology cont. Bamdad, A. MD Lucas County Kanaan, Tarif MD1134 Hager St 100 Powell Dr Ste 4Allen County cont. St Marys, OH 45885 MaumeeDundee, MI 48131-8643419-394-3387 734-529-3070Lima cont. Gbur, Carolyn MD Restriction(s): 18 yrs &Battula, Venkat MD 5705 Monclova Rd overJitan, Raed MD 1134 Hager StSte 201830 W High St, Ste 360 St Marys, OH 45885 Maumee, OH 43537Lima, OH 45801 419-794-7700Putnam County419-394-3387419-996-5852 GlandorfGardner, Pamela DO Gbur, Charles MDKato, Julius DO 1134 Hager St 5705 Monclova Rd Jitan, Raed MD830 W High St, Ste 360 St Marys, OH 45885 Ste 201601 Rte 224Lima, OH 45801 419-394-3387 Maumee, OH 43537 Glandorf, OH 45848419-996-5852 419-794-7700 419-996-5852Kuhns, J. MDDefiance CountyMercer County Kato, Julius DO1001 Bellefontaine Ave Defiance 601 Rt 224Lima, OH 45804 Celina Glandorf, OH 45848419-998-4573 Butchko, Gary MD 419-996-58521400 E Second St Ajlouni, Sayyah MDShaheen, Adel MD Defiance, OH 43512 124 E Fayette St730 W Market St Celina, OH 45822Seneca County419-784-1414Lima, OH 45801 419-586-1669419-227-3361TiffinHashmi, Raza MD Foreign Language(s):1400 E Second St ArabicUgwanyi, Ebere MDKosinski, Daniel MDDefiance, OH 435121001 Bellefontaine Ave45 St Lawrence Dr419-784-1414Lima, OH 45804Monroe County Tiffin, OH 44883419-998-4573419-455-7480Kanaan, Tarif MD Dundee Restriction(s): 16 yrs &1400 E Second St overAuglaize County Defiance, OH 43512 Alkhateeb, Mohammed419-784-1414 MDNew Bremen 100 Powell Dr Ste 4Shelby CountyRizk, Magea MD Dundee, MI 48131-8643Ranga, Puttagunta MDNew Bremen1400 E Second St 734-529-30703920 Sland Rd Defiance, OH 43512 Restriction(s): 18 yrs &New Bremen, OH 45869Abdul-Karim, Ahmad419-784-1414 over419-629-3663MDForeign Language(s): 800 E Monroe StHuron County ArabicNew Bremen, OH 45869St Marys 937-832-2425WillardHashmi, Raza MD Foreign Language(s):Anike, Paul DO100 Powell Dr Ste 4 Arabic1134 Hager St Vigesaa, Gregory MD Dundee, MI 48131-8643St Marys, OH 45885 110 E Howard St 734-529-3070Bathini, Ramaswamy419-394-3387 Willard, OH 44890-9448 Restriction(s): 18 yrs & MD419-964-5038 over800 E Monroe StArabpour, Mehran DO Restriction(s): 18 yrs & New Bremen, OH 458691134 Hager St over Kabour, Ameer MD 937-832-2425St Marys, OH 45885100 Powell Dr Ste 4419-394-3387 Dundee, MI 48131-8643 Broderick, George MD734-529-3070 800 E Monroe StRestriction(s): 18 yrs & New Bremen, OH 45869over 937-832-2425<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan Page 15
SpecialistsSection 2 – List of Plan <strong>Provider</strong>sCardiology cont. Arabpour, Mehran DO140 Fox RdFotouhi, Farzin MD951 Commerce Parkway,Deschner, William MD7910 W Jefferson Blvd #Shelby County cont. Van Wert, OH 45891 Ste 201 102New Bremen cont.419-224-5915 Lima, OH 45804419-227-7702Ft Wayne, IN 46804260-436-2424Bamdad, A. MDKupper, Thomas MD 140 Fox Rd Pohl, Ronald MD800 E Monroe St Cardiovascular &Van Wert, OH 45891 770 W High StNew Bremen, OH 45869 419-224-5915 Lima, OH 45801 Thoracic Surgery937-832-2425 Foreign Language(s): 419-227-7702FrenchCrawford CountySidneyPohl, Ronald MDBattula, Venkat MD 951 Commerce Parkway,GalionAnike, Paul DO 140 Fox Rd Ste 201Levy, Michael MD915 W Michigan Van Wert, OH 45891 Lima, OH 45804 270 Portland Way SSidney, OH 45365 419-224-5915 419-227-7702Galion, OH 44833419-224-5915 Foreign Language(s):419-462-4541TelusuRodriguez, Jose MDArabpour, Mehran DO770 W High St915 W Michigan Gardner, Pamela DO Lima, OH 45801 Indiana CountySidney, OH 45365 140 Fox Rd 419-227-7702Van Wert, OH 45891Ft Wayne419-224-5915Foreign Language(s): 419-224-5915 Rodriguez, Jose MD951 Commerce Parkway,Danby, Christopher MDEnglishSte 2012414 E State Blvd Ste S-Wood CountyLima, OH 45804201Bamdad, A. MD419-227-7702Ft Wayne, IN 46805915 W Michigan Perrysburg 260-432-4974 260-484-Sidney, OH 45365 1312 260-373-8060419-224-5915 Bhatia, Raj MD CardiothoracicForeign Language(s): 11201 Sandusky StVascular Surgery Danby, Christopher MDFrench Ste 101 7910 W Jefferson Blvd #Perrysburg, OH 43551 Crawford County 102Battula, Venkat MD 419-874-2263 Ft Wayne, IN 46804915 W Michigan Galion 260-432-4974Sidney, OH 45365 Biswas, Haradas MD419-224-5915 11201 Sandusky St Zadeh, Barry MD Hook, Bruce MDForeign Language(s): Ste 101 270 Portland Way S 2414 E State Blvd #Telusu Perrysburg, OH 43551 Galion, OH 44833 Ste S-201419-874-2263 419-462-4541 Ft Wayne, IN 46805Gardner, Pamela DO 260-436-2424915 W MichiganSidney, OH 45365Cardiothoracic Indiana CountySurgeryHook, Bruce MD419-224-5915 Ft Wayne 7910 W Jefferson Blvd #Van Wert CountyAllen CountyDeschner, William MD102Ft Wayne, IN 46804Van WertLima 2414 E State Blvd Ste S-201260-436-2424Fotouhi, Farzin MD Ft Wayne, IN 46805 Kizilisik, Aydin MDAnike, Paul DO 770 W High St 260-484-1312 260-436- 2414 E State Blvd #140 Fox Rd Lima, OH 45801 2424 Ste S-201Van Wert, OH 45891 419-227-7702 Ft Wayne, IN 46805419-224-5915 260-436-2424Page 16<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan
Section 2 – List of Plan <strong>Provider</strong>sSpecialistsCardiovascular & Scavo, Vincent MD Abdelbaki, Zoheir MD Shelby CountyThoracic Surgery 7910 W Jefferson Blvd # 830 W High St, Ste 360cont.102 Lima, OH 45801 New BremenFt Wayne, IN 46804 419-996-5852Indiana County cont. 260-436-2424 Foreign Language(s): Wase, Abdul MD, FACP,ArabicFACCFt Wayne cont.Lucas County800 E Monroe StKuhns, J. MDNew Bremen, OH 45869Kizilisik, Aydin MD Oregon730 W Market St 937-832-24257910 W Jefferson Blvd # Lima, OH 45801102 Shah, Aamir MD 419-227-3361SidneyFt Wayne, IN 46804 2600 Navarre Ave260-436-2424 Oregon, OH 43616 Perona, Philip MD Ugwanyi, Ebere MD419-251-4364 1001 Bellefontaine Ave 915 W MichiganLadowski, Joseph MD Lima, OH 45804 Sidney, OH 453652414 E State Blvd #Toledo419-998-4573 419-224-5915Ste S-201Ft Wayne, IN 46805Burdine, Jim MDPerona, Philip MD260-436-2424 635 W Spring St, PO BoxVan Wert County2409 Cherry St Ste 3071669Ladowski, Joseph MD Toledo, OH 43608Van Wert419-251-3180Lima, OH 458027910 W Jefferson Blvd # 419-222-7350102Ugwanyi, Ebere MDForeign Language(s):Ft Wayne, IN 46804 Hashmi, Fayyaz MD140 Fox RdSpanish260-436-24242409 Cherry St Ste 307Van Wert, OH 45891Toledo, OH 43608419-224-5915419-251-3180Perona, Philip MDPeterson, Alan MD730 W Market St2414 E State Blvd # Lima, OH 45801 Certified ClinicalSte S-201 Seneca County 419-227-3361 Nurse SpecialistsFt Wayne, IN 46805Foreign Language(s):260-436-2424 TiffinSpanishAllen CountyPeterson, Alan MD Hashmi, Fayyaz MD Ugwanyi, Ebere MD Lima7910 W Jefferson Blvd # 27 St Lawrence Dr 951 Commerce Parkway,102 Ste 201Ste 100Martz, Jacqueline CNSFt Wayne, IN 46804 Tiffin, OH 44883 Lima, OH 45804 441 East 8th St260-436-2424 419-455-8500 419-224-5915Lima, OH 45804419-221-3072Philpott, Jonathan MD Cardiovascular2414 E State Blvd #Hardin County Tucker, Barbara CNSDiseasesSte S-201Ada770 W High StFt Wayne, IN 46805 Allen CountyLima, OH 45801260-436-2424 Ugwanyi, Ebere MD419-996-5240Lima520 W Lincoln AvePhilpott, Jonathan MD Ada, OH 45810 Certified Nurse7910 W Jefferson Blvd # Abdelbaki, Zoheir MD 866-359-5915102Midwife730 W Market StFt Wayne, IN 46804 Lima, OH 45801 Allen County260-436-2424 419-227-3361Foreign Language(s):LimaScavo, Vincent MD Arabic2414 E State Blvd # Leite, Theresa CNMSte S-201 1220 E Elm St Ste 204Ft Wayne, IN 46805 Lima, OH 45804260-436-2424 419-224-2632<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan Page 17
SpecialistsSection 2 – List of Plan <strong>Provider</strong>sCertified Nurse Seneca County Brown, Lori CNP Melvin, Staci CNPMidwife cont.1005 Bellefontaine Ave, 770 W High StTiffin Ste 175 Lima, OH 45801Hancock CountyLima, OH 45804 419-226-4310Smith, Susan CNM 419-227-2727Findlay1344 Seneca AveMueller, Corie CNPTiffin, OH 44883 Brown, Lori CNP 830 W High St, Ste 102Cole, Shirley CNM 419-447-6900770 W High St Lima, OH 458011641 N Lake Ct Lima, OH 45801 419-222-4045Findlay, OH 45840 Certified Nurse 419-227-2727419-425-1510PractitionerRecker-Herman,Dunnigan, Derek CNP Christine CNPFintel, Bonnie CNM Allen County 2195 Allentown Rd 750 W High St, Ste 1501917 S Main St Lima, OH 45805 Lima, OH 45801Findlay, OH 45840 Bluffton419-227-2245 419-227-1359419-420-0904Rush, Teresa FNP Dunnigan, Derek CNP Reichardt, Jeffrey CNPMoore, Debra CNM 132 Garau St825 S Cable Rd, Unit A 770 W High St, Ste 3201917 S Main St Bluffton, OH 45817 Lima, OH 45805 Lima, OH 45801Findlay, OH 45840 419-358-5916419-224-1234 419-331-2225419-420-0904LimaHarshfield, Melinda CNP Shriver, Jacqueline CNPLucas County730 W Market St 310 S Cable RdBish, Beth CNPLima, OH 45801 Lima, OH 45805Holland1005 Bellefontaine Ave,419-227-3361 419-228-1000POB II, Suite 245Augustine, Donna CNM Lima, OH 45804Harshfield, Melinda CNP Shriver, Jacqueline CNP6135 Trust Dr Ste 110 419-998-8230830 W High St, Ste 360 525 Eastown RdHolland, OH 43528Lima, OH 45801 Lima, OH 45805419-491-0041 Brenek, Judy CNP419-996-5852 419-228-10002758 W Market StToledo Lima, OH 45805Kretzer, Christy CNP Tegenkamp, Michelle419-224-4646730 W Market St CPNPStephenson, JackieLima, OH 45801 830 W High St, Ste 102CNMBrenek, Judy CNP419-227-3361 Lima, OH 458011020 Varland Ave 3275 W Elm St419-222-4045Toledo, OH 43605 Lima, OH 45805Kretzer, Christy CNP419-251-2673 419-224-4646 419-516-750 W High St, Ste 320 Trent, Cynthia CNP0305Lima, OH 45801 1005 Bellefontaine Ave419-226-4300 Lima, OH 45804Marion CountyBrenek, Judy CNP419-227-2727939 W Market StLee, S. CNPMarionLima, OH 458051005 Bellefontaine Ave, Yarkosky, Erin CNP419-996-5077Ste 1002195 Allentown RdGatchel, Brenda CNM Lima, OH 45804 Lima, OH 45805960 S Prospect StBrown, Linda CNP419-227-5298 419-227-2245Marion, OH 43302740-383-2776 730 W Market St, 2K -Heart & VascularMay, Janet CNP Auglaize CountyCenter770 W High StLima, OH 45801Lima, OH 45801 St Marys419-996-5883419-222-3828Shriver, Jacqueline CNP510 East Spring StSt Marys, OH 45885419-228-1000Page 18<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan
Section 2 – List of Plan <strong>Provider</strong>sSpecialistsCertified Nurse Chiropractor Auglaize County Bowen, Sherman DCPractitioner cont.1770 Jefferson AveAllen County St MarysDefiance, OH 43512Hardin County419-784-4351ElidaSpees, Robert DCAda1275 E Greenville Rd Klingler, Shane DCBates, Natalie DC St Marys, OH 45885 1770 Jefferson AveShriver, Jacqueline CNP 316 E Main St 419-300-9790Defiance, OH 43512520 W Lincoln Ave Elida, OH 45807419-784-4351Ada, OH 45810419-339-0500 Spieles, Todd DC419-634-2360 1297 E Spring St Lorenz, Jack DCLimaSt Marys, OH 45885 1770 Jefferson AveMercer County419-394-4313 Defiance, OH 43512Damschroder, Jr.,419-784-4351CelinaRichard DCSpieles, Zachary DC3075 W Elm St1297 E Spring St Lorenz, William DCBarlage, Cindy CNP Lima, OH 45805 St Marys, OH 45885 1770 Jefferson Ave2740 W Market St 419-224-5678419-394-4313 Defiance, OH 43512Celina, OH 45822419-784-4351419-586-1411 Evans, Robert DC Wapakoneta2999 N W StNowotny, Jane DCBarlage, Cindy CNP Lima, OH 45801-2010 Elkins, Amy DC 1770 Jefferson Ave900 HAverman Rd 419-225-8069 108 W Auglaize St Defiance, OH 43512Celina, OH 45822 Wapakoneta, OH 45895 419-784-4351419-221-2273 Feltz, Carl DC 419-739-90001517 Allentown RdThomas, Richard DCSandusky County Lima, OH 45806 Elkins, John DC 1770 Jefferson Ave419-222-4000 108 W Auglaize St Defiance, OH 43512FremontWapakoneta, OH 45895 419-784-4351Rabe, Steven DC 419-739-9000Gabel, Elizabeth CNP 3075 W Elm StFulton County2575 Hayes Ave, Ste 5 Lima, OH 45805 Crawford CountyFremont, OH 43420 419-224-5678 Archbold419-332-3560 BucyrusRump, Anthony DCNafziger, Randy DCLamp, Abby CNM 3021 Harding Hwy Eastman, Amy DC 800 Stryker St Ste B1920 Glen Springs Dr Lima, OH 45804 234 S Sandusky St Archbold, OH 43502Fremont, OH 43420 419-224-2221 Bucyrus, OH 44820 419-445-1600419-333-9026 419-562-4242Stemen, Michael DCSwantonMauric, Kelli NP 1601 Allentown RdLima, OH 45805Defiance County605 Third Ave Bldg B Spiers, Matt DCSte D 419-227-8700Defiance 119 N Main StFremont, OH 43420 Swanton, OH 43558419-355-8070 Wheeler, Michael DC Bauer, James DC 419-826-55773075 W Elm St 619 W Second StLima, OH 45805 Defiance, OH 43512419-224-5678 Wauseon419-782-1166Zelinka, Agnes DC Click, Patrick DCBeane, Evan DC525 N Eastown Rd 561 N Shoop Ave1770 Jefferson AveLima, OH 45807 Wauseon, OH 43567Defiance, OH 43512419-998-4699 419-337-8326419-784-4351<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan Page 19
SpecialistsSection 2 – List of Plan <strong>Provider</strong>sChiropractor cont. Lofquist, Christopher DC Logan County Sylvania643 Trenton AveFulton County cont. Findlay, OH 45840 Bellefontaine Hedges, Keith DC419-427-6300 5525 Harroun RdWauseon cont. Elkins, Amy DC Sylvania, OH 43560Lok, Betty DC 1430 S Main St 419-882-6455Frank, Patrick DC 239 S Main StBellefontaine, OH 43311601 Meadow Lane Findlay, OH 45840 937-593-9846Pierzchala, Georgina DCWauseon, OH 43567 419-429-1111 7135 W Sylvania Ave419-335-5851 Elkins, John DC Bldg 1BPerry, Renee DC 1430 S Main St Sylvania, OH 43560Hancock County 1995 Tiffin Ave Ste 312 Bellefontaine, OH 43311 419-841-3273Findlay, OH 45840 937-593-9846Findlay 419-425-2225 Pierzchala, Steven DCBerry, Christopher DC Reser, Richard DCLucas County 7135 W Sylvania AveBldg 1B1611 Tiffin Ave 1995 Tiffin Ave Ste 312 Holland Sylvania, OH 43560Findlay, OH 45840 Findlay, OH 45840 419-841-3273567-208-0965 419-425-2225 Brohl, Shawn DCDietz, Stephanie DC Simons, Michelle DC6819 Spring Valley DrHolland, OH 43528Toledo239 S Main St 15028 US Route 224 East 419-866-6325 Acosta, Rafael DCFindlay, OH 45840 Findlay, OH 45840 4405 Talmadge Rd419-429-1111 419-427-2100 Egnace, John DC Toledo, OH 436231138 S McCord RD 419-474-8000Eastman, Amy DC Taylor, Darrin DC Holland, OH 43528239 S Main St 15028 US Route 224 East 419-866-6688 Doom, Richard MDFindlay, OH 45840 Findlay, OH 45840 431 E Broadway St419-429-1111 419-427-2100 Schliesser, Jason MD Toledo, OH 43065757 S McCord Rd 419-693-0721Hawley, Bill DC Hardin County Holland, OH 43528341 Trenton Ave 419-865-1727 Dunne, Cindy DCFindlay, OH 45840 Kenton 3218 Secor Rd419-422-5453 Maumee Toledo, OH 43606Rinehart, Gregory DC 419-535-1500Hosey, Daniel DC 312 N Detroit St Muck, Robert Dc2121 Bright Rd Kenton, OH 43326 2526 Perrysburg Holland Dunne, Timothy DCFindlay, OH 45840 419-673-0700 Rd 3001 W Sylvania Ave419-422-4240 Maumee, OH 43537 Toledo, OH 43613Hosey, Douglas DCHenry County 419-866-0462 419-472-30702121 Bright Rd Napoleon OregonFields, David DCFindlay, OH 458404405 Talmadge Rd419-422-4240 Frey, Timothy Dc Crawford, Jeffrey DC Toledo, OH 43623390 Independence Dr 860 Ansonia St Ste 116 419-474-8000Kirk, Mark DC Napoleon, OH 43545116 W Lima St Oregon, OH 43616419-592-7966 419-698-1555Fields, Nathaniel DCFindlay, OH 458404405 Talmadge Rd419-425-9798 Holman, Terry DC Swaim, Robin MD Toledo, OH 43623620 Monroe St 3634 Navarre Ave 419-474-8000Krouse, Michael DC Napoleon, OH 4354515028 US Route 224 East Oregon, OH 43616419-592-8186Findlay, OH 45840419-691-7213419-427-2100Page 20<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan
Section 2 – List of Plan <strong>Provider</strong>sSpecialistsChiropractor cont. Smith, Connie DC2955 W Sylvania AvePort Clinton OttawaLucas County cont. Toledo, OH 43613 Chapman, Glenn DC Rump, Anthony DCToledo cont.419-473-2955 312 W Third StPort Clinton, OH 434521502 N Perry StOttawa, OH 45875Sutherland, John DC 419-734-6250 419-523-4898Frame, Mickey DC 1825 N Reynolds Rd4157 W Sylvania Ave Toledo, OH 43615 Darr, Joseph DCToledo, OH 43623Pandora419-537-6669 125 E Third St419-475-8326 Port Clinton, OH 43452 Hovest, Kasey DCTrax, Timothy DC 419-734-4210Guinn, Larry DC107 E Washington St, PO2955 W Sylvania Ave2477 Shoreland AveBox 251Toledo, OH 43613 Seibert, Nelson DCToledo, OH 43611Pandora, OH 45877419-473-2955 123 E Second St419-729-1619419-384-3457Port Clinton, OH 43452Mcmahon, Brendan DCMercer County 419-732-3189Sandusky County1833 Eastgate StToledo, OH 43614Celina Sandusky Fremont419-385-0002 Geise, David DC Bodi, David DC Snodgrass, Darren DC913 W Logan StMorrison, Lorene DC1501 Milan Rd 1320 E State St Ste BCelina, OH 45822743 S ByrneSandusky, OH 44870 Fremont, OH 43420419-586-8600Toledo, OH 43609419-625-4990 419-332-6840419-382-7400 Pruitt, Aaron DC Hamilton, Traci DC Tracy, Ty DC125 E Forest StMorrison, Steven DC1501 Milan Rd 1823 W State StCelina, OH 45822743 S ByrneSandusky, OH 44870 Fremont, OH 43420419-584-2225Toledo, OH 43609419-625-4990 419-334-7737419-382-7400 Van Arsdel, Gina DCPaulding County Wise, Stephen DC125 E Forest StPierzchala, Georgina DC 2274 W State StCelina, OH 458223218 Secor Rd Payne Fremont, OH 43420419-584-2225Toledo, OH 43606419-332-9900419-535-1500Krouse, Michael DCFort Recovery 110 W Oak St, PO Box Seneca CountyRaham, Hythem DC2645414 Monroe St Carr, Daniel DC Payne, OH 45880 AtticaToledo, OH 43623 103 Broadway St 419-263-1393419-873-1515Fort Recovery, OH 45846Auck, Shawn DC419-375-1808 Putnam County 4457 SR 4 SRiley, Robert DCAttica, OH 44807440 Heatherdowns Blvd Ottawa County Columbus Grove 419-426-6025Ste 5Toledo, OH 43614 GeonaEllerbrock, Matthew DC Tiffin419-720-1472212 W Sycamore StRich, Mark DC Columbus Grove, OH Fabrizio, Dominic DCSkrzynecki, Debra DC 23285 State Rte 51 W 45830676 Miami St Ste A5201 Monroe St Geona, OH 43430 419-659-2271Tiffin, OH 44883Toledo, OH 43623 419-855-7776419-448-5533419-842-1235Perry, Renee DC1660 W Market St Ste DTiffin, OH 44883419-425-2256<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan Page 21
SpecialistsSection 2 – List of Plan <strong>Provider</strong>sChiropractor cont. Krouse, Michael DC Perrysburg Orr, Michael DC1185 Wwood Dr 714 N Sandusky AveSeneca County cont. Van Wert, OH 45891 Spiers, Matt DC Upper Sandusky, OH419-232-4470 28400 Cedar Park Blvd 43351Tiffin cont. Ste B 719-294-9490Miller, Tracy DC Perrysburg, OH 43551Reser, Richard DC 10192 State Route 118 419-666-5567 Smith, Lucas DC1660 W Market St Ste D Van Wert, OH 45891 109 Houpt DrTiffin, OH 44883 419-238-5623 Wyandot County Upper Sandusky, OH419-447-3343 43351Osenga, Adam DC Carey419-294-3489Solomon, Jerrold DC 10963 Van Wert Decatur716 W Market St Ste A Rd Dietz, Stephanie DC Thiel, Matthew DCTiffin, OH 44883 Van Wert, OH 45891 106 E Findlay St 109 Houpt Dr419-443-8877 419-238-6686 Carey, OH 43316 Upper Sandusky, OH419-396-151543351Shelby County Simons, Michelle DC 419-294-34891185 Wwood Dr Eastman, Amy DCSidney Van Wert, OH 45891 106 E Findlay St419-232-4470DentalCarey, OH 43316Witwer, Thomas DC 419-396-1515 Auglaize County420 W Russell Rd Taylor, Darrin DCSidney, OH 45365 1185 Wwood Dr Lok, Betty DC St Marys937-498-0076 Van Wert, OH 45891 106 E Findlay St419-232-4470 Carey, OH 43316 Fleagle, Jeffrey DDSVan Wert County419-396-1515 124 N Front StVanWertSt Marys, OH 45885Delphos Orr, Michael DC 419-394-2413Foster, Shad DC 106 E Findlay StDeWitt, Jay DC 10963 Van Wert-Decatur Carey, OH 43316 Lucas County333 N St Rd419-396-1515Delphos, OH 45833 VanWert, OH 45891 Toledo419-692-2225 419-238-6686 Upper SanduskyBailey, Brenda DDSVan WertWood County Dietz, Stephanie DC 6725 W Central Ave714 N Sandusky Ave Ste M #111Bullinger, Todd DC Bowling Green Upper Sandusky, OH Toledo, OH 4361710963 Van Wert Decatur 43351888-833-8441Rd O’Shea, Patrick DC 719-294-9490Van Wert, OH 45891 1072 N Main StBryant, Roger DDS419-238-6686 Bowling Green, OH 43402 Eastman, Amy DC 6725 W Central Ave419-354-6166 714 N Sandusky Ave Ste M #111Holman, Douglas DCUpper Sandusky, OH Toledo, OH 4361710916 Lincoln Hwy Fostoria43351888-833-8441Van Wert, OH 45891 719-294-9490419-238-3807 Schweighart, Robert DCDrake, Laurence DDS515 Plaza DrLok, Betty DC6725 W Central AveHughes, Drake DC Fostoria, OH 44830 714 N Sandusky Ave Ste M #111834 W Main St, PO Box 419-435-0067Upper Sandusky, OH528 43351Van Wert, OH 45891 719-294-9490419-232-3322Toledo, OH 43617888-833-8441Page 22<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan
Section 2 – List of Plan <strong>Provider</strong>sSpecialistsDental cont. Lucas County Family Nurse Henry CountyToledoPractitionerLucas County cont.NapoleonVan Wert CountyToledo cont. Boutros, Mounir MD McMaster, Anna MD5951 Renaissance Place Van Wert1843 Oakwood AveMeluch, Ralph DDS Ste C Napoleon, OH 435456725 W Central Ave Toledo, OH 43623 Greve, Diana FNP 330-867-7544Ste M #111 419-824-2288 140 Fox RdToledo, OH 43617 Van Wert, OH 45891 Licking County888-833-8441Electrophysiology 419-238-6747NewarkMeme, Ralph DDS Seneca County6725 W Central Ave Family PracticeWaggoner, Carl MDSte M #111 Tiffin Defiance County 2269 Cherry Valley Rd SEToledo, OH 43617 Newark, OH 43055888-833-8441 Kosinski, Daniel MD Hicksville740-344-031145 St Lawrence DrRenick, Michele DMD Tiffin, OH 44883 Miller, Laverne MD6725 W Central AveLucas County419-455-7480 208 Columbus StSte M #111 Restriction(s): 16 yrs & Hicksville, OH 43526 HollandToledo, OH 43617 over 419-542-7718888-833-8441 Guibord, Roberta DOEndocrinology Underwood, Daniel MD 330 Oak TerraceSchmerge, William DDS 208 N Columbus St Holland, OH 435286725 W Central AveAllen County Hicksville, OH 43526 419-874-8745Ste M #111 419-542-6692Toledo, OH 43617 Lima888-833-8441MaumeeFulton CountyMishr, Suman MDTegano, Joseph DDS Bazeley, Stephen MD770 W High St, Ste 3006725 W Central AveDelta 5109 Monclova RdLima, OH 45801Ste M #111 Maumee, OH 43537419-996-5240Toledo, OH 43617Steurnagel, Joseph MD 419-893-5968Foreign Language(s):888-833-8441101 Adrian StHindi Delta, OH 43515 Figy, Rex MD419-822-3771 5109 Monclova RdDermatology Lucas County Maumee, OH 43537Wauseon419-893-5968Allen County ToledoLima Murtiff, Harry DO Hasan, Irshad MDMoosa, Mahmood MD 606 S Shoop Ave 5109 Monclova Rd4235 Secor Rd Bldg 1Heaphy, Michael MD Wauseon, OH 43657 Maumee, OH 43537Toledo, OH 436231005 Bellefontaine Ave, 419-337-0915419-893-5968734-682-5243Ste 225Lima, OH 45804 Music, Ronald MD Neiswander, MichaelMoosa, Mahmood MD419-229-6781 606 S Shoop AveMD5012 Talmadge Rd Wauseon, OH 43657 5109 Monclova RdSte 200 419-337-0915Maumee, OH 43537Toledo, OH 43623 419-893-5968419-885-5903Odeh, Neiman DO5109 Monclova RdMaumee, OH 43537419-893-5968<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan Page 23
SpecialistsSection 2 – List of Plan <strong>Provider</strong>sFamily Practice Gastroenterology Taja, Abdulla MD Lucas Countycont.375 N Eastown RdAllen County Lima, OH 45807 ToledoLucas County cont. 419-221-1394AdaForeign Language(s): Corman, Scott DOMaumee cont. Arabic2213 Cherry St Ste 200Leifer, Mark MD Toledo, OH 43608-2603Singh, Shalini DO 520 W LincolnAuglaize County419-251-42835757 Monclova Rd Ste 11 Ada, OH 45810 Restriction(s): 18 yrs &Maumee, OH 43537 419-227-8209 Limaover419-887-8780Rinesmith, Scott MD Brunelle, Charles MD Pappas, Michael MDOregon520 W Lincoln 2793 Shawnee Rd 2213 Cherry St Ste 200Ada, OH 45810 Lima, OH 45806 Toledo, OH 43608Hulsemann, Susan MD 419-227-8209 419-227-8209419-251-42832702 Navarre Ste 206Restriction(s): 17 yrs &Oregon, OH 43616 Delphos Leifer, Mark MDover419-696-6000 2793 Shawnee RdSheikh, Tariq MD Lima, OH 45806 Reilly, Peter MDToledo1800 East Fifth St 419-227-82092213 Cherry St Ste 200Delphos, OH 45833Toledo, OH 43608Osowik, Rosemarie MD 419-227-8209 Rinesmith, Scott MD 419-251-42832100 W Alexis Rd2793 Shawnee Rd Restriction(s): 18 yrs &Toledo, OH 43613Lima, OH 45806overLima419-479-7000419-227-8209Zack, David DOCapone, Richard MDSheikh, Tariq MD 2213 Cherry St Ste 200Paulding County 939 W Market St2793 Shawnee Rd Toledo, OH 43608Lima, OH 45805Lima, OH 45806 419-251-4283Antwerp 419-996-5077419-227-8209Restriction(s): 18 yrs &overWiley, Todd MD Kottapalli, Venkata MD,422 W River St CNSPSolomon, Howard MDAntwerp, OH 45813 1005 Bellefontaine Ave 2793 Shawnee Rd Seneca County419-258-5195 Lima, OH 45804 Lima, OH 45806419-228-2600419-227-8209TiffinSandusky CountyKottapalli, Venkata MD, WapakonetaWagner, Steven MDCNSP27 St Lawrence DrClyde375 N Eastown Rd Kottapalli, Venkata MD,Ste 201Lima, OH 45807CNSPTiffin, OH 44883Herring, Daniel DO419-228-3500 1251 Lincoln Ave419-455-8500420 W McPherson HwyWapakoneta, OH 45895Restriction(s): 18 yrs &Clyde, OH 43410Kottapalli, Venkata MD, 419-738-6675over419-547-0584CNSPForeign Language(s):750 W High St, Ste 200 TeluguVan Wert CountyFremontLima, OH 45801419-228-2600Van WertBower, Mary MD1479 N River RdForeign Language(s):TeluguNeidich, Robert MDFremont, OH 43420140 Fox Run Rd419-355-9440Neidich, Robert MDVan Wert, OH 458912793 Shawnee Rd419-227-8209Lima, OH 45806419-227-8209Page 24<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan
Section 2 – List of Plan <strong>Provider</strong>sSpecialistsGastroentrology Kakarla, Rahendra MD Seneca County Auglaize County3920 Sland RdLucas County New Bremen, OH 45869 TiffinSt MarysOregon419-629-3663Ganesan, Mahamini MD Bryant, Kenneth DOAhmad, Farid MDSt Marys23 W Perry StTiffin, OH 448831165 Knoxville AveSt Marys, OH 458852702 Navarre Ave #106Chalasani, Padmaja MD419-448-4171 419-394-3332Oregon, OH 43616419-696-55551300 GreenvilleSt Marys, OH 45885 Van Wert County Hudson, Wayne DO419-394-48131134 Hagar StPangulur, Sudhakar MD Van WertSt Marys, OH 458852702 Navarre Ave #106 419-394-4044Oregon, OH 43616 Hardin County Lautzenheiser, Thomas419-696-5555 MDKeighley, Robert DOKenton140 Fox Rd Ste 402 1165 Knoxville AveSodeman, William MD Van Wert, OH 45891 St Marys, OH 458852702 Navarre Ave #106 Deshmukh, Murlidhar419-238-0808419-394-3332Oregon, OH 43616 MD419-696-5555 15047 State Rt 309Quinter, Paul MDKenton, OH 43326 General Surgery 1165 Knoxville Ave419-673-0595ToledoAllen CountySt Marys, OH 45885419-394-3332Filipiak, Charles MD Mercer County Lima2213 Cherry St Ste 200Reichert, James DOToledo, OH 43068Ft RecoveryCox, Marcus MD 1165 Knoxville Ave419-251-4360 1005 Bellefontaine Ave, St Marys, OH 45885Rohrer, David MDSte 260419-394-3332Wagner, Steven MD807 Blue Jacket DrFt Recovery, OH 45846Lima, OH 458042213 Cherry ST Ste 200419-375-2112419-998-8250 Defiance CountyToledo, OH 43068419-471-1350 Hixenbaugh, Todd MD DefianceRestriction(s): 18 yrs & Sandusky County 1001 Bellefontaine Aveover Lima, OH 45804 Shaw, John MDBellevue419-227-71171400 E Second StZack, David DODefiance, OH 435122213 Cherry ST Ste 200 House, Charles Do Hixenbaugh, Todd MD 419-784-1414Toledo, OH 43068 521 N Sandusky St 830 W High St, Ste 207419-471-1350 Bellevue, OH 44881 Lima, OH 45801419-547-0584Fulton County419-227-7117General PracticeWauesonHutchison, Philip Do Lucchese, Christopher1400 W Main St Ste DAuglaize County DO Weigand, Truman MDBellevue, OH 44811 545 W Market St, 725 S Shoop AveNew Bremen330-875-4320 Ste 306 Waueson, OH 43567Lima, OH 45801 419-335-6880Chalasani, Padmaja MD Clyde 419-331-22253920 Sland Rd WauseonNew Bremen, OH 45869 House, Charles Do Lucchese, Christopher419-629-3663 420 W McPherson Hwy DOSaaka, Michael MDClyde, OH 43410 770 W High St, Ste 320 725 S Shoop Ave419-547-0584 Lima, OH 45801 Wauseon, OH 43567419-228-8012 419-335-2015<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan Page 25
SpecialistsSection 2 – List of Plan <strong>Provider</strong>sGeneral Surgery Stengle, John MD Parodi, Jose MD Peters, Ralph MDcont. 5800 Monroe Bldg G 4041 W Sylvania Ave 1908 Glen Springs DrSylvannia, OH 43560 Ste 101 Fremont, OH 43420Hancock County 419-885-2525 Toledo, OH 43623 419-332-4778419-292-0300FindleyToledoWiecek, Rick MDRaimonde, Anthony MD 2281 Hayes AveKokocharov, Stoyan MDAlo, Abed MD2409 Cherry St MOB 303 Fremont, OH 43420100 W Pearl ST3909 Woodley Rd Toledo, OH 43608 419-355-8488Findley, OH 45840Ste 800419-251-4674419-429-0899Toledo, OH 43606Seneca County216-383-8500Sipe, Eilynn MDHardin County 3909 Woodley Rd TiffinBraun, Theodore MD Ste 800Kenton2000 Regency St 100 Toledo, OH 43606 Kokocharov, Stoyan MDToledo, OH 43623 419-291-2241 1660 W Market St Ste DHixenbaugh, Todd MD606-849-5000Tiffin, OH 44883921 E Franklin St Stark, Michael MD 419-455-9410Kenton, OH 43326Butler, Candilee MD 2000 Regency St 100419-227-71172000 Regency St 100 Toledo, OH 43623419-841-6677Van Wert CountyToledo, OH 43623Henry County 419-841-6677 Van WertStengle, John MDNapoleon Dodd, Jospeh MD 2213 Cherry St Ste 200 Hixenbaugh, Todd MD3909 Woodley Rd Toledo, OH 43068 1250 S WashingtonSkoskiewicz, Marek Ste 800 419-251-3112Van Wert, OH 45891MD, PHD Toledo, OH 43606 419-227-711711644 State Route 424 440-347-9975White, Patrick MDSte 1024041 W Sylvania AveNapoleon, OH 43545 Ste 101Wood CountyKlein, Peter MD419-758-3171 3909 Woodley Rd Toledo, OH 43623419-292-0300Bowling GreenSte 800Indiana County Toledo, OH 43606Wright, Jonathan MDLalor, Peter MD419-291-22412000 Regency St 100960 W Wooster St,LondonToledo, OH 43623Ste 116Knotts, Frank MD419-841-6677Bowling Green, OH 43402Coate, Mark MD 2409 Cherry St MOB 303 419-353-7069214 Elm St Toledo, OH 43608London, IN 43140 419-251-4674 Sandusky County740-852-4100Gynecology, OB/Mancho, Salim DO BellevueGYNLucas County 2409 Cherry St MOB 303Toledo, OH 43608 Centa, Joseph MD Allen CountySylvannia 419-251-46741400 W Main St Ste DBellevue, OH 44811 BlufftonDodd, Jospeh MD Miller, Allan DO 330-875-43205800 Monroe Bldg G 2000 Regency St 100Brown, Desrene MDSylvannia, OH 43560 Toledo, OH 43623547 Harmon RdFremont419-885-2525 419-841-6677Bluffton, OH 45817419-369-4600Grillis, Michael DOSferra, Joseph MD Novakovic, Rachel MDForeign Language(s):2281 Hayes Ave5800 Monroe Bldg G 2409 Cherry St MOB 303SpanishFremont, OH 43420Sylvannia, OH 43560 Toledo, OH 43608 419-355-8488419-885-2525 419-251-4674Page 26<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan
Section 2 – List of Plan <strong>Provider</strong>sSpecialistsGynecology, OB/ Kindig, Marilyn DO Auglaize County Fofung, Sema DOGYN cont.770 W High St 725 S Shoop AveLima, OH 45801 St MarysWauseon, OH 43567Allen County cont. 419-227-2727 419-335-6377Chung, Maurice MDLima Medina, Rhonda MD 510 East Spring StSt Marys, OH 45885Hancock County1005 Bellefontaine AveBradley, Alan MD Lima, OH 45804 419-228-1000Findlay1220 E Elm St, Ste 204 419-228-1000Foreign Language(s):Lima, OH 45804ChineseDoty-Armstrong,419-224-2632 Medina, Rhonda MD Carmen DO310 S Cable Rd Glance, Jennifer DO 1917 S Main StChung, Maurice MD Lima, OH 45805 510 East Spring St Findlay, OH 45840310 S Cable Rd 419-228-1000 St Marys, OH 45885 419-420-0904Lima, OH 45805419-228-1000419-228-1000 Medina, Rhonda MD Jordan, Miguel MDForeign Language(s): 525 Eastown Rd Medina, Rhonda MD 1900 Chapel DrChinese Lima, OH 45805 510 East Spring St Findlay, OH 45840419-228-1000 St Marys, OH 45885 419-425-3211Chung, Maurice MD419-228-1000525 Eastown Rd Niesen, Jennifer DO Parekh, Mahendra MDLima, OH 45805 1005 Bellefontaine Ave, Wapakoneta 300 W Wallace St Ste B4419-228-1000 Ste 175 Findlay, OH 45840Lima, OH 45804 Kahn, James MD 419-422-6717Glance, Jennifer DO 419-227-2727 1251 Lincoln Ave1005 Bellefontaine Ave Foreign Language(s): Sign Wapakoneta, OH 45895 Pedler, Kristi MDLima, OH 45804 Language 419-227-0670 1917 S Main St419-228-1000 Findlay, OH 45840Niesen, Jennifer DODefiance County 419-420-0904Glance, Jennifer DO 770 W High St310 S Cable Rd Lima, OH 45801 DefianceSchutz, Robert MDLima, OH 45805 419-227-2727 1641 N Lake Ct419-228-1000 Summers, Robert DO Findlay, OH 45840Ryan, Charles MD 1400 E Second St 419-425-1510Glance, Jennifer DO 830 W High St, Ste 101 Defiance, OH 43512525 Eastown Rd Lima, OH 45801 419-784-1414Thomas, Lorie DOLima, OH 45805 419-227-0610 1917 S Main St419-228-1000HicksvilleFindlay, OH 45840Scherger, William MD 419-420-0904Kahn, James MD 830 W High St, Ste 101830 W High St Lima, OH 45801 Triplett, Stephens MD208 N Columbus StTong, Alan MDLima, OH 45801 419-227-0610Hicksville, OH 435261641 N Lake Ct419-227-0610419-542-6692Findlay, OH 45840Stallkamp, Scott MD 419-425-1510Kahn, James MD 830 W High St, Ste 101830 W High St, Ste 101 Lima, OH 45801 Fulton County Weingates, Joseph MDLima, OH 45801 419-227-0610 1818 Chapel Dr Ste C419-227-0610 WauseonFindlay, OH 45840Stallkamp, Vanessa MD 330-245-1608Kindig, Marilyn DO 830 W High St, Ste 101 Fofung, Sema DO1005 Bellefontaine Ave, Lima, OH 45801 606 S Shoop AveSte 175 419-227-0610Wauseon, OH 43657Lima, OH 45804419-335-2015419-227-2727<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan Page 27
SpecialistsSection 2 – List of Plan <strong>Provider</strong>sGynecology, OB/ Toledo Carroll, Jennifer MD Linares, Claudio MDGYN cont.2213 Cherry St 1020 Varland AveAdams-Ferguson, Karen Toledo, OH 43068 Toledo, OH 43605Hardin County MD2213 Cherry St419-251-3232 419-251-2673Restriction(s): AdolecentAda Toledo, OH 43068 Chung, Maurice MD and older419-251-3232 3120 Glendale AveChung, Maurice MD Toledo, OH 43614 Linares, Claudio MD520 W Lincoln Ave Anderson, Jennifer MD 419-383-3787 2213 Cherry StAda, OH 45810 3840 Woodley Rd Ste B Toledo, OH 43068419-634-2360 Toledo, OH 43606 Credico, John MD 419-251-3232Foreign Language(s): 419-475-0001 2200 Jefferson AveChinese Toledo, OH 43604 Markwood, Richard DOArmstrong, Anthony MD 419-251-1400 2213 Franklin AveLucas County 2213 Cherry StToledo, OH 43068 D’Souza, Deborah MDToledo, OH 43620419-251-2395Holland419-251-3232 2213 Cherry StToledo, OH 43068 Nopkhun, Vijit MDArquette, Nancy MD Armstrong, Anthony MD 419-251-3232 2213 Cherry St6135 Trust Dr Ste 110 2213 Franklin Ave Toledo, OH 43068Holland, OH 43528 Toledo, OH 43620 D’Souza, Deborah MD 419-251-3232419-491-0041419-251-2395 2213 Franklin AveRestriction(s): 7 yrs & Toledo, OH 43620 Obayuwana, AlphonsusRead, Elizabeth MD over 419-251-2395 MD6135 Trust Dr Ste 1102213 Cherry St InpatientHolland, OH 43528 Armstrong, Anthony MD Greenbaum, Mitchell DO OB/GYN Department419-491-00414853 Monroe St 2213 Franklin Ave Toledo, OH 43608Toledo, OH 43623 Toledo, OH 43620 419-251-3232Oregon419-475-4666Restriction(s): 7 yrs &419-251-2395Phibbs, Garth MDCredico, John MDover Horrigan, Terrance MD 2109 Hughes Dr Ste 8202702 Navarre Ste 2063120 Glendale Ave Toledo, OH 43606Oregon, OH 43616Blair, Robert DO Toledo, OH 43614 419-471-2025419-696-60002213 Cherry St 419-383-3787Toledo, OH 43068Pohlod-Miller, SusanCroak, Andrew DO419-251-3232 Jackson, David DO MD2702 Navarre Ave Ste1012213 Cherry St 2213 Cherry StOregon, OH 43616 Briel, Mark MD Toledo, OH 43068 Toledo, OH 43068419-893-71342213 Cherry St 419-251-3232 419-251-3232Toledo, OH 43068Owen, Mychelle DO419-251-3232 Johnson, Peter MD Read, Elizabeth MD2702 Navarre Ave2213 Cherry St 2213 Cherry StSte 305Briel, Mark MD Toledo, OH 43068 Toledo, OH 43068Oregon, OH 436162213 Franklin Ave 419-251-3232 419-251-3232419-691-8000Toledo, OH 43620419-251-2395 Kauffman, Amy NP Read, Elizabeth MDPerrysburg4853 Monroe St 3840 Woodley Rd Ste BBriel, Mark MD Toledo, OH 43623 Toledo, OH 43606Avram, Tiberiu MD1021 Sandusky St Ste E 419-475-4666 Khurshid, Nauman MD Roca, Pedro MDPerrysburg, OH 43551 2213 Franklin Avneue 2213 Cherry St419-872-3232 Toledo, OH 43620 Toledo, OH 430684853 Monroe StToledo, OH 43623419-475-4666 419-475-0001419-251-2395 419-251-3232Page 28<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan
Section 2 – List of Plan <strong>Provider</strong>sSpecialistsGynecology, OB/ Moodley, Jaybalan MD El-Nemr, Mohamed MD Wood CountyGYN cont.960 S Prospect St 595 Bartson RdMarion, OH 43302 Fremont, OH 43420 Bowling GreenLucas County cont. 740-383-2776 419-355-0789Calcamuggio, Lyle MDToledo cont. Mousa, Emad MD Harrison, Kurt DO 755 Haskins Rd960 S Prospect St 1922 Glen Springs Dr Bowling Green, OH 43402Roca, Pedro MD Marion, OH 43302 Fremont, OH 43420 419-352-84272213 Franklin Ave 740-383-2776 419-333-9026Restriction(s): Females 12Toledo, OH 43620yrs & over419-251-2395 Mercer County Seneca CountyLeggat, Ian MDSaleh, Abdelaziz MD Celina Tiffin755 Haskins Rd2213 Cherry St Ste 211Bowling Green, OH 43402Toledo, OH 43068 Noureldin, Suhila MD Hedges, Wesley MD 419-352-8427419-251-3704 950 S Main St Ste 10 1344 Seneca Ave Restriction(s): Females 12Celina, OH 45822 Tiffin, OH 44883yrs & overSaleh, Abdelaziz MD 419-586-1118 419-447-69002213 Franklin Ave PerrysburgToledo, OH 43620 Rhee, Gil MD419-251-2395Stark County950 S Main St Lucente, Shannon DOCelina, OH 45822 Alliance1103 Village Square DrShah, Shirish MD 419-586-7940 Ste 1012213 Cherry St Meniru, Godwin MD Perrysburg, OH 43551Toledo, OH 43068Sandusky County 405 S Linden Ave 419-872-3201419-251-3232 Ste 210Fremont Alliance, OH 44601 Markwood, Richard DOShah, Shirish MD330-821-39611103 Village Square Dr4853 Monroe St Campbell, Jennifer MDSte 101Toledo, OH 43623 1922 Glen Springs Dr CantonPerrysburg, OH 43551419-475-4666 Fremont, OH 43420419-872-3201Foreign Language(s): 419-333-9026HindiMeniru, Godwin MD1320 Mercy Dr NWTwombly, Joanna DODbouk, Tarek MD Canton, OH 447081103 Village Square DrVilela, Oswaldo MD 410 Birchard Ave 330-489-1000Ste 1012213 Cherry St Fremont, OH 43420Perrysburg, OH 43551Toledo, OH 43068 419-334-3869419-872-3201419-251-3232 Van Wert CountyDbouk, Tarek MDWhite, Benjamin DOOttawaRossford595 Bartson Rd2213 Franklin Ave Fremont, OH 43420Toledo, OH 43620 Brown, Desrene MD Lucente, Shannon DO419-355-0789419-251-23951740 N Perry St 513 Superior StOttawa, OH 45875 Rossford, OH 43460El Nemr, Mohamed MD419-523-4611419-666-5202Marion County 595 Bartson RdFremont, OH 43420Markwood, Richard DOMarion419-355-0789 Van Wert513 Superior StRossford, OH 43460Campbell, Brad MD El-Nemr, Mohamed MD Hanson, Craig MD 419-666-52021073 Harding Memorial 410 Birchard Ave 1179 Wwood Dr Ste 300Marion, OH 43302 Fremont, OH 43420 Van Wert, OH 45891 Twombly, Joanna DO740-387-2276 419-334-3869 419-238-3047513 Superior StRossford, OH 43460419-666-5202<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan Page 29
SpecialistsSection 2 – List of Plan <strong>Provider</strong>sGynecology, OB/ Defiance County Chen, Wendy DO Seneca CountyGYN cont.3404 W Sylvania AveDefianceToledo, OH 43623 TiffinWood County cont.419-407-1200Gunda, Rajeswari MD Restriction(s): 18 yrs & Chen, Wendy DORossford cont. 1400 E Second St over45 St Lawrence DrDefiance, OH 43512 Foreign Language(s): Tiffin, OH 44883White, Benjamin DO 419-784-1414 Mandarin419-455-7000513 Superior StRestriction(s): 18 yrs &Rossford, OH 43460 Lucas County Horvath, William MD over419-666-5202 2213 Cherry StForeign Language(s):Oregon Toledo, OH 43608MandarinHematology419-251-3114Al-Nsour, Mohammad Restriction(s): 18 yrs & Chen, Wendy DOLucas CountyMDoverRadiation Therapy 40 Fair2600 Navarre AveLaneOregonOregon, OH 43616 Muler, Jeffrey MD Tiffin, OH 44883419-696-4765 2213 Cherry St419-455-8101Muler, Jeffrey MD Foreign Language(s): Toledo, OH 43608 Restriction(s): 18 yrs &2600 Navarre AveArabic 419-251-3114overOregon, OH 43616Restriction(s): 18 yrs & Foreign Language(s):419-251-4364Shehadeh, Nasfat MD overMandarin2600 Navarre AveOregon, OH 43616 Shehadeh, Nasfat MD Horvath, William MDHematology/ 419-696-4765 2213 Cherry St45 St Lawrence DrOncology Restriction(s): 18 yrs & Toledo, OH 43608 Tiffin, OH 44883over 419-251-3114419-455-7000Allen CountyRestriction(s): 18 yrs & Restriction(s): 18 yrs &ToledooveroverLimaAl-Nsour, Mohammad Shehadeh, Nasfat MD Horvath, William MDGreene, Henry MDMD3404 W Sylvania Ave Radiation Therapy 40 Fair825 W Market St,2213 Cherry StToledo, OH 43623LaneSte 260Toledo, OH 43608 419-407-1200Tiffin, OH 44883Lima, OH 45805419-251-3114Restriction(s): 18 yrs & 419-455-8101419-222-6595Foreign Language(s): overRestriction(s): 18 yrs &ArabicoverKhalil, Abbas MD825 W Market St, Mercer CountyAl-Nsour, MohammadMuler, Jeffrey MDSte 203MDCelina45 St Lawrence DrLima, OH 458053404 W Sylvania AveTiffin, OH 44883419-222-0808Toledo, OH 43623 Powell, David DO 419-455-7000419-407-1200900 HAverman Rd Restriction(s): 18 yrs &Powell, David DOForeign Language(s): Celina, OH 45822over2740 W Market StLima, OH 45805Arabic419-221-2273419-221-2273Bruhl, Kimberly CNPPowell, David DO 2213 Cherry St525 N Eastown Rd Toledo, OH 43608-2603Lima, OH 45807 419-251-3114419-998-4496Restriction(s): 18 yrs &overPage 30<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan
Section 2 – List of Plan <strong>Provider</strong>sSpecialistsInfectiousAzeez, Kemi MD Buch, Hector MD Ojo, Oluremi MDDisease730 W Market St 801 Medical Dr 830 W High St, Ste 370Lima, OH 45801 Lima, OH 45804 Lima, OH 45801Allen County 419-227-3361Foreign Language(s):419-227-7399 419-222-8200Lima Yoruba Fisher, Eric MD Omitowoju, Olayinka658 W Market St, MDEllis, Wilfred MD Balusu, Pratap MD Ste 201 730 W Market St329 N W St 1005 Bellefontaine Ave Lima, OH 45801 Lima, OH 45801Lima, OH 45801 Lima, OH 45804 419-224-2756 419-227-3361419-229-6007 419-227-7399 Foreign Language(s):Foreign Language(s): Imam, Syed MD YorubaHancock County Tellugu1005 Bellefontaine AveLima, OH 45804 Pothoulakis, AnthonyFindlayBalusu, Pratap MD730 W Market St419-227-7399Foreign Language(s):MD730 W Market StRatnasamy, Nathaniel Lima, OH 45801 Pakiostani Lima, OH 45801MD419-227-3361 419-227-33611809 S Main St Ste C Foreign Language(s): Imam, Syed MDFindlay, OH 45840 Hindi 730 W Market St Rameneni, Anuradha419-420-0100Lima, OH 45801MDBalusu, Pratap MD 419-227-3361 939 W Market StLucas County750 W High St, Ste 250Lima, OH 45801Foreign Language(s):PakiostaniLima, OH 45805419-996-5077Oregon419-227-7399Foreign Language(s): Imam, Syed MDForeign Language(s):HindiMcNamara, Mary MD Tellugu 750 W High St, Ste 2502815 Dustin Rd Ste CLima, OH 45801 Schroeder, Kelly MDOregon, OH 43616 Balusu, Pratap MD 419-227-7399 1005 Bellefontaine Ave419-266-4400801 Medical Dr Foreign Language(s): Lima, OH 45804Restriction(s): 16 yrs & Lima, OH 45804 Pakiostani 419-227-7399over419-227-7399Imam, Syed MD Schroeder, Kelly MDInternal MedicineBansal, Surinder MD 801 Medical Dr 750 W High St, Ste 250730 W Market St Lima, OH 45804 Lima, OH 45801Allen CountyLima, OH 45801419-227-3361419-227-7399 419-227-7399LimaForeign Language(s):HindiKato, Julius DO730 W Market StSchroeder, Kelly MD801 Medical DrAdewumi, Waheed MDLima, OH 45801 Lima, OH 45804730 W Market StBuch, Hector MD 419-227-3361 419-227-7399Lima, OH 458011005 Bellefontaine Ave419-227-3361Lima, OH 45804 Kifetew, Hanna MD Shanmugam, SasikalaForeign Language(s):419-227-7399 830 W High St, Ste 380 MDYorubaLima, OH 45801-8362 730 W Market StBuch, Hector MD 419-879-7106 Lima, OH 45801Anigbogu, Nkoli MD730 W Market St Foreign Language(s): 419-227-3361730 W Market StLima, OH 45801FrenchLima, OH 45801419-227-3361 Wheeler, Robert MD419-227-3361Ojo, Oluremi MD 1005 Bellefontaine AveBuch, Hector MD 730 W Market St Lima, OH 45804750 W High St, Ste 250 Lima, OH 45801 419-227-7399Lima, OH 45801 419-227-3361419-227-7399<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan Page 31
SpecialistsSection 2 – List of Plan <strong>Provider</strong>sInternal Medicine Interventional Nephrology Ukiwe, Jonah MDcont. Cardiology750 W High St, Ste 150Allen County Lima, OH 45801Allen County cont. Allen County419-227-1359LimaLima cont. LimaBryant, G. MDAuglaize CountyWheeler, Robert MD Rajjoub, Hassan MD 1001 Bellefontaine Ave730 W Market StSt Marys730 W Market St Lima, OH 45804Lima, OH 45801 Lima, OH 45801 419-227-1359419-227-3361Bryant, G. MD419-227-3361 200 St Clair StBryant, G. MDWheeler, Robert MDSt Marys, OH 45885Wolery, J. MD 750 W High St, Ste 150750 W High St, Ste 250419-227-1359730 W Market St Lima, OH 45801Lima, OH 45801 Lima, OH 45801 419-227-1359419-227-7399Imler, David DO419-227-3361 200 St Clair StImler, David DOWheeler, Robert MDSt Marys, OH 458851001 Bellefontaine Ave801 Medical Dr Maternal/Fetal419-227-1359Lima, OH 45804Lima, OH 45804 Medicine 419-227-1359419-227-7399Hardin CountyLucas County Imler, David DO730 W Market StKentonHardin County ToledoLima, OH 45801Kenton 419-227-3361Moser, Norman DOJean-Pierre, Claudel MD921 E Franklin StDeshmukh, Murlidhar2213 Cherry St Ste 309Imler, David DOKenton, OH 43326MDACC750 W High St, Ste 150419-227-135915047 SR 309Toledo, OH 43608419-251-3704Lima, OH 45801Kenton, OH 43326 419-227-1359Lucas County419-673-0595Foreign Language(s):Perni, Sriram MDMoser, Norman DO ToledoHindi2213 Cherry St Ste 309ACC1001 Bellefontaine AveLima, OH 45804 Al-Sabbagh, Nina MDToledo, OH 43608419-227-13592109 Hughes Dr Ste 20Shelby County 419-251-3704 Toledo, OH 43606Foreign Language(s):New BremenMoser, Norman DO 419-476-2650Telugu750 W High St, Ste 150Abdelhamed,Lima, OH 45801 De Miguel, Mariano MDAbdelhamed MD Medical Genetics 419-227-13594235 Secord Rd800 E Monroe StToledo, OH 43623Lucas County Park, Pierce MD 419-479-5529New Bremen, OH 45869937-832-24251001 Bellefontaine AveToledoLima, OH 45804 Debeukelaer, Martin MD419-227-13592222 Cherry St Ste 2300Hoo, Joe MD Toledo, OH 436082222 Cherry St Ste 2300 Park, Pierce MD 419-251-8030Toledo, OH 43608 750 W High St, Ste 150419-251-8012 Lima, OH 45801 Fayad, Ramy MDForeign Language(s): 419-227-13592109 Hughes Dr Ste 920German Toledo, OH 43606Ukiwe, Jonah MD 419-479-26501001 Bellefontaine AveLima, OH 45804419-227-1359Page 32<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan
Section 2 – List of Plan <strong>Provider</strong>sSpecialistsNephrology cont. Shelby County NeurologySutherland, Stephen MD629 N Sandusky AveLucas County cont. SidneyAllen County Bucyrus, OH 44820419-562-4677 419-563-Toledo cont. Park, Pierce MD Lima 9329915 W Michigan StFlickinger, Allen MD Sidney, OH 45365 Almudallal, Ali MD Zollinger, Charles MD2109 Hughes Dr Ste 920 419-227-1359 730 W Market St 629 N Sandusky AveToledo, OH 43606 Lima, OH 45801 Bucyrus, OH 44820419-479-2650 Ukiwe, Jonah MD 419-227-3361 419-563-9329915 W Michigan St Foreign Language(s):Lempert, Kenneth MD Sidney, OH 45365 Arabic2109 Hughes Dr Ste 920 419-227-1359Hancock CountyToledo, OH 43606 Almudallal, Ali MD Findlay419-479-2650Neurological770 W High St, Ste 360Lima, OH 45801SurgeryChang, Jason MDTatabishi, Ridwan MD 419-225-9210 1909 S Main St2222 Cherry St Ste 2300Allen CountyForeign Language(s): Findlay, OH 45840Toledo, OH 43608 Arabic 419-427-2604419-251-8030 LimaAnouti, Ahmad MD Chodisetty,Putnam County Baker, Robert DO 1005 Bellefontaine Ave Subrahmanyam Md1005 Bellefontaine Ave Lima, OH 45804 117 E Wallace StGlandorf Lima, OH 45804 419-998-8200Findlay, OH 45840419-998-8200 419-424-1862Ukiwe, Jonah MDAnouti, Ahmad MD601 SR 224 Baker, Robert DO 730 W Market StGlandorf, OH 45848Lima, OH 45801 Hardin County1005 Bellefontaine Ave,419-227-1359 Ste 350 419-227-3361Foreign Language(s):KentonLima, OH 45804Seneca County 419-998-8200ArabicSutherland, Stephen MDForeign Language(s):Anouti, Ahmad MD921 E Franklin StFostoria French770 W High St, Ste 220Kenton, OH 43326Lima, OH 45801419-673-0761Bryant, G. MDLax, Fredric MD501 Van Buren St 770 W High St, Ste 390 419-221-3385Fostoria, OH 44830 Lima, OH 45801 Foreign Language(s): Indiana County419-227-1359 419-996-5201 FrenchFt WayneImler, David DO Mills, Earl MD Crawford County Al Hamda, Ahmad MD501 Van Buren St 1005 Bellefontaine AveBucyrus7956 W Jefferson BlvdFostoria, OH 44830 Lima, OH 45804 Ft Wayne, IN 46804419-227-1359 419-998-8200Drake, Jennifer DO260-436-2416Moser, Norman DO Mills, Earl MD 629 N Sandusky AveBucyrus, OH 44820Barnas, Thomas MD501 Van Buren St 770 W High St, Ste 220419-562-4677 419-563-2622 Lake AveFostoria, OH 44830 Lima, OH 458019329Ft Wayne, IN 46805419-227-1359 419-221-3385 260-460-3100Park, Pierce MDDrake, Ryan DO629 N Sandusky AveBarnas, Thomas MD501 Van Buren StBucyrus, OH 448207956 W Jefferson BlvdFostoria, OH 44830419-562-4677 419-563-Ft Wayne, IN 46804419-227-13599329260-436-2416<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan Page 33
SpecialistsSection 2 – List of Plan <strong>Provider</strong>sNeurology cont. Gupta, Ajay MD Ottinger, C Joe MD Sandusky County7956 W Jefferson Blvd 7956 W Jefferson BlvdIndiana County cont. Ft Wayne, IN 46804 Ft Wayne, IN 46804 Fremont260-436-2416 260-436-2416Ft Wayne cont.Benedict, Steven MDKhan, Atiya MD Steven, James MD 715 S Taft AveBhat, Madhav MD 2622 Lake Ave 2622 Lake AveFremont, OH 434202622 Lake Ave Ft Wayne, IN 46805 Ft Wayne, IN 46805 419-334-6639Ft Wayne, IN 46805 260-460-3100 260-460-3100260-460-3100 Wood CountyKhan, Atiya MD Steven, James MDBhat, Madhav MD 7956 W Jefferson Blvd 7956 W Jefferson Blvd Bowling Green7956 W Jefferson Blvd Ft Wayne, IN 46804 Ft Wayne, IN 46804Ft Wayne, IN 46804 260-436-2416 260-436-2416 Mahmood, Khalid MD260-436-2416 960 W Wooster St,Later, Paul MD Lucas CountySte 202Bultemeyer, Marlene 2622 Lake Ave Bowling Green, OH 43402MD Ft Wayne, IN 46805 Toledo419-353-18197956 W Jefferson Blvd 260-460-3100 Restriction(s): 10 yrs &Ft Wayne, IN 46804Cameron, Donald MD over260-436-2416 Later, Paul MD 2222 Cherry St Ste 26007956 W Jefferson Blvd MOB2Chang, Fen-Lei MD NeurosurgeryFt Wayne, IN 46804 Toledo, OH 436082622 Lake Ave 260-436-2416 419-251-8013Ft Wayne, IN 46805Defiance County260-460-3100 Mueller- Kronast, Nils Hafeez, Faizan MD DefianceMD 3020 McCord Rd #203Chang, Fen-Lei MD 2622 Lake Ave Toledo, OH 43615 Clark, Leo MD7956 W Jefferson Blvd Ft Wayne, IN 46805 419-517-1115 1400 E Second StFt Wayne, IN 46804 260-460-3100 Defiance, OH 43512260-436-2416Marion County 419-784-1414Mueller- Kronast, NilsChauhan, Chandana MD MD7900 W Jefferson #304Marion7956 W Jefferson BlvdHicksvilleFt Wayne, IN 46804 Ft Wayne, IN 46804260-435-6200Sutherland, Stephen MD260-436-2416Dozier, James MD250 Executive Dr Ste D 208 N Columbus StCurfman, Thomas MDMarion, OH 43302Neer, Jody MDHicksville, OH 435262622 Lake Ave740-382-41212622 Lake Ave419-542-6692Ft Wayne, IN 46805 Ft Wayne, IN 46805260-460-3100 260-460-3100Ottawa County Indiana CountyCurfman, Thomas MDPort ClintonNeer, Jody MDFt Wayne7956 W Jefferson Blvd 7956 W Jefferson BlvdFt Wayne, IN 46804 Bauer, Brendan MDFt Wayne, IN 46804Canavati, Isa MD260-436-2416 615 Fulton St260-436-24162622 Lake AvePort Clinton, OH 43452 Ft Wayne, IN 46805Gupta, Ajay MD419-483-0123Ottinger, C Joe MD260-460-31002622 Lake Ave 2622 Lake AveFt Wayne, IN 46805 Ft Wayne, IN 46805Canavati, Isa MD260-460-3100 260-460-31007956 W Jefferson BlvdFt Wayne, IN 46804260-436-2416Page 34<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan
Section 2 – List of Plan <strong>Provider</strong>sSpecialistsNeurosurgery Phuong, Loi MD Fulton County Stausmire, Julie CNScont. 7956 W Jefferson Blvd 2200 Jefferson AveFt Wayne, IN 46804 DeltaToledo, OH 43604Indiana County cont. 260-436-2416 419-251-4663Murray, Susan CNPFt Wayne cont. Young, William MD 6696 US Hwy 20A Swope, Elaine NP2622 Lake Ave Delta, OH 43515 5012 Talmadge RdDozier, James MD Ft Wayne, IN 46805 419-822-3242Ste 2002622 Lake Ave 260-460-3100 Toledo, OH 43623Ft Wayne, IN 46805Wauseon419-407-3990 419-696-260-460-3100 Young, William MD 72007956 W Jefferson BlvdDozier, James MDRoth, Deborah CNPFt Wayne, IN 468047956 W Jefferson Blvd606 S Shoop Ave Mercer County260-436-2416Ft Wayne, IN 46804Wauseon, OH 43657260-436-2416419-337-4575 RockfordNurseKachmann, Jeffrey MD Practitioner Hancock County Dellinger, Rona CNP506 S Main2622 Lake AveLucas County FindlayRockford, OH 45882Ft Wayne, IN 46805260-460-3100419-363-3008ToledoHowe, Sarah NPKachmann, Jeffrey MD1917 S Main St Putnam County7956 W Jefferson Blvd Boudouris-Powers, Findlay, OH 45840Ft Wayne, IN 46804 Angela NP 419-420-0904 Ottwa260-436-24162213 Franklin AveToledo, OH 43620 Lucas County Kaufman, Kristine CNPKachmann, Rudy MD 419-251-2360 1740 N Perry St2622 Lake AveRestriction(s): 18 yrs & HollandOttwa, OH 45875Ft Wayne, IN 46805 over 419-523-0012260-460-3100Sulier, Sandra NPWood County 6135 Trust Dr Ste 110 Seneca CountyKachmann, Rudy MDHolland, OH 435287956 W Jefferson Blvd Perrysburg 419-491-0041 TiffinFt Wayne, IN 46804260-436-2416 Fraser, Jane CNP OregonFord, Frances CNP1021 Sandusky St Ste E 1344 Seneca AveMunz, Michael MD Perrysburg, OH 43551 Stausmire, Julie CNS Tiffin, OH 448832622 Lake Ave 419-872-3232 2702 Navarre Ste 206 419-447-6900Ft Wayne, IN 46805 Oregon, OH 43616260-460-3100 Nurse Praticioner 419-696-6000 Wood CountyMunz, Michael MD Auglaize CountyPerrysburg7956 W Jefferson BlvdToledoFt Wayne, IN 46804 St MarysBaird, Kristy NPShank, Kelly NP260-436-24161301 Jefferson Ave22650 Ault RdFox, Kami CNPToledo, OH 43604Perrysburg, OH 43551Phuong, Loi MD 1010 Hager St419-255-1115419-266-57622622 Lake Ave St Marys, OH 45885Ft Wayne, IN 46805 419-394-2610Kauffman, Amy NP Rossford260-460-3100Ianiro, Christine CNP4853 Monroe StToledo, OH 43623 Fraser, Jane NP1010 Hager St419-475-4666513 Superior StSt Marys, OH 45885 Rossford, OH 43460419-394-2610 419-666-5202<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan Page 35
SpecialistsSection 2 – List of Plan <strong>Provider</strong>sOncologyAllen CountyLucas County Van Wert County Auglaize CountyOregon Van Wert St MarysLima Al-Khalili, Adnan MD Cobau, Charles MD Pajka, John MD2600 Navarre Ave 140 Fox Rd 200 St Clair StCobau, Charles MD Oregon, OH 43616 Van Wert, OH 45891 St Marys, OH 45885825 W Market St, 419-696-4765 419-238-0004 419-228-7432Ste 260Foreign Language(s):Lima, OH 45805419-222-6595Arabic Williams County Defiance CountyHorvath, William MD Bryan DefianceGerad, Henry MD 2600 Navarre Ave803 W Market St, Oregon, OH 43616 Gulinsky, Olga MD O’Donnell, Philip MDSte 200 419-251-4364 433 W High St 1490 Pinehurst DrLima, OH 45805 Bryan, OH 43506 Defiance, OH 43512419-222-3737 419-636-1131 419-782-6588ToledoTripuraneni, Ashok MD Al-Khalili, Adnan MD Pak, Michael MD525 Eastown RdHardin County2213 Cherry St433 W High StLima, OH 45807 Toledo, OH 43608 Bryan, OH 43506 Kenton419-998-8299 419-251-3114419-636-1131Foreign Language(s): Foreign Language(s): Pajka, John MDHindi Arabic Ophthalmology 921 East FranklinKenton, OH 43326Auglaize County Al-Khalili, Adnan MD Allen County 419-228-74323404 W Sylvania AveSt Marys Toledo, OH 43623 Ft Wayne Indiana County419-407-1200Tripuraneni, Ashok MD Foreign Language(s): Farber, Matthew MD Ft Wayne1004 Knoxville Ave, PO Arabic 7900 W Jefferson BlvdBox 599 Ft Wayne, IN 46804 Walker, Jonathan mdSt Marys, OH 45885 260-436-2181 7900 W Jefferson BlvdMercer County419-394-2724 Ft Wayne, IN 46804Foreign Language(s): Celina Lima260-436-2181HindiGerad, Henry MD Derick, Robert MD Lucas CountyWapakoneta 900 HAvemann Rd 855 W Market St, Ste ACelina, OH 45822 Lima, OH 45805 MaumeeTripuraneni, Ashok MD 419-586-0990 419-228-7432812 Redskin Trail Tao, Stanley MDWapakoneta, OH 45895 Tripuraneni, Ashok MD Pajka, John MD 485 W Dussel Dr419-394-3335 900 HAvemann Rd 855 W Market St, Ste A Maumee, OH 43537Foreign Language(s): Celina, OH 45822 Lima, OH 45805 419-891-1391Hindi 419-228-7275 419-228-7432OregonSeneca County Shenouda, Mary MD855 W Market St, Ste A Chinavare, Brian MDTiffin Lima, OH 45805 3165 Navarre Ave419-228-7432 Oregon, OH 43616Soni, Renu MD Foreign Language(s): 419-698-2350439 W Market St SpanishTiffin, OH 44883419-447-1115Page 36<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan
Section 2 – List of Plan <strong>Provider</strong>sSpecialistsOphthalmology Chinavare, Brian MD Tao, Stanley MD Seneca Countycont. 5085 Monroe St 5085 Monroe StToledo, OH 43623 Toledo, OH 43623 TiffinLucas County cont. 419-776-1004 419-776-1004Young, Wade MDOregon cont.Eriksen, David MD Tao, Stanley MD 60 Ashwood Rd3715 Airport Hwy Ste B 5733 Lewis Ave Tiffin, OH 44883Papp, Christopher MD Toledo, OH 43615 Toledo, OH 43612 419-448-88113165 Navarre Ave 419-385-5756 419-476-5333Oregon, OH 43616419-698-2350Wood CountyMehelas, Thomas MD Mercer County5085 Monroe St Bowling GreenReed, Stephen MD Toledo, OH 436233165 Navarre AveCelina419-776-1004 Neville, Robert MDOregon, OH 43616Pajka, John MD 970 W Wooster St,419-698-2350 Papp, Christopher MD 950 S Main StSte 2214600 Tallmadge Celina, OH 45822 Bowling Green, OH 43402Reed, Stephen Y MD Toledo, OH 43623 419-228-7432419-354-39263165 Navarre Ave 419-472-1113Oregon, OH 43616Singla, Ramesh MD Tam, Christina MD419-698-2350 Papp, Christopher MD 950 S Main St Ste 11 970 W Wooster St,5085 Monroe St Celina, OH 45822Ste 224Schmidt, Clair DO Toledo, OH 43623 937-320-2020Bowling Green, OH 434023165 Navarre Ave 419-776-1004 419-352-5500Oregon, OH 43616419-698-2350 Reed, Stephen Y MDMonroe CountyTam, Richard MD4600 Tallmadge Rd Monroe970 W Wooster St,Tam, Christina MD Toledo, OH 43623 Ste 2242702 Navarre Ave, 419-472-1113 Reed, Stephen Y MD Bowling Green, OH 43402Ste 2051180 N Monroe St 419-352-5500Oregon, OH 43616 Reed, Stephen Y MD419-696-7780 Monroe, MI 481625085 Monroe St 734-243-5300 PerrysburgToledo, OH 43623Tam, Richard MD 419-776-10042702 Navarre Ave,Schmidt, Clair DO Tam, Christina MDSte 205 1180 N Monroe St 900 W S Boundry Bldg 1,Schmidt, Clair DOOregon, OH 43616 Monroe, MI 48162 Ste A4600 Tallmadge Rd419-696-7780 734-243-5300 Perrysburg, OH 43551Toledo, OH 43623 419-872-3631419-472-1113Tao, Stanley MDOttawa County2740 Navarre Ave Tam, Richard MDSchmidt, Clair DOOregon, OH 43616 Port Clinton900 W S Boundry Bldg 1,5085 Monroe St419-693-4444 Ste AToledo, OH 43623Dudenhoefer, Eric MD Perrysburg, OH 43551419-776-1004Tao, Stanley MD126 E Perry St419-872-36313165 Navarre Ave Tao, Stanley MDPort Clinton, OH 43452Oregon, OH 43616 419-734-6521 419-625- Clark, Stephen MD1835 S Reynolds Rd419-698-2350 6181351 E Boundary StToledo, OH 43614 Perrysburg, OH 43551419-382-6400Parschauer, Kenneth DO 419-874-3125ToledoTao, Stanley MD126 E Perry StChinavare, Brian MD 4600 TallmadgePort Clinton, OH 434524600 Tallmadge Toledo, OH 43623419-734-6521 419-625-Toledo, OH 43623 419-472-11136181419-472-1113<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan Page 37
SpecialistsSection 2 – List of Plan <strong>Provider</strong>sOrthopedicSurgeryAllen CountyPatterson, James MD Haman, Steven MD Sanko, William MD139 Garau St 801 Medical Dr, Ste A 801 Medical Dr, Ste ABluffton, OH 45817 Lima, OH 45804 Lima, OH 45804800-358-9010 419-222-6622 419-222-6622Bluffton Sanko, William MD Lin, David MD Schniegenberg, Gary139 Garau St 1003 Bellefontaine Ave, MDBriggs, Lloyd MD Bluffton, OH 45817 Ste 100 801 Medical Dr, Ste A139 Garau St 800-358-9010 Lima, OH 45804 Lima, OH 45804Bluffton, OH 45817 419-998-8240 419-222-6622800-358-9010 Schniegenberg, GaryMD McDonald, Mark MD Wieser, Michael MDFumich, Frank MD 139 Garau St 801 Medical Dr, Ste A 801 Medical Dr, Ste A139 Garau St Bluffton, OH 45817 Lima, OH 45804 Lima, OH 45804Bluffton, OH 45817 800-358-9010 419-222-6622 419-222-6622800-358-9010Haman, Steven MDWieser, Michael MD139 Garau StMisson, Joseph MD801 Medical Dr, Ste AAuglaize County139 Garau StBluffton, OH 45817Bluffton, OH 45817800-358-9010Lima, OH 45804419-222-6622St Marys800-358-9010 Fumich, Frank MDDelphosMuha, Michael MD 1002 Knoxville RdMcDonald, Mark MD 801 Medical Dr, Ste A St Marys, OH 45885139 Garau St Briggs, Lloyd MD Lima, OH 45804 419-394-4636Bluffton, OH 45817 1800 E Fifth St419-222-6622800-358-9010 Delphos, OH 45833Haman, Steven MD800-225-3921Nieman, James MD 1002 Knoxville RdMisson, Joseph MD 801 Medical Dr, Ste A St Marys, OH 45885139 Garau St McDonald, Mark MD Lima, OH 45804 419-394-4636Bluffton, OH 45817 1800 East Fifth St 419-222-6622800-358-9010 Delphos, OH 45833Misson, Joseph MD800-225-3921Oh, William MD 1002 Knoxville RdMuha, Michael MD 1003 Bellefontaine Ave, St Marys, OH 45885139 Garau St Ste 100Lima419-394-4636Bluffton, OH 45817 Lima, OH 45804800-358-9010 419-998-8240Bell, Lawrence MDMuha, Michael MD1003 Bellefontaine Ave,1002 Knoxville RdNieman, James MD O’Neill, James MDSte 100St Marys, OH 45885139 Garau St 801 Medical Dr, Ste ALima, OH 45804419-394-4636Bluffton, OH 45817 Lima, OH 45804800-358-9010 419-998-8240419-222-6622 Nieman, James MDBriggs, Lloyd MD1002 Knoxville RdO’Neill, James MD Patel, Samir MD801 Medical Dr, Ste ASt Marys, OH 45885139 Garau St 801 Medical Dr, Ste ALima, OH 45804419-394-4636Bluffton, OH 45817 Lima, OH 45804800-358-9010 419-222-6622419-222-6622 O’Neill, James MDForeign Language(s):Fumich, Frank MD1002 Knoxville RdPatel, Samir MD Hindi801 Medical Dr, Ste ASt Marys, OH 45885139 Garau StLima, OH 45804419-394-4636Bluffton, OH 45817Patterson, James MD800-358-9010 419-222-6622801 Medical Dr, Ste ALima, OH 45804419-222-6622Page 38<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan
Section 2 – List of Plan <strong>Provider</strong>sSpecialistsOrthopedic Wauseon Lucas County Patel, Arun MDSurgery cont.2213 Cherry StMcKernan, Daniel MD MaumeeSte 200ACCAuglaize County 735 S Shoop Ave Toledo, OH 43608cont. Wauseon, OH 43567 Hoeflinger, Michael MD 419-251-4283419-335-2663 5755 Monclova Rd Foreign Language(s):St Marys cont. Maumee, OH 43537 HindiSpieles, Christopher MD 419-893-2663Patel, Samir MD 735 S Shoop Ave1002 Knoxville Rd Houston, Thomas MDMercer CountyWauseon, OH 43567St Marys, OH 45885 419-335-2663 5755 Monclova Rd Celina419-394-4636 Maumee, OH 43537Foreign Language(s):Hancock County419-893-2663 Kemmler, James MDHindi123 Hamilton StBluffton Salpietro, Benjamin MD Celina, OH 45822Patterson, James MD 5755 Monclova Rd 419-586-57601002 Knoxville Rd Tremains, Michael MD Maumee, OH 43537St Marys, OH 45885 139 Garau St 419-893-2663Ralston, Michael MD419-394-4636 Bluffton, OH 45817 123 Hamilton St800-358-9010 Oregon Celina, OH 45822Sanko, William MD 419-586-57601002 Knoxville RdfindlayBeeks, David MDSt Marys, OH 45885 2702 Navarre Ave419-394-4636 Putnam CountyHecht, Brian MDSte 102Oregon, OH 43616Schniegenberg, Gary County Rd 236Glandorffindlay, OH 45840 419-696-3131MD1002 Knoxville Rd 419-427-1984Briggs, Lloyd MDSt Marys, OH 45885Sylvania601 SR 224419-394-4636Heck, Bruce MDGlandorf, OH 45848County Rd 236Rusin, Joseph MD 800-225-3921Wieser, Michael MD findlay, OH 45840 5750 Alexis Rd1002 Knoxville Rd 419-427-1984 Sylvania, OH 43560 Fumich, Frank MDSt Marys, OH 45885419-824-0300601 SR 224419-394-4636Tremains, Michael MDGlandorf, OH 45848County Rd 236Toledo800-225-3921findlay, OH 45840Defiance County 419-427-1984 Beeks, David MDHaman, Steven MD2213 Cherry St Ste 200601 SR 224DefianceHardin County ACCGlandorf, OH 45848Toledo, OH 43608800-225-3921Beeks, David MD1400 E Second St Ada 419-251-4283Misson, Joseph MDDefiance, OH 43512McDonald, Mark MD Jaeblon, Francis DO601 SR 224419-784-1414520 W Lincoln Ave 2213 Cherry St Ste 200Glandorf, OH 45848Ada, OH 45810ACC800-225-3921Fulton County 419-634-7300 Toledo, OH 43608419-251-4283Nieman, James MDSylvania 601 SR 224Glandorf, OH 45848McKernan, Daniel MD 800-225-39217640 W Sylvania AveSte OSylvania, OH 43560419-335-2663<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan Page 39
SpecialistsSection 2 – List of Plan <strong>Provider</strong>sOrthopedic Seneca County Otolaryngology Fallon, John MDSurgery cont.(ENT)2516 Dupont CircleTiffin Ft Wayne, IN 46825Putnam County cont.Hecht, Brian MDAllen County 260-484-0919Glandorf cont. 3101 W US 224 Lima Fallon, John MDTiffin, OH 448832730 E State BlvdO’Neill, James MD 419-427-1984Ambalavanan, Ft Wayne, IN 46805601 SR 224 Surianarayanan MD 260-484-0919Glandorf, OH 45848 Heck, Bruce MD 730 W Market St800-225-3921 3101 W US 224 Lima, OH 45801 Herr, Brian MDTiffin, OH 44883 419-227-3361 2516 Dupont CirclePatel, Samir MD 419-427-1984Ft Wayne, IN 46825601 SR 224 Ambalavanan, 260-484-0919Glandorf, OH 45848800-225-3921Van Wert County Surianarayanan MD750 W High St, Ste 320 Herr, Brian MDForeign Language(s): Van Wert Lima, OH 45801 2730 E State BlvdHindi 419-226-4300 Ft Wayne, IN 46805Muha, Michael MD Foreign Language(s): 260-484-0919Patterson, James MD 1180 Professional Dr Tamil601 SR 224 Van Wert, OH 45891 Schreck, Stephen MDGlandorf, OH 45848 419-238-9764 Rossi, Susan MD 2516 Dupont Circle800-225-3921 750 W High St Ft Wayne, IN 46825Lima, OH 45801 260-484-0919Sanko, William MDOrthopedics419-226-4300601 SR 224 Defiance CountySchreck, Stephen MDGlandorf, OH 45848Defiance County 2730 E State Blvd800-225-3921 HicksvilleFt Wayne, IN 46805Defiance260-484-0919Schniegenberg, Gary Moore, Robert MDMD208 N Columbus St Weir, Norman MD Wellman, Cynthia MD601 SR 224 Hicksville, OH 43526 1400 E Second St 2516 Dupont CircleGlandorf, OH 45848 419-542-6692 Defiance, OH 43512 Ft Wayne, IN 46825800-225-3921 419-784-1414260-484-0919Wieser, Michael MDLucas CountyIndiana CountyWellman, Cynthia MD601 SR 224 Maumee2730 E State BlvdGlandorf, OH 45848 Ft WayneFt Wayne, IN 46805800-225-3921 Herkimer, Carl MD260-484-09195755 Monclova Rd Cast, William MDSandusky County Maumee, OH 43537 2414 E State Blvd Ste S- Westfall, John MD419-893-2663 2012516 Dupont CircleFremont Ft Wayne, IN 46805 Ft Wayne, IN 46825260-484-0919260-484-0919Randall, Kelly MD605 Third Ave, Ste F Cast, William MD Westfall, John MDFremont, OH 43420 7910 W Jefferson Blvd # 2730 E State Blvd419-332-7311 102Ft Wayne, IN 46805Ft Wayne, IN 46804 260-484-0919260-484-0919Page 40<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan
Section 2 – List of Plan <strong>Provider</strong>sSpecialistsOtolaryngology PainLakshmiphthy, Naren Kindl, Thomas MD(ENT) cont. Management MD715 S Taft Ave145 W Wallace St Fremont, OH 43420Lucas County Allen County Findlay, OH 45840419-423-5555419-334-6639Toledo Bluffton Lakshmipathy,Smith, Jay MDNarendranath MDColeman, Gary MD Bakos, Panos MD 7595 CR 236 715 S Taft Ave2213 Cherry St Ste 200 139 Garau St Findlay, OH 45810 Fremont, OH 43420ACC Bluffton, OH 45817 419-354-6166 419-334-6639Toledo, OH 43608 800-358-9010419-251-4283Lakshmiphthy, NarenHenry County Wood CountyHnatiuk, Mark MD2213 Cherry St Ste 200MD139 Garau StNapolean Bowling GreenACC Bluffton, OH 45817 Smith, Jay MD Smith, Jay MDToledo, OH 43608 800-358-9010 11600 SR 424 1072 N Main St419-251-4283 Napolean, OH 43545 Bowling Green, OH 43402Toma, Vincent MDCrawford County 419-354-6166 419-354-61662213 Cherry St Ste 200 GalionACCLucas County Pediatric -Toledo, OH 43608 Blake, Sarah MD EndocrinologyTiffin419-251-4283 269 Portland Way SGalion, OH 44833Lucas CountyLakshmipathy,Mercer County 419-526-8888Narendranath MD Toledo27 St Lawrence DrColdwater Wolfe, James MD Ste 201 Horner, James MD269 Portland Way S Tiffin, OH 44883 2222 Cherry St Ste 2300Hensen, Eric DO Galion, OH 44833 419-455-8529 Toledo, OH 43608800 W Main St 614-461-6634 419-251-8025Coldwater, OH 45828ToledoRestriction(s): 22 yrs &419-678-5244 Hancock County underAgubosim, Samuel MDSandusky County Findlay1850 Eastgate Rd Ste C PediatricToledo, OH 43+H7-51614Fremont Bakos, Panos MD 419-724-4442Cardiology145 W Wallace StColeman, Gary MD Findlay, OH 45840Allen County605 Third Ave, Ste A 419-423-5555Sandusky CountyFremont, OH 43420Lima419-332-2803 Hogan, William MDFremont1900 S Main St Ste rdButchko, Gary MDfloorBakos, Panos MD 830 W High St Ste 307Van Wert CountyFindlay, OH 45840715 S Taft Ave Lima, OH 45801-4602419-423-5555Fremont, OH 43420 419-226-9694Van Wert 419-334-6639 Restriction(s): 22 yrs &Kindl, Thomas MDunderHensen, Eric DO145 W Wallace StHogan, Jr., William MD1250 S Washington StFindlay, OH 45840715 S Taft AveVan Wert, OH 45891419-423-5555Fremont, OH 43420419-238-2390 419-334-6639<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan Page 41
SpecialistsSection 2 – List of Plan <strong>Provider</strong>sPediatricMonroe County Pediatric Critical Putnam CountyCardiology cont.MonroeCare MedicineOttawaLorain CountySuarez, William MDLucas CountyNaddaf, Mark MDLorain718 N Macomb StMonroe, MI 48161Toledo601 State Rte 224Ottawa, OH 45875-9239Butchko, Gary MD 734-242-6330 Vergara, Wilfredo MD 419-538-62883600 Kolbe Rd Ste 227 Restriction(s): 18 yrs & 2213 Cherry St 6th Floor Restriction(s): 18 yrs &Lorain, OH 44053 underToledo, OH 43608under440-960-3304 Foreign Language(s): 419-251-3232Restriction(s): 22 yrs & SpanishRestriction(s): 18 yrs &underunderSeneca CountyLucas CountySandusky County Foreign Language(s):SpanishTiffinFremontNaddaf, Mark MDToledoGastroenterologyBradley, David MD 715 S Taft Ave 419-455-85002222 Cherry St Ste 2800 Fremont, OH 43420Allen CountyRestriction(s): 18 yrs &Toledo, OH 43608 419-332-7321 under419-251-8035 Restriction(s): 18 yrs & LimaRestriction(s): 18 yrs & underPediatricunder Foreign Language(s): Naddaf, Mark MD GastroentrologyForeign Language(s): Spanish830 High St Ste 307French Lima, OH 45801 Defiance CountySeneca County 419-251-4880Butchko, Gary MD Restriction(s): 18 yrs & Defiance2222 Cherry St Ste 2800 Tiffin underToledo, OH 43608Naddaf, Mark MD419-251-8035 Suarez, William MD 1400 E Second StRestriction(s): 22 yrs & 27 St Lawrence Dr 2ndLucas CountyDefiance, OH 43512under Floor Toledo419-784-1414Tiffin, OH 44883Suarez, William MDPediatric45 St Lawrence DrTiffin, OH 44883Suarez, William MD 419-455-8501 Naddaf, Mark MD2222 Cherry St Ste 2800 Restriction(s): 18 yrs & Pediatric2222 Cherry St Ste 1600Toledo, OH 43608 under Toledo, OH 43608Hematology/419-251-8035 Foreign Language(s): 419-251-4880 OncologyRestriction(s): 18 yrs & Spanish Restriction(s): 18 yrs &underunderLucas CountyForeign Language(s):SpanishToledoMonroe CountyDundeeChamdin, Aghiad MD2222 Cherry St Ste 2800Toledo, OH 43608Naddaf, Mark MD 419-251-8210100 Powell Dr Ste 4Dundee, MI 48131-8645 Choi, Sung MD734-529-3070 2222 Cherry St Ste 2800Restriction(s): 18 yrs & Toledo, OH 43608under 419-251-8210Restriction(s): 18 yrs &underPage 42<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan
Section 2 – List of Plan <strong>Provider</strong>sSpecialistsPediatric Pediatric Jiang, Huiyuan MD Pediatric UrologyHematology/ Infectious2222 Cherry St Ste 2600OncologyToledo, OH 43608 Lucas Countycont. Disease419-251-8013Lucas County Restriction(s): 18 yrs & Toledocont. Lucas CountyunderToledo cont.ToledoBarabash, Theresa NP2222 Cherry St Ste 1800PediatricJasty, Rama MD Bhumbra, Nasreen MDToledo, OH 436082222 Cherry St Ste 2800 2222 Cherry St Ste 2300Pulmonary 419-251-8027Toledo, OH 43608 Toledo, OH 43608 MedicineRestriction(s): 18 yrs &419-251-8210 419-251-8030underRestriction(s): 18 yrs & Restriction(s): 19 yrs &Lucas Countyunder under Kropp, Kenneth MDToledo 2222 Cherry St Ste 1800Kitchen, Brenda MD Mukundan, Deepa MD Toledo, OH 43608Reddy, Ramalinga MD2222 Cherry St Ste 2800 2222 Cherry St Ste 2300 419-251-80272222 Cherry St Ste 2900Toledo, OH 43608 Toledo, OH 43608 Restriction(s): 18 yrs &Toledo, OH 43608419-251-8210 419-251-8030 under419-251-6430Restriction(s): 18 yrs & Restriction(s): 18 yrs & Restriction(s): 21 yrs &under under Liu, Dennis MDunder 2222 Cherry St Ste 1800Foreign Language(s):Mody, Rajen MDToledo, OH 43608Pediatric Telugu2222 Cherry St Ste 2800419-251-8027Toledo, OH 43608 NephrologyRestriction(s): 18 yrs &419-251-8210Seneca County underRestriction(s): 25 yrs &Lucas CountyunderTiffinToledoPediatricsReddy, Ramalinga MDSeneca County Tarabishi, Ridwan MD 45 St Lawrence DrLucas County2222 Cherry St Ste 2300 Tiffin, OH 44883Tiffin Toledo, OH 43608Toledo419-455-8501419-251-8030 Restriction(s): 21 yrs &Jasty, Rama MD Restriction(s): 18 yrs &Adkins, Jennifer MDunder27 St Lawrence Dr under2213 Cherry StForeign Language(s):Ste 201 Foreign Language(s):Toledo, OH 43608TeluguTiffin, OH 44883Arabic419-251-8052419-455-8505Restriction(s): 18 yrs &Pediatric Surgery Kherallah, Nizar MDunderPediatric 2222 Cherry St Ste 2900Neurology Indiana County Toledo, OH 43608419-251-6430Lucas County Ft WayneToledoSmith, David MDMercer County7613 W Jefferson Blvd CelinaHaseeb, Ateeq MD Ste 2002222 Cherry St Ste 2600 Ft Wayne, IN 46804 DiGregorio, Delia MDToledo, OH 43608 260-469-7337 950 S Main St419-251-8013 Celina, OH 45822419-586-7940<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan Page 43
SpecialistsSection 2 – List of Plan <strong>Provider</strong>sPediatrics cont. LimaLutz, David MD Plastic Surgery7956 W Jefferson BlvdMercer County cont. Dasari, Grace MD Ft Wayne, IN 46804 Allen County801 Medical Dr, Ste A 260-436-2416ColdwaterLima, OH 45804Lima419-222-6622 Schreier, Eric MDDiGregorio, Delia MD Foreign Language(s): 2622 Lake AveMathieson, Mark MD800 W Main St Tellugu Ft Wayne, IN 46805 1920 Allentown RdColdwater, OH 45828 260-460-3100Lima, OH 45805419-678-5244 Hubbell, Susan MD419-228-9300658 W Market St, Schreier, Eric MDVan Wert County Ste 1067956 W Jefferson Blvd Washak, Ronald DOLima, OH 45801 Ft Wayne, IN 46804 750 W High St, Ste 320Van Wert 419-228-5434 260-436-2416Lima, OH 45801419-226-4300Mueller, Corie MD Kuhlman, Kurt DO Putnam County140 Fox Rd 658 W Market St, Indiana CountyVan Wert, OH 45891 Ste 106 Glandorf419-238-6747 Lima, OH 45801 Fort Wayne419-228-5434 Dasari, Grace MDPhysical601 SR 224Mlakar, Jospeh MDMyers, Mary MD Glandorf, OH 45848 10215 Auburn Park DrMedicine & 770 W High St, Ste 390 800-225-3921Ste BRehabilitation Lima, OH 45801 Foreign Language(s): Fort Wayne, IN 46825419-996-5201 Tellugu260-490-4673Allen CountyBlufftonOwens, Matthew MDSeneca County Lucas County658 W Market St,Ste 106Dasari, Grace MDTiffinToledo139 Garau StLima, OH 45801419-228-5434Bluffton, OH 45817Hill, Nathan MD Baibak, Laurence MD800-358-901027 St Lawrence Dr 2213 Cherry StCrawford County Ste 201AToledo, OH 43068Tiffin, OH 44883 419-251-3232Delphos Crestline 419-455-8505Dalagiannis, AthanasiosDasari, Grace MD Lai, Mei Chiew MDVan Wert CountyMD1800 East Fifth St 293 Chambers Ave PO 2213 Cherry StDelphos, OH 45833 Box 407 Van WertToledo, OH 43608800-225-3921 Crestline, OH 44827 419-887-7000Foreign Language(s): 419-683-3073TelluguWray, Jocelyn MD140 Fox Rd Ste 303 Kesler, Carlton MDIndiana County Van Wert, OH 45891 2213 Cherry StFt Wayne 419-232-6333Toledo, OH 43608Ft Wayne419-887-7000Hedrick, William MD7900 W Jefferson #304 Lutz, David MDYanik, Michael MDFt Wayne, IN 46804 2622 Lake Ave2213 Cherry St260-969-6200 Ft Wayne, IN 46805Toledo, OH 43608260-460-3100419-887-7000Roth, Daniel DO7900 W Jefferson #304Ft Wayne, IN 46804260-969-6200Page 44<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan
Section 2 – List of Plan <strong>Provider</strong>sSpecialistsPodiatric Surgery Little, Eugene DPM770 W High St, Ste 240St Marys Nielsen-Haak, LaurieDPMSandusky County Lima, OH 45801 Little, Eugene DPM 812 Redskin TrailFremont419-224-8414 1013 East Spring StSt Marys, OH 45885Wapakoneta, OH 45895419-394-8664Miller, Eric DPM 419-394-8664 Foreign Language(s):Clarke, John DPM 770 W High St, Ste 240 German1900 Hayes Ave Lima, OH 45801 Miller, Eric DPMFremont, OH 43420 419-224-8414 1013 East Spring St419-332-8105Crawford CountySt Marys, OH 45885Morris, Dennis DPM 419-394-8664 BucyrusRusher, Steven DPM 1138 W High St1900 Hayes Ave Lima, OH 45801 Nielsen-Haak, Laurie Shearer, Paul DPMFremont, OH 43420 419-225-2726 DPM 130 Hill St419-332-8105 1013 E Spring St Bucyrus, OH 44820Nielsen-Haak, Laurie St Marys, OH 45885 440-930-8637PodiatryDPM 419-394-8664770 W High St Foreign Language(s):GalionAllen County Lima, OH 45801German419-224-8414BlufftonCiccero, Kimberly DPMWapakonetaVichinsky, Lewis DPM396 Portland Way NBenjamin-Swonger, 2745 Ft Amanda RdGalion, OH 44833Benjamin-Swonger,Mary DPM Lima, OH 45805419-468-3668Mary DPM148 N Main St 419-225-4911 812 Redskin Trail Ste BBluffton, OH 45817Lynn, Jeffrey MDWapakoneta, OH 45895419-358-3050 Ward, Shawn DPM396 Portland Way N419-394-86641138 W High StGalion, OH 44833Jennings, Richard DPM Lima, OH 45801419-468-3668Jennings, Richard DPM148 N Main St 419-225-2726 812 Redskin Trail Ste BBluffton, OH 45817Mitsos, Angelo MDWapakoneta, OH 45895419-358-3050396 Portland Way NAuglaize County 419-394-8664 Galion, OH 44833Kail, Janet DPM419-468-3668Minster Kail, Janet DPM148 N Main St 812 Redskin Trail Ste BBluffton, OH 45817Stanos Jr., Mark DPMBenjamin-Swonger, Wapakoneta, OH 45895419-358-3050396 Portland Way NMary DPM 419-394-8664 Galion, OH 448336 Eagle DrKirk, Daniel DPM419-468-3668Minster, OH 45865 Kirk, Daniel DPM148 N Main St 419-628-7874 812 Redskin Trail Ste BBluffton, OH 45817 Wapakoneta, OH 45895Fulton County419-358-3050 Jennings, Richard DPM 419-394-86646 Eagle DrSwatonLima Minster, OH 45865 Little, Eugene DPM419-628-7874Adams, Bradley DPM812 Redskin Trail 214 W Airport HwyBeekman, Stanley DPM Wapakoneta, OH 45895Kail, Janet DPMSwaton, OH 435582745 Ft Amanda Rd 419-394-86646 Eagle Dr419-825-3682Lima, OH 45805419-225-4911 Minster, OH 45865 Miller, Eric DPM419-628-7874 812 Redskin TrailHaycock, Darryl DPM Wapakoneta, OH 45895830 W High St, Ste 201 Kirk, Daniel DPM 419-394-8664Lima, OH 45801 6 Eagle Dr419-228-3338Minster, OH 45865419-628-7874<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan Page 45
SpecialistsSection 2 – List of Plan <strong>Provider</strong>sPodiatry cont. Lucas County Wilkinson, Khase DPM Sandusky County2213 Franklin AveHardin County MaumeeToledo, OH 43620 Fremont419-251-2360Kenton Bortel, Beau DPM Brent, Jessica DPM5757 Monclova Rd Ste 5 Witt, David DPM 1900 Hayes AveBeekman, Stanley DPM Maumee, OH 43537 2213 Franklin Ave Fremont, OH 43420875 E Columbus St 419-893-5757 Toledo, OH 43620 419-332-8105Kenton, OH 43326 419-251-2360419-675-3668 Sylvania Scioto CountyMehta, Manisha DPMWauseonBarna, Mary DPMPortsmouth875 Columbus St 5151 S Main StKenton, OH 43326Adams, Bradley DPMSylvania, OH 43560 734 S Shoop Ave Temar, Kerry DPM419-675-3668 419-882-5000 Wauseon, OH 43567 1671 Grant St419-337-8897Portsmouth, OH 45662Vichinsky, Lewis DPM Jones, David DPM513-791-5753875 E Columbus St 5151 S Main StKenton, OH 43326 Sylvania, OH 43560Mercer County419-675-3668Seneca County419-882-5000 CelinaTiffinWilson, Jeffrey MD Pensiero, Christopher875 Columbus St Benjamin-Swonger,DPM Mary DPMBremyer, John DPMKenton, OH 43326 5151 S Main St 1222 Irmscher Blvd 27 St Lawrence St419-675-3668 Sylvania, OH 43560 Celina, OH 45822Ste 201A419-882-5000 419-586-8557Tiffin, OH 44883Logan County 419-455-8505Washburn, Frank DPMBellefontaineJennings, Richard DPM5151 S Main St 1222 Irmscher Blvd Consolo, Joel DPMSylvania, OH 43560 Celina, OH 45822 40 Clay StBenjamin-Swonger, 419-882-5000 419-586-8557Tiffin, OH 44883Mary DPM 419-443-86373722 SR 68-SBellefontaine, OH 43311ToledoKail, Janet DPM937-599-36681222 Irmscher Blvd Shelby CountyAnderson, Martha DPM Celina, OH 458224235 Secor Rd 419-586-8557SidneyJennings, Richard DPM3722 SR 68-S Toledo, OH 43623419-479-5757 Kirk, Daniel DPM Little, Eugene DPMBellefontaine, OH 433111222 Irmscher Blvd 2097 Russell Rd937-599-3668Cragel, Michael DPM Celina, OH 45822 Sidney, OH 453652213 Franklin Ave 419-586-8557937-492-9094Kail, Janet DPM3722 SR 68-SToledo, OH 43620419-251-2360 Paulding CountyMiller, Eric DPMBellefontaine, OH 433112097 Russell Rd937-599-3668Mehta, Manisha DPM PauldingSidney, OH 453653030 Sylvania Ave937-492-9094Kirk, Daniel DPM3722 SR 68-SToledo, OH 43613 Beatty, David DPM419-592-3338 125 N Water StNielsen-Haak, LaurieBellefontaine, OH 43311Paulding, OH 45879 DPM937-599-3668Saunders, Neil DPM 419-399-56792097 Russell Rd2213 Franklin AveSidney, OH 45365Toledo, OH 43620937-492-9094419-251-2360Foreign Language(s):GermanPage 46<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan
Section 2 – List of Plan <strong>Provider</strong>sSpecialistsPodiatry cont. Wood County Seneca County Chanamolu, SreenivasaMDUnion County Bowling Green Tiffin528 W Market StLima, OH 45804Marysville De Silvo, Mark DPM Katragadda, Srinivas 419-227-5864735 Haskind Rd Ste A MDBeekman, Stanley DPM Bowling Green, OH 43402 485 W Market St Chanamolu, Sreenivasa245 Stocksdale Dr 419-352-8110 Tiffin, OH 44883 MDMarysville, OH 43040 419-251-4647 750 W High St, Ste 300937-642-9936 Witt, Sandra DPM Lima, OH 45801735 Haskins Rd Ste A Mahajan, Vijay MD 419-227-5864Hamm, Roger DPM Bowling Green, OH 43402 485 W Market St Foreign Language(s):16503 Square Dr 419-352-8110 Tiffin, OH 44883 TeluguMarysville, OH 43040 419-251-4647937-592-1004PsychiatryKuchipudi, Sarat MDTita, James DO 528 W Market StVichinsky, Lewis DPM Defiance County 485 W Market St Lima, OH 45804245 Stocksdale Dr Tiffin, OH 44883 419-227-5864Marysville, OH 43040 Hicksville419-251-4647937-642-9936 Kuchipudi, Sarat MDKaplansky, Bryan MD Pulmonary 750 W High St, Ste 300Van Wert County 208 N Columbus StDisease/SleepLima, OH 45801Hicksville, OH 43526 419-227-5864Van Wert 419-542-6692 MedicineForeign Language(s):Sandusky CountyTelluguBenjamin-Swonger,Mary DPMPulmonary &FremontRovner, Marc MD140 Fox Rd Ste 104 Critical Care528 W Market StVan Wert, OH 45891Sandusky County Balaa, Anas MD Lima, OH 45804419-224-5915 715 S Taft Ave419-227-5864Fremont Fremont, OH 43420Jennings, Richard DPM419-334-6679Rovner, Marc MD140 Fox Rd Ste 104 Abdallah, Dany MD750 W High St, Ste 300Van Wert, OH 45891 715 S Taft Ave, Ste 196Lima, OH 45801419-224-5915 Fremont, OH 43420Pulmonary 419-227-5864419-333-0840 DiseasesKail, Janet DPMAllen CountyAuglaize County140 Fox Rd Ste 104 Jacob, Hany MDVan Wert, OH 45891 715 S Taft Ave LimaSt Marys419-224-5915 Fremont, OH 43420419-332-7321 Anigbogu, Joseph MDKuchipudi, Sarat MDKirk, Daniel DPM528 W Market St1040 Hager St140 Fox Rd Ste 104Lima, OH 45804St Marys, OH 45885Van Wert, OH 45891 Pulmonary419-227-5864419-227-5864419-224-5915 Disease Foreign Language(s):Anigbogu, Joseph MDTelluguNeuschwanger, S.M. Mercer CountyDPM730 W Market St1175 Wood Ste 201 Celina Lima, OH 45801Van Wert, OH 45891419-227-3361419-238-3570Gutta, Jayanth MD950 S Main St Anigbogu, Joseph MDCelina, OH 45822 750 W High St, Ste 300419-586-7940 Lima, OH 45801419-227-5864<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan Page 47
SpecialistsSection 2 – List of Plan <strong>Provider</strong>sPulmonary Mahajan, Vijay MD Atwell, David MD Lucas CountyDiseases cont. 27 St Lawrence Dr 3900 Sunforest CrSte 201A Ste 119ToledoAuglaize County Tiffin, OH 44883-8314 Toledo, OH 43623cont. 419-448-3486 419-353-1063Herrington, Sandra MDRestriction(s): 18 yrs &4841 Monroe St, Ste 103Wapakoneta overWood CountyToledo, OH 43623419-473-2636Kuchipudi, Sarat MD Tita, James DO Bowling Green1251 Lincoln Ave 27 St Lawrence DrKaiser, Heather MDWapakoneta, OH 45895 Ste 201AAtwell, David MD 4841 Monroe St, Ste 103419-227-5864 Tiffin, OH 44883-8314 960 W Wooster Ste 108 Toledo, OH 43623Foreign Language(s): 419-448-3486 Bowling Green, OH 43402 419-473-2636Tellugu Restriction(s): 18 yrs & 419-353-1063overMercer CountyPulmonary RadiationMedicine PulmonologyCelinaOncologyWood County Hancock County Herrington, Sandra MD,Allen County PhDBowling Green Findlay Lima900 HAvemann RdCelina, OH 45822El Gamal, Hesham MD Atwell, David MD Herrington, Sandra MD,419-584-1900960 W Wooster St, 1909 S Main St PhDSte 107 Findlay, OH 45840 803 W Market StKaiser, Heather MDBowling Green, OH 43402 419-427-2604 Lima, OH 45805900 HAvemann Rd419-373-7692 419-996-5063Celina, OH 45822Indiana County419-584-1900PulmonaryKaiser, Heather MDMedicine/CriticalFort Wayne803 W Market St Seneca CountyCareLima, OH 45805James, Pushpom MD 419-996-5063TiffinSeneca County2510 E Dupont RdSte 200Pak, Michael MD Ahmad, Munir MDFort Wayne, IN 46825 525 Eastown Rd 40 Fair LnTiffin260-489-6969 Lima, OH 45807 Tiffin, OH 44883Jamal, Raheel MD419-998-4497419-448-369327 St Lawrence Dr Lucas CountySte 201AAmbekar, Anjali MDHancock CountyTiffin, OH 44883 Sylvania40 Fair Ln419-448-3486 FindlayTiffin, OH 44883Restriction(s): 18 yrs & Ahmed, Fateh MD419-448-3693over6444 Monroe St Ashworth, Jeanne MDSylvania, OH 43560 15990 Medical Dr S Williams CountyKatragadda, Srinivas 419-824-3434Findlay, OH 45840MD 419-423-3703Bryan27 St Lawrence Dr ToledoSte 201ALutz, Stephen MD Rahman, Syed MDTiffin, OH 44883-8314 Atwell, David MD 15990 Medical Dr S 524 W High St419-448-3486 2142 N Cove Blvd Findlay, OH 45840 Bryan, OH 43506Restriction(s): 18 yrs & Toledo, OH 43606 419-423-3703419-636-9800over 419-291-4000Page 48<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan
Section 2 – List of Plan <strong>Provider</strong>sSpecialistsRadiation Surgery, General Lucas County Taylor, Russell MDOncology cont.1800 East Fifth StLucas County MaumeeDelphos, OH 45833Wood County419-692-2662ToledoShah, Aamir MDBowling Green5705 Monclova RdCashen, Constance DO Ste 205GlandorfHerrington, Sandra MD, 2200 Jefferson Ave Maumee, OH 43537Toledo, OH 43604 419-482-6800Bansal, Narendra MDPhD419-251-1400601 SR 224960 W Wooster St Glandorf, OH 45875Bowling Green, OH 43402Rosol, Stanley DOUrgent Care 419-228-8950419-352-94982200 Jefferson Ave MedicineToledo, OH 43604Taylor, Russell MDKaiser, Heather MD419-251-1400Lucas County 601 SR 224960 W Wooster StForeign Language(s):Glandorf, OH 45875Bowling Green, OH 43402 MaumeePolish419-228-8950419-352-9498Saad, Michael MDSeneca County 1661 Holland Rd Ste 100 UrologyRheumatologyMaumee, OH 43537Tiffin 419-438-2619Defiance CountyLucas CountyCecchino, Robert MDDefianceToledo27 St Lawrence Dr UrologicalSte 203SurgeryWalsh, Thomas MDAhmed, Mohammed MDTiffin, OH 448831400 E Second St3020 McCord Rd #203419-455-8560Allen County Defiance, OH 43512Toledo, OH 43615 419-784-1414419-517-1115 LimaThoracic SurgeryMubashir, Eisha MDLucas CountyBansal, Narendra MD3020 McCord Rd #203 Allen County 770 W High St, Ste 350Toledo, OH 43615OregonLima, OH 45801419-517-1115 Lima 419-228-8950 Sutton, Stepphen MDNagy, Alexander MD2702 Navarre Ave Ste101Wood County Jacobs, Edward MD770 W High StOregon, OH 43616770 W High St, Ste 350Lima, OH 45801419-893-7134Perrysburg Lima, OH 45801419-227-7702 419-228-8950Syed, Tauseef MDToledo900 W S Boundary St Nagy, Alexander MD Taylor, Russell MDBldg 5B 951 Commerce Parkway,Haselhuhn, Gregory MD770 W High St, Ste 350Perrysburg, OH 43551 Ste 2012213 Cherry ST Ste 200Lima, OH 45801419-874-1566 Lima, OH 45804ACC419-228-8950419-227-7702Toledo, OH 43608Foreign Language(s):419-725-1900Sleep Medicine HungarianPutnam CountyRashid, Michael MDSandusky County Delphos 3500 Executive ParkwayFremontToledo, OH 43606Bansal, Narendra MD 419-531-85581800 E Fifth StTartaglia, Louis MD Delphos, OH 45833715 S Taft Ave, Ste 188 419-692-2662Fremont, OH 43420419-333-0840<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan Page 49
SpecialistsSection 2 – List of Plan <strong>Provider</strong>sUrology cont. Seneca County Hardin County Pigott, John MD2109 Hughes Dr Ste 550Sandusky County TiffinAdaToledo, OH 43606419-291-2090Fremont Desai, Ajitkumar MD Magee, Ronald MDAjitkumar Desai MD- 520 W Lincoln Ave Seiwert, Andrew MDBoyle, Jr., Emmett MD Urology 27 St Ada, OH 45810 2109 Hughes Dr Ste 450605 Third Ave, Ste B Lawrence Dr Ste 203 866-359-5915 Toledo, OH 43606Fremont, OH 43420 Tiffin, OH 44883 419-471-2003419-332-7223 419-455-8562 Lucas CountySeiwert, Andrew MDEmmert, Jr., Gregor MD Wood County Oregon 2109 Hughes Dr Ste 550605 Third Ave, Ste B Toledo, OH 43606Fremont, OH 43420 Bowling Green Durham, Samuel MD 419-291-2090419-332-7223 2600 Navarre Avede la Serna, Manuel MD Oregon, OH 43616 Whalen, Ralph MDMurtagh, Daniel MD 960 W Wooster St, 419-251-4364 2109 Hughes Dr Ste 450605 Third Ave, Ste B Ste 204 Toledo, OH 43606Fremont, OH 43420 Bowling Green, OH 43402 Riordan, Christopher 419-471-2003419-332-7223 419-352-1404 MD2600 Navarre Ave Whalen, Ralph MDNavarre, Robert MD Oregon, OH 43616 2109 Hughes Dr Ste 550605 Third Ave, Ste B Vascular Surgery419-251-4364 Toledo, OH 43606Fremont, OH 43420Allen County419-291-2090419-332-7223 Schwann, Thomas MDLima2600 Navarre AvePizza, Eric MDMercer CountyOregon, OH 43616605 Third Ave, Ste B Magee, Ronald MD 419-251-4364CelinaFremont, OH 43420 951 Commerce Parkway,419-332-7223 Ste 100Zacharias, Anoar MD Magee, Ronald MDLima, OH 45804 2600 Navarre Ave 950 S Main StRashid, Michael MD 419-224-5915 Oregon, OH 43616 Celina, OH 45822605 Third Ave, Ste B 419-251-4364 419-224-5915Fremont, OH 43420 Oaks, Jay DO419-332-7223 1003 Bellefontaine Ave, Toledo Monroe CountySte 150Schuster, Timothy MD Lima, OH 45804605 Third Ave, Ste BGale, Steven MD Dundee419-998-8207Fremont, OH 434202109 Hughes Dr Ste 450419-332-7223Toledo, OH 43606 Kasper, Gregory MDAuglaize County 419-471-2003 100 Powell Dr Ste 4Smith, Diane CNPDundee, MI 48131-8645605 Third Ave, Ste BSt Marys Gale, Steven MD 734-529-3070Fremont, OH 434202109 Hughes Dr Ste 550 Restriction(s): Adults only419-332-7223Magee, Ronald MD Toledo, OH 436061134 Hager St 419-291-2090 Walker, Gregory DOTapper, Richard MDSt Marys, OH 45885 100 Powell Dr Ste 4605 Third Ave, Ste B419-394-3387 Pigott, John MD Dundee, MI 48131-8645Fremont, OH 434202109 Hughes Dr Ste 450 734-529-3070419-332-7223Toledo, OH 43606419-471-2003Wainstein, Mark MD605 Third Ave, Ste BFremont, OH 43420419-332-7223Page 50<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan
Section 2 – List of Plan <strong>Provider</strong>sSpecialistsVascular Surgerycont.Seneca CountyTiffinClark, Paul MD27 St Lawrence DrSte 201ATiffin, OH 44883-8314419-251-3112Wood CountyBowling GreenUbunama, Innocent DO735 Haskins Rd, Ste GBowling Green, OH 43402419-373-6000<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan Page 51
AncillarySection 2 – List of Plan <strong>Provider</strong>sAmbulance Eye Surgery Center of Fulton County Ottawa CountyWestern OhioAllen County 855 W Market St WauseonPort ClintonLimaLima, OH 45805419-228-9991Defiance Hearing Aid Dr. Roberts &Center, IncAssociates Inc.Cooperative <strong>Health</strong> West Central Ohio 7300 State Highway 108 304 Madison StPartners Surgery & Endoscopy Wauseon, OH 43567 Port Clinton, OH 43452303 W Spring St Center419-335-5155 419-732-1900Lima, OH 45802 770 W High St Ste 100419-224-4075 Lima, OH 45801 Henry County Williams County419-226-8700Hardin CountyNapoleonBryanKentonLogan CountyDefiance Hearing Aid Defiance Hearing AidBKP AmbulanceLorainCenter, Inc118 E Clinton Ste ACenter, Inc123 E Bryan St439 S Main St The Lorain ASC, LP dba Napoleon, OH 43545 Bryan, OH 43506Kenton, OH 43326 Erie Shores419-592-3463 419-636-6157419-674-4574 Endoscopy CenterLucas County3600 Kolbe Rd. Suite 019Lorain, OH 44053Lucas County Wood County440-960-7277 Sylvania Bowling GreenToledoCooperative <strong>Health</strong>Lucas County Hearing Associates Inc5660 Monroe StDefiance Hearing AidCenter, IncPartners1402 Lagrange StToledoSylvania, OH 43560419-882-59501021 RevereBowling Green, OH 43402Toledo, OH 43605 Surgery Center at419-352-7399419-245-6210 Regency Park, LLC Toledo2000 Regency Ct Ste 101 CardiologySandusky County Toledo, OH 43623 Audiology Associates419-882-0003 1000 Regency Ct Ste 101 Lucas CountyFremont Toledo, OH 43623Audiology419-842-0664ToledoHart’s Ambulette596 S State Rt 19 Defiance County Northwest Ohio Hearing CardiovascularFremont, OH 43420ClinicDiagnostics Group419-332-3911 Defiance3000 Arlington Ave 2409 Cherry StToledo, OH 43614 Toledo, OH 43608Ambulatory Defiance Hearing Aid 419-383-4012419-251-3700 888-202-Center, Inc5751Surgery Center836 E Second St Toledo Hearing andAllen County Defiance, OH 43512419-782-0836Speech Center3148 W Central AveLimaToledo, OH 43606419-241-6219Digestive <strong>Health</strong> &Endoscopy Center,LLC375 N Eastown RdLima, OH 45807419-228-3500Page 52<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan
Section 2 – List of Plan <strong>Provider</strong>sAncillaryDialysisSeneca County Henderson Moon TownshipAllen County TiffinSpinal Rehab Solutions, National RehabInc.Equipment, Inc.Lima Davita (Gambro) 262 Violet Note St 540 Lindbergh Dr65 St Francis Ave Henderson, NV 89074 Moon Township, PAKidney Services of West Tiffin, OH 44883 702-586-5407 15108Central Ohio 419-447-7283 800-451-6510750 West High StSte 100LancasterWood CountyLima, OH 45801North Olmstead419-227-0918Ohio Rehab &Bowling Green Diagnostic Center, SolaceInc.26777 Lorain RdDelaware County DCA of Toledo, LLC 2405 N Columbus St North Olmstead, OH1037 Conneaut Ave Ste 140 44070Delaware Bowling Green, OH 43402 Lancaster, OH 43130 440-471-4630419-353-1080 740-687-5025DCA Of DelawareCounty St. PaulNorthwood1788 Columbus PikeLimaDelaware, OH 43015 RespiratoryDavita (Gambro)740-369-4870 Apria <strong>Health</strong>care Inc, Technologies, Inc.611 Lemoyne Apria Number Two 1380 Energy Ln Ste 113Northwood, OH 43619 Inc St. Paul, OH 43103Lucas County 419-698-3423 1518 Main St Ste 11 651-379-8999ToledoLima, OH 45801Durable Medical 419-222-1500Van WertDavita (Gambro) Equipment1614 South ByrneLincare IncP & R Home IV Service,Allen County 1216 W Robb AveToledo, OH 43614Inc.419-382-8280Lima, OH 45801 16937 Defiance TrailAlpharetta 419-228-5632 Van Wert, OH 45891Davita (Gambro)419-587-33494665 Suder AveUromed, Inc.Pro2 Lima, LLC dbaToledo, OH 436111095 Windward Ridge Pro2 RespiratoryPkwy Ste 170Services, LLC Westerville419-727-9692Alpharetta, GA 30005 528 W Market St Ste 130800-525-5718 Lima, OH 45801 The Matrix ManagementInnovative Dialysis Sys.419-224-7702Group dba Signature3829 Woodley Rd Bldg C- Medical Direct12 Berea5805 Chandler Ct Ste BToledo, OH 43606 MarltonWesterville, OH 43082419-473-9900 S. A. Maher, Inc.614-901-9730398 W Bagley Rd Ste 12 SunMed MedicalPutnam CountyBerea, OH 44017Systems, LLC440-777-5544 35-B E Main St Auglaize CountyGlandorfMarlton, NJ 08053800-714-7434AlpharettaCincinnatiKidney Services of WestUromed, Inc.Central Ohio Pediatric Products, LLC 1095 Windward Ridge601 State Route 224 10999 Reed Hartman Pkwy Ste 170Glandorf, OH 45848 Hwy Ste 206 Alpharetta, GA 30005419-226-4420 Cincinnati, OH 45242 800-525-5718513-891-4633<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan Page 53
AncillarySection 2 – List of Plan <strong>Provider</strong>sDurable Medical Minster Defiance County LancasterEquipment cont.Apria <strong>Health</strong>care Inc, AlpharettaOhio Rehab &Auglaize County Apria Number TwoDiagnostic Center,cont. Inc Uromed, Inc.Inc.311 Industrail Dr 1095 Windward Ridge 2405 N Columbus StBerea Minster, OH 45865 Pkwy Ste 170Ste 140419-628-4496 Alpharetta, GA 30005 Lancaster, OH 43130S. A. Maher, Inc. 800-525-5718 740-687-5025398 W Bagley Rd Ste 12Berea, OH 44017Moon TownshipBerea440-777-5544MarltonNational RehabEquipment, Inc. S. A. Maher, Inc. SunMed MedicalCincinnati 540 Lindbergh Dr 398 W Bagley Rd Ste 12 Systems, LLCMoon Township, PA Berea, OH 44017 35-B E Main StPediatric Products, LLC 15108 440-777-5544Marlton, NJ 0805310999 Reed Hartman 800-451-6510 800-714-7434Hwy Ste 206CincinnatiCincinnati, OH 45242513-891-4633North OlmsteadMoon TownshipPediatric Products, LLCSolace10999 Reed Hartman National RehabHenderson 26777 Lorain Rd Hwy Ste 206Equipment, Inc.North Olmstead, OH Cincinnati, OH 45242 540 Lindbergh DrSpinal Rehab Solutions, 44070 513-891-4633Moon Township, PAInc. 440-471-4630 15108262 Violet Note St Henderson800-451-6510Henderson, NV 89074702-586-5407St. PaulSpinal Rehab Solutions, North OlmsteadRespiratoryInc.LancasterTechnologies, Inc. 262 Violet Note St Solace1380 Energy Ln Ste 113 Henderson, NV 89074 26777 Lorain RdOhio Rehab & St. Paul, OH 43103 702-586-5407North Olmstead, OHDiagnostic Center, 651-379-8999 44070Inc. Hicksville440-471-46302405 N Columbus StSte 140Van WertHicksville Pharmacy &Lancaster, OH 43130St. PaulP & R Home IV Service, Home Medical740-687-5025Inc.116 E High StRespiratory16937 Defiance Trail Hicksville, OH 43526 Technologies, Inc.Marlton Van Wert, OH 45891 419-542-62181380 Energy Ln Ste 113419-587-3349 St. Paul, OH 43103SunMed Medical Holland651-379-8999Systems, LLC35-B E Main StWestervilleNational Seating &Marlton, NJ 08053Van WertThe Matrix Management Mobility, Inc800-714-7434Group dba Signature 6501 Angola Rd Unit P P & R Home IV Service,Medical Direct Holland, OH 43528 Inc.5805 Chandler Ct Ste B 419-867-685716937 Defiance TrailWesterville, OH 43082 Van Wert, OH 45891614-901-9730 419-587-3349Page 54<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan
Section 2 – List of Plan <strong>Provider</strong>sAncillaryDurable Medical Henderson St. Paul BereaEquipment cont.Spinal Rehab Solutions, Respiratory S. A. Maher, Inc.Defiance Countycont.Inc.262 Violet Note StTechnologies, Inc.1380 Energy Ln Ste 113398 W Bagley Rd Ste 12Berea, OH 44017WestervilleHenderson, NV 89074702-586-5407St. Paul, OH 43103651-379-8999440-777-5544The Matrix ManagementCincinnatiGroup dba SignatureHollandSwantonMedical DirectPediatric Products, LLC5805 Chandler Ct Ste BNational Seating & Swanton Sav-Mor Drugs 10999 Reed HartmanWesterville, OH 43082Mobility, Inc 147 E Airport Hwy Hwy Ste 206614-901-97306501 Angola Rd Unit P Swanton, OH 43558 Cincinnati, OH 45242Holland, OH 43528 419-825-5050 513-891-4633Florida County419-867-6857Van WertFindlayBoca RatonLancasterP & R Home IV Service, Mitchell MedicalTotal E Medical Ohio Rehab & Inc. Equipment Inc125 NW 13th St Ste B1 Diagnostic Center, 16937 Defiance Trail 402 Tiffan AveBoca Raton, FL 33432 Inc. Van Wert, OH 45891 Findlay, OH 45840877-750-52522405 N Columbus St 419-587-3349 419-425-0202Ste 140Fulton CountyLancaster, OH 43130740-687-5025Wauseon HendersonAlpharettaMarltonTri State Inc dba Tri-State Medical SupplySpinal Rehab Solutions,Inc.Uromed, Inc.732 S Shoop Ave 262 Violet Note St1095 Windward Ridge SunMed Medical Wauseon, OH 43567 Henderson, NV 89074Pkwy Ste 170Systems, LLC 419-337-2399 702-586-5407Alpharetta, GA 30005 35-B E Main St800-525-5718 Marlton, NJ 08053 Westerville Holland800-714-7434BereaMoon TownshipThe Matrix ManagementGroup dba SignatureNational Seating &Mobility, IncS. A. Maher, Inc.Medical Direct 6501 Angola Rd Unit P398 W Bagley Rd Ste 12 National Rehab 5805 Chandler Ct Ste B Holland, OH 43528Berea, OH 44017Equipment, Inc. Westerville, OH 43082 419-867-6857440-777-5544540 Lindbergh Dr 614-901-9730Moon Township, PALancasterCincinnati15108 Hancock County800-451-6510 Ohio Rehab &Pediatric Products, LLCAlpharettaDiagnostic Center,10999 Reed Hartman North OlmsteadInc.Hwy Ste 206Uromed, Inc.2405 N Columbus StCincinnati, OH 45242 Solace 1095 Windward Ridge Ste 140513-891-463326777 Lorain Rd Pkwy Ste 170 Lancaster, OH 43130North Olmstead, OH Alpharetta, GA 30005 740-687-502544070800-525-5718440-471-4630<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan Page 55
AncillarySection 2 – List of Plan <strong>Provider</strong>sDurable Medical Westerville Marlton Henry CountyEquipment cont.The Matrix Management SunMed Medical AlpharettaHancock County Group dba Signature Systems, LLCcont. Medical Direct 35-B E Main StUromed, Inc.5805 Chandler Ct Ste B Marlton, NJ 08053 1095 Windward RidgeMarlton Westerville, OH 43082 800-714-7434Pkwy Ste 170614-901-9730Alpharetta, GA 30005SunMed MedicalMoon Township800-525-5718Systems, LLC35-B E Main StHardin CountyNational Rehab BereaMarlton, NJ 08053 Alpharetta800-714-7434Equipment, Inc.540 Lindbergh Dr S. A. Maher, Inc.Uromed, Inc. Moon Township, PA 398 W Bagley Rd Ste 12Moon Township 1095 Windward Ridge 15108Berea, OH 44017Pkwy Ste 170 800-451-6510440-777-5544National Rehab Alpharetta, GA 30005Equipment, Inc.540 Lindbergh Dr800-525-5718North Olmstead CincinnatiMoon Township, PA Berea SolacePediatric Products, LLC1510826777 Lorain Rd 10999 Reed Hartman800-451-6510 S. A. Maher, Inc. North Olmstead, OH Hwy Ste 206398 W Bagley Rd Ste 12 44070Cincinnati, OH 45242North Olmstead Berea, OH 44017 440-471-4630513-891-4633440-777-5544SolaceSt. PaulHenderson26777 Lorain Rd CincinnatiNorth Olmstead, OHRespiratorySpinal Rehab Solutions,44070 Pediatric Products, LLC Technologies, Inc. Inc.440-471-4630 10999 Reed Hartman 1380 Energy Ln Ste 113 262 Violet Note StHwy Ste 206 St. Paul, OH 43103 Henderson, NV 89074St. Paul Cincinnati, OH 45242 651-379-8999702-586-5407513-891-4633RespiratoryVan WertHollandTechnologies, Inc. Henderson1380 Energy Ln Ste 113P & R Home IV Service, National Seating &St. Paul, OH 43103 Spinal Rehab Solutions, Inc.Mobility, Inc651-379-8999 Inc. 16937 Defiance Trail 6501 Angola Rd Unit P262 Violet Note St Van Wert, OH 45891 Holland, OH 43528Van Wert Henderson, NV 89074 419-587-3349419-867-6857702-586-5407P & R Home IV Service,WestervilleLancasterInc.Lancaster16937 Defiance TrailThe Matrix Management Ohio Rehab &Van Wert, OH 45891 Ohio Rehab & Group dba Signature Diagnostic Center,419-587-3349 Diagnostic Center, Medical DirectInc.Inc.5805 Chandler Ct Ste B 2405 N Columbus St2405 N Columbus St Westerville, OH 43082 Ste 140Ste 140 614-901-9730Lancaster, OH 43130Lancaster, OH 43130 740-687-5025740-687-5025Page 56<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan
Section 2 – List of Plan <strong>Provider</strong>sAncillaryDurable Medical Westerville National Seating & OE Meyer CompanyEquipment cont.Mobility, Inc 817 Ford StThe Matrix Management 6501 Angola Rd Unit P Maumee, OH 43537Henry County cont. Group dba SignatureMedical DirectHolland, OH 43528419-867-6857419-887-1263Marlton 5805 Chandler Ct Ste B Orbit Medical IncWesterville, OH 43082 National Seating and 1679 Lanie Pointe Unit CSunMed Medical 614-901-9730 Mobility Inc. Maumee, OH 43537Systems, LLC 6501 Angola Rd Unit P 877-813-020535-B E Main StMarlton, NJ 08053Lucas County Holland, OH 43528419-867-6857 Red Wing Shoes &800-714-7434 AlpharettaRepairLancaster209 Conant StMoon Township Uromed, Inc.Maumee, OH 435371095 Windward Ridge Ohio Rehab &419-893-7647National RehabPkwy Ste 170Diagnostic Center,Equipment, Inc. Alpharetta, GA 30005 Inc.Sleep Right SG LLC540 Lindbergh Dr 800-525-57182405 N Columbus St 1661 Holland Rd Ste 400Moon Township, PA Ste 140Maumee, OH 4353715108 BereaLancaster, OH 43130 419-720-2005800-451-6510 740-687-5025S. A. Maher, Inc.United Seating and398 W Bagley Rd Ste 12MobilityNapoleon MarltonBerea, OH 440176450 Weatherfield Ct440-777-5544Ste 2AVillage Square Inc. SunMed Medical Maumee, OH 435371412 N Scott St Systems, LLC 419-866-3727Napoleon, OH 43545 Cincinnati35-B E Main St419-599-9355 Marlton, NJ 08053Pediatric Products, LLC 800-714-7434Moon TownshipNorth Olmstead 10999 Reed HartmanHwy Ste 206National RehabMaumeeCincinnati, OH 45242Equipment, Inc.Solace513-891-4633540 Lindbergh Dr26777 Lorain Rd American Home Patient Moon Township, PANorth Olmstead, OH 3455 Briarfield Blvd 1510844070 Henderson Maumee, OH 43537 800-451-6510440-471-4630 419-866-3767Spinal Rehab Solutions,Inc.Apria <strong>Health</strong>care Inc, North OlmsteadSt. Paul262 Violet Note StApria Number TwoHenderson, NV 89074 IncSolaceRespiratory702-586-54076535 Weatherfield Crt 26777 Lorain RdTechnologies, Inc.Maumee, OH 43537 North Olmstead, OH1380 Energy Ln Ste 113419-868-560444070St. Paul, OH 43103 Holland 440-471-4630651-379-8999C&M Billing SolutionsDimitri’s Shoe Service,LLCLLC dba Red Wing St. PaulVan Wert6924 Spring Valley DrShoes & RepairHolland, OH 43528209 Conant St RespiratoryP & R Home IV Service,419-861-0234Maumee, OH 43537 Technologies, Inc.Inc. 419-893-8647 1380 Energy Ln Ste 11316937 Defiance Trail St. Paul, OH 43103Van Wert, OH 45891 651-379-8999419-587-3349<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan Page 57
AncillarySection 2 – List of Plan <strong>Provider</strong>sDurable Medical That Special Woman Mercer County MarltonEquipment cont. 2461 N ReynoldsToledo, OH 43615 AlpharettaSunMed MedicalLucas County cont. 419-536-6206 Systems, LLCUromed, Inc.35-B E Main StSylvania The Colony Pharmacy, 1095 Windward Ridge Marlton, NJ 08053Inc. dba The Pkwy Ste 170 800-714-7434Active Mobility of Ohio Pharmacy Counter, Alpharetta, GA 30005Inc. Inc. 800-525-5718Moon Township5517 Schultz Dr 2655 W CentralSylvania, OH 43560 Toledo, OH 43606 Berea National Rehab800-544-7460 419-473-1493 Equipment, Inc.S. A. Maher, Inc. 540 Lindbergh DrToledoWright & Filippis 398 W Bagley Rd Ste 12 Moon Township, PA4505 Monroe St Ste C Berea, OH 44017 15108Advanced Home Toledo, OH 44691 440-777-5544800-451-6510Medical419-479-30204730 W Bancroft St Cincinnati North OlmsteadSte 17Van WertToledo, OH 43615 Pediatric Products, LLC Solace419-537-0116 P & R Home IV Service, 10999 Reed Hartman 26777 Lorain RdInc. Hwy Ste 206 North Olmstead, OHCovenant Care Ohio 16937 Defiance Trail Cincinnati, OH 45242 44070Inc.,dba Fairview Van Wert, OH 45891 513-891-4633 440-471-4630Skilled Nursing and 419-587-3349Rehabilitation Center4420 South AveFt Recovery St. PaulWestervilleToledo, OH 43615419-531-4201Kaup Pharmacy RespiratoryThe Matrix Management 110 E Butler St Technologies, Inc.Group dba Signature<strong>Health</strong> Care Solutions atFt Recovery, OH 45846 1380 Energy Ln Ste 113Medical DirectHome, Inc419-375-2323 St. Paul, OH 431035805 Chandler Ct Ste B858 Capital Commons Dr 651-379-8999Westerville, OH 43082Toledo, OH 43615 614-901-9730Henderson419-865-4244 WestervilleSpinal Rehab Solutions,James Pharmacy Inc Marion County Inc.The Matrix Management623 Lagrange 262 Violet Note StMansfieldGroup dba SignatureToledo, OH 43604Henderson, NV 89074 Medical Direct419-294-9161 702-586-5407Shaw & Ott Medical5805 Chandler Ct Ste B270 Lexington AveWesterville, OH 43082Lagrange Sav-Mor Lancaster614-901-9730DrugsMansfield, OH 449023130 Lagrange St419-524-4388Ohio Rehab & Michigan CountyToledo, OH 43608Diagnostic Center,419-241-8065 MarionInc. Adrian2405 N Columbus StLincare Inc Lincare IncSte 140 Mitchell Medical2948 Centennial Rd 1233 Pale Land Rd Lancaster, OH 43130 Equipment IncToledo, OH 43617 Marion, OH 43302 740-687-5025 1416 S Main St419-841-7711 740-382-1611Adrian, MI 49221517-266-9122Page 58<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan
Section 2 – List of Plan <strong>Provider</strong>sAncillaryDurable Medical Ypsilanti Lancaster WestervilleEquipment cont.Mitchell Home Medical, Ohio Rehab & The Matrix ManagementMichigan Countycont.Inc.4811 Carpenter RdDiagnostic Center,Inc.Group dba SignatureMedical DirectAnn ArborYpsilanti, MI 48197734-572-02032405 N Columbus StSte 1405805 Chandler Ct Ste BWesterville, OH 43082Lancaster, OH 43130 614-901-9730Mitchell MedicalOttawa County 740-687-5025Equipment Inc3430 WashtenawPaulding CountyAlpharettaAnn Arbor, MI 48104MarltonAlpharetta734-477-0202 Uromed, Inc. SunMed Medical1095 Windward Ridge Systems, LLC Uromed, Inc.Brighton Pkwy Ste 170 35-B E Main St1095 Windward RidgeAlpharetta, GA 30005 Marlton, NJ 08053 Pkwy Ste 170Mitchell Home Medical, 800-525-5718 800-714-7434Alpharetta, GA 30005Inc. 800-525-5718455 E Grand River BereaBrighton, MI 48116Moon TownshipBerea810-229-9200 S. A. Maher, Inc. National Rehab398 W Bagley Rd Ste 12 Equipment, Inc. S. A. Maher, Inc.Mitchell Medical Berea, OH 44017 540 Lindbergh Dr 398 W Bagley Rd Ste 12Equipment Inc 440-777-5544 Moon Township, PA Berea, OH 44017455 E Grand River15108440-777-5544Brighton, MI 48116810-229-9200Cincinnati800-451-6510CincinnatiMonrosPediatric Products, LLC10999 Reed HartmanNorth OlmsteadPediatric Products, LLCHwy Ste 206Solace10999 Reed HartmanAdvanced Home Cincinnati, OH 45242 26777 Lorain RdHwy Ste 206Medical 513-891-4633 North Olmstead, OH Cincinnati, OH 45242114 E Elm Ave44070513-891-4633Monros, MI 48162734-241-4901Henderson440-471-4630HendersonPlymothSpinal Rehab Solutions,Inc.Port ClintonSpinal Rehab Solutions,262 Violet Note St Green’s Pharmacy Inc.American Home <strong>Health</strong> Henderson, NV 89074 200 Madison St 262 Violet Note StCare, Inc 702-586-5407 Port Clinton, OH 43452 Henderson, NV 8907441960 Joy Rd419-732-3151702-586-5407Plymoth, MI 48170734-459-4856HollandVan WertHollandNational Seating &Warren Mobility, Inc P & R Home IV Service, National Seating &6501 Angola Rd Unit P Inc.Mobility, IncGreat Lakes Diabetic Holland, OH 43528 16937 Defiance Trail 6501 Angola Rd Unit PSupply Inc dba Great 419-867-6857 Van Wert, OH 45891 Holland, OH 43528Lakes Medical Supply419-587-3349419-867-685723247 Pinewood StWarren, MI 48091800-744-0788<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan Page 59
AncillarySection 2 – List of Plan <strong>Provider</strong>sDurable Medical Van Wert Henderson North OlmsteadEquipment cont.P & R Home IV Service, Spinal Rehab Solutions, SolacePaulding Countycont.Inc.16937 Defiance TrailInc.262 Violet Note St26777 Lorain RdNorth Olmstead, OHLancasterVan Wert, OH 45891419-587-3349Henderson, NV 89074702-586-540744070440-471-4630Ohio Rehab &Diagnostic Center,Westerville Holland OttawaInc.2405 N Columbus StThe Matrix Management National Seating & Klass Apothecary dbaSte 140Group dba Signature Mobility, Inc Tuckers PharmacyLancaster, OH 43130Medical Direct 6501 Angola Rd Unit P 1831 E Main St740-687-50255805 Chandler Ct Ste B Holland, OH 43528 Ottawa, OH 45875Westerville, OH 43082 419-867-6857 419-523-6122614-901-9730MarltonLancasterTuckers PharmacyPutnam County1831 E Main StSunMed MedicalOhio Rehab &Ottawa, OH 45875Systems, LLC AlpharettaDiagnostic Center, 419-523-612235-B E Main StMarlton, NJ 08053Inc.Uromed, Inc.800-714-74342405 N Columbus St St. Paul1095 Windward Ridge Ste 140Pkwy Ste 170 Lancaster, OH 43130 RespiratoryMoon Township Alpharetta, GA 30005 740-687-5025 Technologies, Inc.800-525-5718 1380 Energy Ln Ste 113National RehabLeipsicSt. Paul, OH 43103Equipment, Inc. Berea651-379-8999540 Lindbergh DrMoon Township, PADuraline MedicalS. A. Maher, Inc.15108Products, Inc. Van Wert398 W Bagley Rd Ste 12800-451-6510324 Werner StBerea, OH 44017 Leipsic, OH 45856 P & R Home IV Service,440-777-5544 419-943-2044 Inc.North Olmstead16937 Defiance TrailCincinnatiMarltonVan Wert, OH 45891Solace 419-587-334926777 Lorain Rd Pediatric Products, LLCNorth Olmstead, OHSunMed Medical10999 Reed Hartman44070Systems, LLC WestervilleHwy Ste 206440-471-463035-B E Main StCincinnati, OH 45242 Marlton, NJ 08053 The Matrix Management513-891-4633 800-714-7434 Group dba SignatureSt. PaulMedical DirectGlandorfMoon Township 5805 Chandler Ct Ste BRespiratory Westerville, OH 43082Technologies, Inc. Tuckers Pharmacy National Rehab 614-901-97301380 Energy Ln Ste 113 105 Doctor Thayte DrSt. Paul, OH 43103Equipment, Inc.Glandorf, OH 45848651-379-8999540 Lindbergh Dr419-538-7120 Moon Township, PA15108800-451-6510Page 60<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan
Section 2 – List of Plan <strong>Provider</strong>sAncillaryDurable Medical Henderson St. Paul HendersonEquipment cont.Spinal Rehab Solutions, Respiratory Spinal Rehab Solutions,Sandusky County Inc.262 Violet Note StTechnologies, Inc.1380 Energy Ln Ste 113Inc.262 Violet Note StAlpharetta Henderson, NV 89074 St. Paul, OH 43103 Henderson, NV 89074702-586-5407 651-379-8999 702-586-5407Uromed, Inc.1095 Windward RidgePkwy Ste 170Holland Van Wert HollandAlpharetta, GA 30005 National Seating & P & R Home IV Service, National Seating &800-525-5718 Mobility, Inc Inc. Mobility, Inc6501 Angola Rd Unit P 16937 Defiance Trail 6501 Angola Rd Unit PBerea Holland, OH 43528 Van Wert, OH 45891 Holland, OH 43528419-867-6857 419-587-3349 419-867-6857S. A. Maher, Inc.398 W Bagley Rd Ste 12Berea, OH 44017Lancaster Westerville Lancaster440-777-5544 Ohio Rehab & The Matrix Management Ohio Rehab &Diagnostic Center, Group dba Signature Diagnostic Center,Cincinnati Inc. Medical Direct Inc.2405 N Columbus St 5805 Chandler Ct Ste B 2405 N Columbus StPediatric Products, LLC Ste 140 Westerville, OH 43082 Ste 14010999 Reed Hartman Lancaster, OH 43130 614-901-9730 Lancaster, OH 43130Hwy Ste 206 740-687-5025 740-687-5025Cincinnati, OH 45242Seneca County513-891-4633 MarltonAlpharettaMarltonFremont SunMed Medical SunMed MedicalSystems, LLC Uromed, Inc.Systems, LLCMitchell Medical 35-B E Main St 1095 Windward Ridge 35-B E Main StEquipment Inc Marlton, NJ 08053 Pkwy Ste 170 Marlton, NJ 080531900 W State St 800-714-7434 Alpharetta, GA 30005 800-714-7434Fremont, OH 43420800-525-5718419-333-8200 Moon Township Moon TownshipBereaOE Meyer Company National Rehab National Rehab1005 Everett Rd Equipment, Inc. S. A. Maher, Inc.Equipment, Inc.Fremont, OH 43420 540 Lindbergh Dr 398 W Bagley Rd Ste 12 540 Lindbergh Dr419-332-6931 Moon Township, PA Berea, OH 44017 Moon Township, PA15108 440-777-554415108Gibsonburg 800-451-6510 800-451-6510CincinnatiPILLS ‘‘N’’ PACKAGES North Olmstead North Olmstead241 W Madison St Pediatric Products, LLCGibsonburg, OH 43431 Solace10999 Reed Hartman Solace419-637-7441 26777 Lorain Rd Hwy Ste 20626777 Lorain RdNorth Olmstead, OH Cincinnati, OH 45242 North Olmstead, OH44070 513-891-463344070440-471-4630 440-471-4630<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan Page 61
AncillarySection 2 – List of Plan <strong>Provider</strong>sDurable Medical Cincinnati St. Paul <strong>Health</strong> Care Solutions atEquipment cont.Home, IncPediatric Products, LLC Respiratory 5673 State Route 15Seneca County cont. 10999 Reed HartmanHwy Ste 206Technologies, Inc.1380 Energy Ln Ste 113Bryan, OH 43506419-636-4189St. Paul Cincinnati, OH 45242 St. Paul, OH 43103513-891-4633 651-379-8999 Mantel Home <strong>Health</strong>RespiratoryCenter Inc.Technologies, Inc.1380 Energy Ln Ste 113HendersonVan Wert116 W High StBryan, OH 43506St. Paul, OH 43103 Spinal Rehab Solutions, P & R Home IV Service 419-636-8010651-379-8999 Inc. Inc.262 Violet Note St 16937 Defiance Trail CincinnatiTiffin Henderson, NV 89074 Van Wert, OH 45891702-586-5407 419-587-3349 Pediatric Products, LLCOE Meyer Company10999 Reed Hartman424 Wentz StTiffin, OH 44883LancasterWestervilleHwy Ste 206Cincinnati, OH 45242419-447-1104 Ohio Rehab &The Matrix Management 513-891-4633Diagnostic Center, Group dba SignatureVan Wert Inc. Medical Direct Henderson2405 N Columbus St 5805 Chandler Ct Ste BP & R Home IV Service, Ste 140 Westerville, OH 43082 Spinal Rehab Solutions,Inc. Lancaster, OH 43130 614-901-9730 Inc.16937 Defiance Trail 740-687-5025 262 Violet Note StVan Wert, OH 45891 Williams County Henderson, NV 89074419-587-3349 Marlton702-586-5407AlpharettaWesterville SunMed Medical HollandSystems, LLC Uromed, Inc.The Matrix Management 35-B E Main St 1095 Windward Ridge National Seating &Group dba Signature Marlton, NJ 08053 Pkwy Ste 170Mobility, IncMedical Direct 800-714-7434 Alpharetta, GA 30005 6501 Angola Rd Unit P5805 Chandler Ct Ste B 800-525-5718Holland, OH 43528Westerville, OH 43082 Moon Township419-867-6857614-901-9730 BereaNational RehabLancasterVan Wert County Equipment, Inc. S. A. Maher, Inc.540 Lindbergh Dr 398 W Bagley Rd Ste 12 Ohio Rehab &Alpharetta Moon Township, PA Berea, OH 44017Diagnostic Center,15108 440-777-5544Inc.Uromed, Inc. 800-451-6510 2405 N Columbus St1095 Windward Ridge BryanSte 140Pkwy Ste 170North OlmsteadLancaster, OH 43130Alpharetta, GA 30005 American Home Patient 740-687-5025800-525-5718Solace08035 State RT 1526777 Lorain Rd Bryan, OH 43506 MarltonBerea North Olmstead, OH 419-636-695144070 SunMed MedicalS. A. Maher, Inc. 440-471-4630 Systems, LLC398 W Bagley Rd Ste 12 35-B E Main StBerea, OH 44017 Marlton, NJ 08053440-777-5544 800-714-7434Page 62<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan
Section 2 – List of Plan <strong>Provider</strong>sAncillaryDurable Medical Westerville Lancaster Van WertEquipment cont.The Matrix Management Ohio Rehab & P & R Home IV Service,Williams Countycont.Group dba SignatureMedical DirectDiagnostic Center,Inc.Inc.16937 Defiance TrailMontpelier5805 Chandler Ct Ste BWesterville, OH 430822405 N Columbus StSte 140Van Wert, OH 45891419-587-3349614-901-9730 Lancaster, OH 43130National Rehab Inc 740-687-50251272 S St Rt 15WestervilleMontpelier, OH 43543Wood County800-451-6510MarltonThe Matrix ManagementAlpharetta Group dba SignatureSunMed MedicalMedical DirectMoon Township Uromed, Inc. Systems, LLC 5805 Chandler Ct Ste B1095 Windward Ridge 35-B E Main St Westerville, OH 43082National Rehab Pkwy Ste 170 Marlton, NJ 08053 614-901-9730Equipment, Inc. Alpharetta, GA 30005 800-714-7434540 Lindbergh Dr 800-525-5718Moon Township, PAWyandot County15108Moon TownshipBerea Alpharetta800-451-6510National RehabS. A. Maher, Inc. Equipment, Inc. Uromed, Inc.North Olmstead 398 W Bagley Rd Ste 12 540 Lindbergh Dr 1095 Windward RidgeBerea, OH 44017 Moon Township, PA Pkwy Ste 170Solace 440-777-5544 15108Alpharetta, GA 3000526777 Lorain Rd 800-451-6510800-525-5718North Olmstead, OH Cincinnati44070North Olmstead Berea440-471-4630 Pediatric Products, LLC10999 Reed Hartman SolaceS. A. Maher, Inc.St. Paul Hwy Ste 206 26777 Lorain Rd 398 W Bagley Rd Ste 12Cincinnati, OH 45242 North Olmstead, OH Berea, OH 44017Respiratory 513-891-4633 44070440-777-5544Technologies, Inc. 440-471-46301380 Energy Ln Ste 113 Henderson CincinnatiSt. Paul, OH 43103651-379-8999PerrysburgSpinal Rehab Solutions, Pediatric Products, LLCInc.APDS <strong>Health</strong> Supplies 10999 Reed HartmanVan Wert 262 Violet Note St 26611 N Dixie Hwy #115 Hwy Ste 206Henderson, NV 89074 Perrysburg, OH 43551 Cincinnati, OH 45242P & R Home IV Service, 702-586-5407 419-872-4775513-891-4633Inc.16937 Defiance TrailVan Wert, OH 45891Holland St. PaulHenderson419-587-3349 National Seating & RespiratorySpinal Rehab Solutions,Mobility, IncTechnologies, Inc. Inc.6501 Angola Rd Unit P 1380 Energy Ln Ste 113 262 Violet Note StHolland, OH 43528 St. Paul, OH 43103 Henderson, NV 89074419-867-6857 651-379-8999702-586-5407<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan Page 63
AncillarySection 2 – List of Plan <strong>Provider</strong>sDurable Medical North Olmstead Hancock County Hancock CountyEquipment cont.SolaceFindlayFindlayWyandot County 26777 Lorain Rdcont.North Olmstead, OH Planned Parenthood of Findlay City <strong>Health</strong>44070Northwest Ohio DepartmentHolland 440-471-46301039 N Main St 445 Clinton CtFindlay, OH 45840 Findlay, OH 45840National Seating &Mobility, IncSt. Paul419-423-4611 419-424-74416501 Angola Rd Unit PRespiratoryLucas County Hancock County <strong>Health</strong>Holland, OH 43528Technologies, Inc.Department419-867-68571380 Energy Ln Ste 113 Toledo209 W Main Cross StSt. Paul, OH 43103Ste 101Lancaster Planned Parenthood of Findlay, OH 45840651-379-8999Northwest Ohio 419-424-7869Ohio Rehab &1301 Jefferson AveDiagnostic Center,Van Wert Toledo, OH 43604 Hardin CountyInc.419-255-11232405 N Columbus StP & R Home IV Service,KentonSte 140Inc.Planned Parenthood ofLancaster, OH 4313016937 Defiance Trail Northwest Ohio Kenton Hardin <strong>Health</strong>740-687-5025Van Wert, OH 45891 3401 Glendale Ave Department419-587-3349 Ste 205 175 W Franklin StMansfieldWestervilleToledo, OH 43614419-385-8778Kenton, OH 43326419-673-6230Shaw & Ott Medical270 Lexington AveThe Matrix Management<strong>Health</strong>Mercer CountyMansfield, OH 44902Group dba SignatureMedical Direct Department419-524-4388Celina5805 Chandler Ct Ste BWesterville, OH 43082Defiance CountyMercer County <strong>Health</strong>Marlton 614-901-9730 DefianceDepartment220 W Livingston St #SunMed MedicalFamily Planning Defiance CountyB152Systems, LLCGeneral <strong>Health</strong> Celina, OH 4582235-B E Main StAuglaize County Distrist419-586-3251Marlton, NJ 08053800-714-74341300 East Second StWapakoneta Ste 100 Ottawa CountyDefiance, OH 43512Moon Township Auglaize County <strong>Health</strong> 419-784-3818 Port ClintonDepartmentNational Rehab 214 S Wagner StHicksvilleOttawa County <strong>Health</strong>Equipment, Inc. Wapakoneta, OH 45895 Department540 Lindbergh Dr 419-738-3410Defiance County 1856 E Perry StMoon Township, PAGeneral <strong>Health</strong> Port Clinton, OH 4345215108Distrist419-734-6800800-451-6510104 Main StHicksville, OH 43526419-784-3818Page 64<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan
Section 2 – List of Plan <strong>Provider</strong>sAncillary<strong>Health</strong>Home <strong>Health</strong> Auglaize County Hancock CountyDepartment cont.Allen County DublinDublinPaulding CountyDelphos Primary Care Nursing Primary Care NursingPauldingCommunity <strong>Health</strong>Services, Inc.3140 Lilly Mar CtServices, Inc.3140 Lilly Mar CtPaulding County <strong>Health</strong> Professionals Dublin, OH 43017 Dublin, OH 43017Department602 E Fifth St 614-764-0960 614-764-0960101 W Perry StDelphos, OH 45833Paulding, OH 45879 419-695-1999Wapakoneta Findlay419-399-3921Dublin Community <strong>Health</strong> Heritage <strong>Health</strong> CarePutnam CountyPrimary Care NursingProfessionals15 Willipie StServices1265 Fostoria Rd Ste BOttawa Services, Inc. Wapakoneta, OH 45895 Findlay, OH 458403140 Lilly Mar Ct 419-738-7430 419-422-2002Putnam County <strong>Health</strong> Dublin, OH 43017Department256 Williamstown Rd614-764-0960 Defiance County Hardin CountyOttawa, OH 45875 Lima419-523-5608Defiance AdaCommunity <strong>Health</strong> Community <strong>Health</strong> Community <strong>Health</strong>Seneca County ProfessionalsProfessionalsProfessionals3719 Shawnee Rd 6825 SR 66 N 4392 State Rt 235Fostoria Lima, OH 45806 Defiance, OH 43512 Ada, OH 45810419-991-1822419-782-5411 419-634-7443Seneca County General<strong>Health</strong> District Continued Care Inc. Dublin Dublin109 S Main St 920 W Market Ste 202Fostoria, OH 44830 Lima, OH 45805 Primary Care Nursing Primary Care Nursing419-447-3691 419-222-2273 Services, Inc. Services, Inc.3140 Lilly Mar Ct 3140 Lilly Mar CtTiffin Divine Home <strong>Health</strong> Dublin, OH 43017 Dublin, OH 43017Care of Ohio, LLC 614-764-0960 614-764-0960Seneca County General 892 B South Cable Rd<strong>Health</strong> District Lima, OH 45805419-222-9410Fulton County Henry County71 S Washington Ave StSte 1102 Archbold DublinTiffin, OH 44883 Heritage <strong>Health</strong> Care419-447-3691 ServicesCommunity <strong>Health</strong> Primary Care Nursing1617 Allentown Rd Professionals Services, Inc.Wyandot CountySte 101 230 Westfield Dr 3140 Lilly Mar CtLima, OH 45805 Archbold, OH 43502 Dublin, OH 43017Upper Sandusky 419-222-2404419-445-5128 614-764-0960Wyandot County Kern Medical Inc dbaDasco Home Medical DublinGeneral <strong>Health</strong>DistrictEquopment1054 Bellefontaine Ave Primary Care Nursing127-A South SanduskySte AServices, Inc.AveLima, OH 45804 3140 Lilly Mar CtUpper Sandusky, OH419-224-1135Dublin, OH 4301743351 614-764-0960419-294-3852<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan Page 65
AncillarySection 2 – List of Plan <strong>Provider</strong>sHome <strong>Health</strong> cont. Omnicare Home <strong>Health</strong>Agency, LLCPort Clinton SanduskyLucas County 210 S Reynolds Rd Ottawa County <strong>Health</strong> Heritage <strong>Health</strong> CareDublinSte 210Toledo, OH 43615Deparment1856 E Perry StServices3708 Columbus Ave419-720-0440 Port Clinton, OH 43452 Ste 4Primary Care Nursing 419-734-6800 Sandusky, OH 44870Services, Inc. Wright & Filippis 419-609-09453140 Lilly Mar Ct 4505 Monroe St Ste CDublin, OH 43017Paulding CountyToledo, OH 43613614-764-0960Seneca County419-479-3020 DublinDublinHollandMarion County Primary Care NursingServices, Inc. Primary Care NursingNursing Resources Marion 3140 Lilly Mar Ct Services, Inc.Corporation Dublin, OH 43017 3140 Lilly Mar Ct6834 Spring Valley Dr Kern Medical Inc dba 614-764-0960 Dublin, OH 43017Holland, OH 43528 Dasco Home Medical 614-764-0960419-861-3333 Equopment Paulding1322 Mt Vernon Ave TiffinMaumeeMarion, OH 43302 Community <strong>Health</strong>740-386-5199 Professionals B & K Home MedicalNursing Resources 250 Dooley Dr Ste A Services Inc.Corporation Mercer County Paulding, OH 45879 11 Jackson St3600 Briarfield BlvdMaumee, OH 43537 Celina419-399-4708 Tiffin, OH 44883-q419-448-4040419-861-3333Community <strong>Health</strong>Putnam CountyProfessionalsVan Wert CountySylvaniaDublin816 Pro Dr DublinMobile Physicians OfCelina, OH 45822 Primary Care NursingOhio Inc419-586-1999 Services, Inc. Primary Care Nursing5151 S Main St3140 Lilly Mar Ct Services, Inc.Sylvania, OH 43560 Dublin Dublin, OH 43017 3140 Lilly Mar Ct419-882-5000614-764-0960 Dublin, OH 43017Primary Care Nursing 614-764-0960ToledoServices, Inc. Ottawa3140 Lilly Mar Ct Van WertHeritage <strong>Health</strong> CareDublin, OH 43017 Putnam CountyServices614-764-0960 Homecare Community <strong>Health</strong>5640 Southwyck Blvd139 Court St ProfessionalsSte 203Ottawa County Ottawa, OH 45875 1159 Westwood DrToledo, OH 43614419-523-4449 Van Wert, OH 45891419-867-2002Dublin 419-238-9223Primary Care NursingSandusky CountyOMNI CAREV.N.A. Comprehensive210 S Reynolds Rd Services, Inc. DublinServices, Inc.Ste 2103140 Lilly Mar Ct 1157 Westwood DrToledo, OH 43615 Dublin, OH 43017 Primary Care Nursing Van Wert, OH 45891419-720-0440 614-764-0960 Services, Inc. 419-238-37143140 Lilly Mar CtDublin, OH 43017614-764-0960Page 66<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan
Section 2 – List of Plan <strong>Provider</strong>sAncillaryHome <strong>Health</strong> cont.Williams CountyWyandot CountyDublinHospiceAllen CountyLucas CountyMaumeeBryan Primary Care Nursing Lima X-Ray Associates IncServices, Inc. 5757 Monclova Rd Ste 31Americare <strong>Health</strong> 3140 Lilly Mar Ct St. Rita’s Hospice Maumee, OH 43537Services LLC Dublin, OH 43017 770 W North St 419-893-4856102 W Brian St 614-764-0960 Lima, OH 45801Bryan, OH 43506 419-226-9021419-636-2702 Upper SanduskyOregonLucas County X-Ray Associates IncDublin Wyandot County Home<strong>Health</strong> Agency Maumee3113 Dustin Rd Ste AOregon, OH 43616Primary Care Nursing 210 N Sandusky Ave 419-697-6695Services, Inc. Upper Sandusky, OH Odyssey <strong>Health</strong>care Of3140 Lilly Mar Ct 43351 Toledo1755 Indian Wood CirclePerrysburgDublin, OH 43017 419-294-3881614-764-0960 Maumee, OH 43537419-887-6700X-Ray Associates IncHome Infusion28442 E River RdWood County Ste 107Allen County Putnam County Perrysburg, OH 43551Dublin 419-872-0666LimaOttawaPrimary Care NursingServices, Inc. St. Rita’s Home Infusion Putnam County Sylvania3140 Lilly Mar Ct 770 W North St.HomeCare & HospiceDublin, OH 43017 Lima, OH 45801 139 Court StSylvania Ultrasound614-764-0960 419-226-9597Ottawa, OH 45875 Institute & Men’s419-523-4449<strong>Health</strong> Center7135 Sylvania Ave BldgToledo Van Wert County 2-AImaging Sylvania, OH 43560Maxim <strong>Health</strong> Care Van Wert419-841-7766ServicesDefiance County3131 Executive Pkwy P & R Home IV ServiceInc.DefianceToledoSte 205Toledo, OH 43606 16937 Defiance TrailVan Wert, OH 45891 Mid American Imaging Extremity Imaging419-536-0777419-587-33491400 E Second StPartners IncDefiance, OH 43512 3306 Executive PkwyVan WertVNA Comprehensive 866-533-4296Ste 105ServicesToledo, OH 43606P & R Home IV Service,1157 Westwood Dr Hancock County419-536-0895Inc.16937 Defiance TrailVan Wert, OH 45891419-238-3714 FindlayPrecision DiagnosticVan Wert, OH 45891Imaging419-587-3349Northwest Ohio 4126 Holland Sylvania RdOrthopedics & Sports Toledo, OH 43623Medicine Inc. 419-517-05007595 Cr 236Findlay, OH 45840 Regional MRI of Toledo419-427-1984Inc6060 Renaissance PlaceToledo, OH 43623419-885-6000<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan Page 67
AncillarySection 2 – List of Plan <strong>Provider</strong>sImaging cont. Infusion Orthotics & Swanson Orthotic &ProstheticsProstheticLucas County cont. Hancock County 3102 W Sylvania AveAllen County Toledo, OH 43613Toledo cont. Findlay 419-472-8910LimaToledo Regional PET Orion Cancer Center That Special WomanScan 3949 N Main St Ste C Lima Brace and Limb 2461 N Reynolds3442 Granite Circle Findlay, OH 45840 Inc. Toledo, OH 43616-5Toledo, OH 43617 419-429-1500 1000 Bellefontaine Ave 419-536-6206419-843-6600 Lima, OH 45804IV Therapy 419-224-4841X-Ray Associates IncMarion County1544 S Byrne Rd Ste J MedicationsLuke Prosthetic & MarionToledo, OH 43614Lucas CountyOrthotic Lab419-385-4618 1214 Bellefontaine Ste b Certified Orthotic &ToledoLima, OH 45804Prosthetic Inc.X-Ray Associates Inc 419-879-9992 1136 Independence Ave3036 W Sylvania Ave Active Infusion Marion, OH 43302Toledo, OH 43613 4505 Monroe St Ste A Hancock County 740-383-3490419-473-0431 Toledo, OH 43613419-479-3026 FindlayX-Ray Associates IncVan Wert County3900 SunForest Court Luke Prosthetic &Ste 136LaboratoryVan WertOrthotic LabToledo, OH 43623 825 Tiffin Ave419-474-1104 Allen CountyLima Brace and LimbFindlay, OH 45840 Inc.Lima419-422-5009120 E IrvinSeneca County Van Wert, OH 45891Medi-Lab Inc. Lucas County 419-238-6300Tiffin855 W Market StLima, OH 45805 MaumeeAdvanced Medical Williams County419-228-8800Imaging Marshall-Kloene3101 W US 224 Ste DBryanOrthopedics, IncTiffin, OH 44883 Long-Term Acute419 Tomahawk Dr419-448-6848 Care CenterSRT Prosthetics &Maumee, OH 43537 Orthotics LLCAllen County419-839-0748 1115 W High STWood County Bryan, OH 43506LimaOregon419-633-3961PerrysburgRegional MRI of ToledoTriumph Hospital Lima Orthotic & Prosthetic PathologyInc730 W Market St 6Th Center IncFloor 860 Ansonia Rd Ste 413003 Eckel Junction RdAllen CountyPerrysburg, OH 43551Lima, OH 45801 Oregon, OH 43616419-720-5000419-224-1888 419-690-2653 DelphosToledoPathology Labs, Inc.1800 E Fifth StCole Orthotic & Delphos, OH 45833Prosthetic800-235-5227723 Phillips AveToledo, OH 43612419-476-4248Page 68<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan
Section 2 – List of Plan <strong>Provider</strong>sAncillaryPathology cont. OregonKalidaPhysiatry,RehabilitativeAllen County cont. Pathology Labs, Inc. Pathology Labs, Inc.2300 Navarre 109 S Broad StMedicineLima Oregon, OH 43616 Kalida, OH 45853 Allen County419-691-9042 419-532-2444Pathology Labs, Inc.Bluffton415 W. Market StLima, OH 45801ToledoSandusky CountyNorthwest Physical419-226-9595Pathology Labs, Inc. Fremont Therapy Inc.1555 S Byrne Rd Ste 105215 Snider RdPathology Labs, Inc.Toledo, OH 43614 Pathology Labs, Inc. Bluffton, OH 45817830 W High St #206419-385-2461410 Birchard Ave 419-358-6978Lima, OH 45801 Fremont, OH 43420419-222-8794Pathology Labs, Inc. 419-333-0170Deloitos1946 N 13th St Ste. 301Auglaize County Toledo, OH 43604 Seneca County Northwest Physical419-255-4600WapakonetaTherapy Inc.Tiffin 333 North St Ste 102Pathology Labs, Inc.Pathology Labs, Inc.Deloitos, OH 458332800 W Central Pathology Labs, Inc.1015 S Blackhoof Ste C419-692-0095Toledo, OH 43605 1344 Seneca AveWapakoneta, OH 45895 419-474-2121 Tiffin, OH 44883419-738-4607 419-448-7720ElidaPathology Labs, Inc.Hancock County 4041 W Sylvania AveNorthwest PhysicalVan Wert CountySte 206Therapy Inc.Findlay Toledo, OH 436233724 Allentown RdVan Wert419-472-3551Elida, OH 45807Pathology Labs, Inc.419-221-0904Pathology Labs, Inc.1920 S Main St #A Pathology Labs, Inc. 140 Fox Rd #106Findlay, OH 45840 4126 Holland-Sylvania Rd Van Wert, OH 45891 Lima419-422-5125 Ste 110 800-235-5227Toledo, OH 43623Ohio Therapeutic <strong>Health</strong>Hardin County 419-885-3388Services Inc.Wood County 1470 Riverview DrAda Pathology Labs, Inc. PerrysburgLima, OH 458056800 W Central Ave419-991-3151Pathology Labs, Inc. Ste K2 Pathology Labs, Inc.1200 S Main St Toledo, OH 43617 11201 Sandusky StOhio Therapeutic <strong>Health</strong>Ada, OH 45810 419-841-6910 Perrysburg, OH 43551Services Inc.800-235-5227 3063 W Elm St419-874-5869Putnam CountyLima, OH 45805Lucas County419-999-1105GlandorfMaumeeAuglaize CountyPathology Labs, Inc.Pathology Labs, Inc.601 SR 224Minster6005 Monclove Rd Glandorf, OH 45848Ste 210 800-235-5227CornerstoneMaumee, OH 43537Rehabilitation, Ltd419-893-1451253 W Sixth StMinster, OH 45865419-501-2165<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan Page 69
AncillarySection 2 – List of Plan <strong>Provider</strong>sPhysiatry,Lucas County Toledo Heartland RehabRehabilitativeServicesMaumeeMedicineCentral Park West 5450 Monroe St Ste 2cont.Rehab Center Toledo, OH 43623Auglaize CountyComprehensive 3130 Central Park W Dr 419-841-3876cont.Rehabilitation Group Ste AInc Toledo, OH 43617 Holiday Park PhysicalSt. Marys 1675 Lance Pointe Dr 419-841-9622 RehabilitationMaumee, OH 435373130 Central Park WestWilson Orthopedic & 419-891-9800Comprehensive Toledo, OH 43617Sport PT Rehabilitation Group 419-720-1290476 Fortman Dr Heartland RehabIncSt. Marys, OH 45885 Services4035 W Central Ave MWG Inc United419-300-8400 1787 Indian Wood Circle Toledo, OH 43606 Rehabilitation &Maumee, OH 43537 419-531-3003 ManagementDefiance County419-897-9822 Services<strong>Health</strong>erapy Partners 3949 Sunforest CtDefianceHeartland Rehab Inc Ste 106Services 3318 Glanzman Rd Toledo, OH 43623Defiance Rehab 5757 Monclova Rd Ste 18 Toledo, OH 43614 419-474-3399ServicesMaumee, OH 43537 419-382-9578851 S Clinton St 419-893-3427 Ohio Vestibular andDefiance, OH 43512<strong>Health</strong>erapy Partners Balance Services419-782-8808Mobility Rehab Inc 7337 West BancroftSpecialists Inc 4126 Holland Sylvania Rd Toledo, OH 436158075 English Garden CtFulton CountySte 170 419-841-3477Maumee, OH 43537 Toledo, OH 43623Delta888-295-4690 419-720-0034 Physio Source PhysicalTherapyDelta Physical TherapyProgressive Therapy <strong>Health</strong>erapy Partners 2000 Regency Ct Ste 202816 Main StAlternatives Inc Inc Toledo, OH 43623Delta, OH 435151560 Henthorne Dr 4757 N Summit St 419-724-5580419-822-4100Maumee, OH 43537 Toledo, OH 43611419-866-5196 419-727-1936 Prohab PhysicalTherapyHancock CountyOregonHeartland Rehab 1000 Regency Ct #105FindlayServices Toledo, OH 43623Heartland Rehab 3234 Executive Pkwy 419-885-2322Northwest OhioServicesSte 111Orthopedics & Sports 3361 Navarre Ave Toledo, OH 43606 St. James TherapyMedicine Inc. Oregon, OH 43616 419-536-8030 7337 West Bancroft419-697-8000Toledo, OH 436157595 Cr 236Findlay, OH 45840Heartland Rehab 419-842-1922419-427-1984 SylvaniaServices333 N Summit St Ste 103 Sylvania PhysicalAmerican PhysicalToledo, OH 43604Therapy and SportsRehab Network419-252-5621 Medicine6444 Monroe St Ste B4411 N Holland-SylvaniaSylvania, OH 43560Heartland Rehab Toledo, OH 43623419-824-3434Services 419-944-30533900 Sunforest CtSte 135Toledo, OH 43623419-479-7079Page 70<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan
Section 2 – List of Plan <strong>Provider</strong>sAncillaryPhysiatry,Ottawa County Wood County TransportationRehabilitativePort Clinton Bowling GreenMedicine cont.AmbulanceBuckeye coversLucas CountyQuality Primary Care Progressive Therapycont.<strong>Medicare</strong>-covereddba Fast Track Alternatives Inc ambulance services.Toledo cont.Urgent Care850 W Poe RdEmergency services can135 W Perry St Bowling Green, OH 43402 be arranged by callingToledo Hearing and Port Clinton, OH 43452 419-352-2228911. Non-emergencySpeech Center 419-693-3344ambulance services can3148 W Central Ave North Baltimore be arranged byToledo, OH 43606 Putnam County contacting Medical419-241-6219OttawaProgressive TherapyAlternatives IncManagement at 866-246-4359 8:00AM to 6:00PMToledo Orthopedic 125 S Main St Monday through Friday,Rehabilitation Northwest Physical North Baltimore, OH or our 24-hour Nurseline3949 Sunforest Court Therapy Inc.45872 for urgent cases afterSte 106 1880 N Perry St Ste 100 419-257-9070 hours at 866-246-4358Toledo, OH 43623 Ottawa, OH 45875(option #7).419-474-4781 419-523-9003PerrysburgNon-EmergencyUnited Rehab Sandusky County TransportationHeartland Rehab3949 Sunforest Ste 101 ServicesBuckeye also covers non-Toledo, OH 43623 Clyde 900 W South Boundaryemergency transportation419-474-4781 Ste 7Bservices (such as cab,Progressive Therapy Perrysburg, OH 43551van, or taxi) as a valueWhitehouse Alternatives Inc 419-874-2657added benefit for being a123 W Buckeye Stmember of our plan.Progressive Therapy Clyde, OH 43410 Holiday Park PhysicalBuckeye offers up to 30Alternatives Inc 419-547-6651Rehabilitationround-trip visits (60 one-10305 Waterville St 27511 Holiday Laneway trips) per memberWhitehouse, OH 43571 Woodville Perrysburg, OH 43551per calendar year. We419-877-5144 419-873-3488cover trips to healthcarePeak Physical Therapy,and dental appointments,LLCWIC appointments, andMichigan County108 E Main St Ste BRadiology redeterminationWoodville, OH 43469appointments with yourAdrian Lucas County419-849-2900county Medicaid office.Christian <strong>Health</strong>ToledoServices, Inc.107 S Broad StShelby CountyImaging Central, LLCAdrian, MI 49221 Sidney 4841 Monroe St Ste 103517-266-6472 Toledo, OH 43623Ohio Therapeutic <strong>Health</strong> 419-841-7070LambertvilleServices Inc.739 N Vandemark RdBedford Physical Sidney, OH 45365-3Therapy937-497-15957300 Secor Rd Ste 3Lambertville, MI 48144734-854-1260<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan Page 71
AncillarySection 2 – List of Plan <strong>Provider</strong>sTransportation Lucas Countycont.MaumeeMembers can callTransportationAspen Urgent CareManagement Services111 Clinton St(TMS) directly 48 hours (2Maumee, OH 43537business days) in 419-893-7671advance toll-free at 866-531-0615 to scheduleNorthwest Ohio Urgenttransportation except forCareurgent appointments.1015 Conant StUrgent appointments willMaumee, OH 43537be verified with the419-891-0525provider beforetransportation is providedSt. George Urgent Careand are subject to1661 Holland Rd Ste 100availability. When you callMaumee, OH 43537to schedule trips, please419-438-2619have your provider’sname, address, and Oregonphone number along withthe appointment date and Oregon Urgent Caretime.3232 Navarre AveOregon, OH 43616If you have any questions 419-691-0636about transportationplease call Member ToledoServices at 866-389-7690, 8:00AM to 8:00PM, Alexis Industrial7 days a week. TTY users Medical Centershould call 800-750- 1155 E Alexis Rd0750. Toledo, OH 43612419-726-6500Urgent CareMichigan CountyAllen CountyLambertvilleLimaAspen Urgent CareWestside Urgent Care 7581 Secor Rd2195 Allentown Rd. Lambertville, MI 48144Lima, OH 45805 734-854-1800419-227-2245Hancock CountyFindlayPhysicians Plus3949 N Main StFindlay, OH 45840419-423-3888Page 72<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan
Section 2 – List of Plan <strong>Provider</strong>sHospitalsAllen County Hardin County Sandusky CountyLima Kenton BellevueLima Memorial <strong>Health</strong> System Hardin Memorial Bellevue Hospital1001 Bellfontaine Ave. 922 E Franklin 1400 W Main StLima, OH 45804 Kenton, OH 43327 Bellevue, OH 44811419-228-3335 419-675-8101 419-483-4040St. Rita’s Medical Center730 W Market StHenry County FremontLima, OH 45801 Napoleon Fremont Memorial Hospital419-523-6772 715 S Taft AveHenry County Hospital Fremont, OH 43420The Institute For Orthopaedic 11600 State Route 424 419-332-7321Surgery Napoleon, OH 43545801 Medical Dr, Suite B 419-591-3844 Physicians Choice HospitalLima, OH 458042390 Enterprise St.419-224-7586Lucas CountyFremont, OH 43420419-461-1057Cuyahoga CountyMaumeeToledoSt. Luke’s HospitalSeneca County5901 Monclova Rd DefianceMercy St. Vincent Medical Center Maumee, OH 435372213 Cherry St 419-893-5911 Mercy Hospital Of TiffinToledo, OH 436081404 E 2nd St419-321-4147OregonDefiance, OH 43512419-782-8444Defiance CountySt. Charles Mercy HospitalHicksville2600 Navarre AveOregon, OH 43616Williams CountyCommunity Memorial Hospital419-696-7200 Archbold208 N Columbus StToledoCommunity Hospital Of WilliamsHicksville, OH 43526County-Archbold419-542-6692St. Anne Mercy Hospital 121 Westfield Dr3404 W Sylvania AveArchbold, OH 43502Willard Toledo, OH 43623419-445-4415419-407-2663Mercy Hospital Of DefianceBryan110 E Howard StWillard, OH 44890Marion CountyCommunity Hospital Of Williams419-964-5709MarionCounty-Bryan433 W High StFulton County Marion General Hospital Bryan, OH 435061000 Mckinley Park Dr419-636-1131Wauseon Marion, OH 43302Fulton County <strong>Health</strong> Center740-383-8400725 S Shoop AveWauseon, OH 43567419-335-2015<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan Page 73
HospitalsSection 2 – List of Plan <strong>Provider</strong>sWilliams County cont.MontpelierCommunity Hospital Of WilliamsCounty-Montpiler909 E Snyder AveMontpelier, OH 43543416-485-6478Wood CountyBowling GreenWood County Hospital950 W WoosterBowling Green, OH 43402419-354-8900Page 74<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan
Section 2 – List of Plan <strong>Provider</strong>sSkilled Nursing Facilities (SNF)Allen County Hancock County OregonDelphos Oregon Arbors at Oregon904 Isaac Streets DriveDelphos Facility Orchard Villa Oregon, OH 436161425 East Fifth Street 2841 Munding Drive 419-691-2483Delphos, OH 45833 Oregon, OH 43616-3214419-695-2871 419-697-4100ToledoSarah Jane Living Center Hardin County328 West Second StreetArbors at SylvaniaDelphos, OH 458337120 Port Sylvania DriveKenton419-692-6618Toledo, OH 43617419-841-2200Kenton Nursing & Rehab CenterAuglaize County117 Jacob-Parrot Blvd.Arbors at Toledo Subacute &Kenton, OH 43326Rehab CenterCridersville 419-674-4197 2920 Cherry StreetToledo, OH 43608Cridersville Nursing Home Henry County 414-242-7458603 East Main StreetCridersville, OH 45806 Deschler Fairview Skilled Nursing &419-645-4468 Rehab CenterOak Grove Center4420 South Ave.Defiance County 620 East Water StreetToledo, OH 43615Deschler, OH 43516 419-531-4201Defiance 419-278-6921Foundation Park Care CenterBrookview <strong>Health</strong> Care Center Holgate1621 S. Byrne Road214 Harding Street Toledo, OH 45236Defiance, OH 43512 Holgate Care Center419-385-3958419-784-1014 600 Joe E. Brown AveHolgate, OH 43527Heatherdowns Rehab &Delaware 419-264-0700Residential2401 Cass RoadArbors at DelawareLucas CountyToledo, OH 436142270 Warrensburg Road419-382-5050Delaware, OH 43015Bowling Green740-369-9614Liberty Nursing Center of ToledoBlakely Care Center of BG 2005 Ashland AvenueToledo, OH 43620Fulton County850 West Poe RoadBowling Green, OH 43402Swanton 419-352-7558419-255-3040Liberty West Nursing Center ofSwanton <strong>Health</strong>care ToledoMaumee214 S. Munson Rd2051 Collingwood BlvdSwanton, OH 43558 Toledo, OH 43620Ridgewood Manor 419-243-5191419-825-1145 3231 Manley Rd.Maumee, OH 43537Waterford Commons419-865-1248 955 Garden Lake PkwyToledo, OH 43614Swan Pointe Care Center 419-382-22003600 Butz Rd.Maumee, OH 43537419-867-7926<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan Page 75
Skilled Nursing Facilities (SNF)Section 2 – List of Plan <strong>Provider</strong>sLucas County cont. Sandusky County Wyandot CountyWaterville Clyde CareyArbors at Waterville Arbors at Clyde Carey Nursing Center555 Anthony Wayne Trail 700 Helen Street 821 E. Findlay St.Waterville, OH 43566 Clyde, OH 43410 Carey, OH 43316419-878-3901 419-547-9595 419-396-6344Mercer CountyCelinaShelby CountySidneyThe Gardens at CelinaSidney Care Center1301 Myers Road 510 Buckeye StreetCelina, OH 45822 Sidney, OH 45365419-584-0100 937-492-3171St. HenryThe Pavilion705 Fulton StreetThe Gardens at St. Henry Sidney, OH 45365522 Western Avenue (SR 119) 937-492-9591St. Henry, OH 45883419-678-9800 Van Wert CountyOttawa CountyFremontLiberty Nursing Center ofFremont1865 Countryside DriveFremont, OH 43420419-334-2602Paulding CountyPauldingConvoyConvoy Care Center127 Mentzer DrConvoy, OH 45832419-749-2194Van WertVan Wert <strong>Health</strong>10357 Van Wert Decatur RdVan Wert, OH 45891419-238-4646The Gardens at Paulding1017 W. Wayne StreetPaulding, OH 45879419-399-4940Putnam CountyOttawaWilliams CountyEdgertonPark View Nursing Center328 West Vine StreetEdgerton, OH 43517419-298-2321Autumn Court1925 East 4th StreetOttawa, OH 45875419-523-4370Page 76<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan
Section 2 – List of Plan <strong>Provider</strong>sOutpatient Mental <strong>Health</strong> <strong>Provider</strong>sAllen County Zake, Jerome3454 Oak Alley CtLima Ste 305PhDToledo, OH 43606419-534-2468Strobel, GlenRestriction(s): 5 To 59Practice Of ClinicalPsychology1000 W Market StreetThe <strong>Provider</strong>s listedLima, OH 45805above offer <strong>Medicare</strong>-419-227-5515covered services throughour plan. In addition,Lucas CountyBuckeye can help youaccess Medicaid-coveredOregonservices through localCommunity Mental <strong>Health</strong>MDCenters (CMHC) and OhioDepartment of Alcoholand Drug AddictionShahid, AghaServices (ODADAS)2741 Navarre Ave providers. For a listing ofSte D404CMHC or ODADASOregon, OH 43616 providers in your area,419-698-2902 call Member Services atRestriction(s): 18 & Over 866-389-7690, 8:00AMto 8:00PM, 7 days aToledoMDweek, TTY users shouldcall 800-750-0750.Chahal, Bhupinder6800 W Central D-3Toledo, OH 43617419-841-1355Restriction(s): 18 & OverForeign Language(s):Punjabi, HindiGupta, Kul4447 Talmadge Rd Ste CToledo, OH 43623419-475-7007Restriction(s): 18 & OverForeign Language(s):HindiPhDForgac, Gregory3900 Sunforest CtSte 200Toledo, OH 43623419-475-8625Restriction(s): 6 & Over<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan Page 77
PharmaciesThis section provides a list of Buckeye’s network pharmacies. This directory isfor the Northwest Region. We may also list pharmacies that are in our networkbut are outside the Northwest Region. Please contact Buckeye at 866-389-7690, 8:00AM to 8:00PM, 7 days a week, for additional information. Allnetwork pharmacies may not be listed in this directory. Pharmacies may havebeen added or removed from the list after this directory was printed. To getcurrent information about Buckeye network pharmacies in your area, pleasevisit our Web site at www.bchpohio.com or call our Member Services at 866-389-7690, 8:00AM to 8:00PM, 7 days a week. TTY users should call 800-750-0750.Beneficiaries must use network pharmacies to access their prescription drugbenefit. Benefits, formulary, pharmacy network, premium and/orcopayments/coinsurance may change on January 1, 2012.This section provides a list of Buckeye’s network pharmacies. To get acomplete description of your prescription coverage, including how to fill yourprescriptions, please review the Evidence of Coverage and Buckeye’s formulary.If you have additional questions, please call our Member Services at at 866-389-7690, 8:00AM to 8:00PM, 7 days a week. TTY users should call 800-750-0750. Or, visit www.bchpohio.com.We call the pharmacies on this list our “network pharmacies” because we havemade arrangements with them to provide prescription drugs to Plan members.A network pharmacy is a pharmacy where beneficiaries obtain prescriptiondrug benefits provided by Buckeye. In most cases, your prescriptions arecovered under Buckeye only if they are filled at a network pharmacy [orthrough our mail order pharmacy service]. Once you go to one, you are notrequired to continue going to the same pharmacy to fill your prescription. Youcan go to any of our network pharmacies. We will fill prescriptions at nonnetworkpharmacies under certain circumstances as described in yourEvidence of Coverage.How do you find Buckeye pharmacies in your area?The pharmacy section is organized by type of provider, then by county, andcity. Look for the type of provider first (retail, chain), then look for your countyand city to find a provider close to your area.Chain.................................................... Page 79Home Infusion ……………….……………. Page 85Long-Term Care…………….……………... Page 85Mail Order Pharmacy………….…………. Page 86Retail………………………………………..… Page 86
Section 2 – List of Plan <strong>Provider</strong>sPharmaciesChainThe PlainsWal-Mart Pharmacy1257 Bellefontaine StAllen County Rite Aid Pharmacy Wapakoneta, OH 45895Lima93 N Plains RoadThe Plains, OH 45780-1016419-738-0490CVS Pharmacy+740-797-2546 Crawford County900 Bellefontaine RdLima, OH 45804Auglaize CountyBucyrus419-227-7970 Lima CVS Pharmacy+101 E Charles StKmart Pharmacy+ CVS Pharmacy+ Bucyrus, OH 448202200 W Allentown Rd 2620 W Breese Rd 419-562-1354Lima, OH 45805 Lima, OH 45806419-225-0045 419-991-0010 Kroger Pharmacy210 E Mary StKmart Pharmacy+SanduskyBucyrus, OH 448202250 Harding Hwy 419-562-7654Lima, OH 45804419-227-3155 Rite Aid Pharmacy1420 Sycamore Line Road Wal-Mart PharmacySandusky, OH 44870-4128 1875 E MansfieldRite Aid Pharmacy419-625-2258Bucyrus, OH 448203230 W Elm St 419-562-8411Lima, OH 45805-2519419-221-3679Rite Aid Pharmacy334 W Perkins St DaytonWalgreen Drug StoreSandusky, OH 44870-48042366 Harding Hwy419-624-8442 Rite Aid PharmacyLima, OH 458041158 Wilmington Ave419-222-3600 St MarysDayton, OH 45420-1662937-252-9894Walgreen Drug StoreKmart Pharmacy+701 N Cable Road 1292 Indiana AveRite Aid PharmacyLima, OH 45805 St Marys, OH 458851431 Wayne Ave419-222-9978 419-394-4436Dayton, OH 45410-1411937-225-6826Walgreen Drug StoreKroger Pharmacy730 W Market St 475 Fortman DriveRite Aid PharmacyLima, OH 45801 St Marys, OH 458852532 E Third St419-221-0166 419-394-8930Dayton, OH 45403-2019937-258-8101Wal-Mart PharmacyRite Aid Pharmacy2400 Harding Highway 1502 Executive DriveRite Aid PharmacyLima, OH 45804 St Marys, OH 45885-3317 2916 Linden Ave419-222-6828 419-394-3542Dayton, OH 45410-3027937-256-3111Wal-Mart Pharmacy Wapakoneta975 N Cable RoadRite Aid PharmacyLima, OH 45805 3875 Salem AveCVS Pharmacy+419-224-3767 Dayton, OH 45406-16331101 Bellefontaine St 937-277-1611Wapakoneta, OH 45895419-738-8926<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan Page 79*<strong>Provider</strong>s identified with an *asterisk do not support electronic prescribing.+<strong>Provider</strong>s identified with a + offer extended day supplies of some medications.
PharmaciesSection 2 – List of Plan <strong>Provider</strong>sChain cont.Defiance CountyBowling GreenCrawford County cont. ClydeRite Aid Pharmacy722 740 S Main StDayton cont. Rite Aid Pharmacy Bowling Green, OH 43402-3830710 N Main St 419-354-3911Rite Aid Pharmacy Clyde, OH 43410-16474328 N Main St 419-547-7991Dayton, OH 45405-5013Perrysburg937-274-1530 Defiance Rite Aid PharmacyRite Aid Pharmacy1175 Louisiana AveKroger Pharmacy445 Salem AvePerrysburg, OH 43551-25271890 E Second StDayton, OH 45406-5815419-874-3587Defiance, OH 43512937-224-1400 419-782-8079SwantonRite Aid PharmacyRite Aid PharmacyAirway Shopping Center1816 E Second StKroger PhramacyDayton, OH 45431-1423 Defiance, OH 43512-2502113 E Airport Highway937-256-1901 419-782-7832Swanton, OH 43558419-825-1475EnglewoodRite Aid Pharmacy618 N Clinton StWauseonRite Aid Pharmacy Defiance, OH 43512-1609900 Union Boulevard 419-782-0155Wal-Mart PharmacyEnglewood, OH 45322-2221485 E Airport Hwy937-836-5204 Walgreen Drug StoreWauseon, OH 435671829 N Clinton St419-337-8122KetteringDefiance, OH 43512419-782-8233 Hancock CountyRite Aid Pharmacy1320 E Stroop RoadWal-Mart PharmacyFindlayKettering, OH 45429-4926 1804 N Clinton St937-294-2651Defiance, OH 43512CVS Pharmacy+419-784-2404 463 Tiffin AveRite Aid PharmacyFindlay, OH 458403133 Far Hills Ave Fremont419-423-3236Kettering, OH 45429-2511937-293-0481 Rite Aid PharmacyKroger Pharmacy2020 W State St101 6th StFremont, OH 43420-1019 Findlay, OH 45840Vandalia419-332-2186419-423-4721Rite Aid PharmacyKroger Pharmacy10 W National Road Fulton County 1996 E Tiffin AveVandalia, OH 45377-1933ArchboldFindlay, OH 45840937-898-8829 419-427-3662Pamida Pharmacy2015 S Defiance StRite Aid PharmacyArchbold, OH 43502-9111301 N Main St419-445-0052Findlay, OH 45840-3503419-420-9485Page 80<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan*<strong>Provider</strong>s identified with an *asterisk do not support electronic prescribing.+<strong>Provider</strong>s identified with a + offer extended day supplies of some medications.
Section 2 – List of Plan <strong>Provider</strong>sPharmaciesChain cont.Wal-Mart PharmacyLucas County1241 E Columbus StHancock County cont. Kenton, OH 43326HollandFindlay cont.419-675-1289Kroger PharmacyWalgreen Drug StoreHenry County1414 Spring Meadows DriveHolland, OH 4352815031 US 224 EFindlay, OH 45840Napoleon419-865-1654419-420-0025 Wal-Mart PharmacyKroger Pharmacy1815 Scott St850 S Mccord RdWal-Mart Pharmacy Napoleon, OH 43545Holland, OH 435281161 Trenton Ave 419-599-0170419-865-5776Findlay, OH 45840419-425-5992Logan CountyRite Aid Pharmacy7225 Airport HighwayWal-Mart Pharmacy2500 Tiffin AveBellefontaineHolland, OH 43528-0250419-866-8943Findlay, OH 45840419-425-5511CVS Pharmacy+143 E Sandusky AveSams PharmacyBellefontaine, OH 433111300 E Mall DriveHardin County 937-593-1040Holland, OH 43528419-868-1398AdaKroger Pharmacy2129 S Main StWal-Mart PharmacyRite Aid Pharmacy Bellefontaine, OH 433111355 S Mccord Road610 S Main St 937-592-3464Holland, OH 43528Ada, OH 45810-1503419-867-0452419-634-0888 Rite Aid Pharmacy230 S Main StMaumeeKenton Bellefontaine, OH 43311-1702937-599-2314Rite Aid PharmacyCVS Pharmacy+127 Golden Gate Plaza987 E Columbus St Walgreen Drug StoreMaumee, OH 43537Kenton, OH 43326101 E Sandusky Ave419-893-5533419-673-0731 Bellefontaine, OH 43311-2016Kmart Pharmacy+937-292-8104 Oregon1005 E Columbus St Wal-Mart Pharmacy Kmart Pharmacy+Kenton, OH 43326 2281 S Main St 2830 Navarre Rd419-673-0003 Bellefontaine, OH 43311 Oregon, OH 43616937-592-5000 419-698-4364Kroger Pharmacy981 E Columbus St Russells PointKroger PharmacyKenton, OH 433261920 Woodville Road419-675-2705 Rite Aid PharmacyOregon, OH 43616120 W Main St419-697-1580Rite Aid Pharmacy Russells Point, OH 43348-9601130 S Detroit St 937-843-2048Kroger PharmacyKenton, OH 43326-19023301 Navarre Ave419-673-5220 Oregon, OH 43616419-691-7034<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan Page 81*<strong>Provider</strong>s identified with an *asterisk do not support electronic prescribing.+<strong>Provider</strong>s identified with a + offer extended day supplies of some medications.
PharmaciesSection 2 – List of Plan <strong>Provider</strong>sChain cont.Rite Aid Pharmacy5619 N Main StKroger Pharmacy4925 Jackman RoadLucas County cont. Sylvania, OH 43560-1929 Toledo, OH 43613Oregon cont.419-885-3616 419-475-9103Rite Aid PharmacyKroger PharmacyRite Aid Pharmacy 5890 Monroe St 5109 Glendale Ave3362 Navarre Ave Sylvania, OH 43560-2200 Toledo, OH 43614Oregon, OH 43616-3314 419-882-5860 419-381-0703419-690-8269ToledoKroger PharmacyWalgreen Drug Store559 E Manhattan Blvd2562 Navarre AveKmart Pharmacy+Toledo, OH 43608Oregon, OH 436161801 W Alexis Rd419-729-7871419-693-9115Toledo, OH 43613419-473-0206Kroger PharmacyWal-Mart Pharmacy833 W Alexis Rd3721 Navarre AveKmart Pharmacy+Toledo, OH 43612Oregon, OH 436162244 S Reynolds Rd419-269-6909419-698-5156Toledo, OH 43614419-865-7391Rite Aid PharmacySlyvania1012 W Sylvania AveKmart Pharmacy+Toledo, OH 43612-1702Rite Aid Pharmacy627701 E Manhattan Blvd 419-478-81778310 Sylvania Metamora Road Toledo, OH 43608Slyvania, OH 43560 419-729-3801Rite Aid Pharmacy419-882-72411030 W Alexis RoadKroger PharmacyToledo, OH 43612-4202Sylvania1415 Byrne Rd419-476-0651Toledo, OH 43614Kroger Pharmacy419-382-2385Rite Aid Pharmacy6235 Monroe St114 S Bryne RoadSylvania, OH 43560Kroger PharmacyToledo, OH 43615-6213419-885-47382257 N Holland Sylvania419-535-0069Toledo, OH 43615Kroger Pharmacy419-578-6465Rite Aid Pharmacy7545 Sylvania Ave1525 Cherry StSylvania, OH 43560Kroger PharmacyToledo, OH 43608-2911419-841-64682555 Glendale Ave419-255-9524Toledo, OH 43614Rite Aid Pharmacy419-385-4675Rite Aid Pharmacy4018 N Mccord Road1605 Broadway StSylvania, OH 43560Kroger PharmacyToledo, OH 43609-3239419-885-29894533 Monroe St419-244-5781Toledo, OH 43613Rite Aid Pharmacy419-471-9240Rite Aid Pharmacy5055 Alexis Road210 Main StSylvania, OH 43560-2451 Kroger PharmacyToledo, OH 43605-2036419-824-50904633 Suder Ave419-691-5851Toledo, OH 43611419-727-2650Page 82<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan*<strong>Provider</strong>s identified with an *asterisk do not support electronic prescribing.+<strong>Provider</strong>s identified with a + offer extended day supplies of some medications.
Section 2 – List of Plan <strong>Provider</strong>sPharmaciesChain cont.Rite Aid Pharmacy5224 Dorr StWalgreen Drug Store925 Woodville RdLucas County cont. Toledo, OH 43615-3602 Toledo, OH 43605Toledo cont.419-531-2115 419-693-0545Rite Aid PharmacyWal-Mart PharmacyRite Aid Pharmacy 5765 Secor Road 2925 Glendale Ave2430 Glendale Ave Toledo, OH 43623-0000 Toledo, OH 43614Toledo, OH 43614-2736 419-473-2451 419-380-8670419-381-6981Rite Aid PharmacyWal-Mart PharmacyRite Aid Pharmacy 7504 W Central Ave 5821 Central Ave West2434 W Laskey Road Toledo, OH 43617-1524 Toledo, OH 43615Toledo, OH 43613-3504 419-841-8525 419-536-9259419-473-1221Rite Aid PharmacyRite Aid PharmacyWaterville810 E Manhattan Boulevard2450 S Reynolds Rd Toledo, OH 43608-1471Toledo, OH 43614-1419Rite Aid Pharmacy419-729-2907419-865-31301330 Michigan AveWaterville, OH 43566-1011Target PharmacyRite Aid Pharmacy419-878-83845225 Monroe St3013 Monroe St Toledo, OH 43623Toledo, OH 43606-4602 419-843-1622Mercer County419-243-9803Walgreen Drug StoreCelinaRite Aid Pharmacy1330 Reynolds Rd3325 W Central Ave Toledo, OH 43615CVS Pharmacy+Toledo, OH 43606-1406 419-536-20311020 N Main St419-531-1172Celina, OH 45822Walgreen Drug Store419-586-1340Rite Aid Pharmacy1910 S Reynolds Rd3448 W Sylvania Ave Toledo, OH 43614Wal-Mart PharmacyToledo, OH 43623-4409 419-867-18651950 Havemann Road419-474-6411Celina, OH 45822Walgreen Drug Store419-586-6177Rite Aid Pharmacy4580 Monroe St3911 Secor Road Toledo, OH 43613Ottawa CountyToledo, OH 43623 419-474-2028419-472-8027Port ClintonWalgreen Drug StoreRite Aid Pharmacy5815 Secor RdKroger Pharmacy4869 N Summit St Toledo, OH 436232028 E Harbor RdToledo, OH 43611-2854 419-472-8610Port Clinton, OH 43452419-726-8449419-732-6452Walgreen Drug StoreRite Aid Pharmacy6636 W Central AveWal-Mart Pharmacy5033 Suder Ave Toledo, OH 436172826 E Harbor RoadToledo, OH 43611-1458 419-843-2039Port Clinton, OH 43452419-729-9934419-732-3866<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan Page 83*<strong>Provider</strong>s identified with an *asterisk do not support electronic prescribing.+<strong>Provider</strong>s identified with a + offer extended day supplies of some medications.
PharmaciesSection 2 – List of Plan <strong>Provider</strong>sChain cont.Paulding CountySeneca CountyFostoriaVan Wert CountyVan WertPaulding Kroger Pharmacy CVS Pharmacy+126 W High St 703 W Ervin StRite Aid Pharmacy Fostoria, OH 44830 Van Wert, OH 458911000 N Williams St 419-435-4190 419-238-2483Paulding, OH 45879-1076419-399-5348 Kroger Pharmacy Wal-Mart Pharmacy342 Perry St 301 Town Center BlvdPutnam CountyFostoria, OH 44830419-435-6860Van Wert, OH 45891419-238-5928OttawaRite Aid PharmacyTiffinWilliams County305 W Main St Kroger PharmacyBryanOttawa, OH 45875-1725790 W Market St419-523-6030 Tiffin, OH 44883CVS Pharmacy+419-447-8304341 W High StWal-Mart Pharmacy Bryan, OH 435061720 N Perry St Wal-Mart Pharmacy419-636-5021Ottawa, OH 45875 2801 W State Route 18419-523-9205 Tiffin, OH 44883Rite Aid Pharmacy419-447-91771221 W High StSandusky CountyBryan, OH 43506-1543Shelby County419-636-6142FremontSidneyWal-Mart PharmacyCVS Pharmacy+1215 S Main600 E State St CVS Pharmacy+Bryan, OH 43506Fremont, OH 43420324 Fourth St419-636-9153419-332-1505 Sidney, OH 45365Kmart Pharmacy+937-492-0700 Bryon1825 N State Route 19 Kroger Pharmacy Walgreen Drug StoreFremont, OH 43420 2100 W Michigan St 403 S Main St419-334-3900 Sidney, OH 45365 Bryon, OH 43506-2164Kroger Pharmacy513-498-4116 419-636-06131316 Oak Harbor Rd Walgreen Drug StoreFremont, OH 43420Montpelier1400 Michigan St419-332-6804 Sidney, OH 45365 Pamida Pharmacy937-493-0164Walgreen Drug Store1625 E Main St1900 W State StMontpelier, OH 43543-0000Wal-Mart PharmacyFremont, OH 43420-1638419-485-35702400 W Michigan St419-355-9760 Sidney, OH 45365Wal-Mart Pharmacy937-498-41122052 State Route 53Fremont, OH 43420419-334-8410Page 84<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan*<strong>Provider</strong>s identified with an *asterisk do not support electronic prescribing.+<strong>Provider</strong>s identified with a + offer extended day supplies of some medications.
Section 2 – List of Plan <strong>Provider</strong>sChain cont.RossfordLong-Term CarePharmaciesWood County Rite Aid Pharmacy Residents of a long-term care801 Dixie Highway facility may access theirBowling Green Rossford, OH 43460 prescription drugs covered under419-666-1583 Buckeye through the facility’s long-Kroger Pharmacyterm care pharmacy or another1094 Main St Target Pharmacy network long-term care pharmacy.Bowling Green, OH 43402 9666 Old US 20419-353-5116 Rossford, OH 43460If you have any questions about419-872-9126long-term care pharmacies, pleaseWalgreen Drug Storecall our Member Services at 866-1013 N Main St389-7690, Monday throughBowling Green, OH 43402-1302Wyandot CountySunday, 8am until 8pm. TTY/TDD419-352-1645 Upper Sanduskyusers should call 800-750-0750.Wal-Mart PharmacyRite Aid Pharmacy131 W Gypsy Lane 429 W Church StBowling Green, OH 43402 Upper Sandusky, OH 43351-1038419-352-3396 419-294-3469NorthwoodWal-Mart Pharmacy1855 E Wyandot AveRite Aid Pharmacy Upper Sandusky, OH 433512674 Woodville Road 419-294-3721Northwood, OH 43619-1446419-693-1310Home InfusionPerrysburgCrawford CountyKmart Pharmacy+Crestline27322 CarronadePerrysburg, OH 43551Caring Solutions Inc419-874-3532220 E Bucyrus StCrestline, OH 44827Kroger Pharmacy419-683-350227386 Carronade DrivePerrysburg, OH 43551Lucas County419-874-7014ToledoWalgreen Drug Store10003 Fremont Pike Promedica Home InfusionPerrysburg, OH 43551Pharmacy*419-872-8240 4345 Secor RoadToledo, OH 43623Wal-Mart Pharmacy 419-291-824710392 Fremont PikePerrysburg, OH 43551419-874-0571Fulton CountySwantonSwanton Savmor Pharmacy+147 Airport HighwaySwanton, OH 43558419-825-5050Lucas CountyToledoLaGrange Savmor Drugs+3103 LaGrangeToledo, OH 43608419-241-8065West Central Pharmacy+2150 W CentralToledo, OH 43606-3834419-479-8530Sandusky CountyGibsonburgPills In Packages+249 W Madison StGibsonburg, OH 43431419-637-7441<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan Page 85*<strong>Provider</strong>s identified with an *asterisk do not support electronic prescribing.+<strong>Provider</strong>s identified with a + offer extended day supplies of some medications.
PharmaciesSection 2 – List of Plan <strong>Provider</strong>sLong-Term Care cont.DelphosNew BremenShelby County Delphos Discount Drugs Schwieterman PharmacySidney660 Elida AveDelphos, OH 458332 N Washington StNew Bremen, OH 45869-1113Bunnys Pharmacy Inc419-692-3784 419-629-2336112 N Main AveSidney, OH 45365-2784LimaSaint Marys937-492-4550Allen Cty <strong>Health</strong> Partners Phcy+ Schwieterman PharmacyWilliams County441 E 8th StLima, OH 458041052 E Spring StSaint Marys, OH 45885-2401Bryan419-221-3723 419-394-3219Rays Pharmacy And WellnessRingers Drug StoreWapakonetaCenter125 S Main St 2100 Harding HwyBryan, OH 43506-1786 Schwieterman PharmacyLima, OH 45804419-636-1355 1302 Defiance St419-222-9355 Wapakoneta, OH 45895-0005419-738-5959Mail Order Pharmacy Rays Pharmacy And WellnessCenterMaintenance medications are 890 S Cable RoadCrawford Countyavailable through our mail order Lima, OH 45805419-221-2059Bucyruspharmacy, Rx Direct. To obtain amail order enrollment form, list ofMedicine Shoppe+medications available through mail Spencerville 345 N Sandusky Aveorder, or ask questions about this Bucyrus, OH 44820-1806program, call Member Services or Canal Pharmacy 419-562-4222RxDirect.102 S BroadwayMember Services Spencerville, OH 45887Phone: 866-389-7690 419-647-4584GalionTTY 800-750-0750Discount Drug Mart+8:00AM to 8:00PM, 7 days a week Auglaize County 739 Carter Drwww.bchpohio.com Galion, OH 44833-1631CridersvilleRxDirect419-468-3139Phone: 800-785-4197 Village Pharmacy9:00AM to 6:00PM Monday-Friday Quay Drugs Inc200 W Main St10:00AM to 1:00PM Saturday 2 Public SqCridersville, OH 45806-2325www.rxdirect.com Galion, OH 44833-1972419-645-4009 419-468-3044Retail Minster Defiance CountyAllen County Schwieterman Pharmacy DefianceBluffton324 N Main StMinster, OH 45865Defiance Clinic PharmacyGregs Pharmacy419-628-2305 1400 E 2nd St126 N Main StDefiance, OH 43512Bluffton, OH 45817419-783-3376419-358-5946Page 86<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan*<strong>Provider</strong>s identified with an *asterisk do not support electronic prescribing.+<strong>Provider</strong>s identified with a + offer extended day supplies of some medications.
Section 2 – List of Plan <strong>Provider</strong>sPharmaciesRetail cont.FindlayLogan CountyDefiance County cont. Center For MedicationRussells PointManagementDefiance cont.1900 S Main StAries PharmacyFindlay, OH 458408200 St Rt 366Okuleys Pharmacy And Home 419-429-7002Russells Point, OH 43348-9670Medical Inc 937-843-37001245 E Second StDefiance, OH 43512FindleyWest Liberty419-784-4800Prescription Solutions1809 S Main StC & R Pharmacy+HicksvilleFindley, OH 45840204 N Detroit Street419-423-1513West Liberty, OH 43357Hicksville Pharmacy LLC 937-650-3333116-118 E High StHicksville, OH 43526Hardin CountyMedicap419-542-6218 Lebanon204 N Detroit StWest Liberty, OH 43357Fulton CountyArrow Springs Pharmacy 937-650-3333Delta100 Arrow Springs BlvdLebanon, OH 45036 Lucas CountyCommunity Market 310513-282-7020MaumeePharmacy702 Main StHenry CountyPharm Pharmacy 6106Delta, OH 43515419-822-0306Deshler2527 Parkway PlazaMaumee, OH 43537-3772Scarbrough Pharmacy419-893-8899Swanton139 W Main StDeshler, OH 43516-1159 OregonSwanton Savmor Pharmacy+ 419-278-1851147 Airport Highway Pharm Pharmacy 6111Swanton, OH 43558419-825-5050Napoleon410 Wheeling StOregon, OH 43616-2739Henry County <strong>Health</strong> Department 419-691-4412Wauseon1843 Oakwood AveNapoleon, OH 43545The Pharmacy CounterYoder Family Pharmacy 419-599-55452701 Navarre Ave123 S Fulton StOregon, OH 43616Wauseon, OH 43567-1381 Village Apothecary419-698-5408419-335-6901 1412 And One Half N Scott StNapoleon, OH 43545SylvaniaHancock County419-599-9355Sylvania PharmacyArlingtonArlington Pharmacy Ltd106 N Main StArlington, OH 45814419-365-52027640 W Sylvania AveSylvania, OH 43560419-842-1531<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan Page 87*<strong>Provider</strong>s identified with an *asterisk do not support electronic prescribing.+<strong>Provider</strong>s identified with a + offer extended day supplies of some medications.
PharmaciesSection 2 – List of Plan <strong>Provider</strong>sRetail cont.Monroe Pharmacy Inc4122 Monroe StWhitehouseLucas County cont. Toledo, OH 43606-2092 Whitehouse ApothecaryToledo419-473-1531 5911 Weckerly RdWhitehouse, OH 43571-9648Pharm Pharmacy 6105 419-877-5712Ambulatory Care Pharmacy 2725 W Central Ave2213 Cherry St Toledo, OH 43606-3439Toledo, OH 43608-2625Mercer County419-472-6210419-251-2545 CelinaRyan Pharmacy And OrthopedicArings Compound Corner Supply Arnold Pharmacy IncPharmacy 3340 Dorr St 101 S Main St6725 W Central Ave Toledo, OH 43607-2717 Celina, OH 45822Toledo, OH 43617 419-531-2836 419-586-2238419-841-3833Shaffer Pharmacy IncCommunity Pharmacy Partners 3900 Sunforest CtColdwater1910 Collingwood Blvd Toledo, OH 43623-4421Toledo, OH 43604-5011 419-473-0891Schwieterman Pharmacy419-244-1809404 W N StThe Clinic PharmacyColdwater, OH 45828-1507Cordelia Martin <strong>Health</strong> Center 4235 Secor Rd419-678-3435Pharmacy Toledo, OH 43623-4299430 Nebraska Ave 419-475-5800Ft RecoveryToledo, OH 43607-4200419-255-7883 The Pharmacy CounterKaup Pharmacy1515 S Byrne Rd110 E Butler StErie Drug Toledo, OH 43614-3458Ft Recovery, OH 45846-06054502 Lewis Ave 419-382-3475419-375-2323Toledo, OH 43612-2335419-476-4322 The Pharmacy Counter Ottawa County2655 W CentralJames Pharmacy Inc Toledo, OH 43606-3550 Elmore623 Lagrange St 419-473-1493Toledo, OH 43604Pills N Packages419-243-9161 Toledo Hosp Outpatient 350 Rice StPharmacy+ Elmore, OH 43416Kahler Pharmacy 2142 N Cove Blvd 419-862-29821941 Airport Hwy Toledo, OH 43606-3895Toledo, OH 43609-1899 419-291-4418419-382-2911Oak HarborToledo Lucas County <strong>Health</strong> DeptLaGrange Savmor Drugs+IGA Community MarketsPharmacy3104 LaGrangePharmacy635 N Erie StToledo, OH 43608279 W Water StToledo, OH 43624419-241-8065Oak Harbor, OH 43449419-213-4226 419-898-0954Mercy Outpatient Pharmacy University Of Toledo Main2200 Jefferson Ave Campus PharmacyToledo, OH 43624-1120 2801 W Bancroft- Ms 513419-259-1359 Toledo, OH 43606-3390419-530-3471Page 88<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan*<strong>Provider</strong>s identified with an *asterisk do not support electronic prescribing.+<strong>Provider</strong>s identified with a + offer extended day supplies of some medications.
Section 2 – List of Plan <strong>Provider</strong>sPharmaciesRetail cont.GlandorfGibsonburgOttawa County cont. Tuckers Pharmacy Gibsonburg PharmacyPort Clinton105 Dr Thatye DriveGlandorf, OH 45848241 W Madison StGibsonburg, OH 43431-1319Bassetts Pharmacy419-538-7120 419-637-74413994 E Harbor RdPort Clinton, OH 43452KalidaWoodville419-732-6300Millers Pharmacy And Gifts LLC Pills N PackagesGreens Pharmacy Inc101 S Broad St 100 E Main St200 Madison StKalida, OH 45853-9999 Woodville, OH 43469Port Clinton, OH 43452419-532-3489 419-849-2781419-732-3151LeipsicSeneca CountyPaulding CountyScarbrough PharmacyFostoriaAntwerp138 E Main StLeipsic, OH 45856-1051Fostoria Community HospitalAntwerp Pharmacy419-943-2561501 Van Buren St 101109 S Main StFostoria, OH 44830Antwerp, OH 45813Ottawa419-435-6560419-258-2068Tuckers Ottawa PharmacyGreat Scot 70 Pharmacy1831 E Main St560 Plaza DrPauldingOttawa, OH 45875-1695Fostoria, OH 44830419-523-6122419-435-4028Village Apothecary100 N Williams StPaulding, OH 45879-1281 PandoraTiffin419-399-2023Gregs PharmacyMedicine Shoppe+112 E Main St465 W Perry StPutnam CountyPandora, OH 45877Tiffin, OH 44883419-384-3303419-447-0282Columbus GrovePharm Pharmacy 6112Hawkeys Pharmacy Sandusky County 710 W Market St114 N High St Tiffin, OH 44883-2528Columbus Grove, OH 45830-0126 Clyde 419-447-1054419-659-2366Discount Drug Mart+Zellner PharmacyContinental1062 W Mcpherson Highway 240 W Market StClyde, OH 43410-1002 Tiffin, OH 44883Okuleys Pharmacy 419-547-4000419-447-0077102 S Main StContinental, OH 45831-9151 Fremont419-596-3898Grund Drug Company227 S Front StFremont, OH 43420-3060419-332-5585<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan Page 89*<strong>Provider</strong>s identified with an *asterisk do not support electronic prescribing.+<strong>Provider</strong>s identified with a + offer extended day supplies of some medications.
PharmaciesSection 2 – List of Plan <strong>Provider</strong>sRetail cont.MontpelierPembervilleShelby County Rings Pharmacy Inc Medicine Shoppe+Sidney221 W Main StMontpelier, OH 43543-1099143 E Front StPemberville, OH 43450Bunnys Pharmacy Inc419-485-5115 419-287-3238112 N Main AveSidney, OH 45365-2784West UnityPerrysburg937-492-4550Klinger PharmacyBuderer Drug CoMedicine Shoppe+102 W Jackson St 26611 N Dixie Hwy130 W Russell RdWest Unity, OH 43570 Perrysburg, OH 43551Sidney, OH 45365419-924-2444 419-873-2800937-498-4846Wood CountyThe Drug Store Of Perrysburg580 Craig Dr Ste 2Van Wert County Bowling GreenPerrysburg, OH 43551-1772419-873-0900Van WertBowling Green UniversityStudent <strong>Health</strong> Center Pharmacy Walt Churchill’s Market &Derry DrugsBowling Green, OH 43403-0147 Pharmacy1191 Westwood Dr419-372-988026625 N Dixie HwyVan Wert, OH 45891-2464 Perrysburg, OH 43551419-238-1318Jaks Public Pharmacy419-872-6904P And R Home IV Service970 W Wooster16937 Defiance Trl RdBowling Green, OH 43402 Wyandot CountyVan Wert, OH 45891-8619419-352-6423419-587-3349CareyFostoriaHarrys PharmacyWilliams CountyPharm Pharmacy 6123101 E Findlay St895 N Countyline StCarey, OH 43316-1247BryanFostoria, OH 44830-1406 419-396-7977Millers Pharmacy419-435-33051425 E High StSycamoreBryan, OH 43506Grand Rapids419-630-0400Fillmore PharmacyVillage Apothecary119 S Sycamore AveRingers Drug Store24187 Front StSycamore, OH 44882-0107125 S Main St Grand Rapids, OH 43522419-927-2691Bryan, OH 43506-1786 419-832-4615419-636-1355 Upper SanduskyRingers Professional PharmacyNorth BaltimoreDiscount Drug Mart+442 W High St Scarbrough Pharmacy1155 E Wyandot AveBryan, OH 43506-1681 127 N Main StUpper Sandusky, OH 43351-9630419-636-7314 North Baltimore, OH 45872 419-294-5900419-257-2221Koehler Drug136 N Sandusky AveUpper Sandusky, OH 43351419-294-1916Page 90<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan*<strong>Provider</strong>s identified with an *asterisk do not support electronic prescribing.+<strong>Provider</strong>s identified with a + offer extended day supplies of some medications.
IndexAAmbalavanan, Arlington Pharmacy Battula, Venkat MD ..... 14Abdallah, Dany MD...... 47Surianarayanan Ltd .......................... 87 Battula, Venkat MD ..... 15Abdelbaki, Zoheir MD.. 17MD .......................... 40 Armstrong, Anthony Battula, Venkat MD ..... 16Abdelhamed,Ambekar, Anjali MD..... 48 MD .......................... 28 Bauer, Brendan MD..... 34Abdelhamed MD...... 32Ambulatory Care Arnold Pharmacy Inc ... 88 Bauer, James DC ........ 19Abdul-Karim, AhmadPharmacy ................ 88 Arora, Chander MD...... 10 Bazeley, Stephen MD .. 23MD .......................... 15American Home <strong>Health</strong> Arquette, Nancy MD .... 28 Beane, Evan DC .......... 19Acosta, Rafael DC........ 20Care, Inc ................. 59 Arrow Springs Beatty, David DPM ...... 46Active Infusion............. 68 American Home Pharmacy ................ 87 Bedford PhysicalActive Mobility of OhioPatient..................... 57 Artis, Kimberly MD ........ 8 Therapy................... 71Inc........................... 58American Home Ashworth, Jeanne Beekman, StanleyAdams, Bradley DPM... 45Patient..................... 62 MD .......................... 48 DPM ........................ 45Adams, Bradley DPM... 46 American Physical Aspen Urgent Care ...... 72 Beekman, StanleyAdams-Ferguson,Rehab Network ....... 70 Atwell, David MD......... 48 DPM ........................ 46Karen MD................ 28Americare <strong>Health</strong> Auck, Shawn DC ......... 21 Beekman, StanleyAdewumi, WaheedServices LLC ........... 67 Audiology Associates... 52 DPM ........................ 47MD .......................... 31Anderson, Jennifer Auglaize County <strong>Health</strong> Beeks, David MD......... 39Adil, Jahangir MD.......... 8MD .......................... 28 Department ............. 64 Bell, David MD ............ 13Adkins, Jennifer MD.... 43 Anderson, Martha Augustine, Donna Bell, Lawrence MD...... 38Advanced HomeDPM ........................ 46 CNM........................ 18 Bellevue Hospital......... 73Medical ................... 58Andrabi, Imran MD ........ 8 Autumn Court .............. 76 Below, Angela MD......... 9Advanced Home Anigbogu, Joseph Avram, Tiberiu MD ...... 28 Benedict, Steven MD... 34Medical ................... 59MD .......................... 47 Azeez, Kemi MD.......... 31 Benjamin-Swonger,Advanced Medical Anigbogu, Nkoli MD..... 31 Mary DPM ............... 45Anike, Paul DO ............ 14BBenjamin-Swonger,Imaging................... 68Anike, Paul DO ............ 15 B & K Home MedicalAggarwal, Manu MD...... 5Mary DPM ............... 46Anike, Paul DO ............ 16 Services Inc. ........... 66Aggarwal, Manu MD...... 7Benjamin-Swonger,Anouti, Ahmad MD ...... 33 Back, Billy MD............... 7Aggarwal, Manu MD...... 8Mary DPM ............... 47Antwerp Pharmacy ...... 89 Baibak, Laurence MD.. 44Aggarwal, Manu MD.... 11Berry, Christopher DC.. 20APDS <strong>Health</strong> Supplies.. 63 Bailey, Brenda DDS ..... 22Agubosim, SamuelBertka, Kenneth MD ...... 8Apria <strong>Health</strong>care Inc, Baird, Kristy NP ........... 35MD .......................... 41Bertka, Kenneth MD ...... 9Apria Number Two Bajwa, Rajbir MD .......... 5Ahmad, Farid MD ........ 25Bhat, Madhav MD ....... 34Inc........................... 53 Baker, Robert DO ........ 33Ahmad, Munir MD ....... 48Bhatia, Raj MD ............ 16Apria <strong>Health</strong>care Inc, Bakos, Panos MD ........ 41Ahmed, Fateh MD ....... 48Bhumbra, NasreenApria Number Two Balaa, Anas MD........... 47Ahmed, MohammedMD .......................... 43Inc........................... 54 Baldauf, Frank MD ........ 5MD .......................... 49Bish, Beth CNP............ 18Apria <strong>Health</strong>care Inc, Baldwin, Tanya MD ....... 9Aichholz, Lisa CNP ...... 11Biswas, Haradas MD ... 16Apria Number Two Ball, Benjamin MD....... 12Aichholz, Lisa CNP ...... 12BKP Ambulance........... 52Inc........................... 57 Balusu, Pratap MD ...... 31Ajlouni, Sayyah MD ..... 15Blad, Denise MD ........... 6Arabpour, Mehran DO.. 14 Bamdad, A. MD........... 14Al Hamda, AhmadBlair, Robert DO .......... 28Arabpour, Mehran DO.. 15 Bamdad, A. MD........... 15MD .......................... 33Blake, Sarah MD ......... 41Arabpour, Mehran DO.. 16 Bamdad, A. MD........... 16Al-Khalili, Adnan MD ... 36Blakely Care Center ofArbors at Clyde............ 76 Banerjee, Sunita MD ..... 9Al-Nsour, MohammadBG........................... 75Arbors at Delaware ..... 75 Bansal, Narendra MD .. 49MD .......................... 30Blood, Jeffrey DP .......... 9Arbors at Oregon......... 75 Bansal, Surinder MD ... 31Al-Sabbagh, Nina MD.. 32Bodi, David DC ............ 21Arbors at Sylvania ....... 75 Barabash, TheresaAlexis IndustrialBodkin, Kevin DO .......... 8Arbors at Toledo NP ........................... 43Medical Center........ 72Bodkin, Kevin DO .......... 9Subacute & Rehab Barlage, Cindy CNP ..... 19Alkhateeb, MohammedBoehm, Kathryn MD ...... 9Center ..................... 75 Barna, Mary DPM........ 46MD .......................... 15Bortel, Beau DPM........ 46Arbors at Waterville..... 76 Barnas, Thomas MD.... 33Allen Cty <strong>Health</strong>Boudouris-Powers,Aries Pharmacy ........... 87 Bassetts Pharmacy...... 89Partners Phcy.......... 86Angela NP ............... 35Arings Compound Bates, Natalie DC ........ 19Almudallal, Ali MD....... 33Boutros, Mounir MD .... 23Corner Pharmacy..... 88 Bathini, RamaswamyAlo, Abed MD .............. 26Bowen, Sherman DC ... 19MD .......................... 15Alt-Coan, Amy MD....... 11Bower, Mary MD ......... 24<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan Page 91
Bower, Meagan MD....... 6 C&M Billing Solutions Christian <strong>Health</strong> Covenant Care OhioBowling Green LLC ......................... 57 Services, Inc. .......... 71 Inc.,dba FairviewUniversity ................ 90 Calcamuggio, Lyle Christner, Jennifer MD .. 9 Skilled Nursing andBoyle, Jr., Emmett MD .......................... 29 Chung, Maurice MD .... 27 RehabilitationMD .......................... 50 Cameron, Donald MD .. 34 Chung, Maurice MD .... 28 Center ..................... 58Bradley, Alan MD ........ 27 Campbell, Brad MD ..... 29 Ciccero, Kimberly Cox, Marcus MD.......... 25Bradley, David MD....... 42 Campbell, Jennifer DPM ........................ 45 Cragel, Michael DPM... 46Braun, Marcia MD ....... 12 MD .......................... 29 Cifuentes, Douglas DO... 9 Crawford, Jeffrey DC... 20Braun, Theodore MD ... 26 Canal Pharmacy .......... 86 Clark, Leo MD ............. 34 Credico, John MD........ 28Bremyer, John DPM .... 46 Canavati, Isa MD ......... 34 Clark, Paul MD ............ 51 Cridersville NursingBrenek, Judy CNP ....... 18 Capone, Richard MD ... 24 Clark, Stephen MD ...... 37 Home ...................... 75Brent, Jessica DPM..... 46 Cardiovascular Clarke, John DPM ....... 45 Croak, Andrew DO....... 28Briel, Mark MD............ 28 Diagnostics Group ... 52 Click, Patrick DC ......... 19 Croci, John MD ............. 8Briggs, Lloyd MD......... 38 Carey Nursing Center .. 76 Coate, Mark MD .......... 26 Cunningham, FrankBriggs, Lloyd MD......... 39 Caring Solutions Inc .... 85 Coates, John DO ......... 13 MD ............................ 6Broderick, George Carr, Daniel DC ........... 21 Cobau, Charles MD ..... 36 Curfman, ThomasMD .......................... 15 Carrigan, Catherine Cole Orthotic & MD .......................... 34Brohl, Shawn DC......... 20 MD .......................... 13 Prosthetic................ 68 Curry, Robert MD .......... 5Brookview <strong>Health</strong> Care Carroll, Jennifer MD .... 28 Cole, Shirley CNM ....... 18 CVS Pharmacy............. 79Center ..................... 75 Casey, Lisa DO.............. 8 Coleman, Gary MD ...... 41 CVS Pharmacy............. 80Brose, Paul MD ............. 6 Casey, Lisa DO.............. 9 Community <strong>Health</strong> CVS Pharmacy............. 81Brown, Desrene MD .... 26 Cashen, Constance Professionals........... 65 CVS Pharmacy............. 83Brown, Desrene MD .... 29 DO........................... 49 Community <strong>Health</strong> CVS Pharmacy............. 84Brown, Frank MD ........ 12 Cast, William MD......... 40 Professionals........... 66Brown, Jennifer MD, Cecchino, Robert MD... 49 Community Hospital Of DMPH ........................ 12 Centa, Joseph MD....... 26 Williams County- D’Agostino, RosemaryBrown, Linda CNP ....... 18 Center For Medication Archbold.................. 73 MD ............................ 9Brown, Lori CNP.......... 18 Management ........... 87 Community Hospital Of D’Souza, DeborahBruhl, Kimberly CNP.... 30 Central Park West Williams County- MD .......................... 28Brunelle, Charles MD... 24 Rehab Center .......... 70 Bryan ...................... 73 Dabis, Nazih MD.......... 11Bryan, Dwight DO........ 12 Certified Orthotic & Community Hospital Of Dailey, Janet MD........... 7Bryant, G. MD ............. 32 Prosthetic Inc. ......... 68 Williams County- Dalagiannis,Bryant, G. MD ............. 33 Cha, Chong MD ........... 13 Montpiler................. 74 Athanasios MD ........ 44Bryant, Kenneth DO..... 25 Chahal, Bhupinder....... 77 Community Market Damschroder, Jr.,Bryant, Roger DDS ...... 22 Chalasani, Padmaja 310 Pharmacy......... 87 Richard DC.............. 19Buch, Hector MD......... 31 MD .......................... 25 Community Memorial Danby, ChristopherBuderer Drug Co ......... 90 Chamdin, Aghiad MD... 42 Hospital................... 73 MD .......................... 16Buhariwalla, Reeshad Chanamolu, Sreenivasa Community Pharmacy Darr, Joseph DC.......... 21MD ............................ 6 MD .......................... 47 Partners................... 88 Das, Kalyan MD............. 7Bullinger, Todd DC....... 22 Chang, Fen-Lei MD ..... 34 ComprehensiveDasani, Haridas MD....... 9Bultemeyer, Marlene Chang, Jason MD........ 33 Rehabilitation Group Dasari, Grace MD ........ 44MD .......................... 34 Chapman, Glenn DC .... 21 Inc........................... 70 Davita (Gambro) .......... 53Bunnys Pharmacy Inc.. 86 Chauhan, Chandana Conrad, Edward MD ...... 8 Dbouk, Tarek MD ........ 29Bunnys Pharmacy Inc.. 90 MD .......................... 34 Consolo, Joel DPM ...... 46 DCA Of DelawareBurdine, Jim MD ......... 17 Chen, Wendy DO ......... 30 Continued Care Inc...... 65 County..................... 53Butchko, Gary MD ....... 15 Chikkala, Jane MD ........ 8 Convoy Care Center..... 76 DCA of Toledo, LLC ..... 53Butchko, Gary MD ....... 41 Chinavare, Brian MD ... 36 Cooperative <strong>Health</strong> de la Serna, ManuelButchko, Gary MD ....... 42 Chinavare, Brian MD ... 37 Partners................... 52 MD .......................... 50Butler, Candilee MD .... 26 Chinta, Shashi MD....... 11 Coplin, Mary CNP ........ 12 De Miguel, MarianoBydash, Jason DO ......... 9 Chiu, Sin-Ching MD..... 11 Cordelia Martin <strong>Health</strong> MD .......................... 32Chodisetty, Center Pharmacy..... 88 De Silvo, Mark DPM .... 47CSubrahmanyam Corman, Scott DO ....... 24 Debeukelaer, MartinC & R Pharmacy.......... 87 Md .......................... 33 CornerstoneMD .......................... 32Choi, Sung MD ............ 42 Rehabilitation, Ltd ... 69Page 92<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan
IndexDefiance Clinic Dudenhoefer, Eric Fayad, Ramy MD......... 32 Gaynier, Christine MD.... 5Pharmacy ................ 86 MD .......................... 37 Feltz, Carl DC .............. 19 Gbur, Carolyn MD........ 15Defiance County Dunne, Cindy DC......... 20 Fields, David DC.......... 20 Gbur, Charles MD........ 15General <strong>Health</strong> Dunne, Timothy DC ..... 20 Fields, Nathaniel DC .... 20 Geise, David DC .......... 21Distrist..................... 64 Dunnigan, Derek CNP.. 18 Figy, Rex MD............... 23 Gensolin, Dexter MD...... 7Defiance Hearing Aid Duraline Medical Filipiak, Charles MD .... 25 Gensolin, Glenda MD..... 7Center, Inc .............. 52 Products, Inc. .......... 60 Fillmore Pharmacy....... 90 Gerad, Henry MD......... 36Defiance Rehab Durham, Samuel MD... 50 Findlay City <strong>Health</strong> GibsonburgServices .................. 70 Department ............. 64 Pharmacy ................ 89DeFrance, David MD.... 12 EFinney, Kelly CNP ........ 13 Glance, Jennifer DO .... 27Dellinger, Rona CNP .... 35 Eastman, Amy DC ....... 19 Fintel, Bonnie CNM...... 18 Great Lakes DiabeticDelphos Discount Eastman, Amy DC ....... 20 Fisher, Eric MD............ 31 Supply Inc dba GreatDrugs ...................... 86 Eastman, Amy DC ....... 22 Fleagle, Jeffrey DDS.... 22 Lakes MedicalDelphos Facility ........... 75 Edgar, Philip MD ......... 12 Flickinger, Allen MD .... 33 Supply..................... 59Delta Physical Edje, Louito MD............. 8 Fofung, Sema DO ........ 27 Great Scot 70Therapy................... 70 Egnace, John DC......... 20 Foldvary, Robert MD...... 6 Pharmacy ................ 89Derick, Robert MD....... 36 El Gamal, Hesham Ford, Frances CNP....... 35 Green’s Pharmacy ....... 59Derry Drugs................. 90 MD .......................... 48 Forgac, Gregory........... 77 Greenbaum, MitchellDesai, Ajitkumar MD ... 50 El Nemr, Mohamed Foster, Shad DC .......... 22 DO........................... 28Deschner, William MD .......................... 29 Fostoria Community Greene, Henry MD....... 30MD .......................... 16 El Sayyad, Mohammad Hospital................... 89 Greens Pharmacy Inc .. 89Deshmukh, Murlidhar MD ............................ 7 Fotouhi, Farzin MD ...... 16 Grego, Gary MD............. 6MD .......................... 25 El-Nemr, Mohamed Foundation Park Care Gregs Pharmacy .......... 86Deshmukh, Murlidhar MD .......................... 29 Center ..................... 75 Gregs Pharmacy .......... 89MD .......................... 32 Elkambergy, Hussam Fout Jr, Larry MD.......... 6 Greve, Diana FNP ........ 23DeWitt, Jay DC ............ 22 MD .......................... 12 Fox, Kami CNP ............ 35 Grieser, Richard MD ...... 7Dietz, Stephanie DC .... 20 Elkins, Amy DC............ 19 Frame, Mickey DC....... 21 Grillis, Michael DO....... 26Dietz, Stephanie DC .... 22 Elkins, Amy DC............ 20 Frank, Patrick DC ........ 20 Grund Drug Company.. 89Digestive <strong>Health</strong> & Elkins, John DC........... 19 Fraser, Jane CNP ........ 35 Guibord, Roberta DO ..... 8Endoscopy Center, Elkins, John DC........... 20 Fraser, Jane NP........... 35 Guibord, Roberta DO ..... 9LLC ......................... 52 Ellerbrock, Matthew Frederick, Scott MD....... 7 Guibord, Roberta DO ... 23DiGregorio, Delia MD... 43 DC........................... 21 Fremont Memorial Guinn, Larry DC........... 21DiGregorio, Delia MD... 44 Ellis, Wilfred MD.......... 31 Hospital................... 73 Gulinsky, Olga MD....... 36Diller, Jonathan MD..... 12 Emmert, Jr., Gregor Freshwater, Stephen Gunda, Rajeswari MD.. 30Dimitri’s Shoe Service, MD .......................... 50 MD ............................ 7 Gupta, Ajay MD ........... 34LLC dba Red Wing Erie Drug..................... 88 Frey, Timothy Dc ......... 20 Gupta, Kul ................... 77Shoes & Repair ....... 57 Eriksen, David MD....... 37 Freytag, Thomas MD ..... 6 Gutta, Jayanth MD ...... 47Discount Drug Mart ..... 86 Espinoza, Nicholas DO... 9 Fulton County <strong>Health</strong>Discount Drug Mart ..... 89 Evans, Robert DC ........ 19 Center ..................... 73 HDiscount Drug Mart ..... 90 Extremity Imaging Fumich, Frank MD....... 38 Hafeez, Faizan MD ...... 34Divine Home <strong>Health</strong> Partners Inc............. 67 Fumich, Frank MD....... 39 Hafeez, Nazima MD....... 8Care of Ohio, LLC.... 65 Eye Surgery Center of Furlong, Dennis DO ..... 12 Hafeez, Nazima MD....... 9Dodd, Jospeh MD........ 26 Western Ohio........... 52Hagerman, KimberlyDoom, Richard MD...... 20GMD ............................ 7FDoty-Armstrong,Gabel, Elizabeth CNP... 19 Haman, Steven MD ..... 38Carmen DO ............. 27 Fabrizio, Dominic DC... 21 Galani, Jayantilal MD..... 7 Haman, Steven MD ..... 39Doyle Jr, Harry MD........ 6 Fairchild, Darlene MD.... 9 Gale, Steven MD ......... 50 Hamilton, Traci DC....... 21Dozier, James MD....... 34 Fairview Skilled Ganesan, Mahamini Hamm, Roger DPM...... 47Dozier, James MD....... 35 Nursing & Rehab MD .......................... 25 Hancock County <strong>Health</strong>Dr. Roberts &Center ..................... 75 Gardner, Pamela DO.... 14 Department ............. 64Associates Inc. ........ 52 Fallon, John MD .......... 40 Gardner, Pamela DO.... 15 Hanna, Salim MD .......... 5Drake, Jennifer DO...... 33 Farber, Matthew MD ... 36 Gardner, Pamela DO.... 16 Hanna, Salim MD .......... 6Drake, Laurence DDS.. 22 Farooq, Shabana MD..... 8 Gaspar, Allen MD .......... 6 Hanna, Salim MD .......... 7Drake, Ryan DO........... 33 Farooq, Shabana MD..... 9 Gatchel, Brenda CNM .. 18 Hanna, Salim MD ........ 12<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan Page 93
Hanson, Craig MD ....... 29 Herman, Parmie MD...... 6 Howe, Sarah NP .......... 35 Kachmann, JeffreyHardin Memorial.......... 73 Herr, Brian MD ............ 40 Hubbell, Susan MD...... 44 MD .......................... 35Harrison, Kurt DO ........ 29 Herring, Daniel DO ...... 12 Hudson, Wayne DO...... 25 Kachmann, Rudy MD... 35Harrys Pharmacy......... 90 Herring, Daniel DO ...... 24 Hughes, Drake DC....... 22 Kahler Pharmacy ......... 88Harshfield, Melinda Herrington, Sandra Hulsemann, Susan MD.. 8 Kahn, James MD......... 27CNP......................... 18 MD .......................... 48 Hulsemann, Susan MD.. 9 Kail, Janet DPM........... 45Hart’s Ambulette.......... 52 Herrington, Sandra Hulsemann, Susan Kail, Janet DPM........... 46Hasan, Irshad MD........ 23 MD, PhD.................. 48 MD .......................... 24 Kail, Janet DPM........... 47Hasan, Samina MD........ 9 Herrington, Sandra Hurm, Thomas DO....... 11 Kaiser, Heather MD ..... 48Haseeb, Ateeq MD....... 43 MD, PhD.................. 49 Hutchison, Philip Do .... 25 Kaiser, Heather MD ..... 49Haselhuhn, Gregory Hicksville Pharmacy & Kakarla, RahendraMD .......................... 49 Home Medical ......... 54 IMD .......................... 25Hashmi, Fayyaz MD..... 17 Hicksville Pharmacy Ianiro, Christine CNP ... 35 Kamp, Kenton MD ......... 7Hashmi, Raza MD........ 15 LLC ......................... 87 Iboaya, Iyabo MD .......... 5 Kanaan, Tarif MD......... 15Hawkeys Pharmacy ..... 89 Hiestand, John MD...... 12 IGA CommunityKanama, Enas MD......... 8Hawley, Bill DC............ 20 Hill, Nathan MD........... 44 Markets Pharmacy .. 88 Kanama, Enas MD......... 9Haycock, Darryl DPM .. 45 Hixenbaugh, Todd Imaging Central, LLC... 71 Kaplansky, Bryan MD.. 47Haynes, Heather MD ... 12 MD .......................... 25 Imam, Syed MD .......... 31 Karatsordis, Stavros<strong>Health</strong> Care Solutions Hixenbaugh, Todd Imler, David DO........... 32 DO............................. 6at Home, Inc ........... 58 MD .......................... 26 Imler, David DO........... 33 Kasper, Gregory MD.... 50<strong>Health</strong> Care Solutions Hnatiuk, Mark MD ....... 41 Innovative Dialysis Kato, Julius DO ........... 15at Home, Inc ........... 62 Ho-a-lim, Fred MD ........ 9 Sys.......................... 53 Kato, Julius DO ........... 31<strong>Health</strong>erapy Partners Hoeflinger, Michael Katragadda, SrinivasJInc........................... 70 MD .......................... 39 MD .......................... 47Heaphy, Michael MD ... 23 Hoelzle, Mark MD........ 12 Jackson, David DO...... 28 Katragadda, SrinivasHearing Associates Hogan, Jr., William Jacob, Hany MD.......... 47 MD .......................... 48Inc........................... 52 MD .......................... 41 Jacobs, Edward MD .... 49 Kauffman, Amy NP ...... 28Heartland Rehab Hogan, William MD...... 41 Jaeblon, Francis DO .... 39 Kauffman, Amy NP ...... 35Services .................. 70 Hohman, Jennifer Jaks PublicKaufman, KristineHeartland Rehab MD .......................... 12 Pharmacy ................ 90 CNP......................... 35Services .................. 71 Holgate Care Center .... 75 Jamal, Raheel MD....... 48 Kaup Pharmacy ........... 58Heatherdowns Rehab Holiday Park Physical James Pharmacy Inc ... 58 Kaup Pharmacy ........... 88& Residential........... 75 Rehabilitation .......... 70 James Pharmacy Inc ... 88 Keighley, Robert DO .... 25Hecht, Brian MD.......... 39 Holiday Park Physical James, Pushpom MD .. 48 Kemmler, James MD... 39Hecht, Brian MD.......... 40 Rehabilitation .......... 71 Jasty, Rama MD.......... 43 Kenton Hardin <strong>Health</strong>Heck, Bruce MD .......... 39 Holleran, Neal MD ....... 11 Jean-Pierre, Claudel Department ............. 64Heck, Bruce MD .......... 40 Holman, Douglas DC ... 22 MD .......................... 32 Kenton Nursing &Hedges, Keith DC ........ 20 Holman, Terry DC ........ 20 Jennings, RichardRehab Center .......... 75Hedges, Wesley MD .... 29 Hoo, Joe MD ............... 32 DPM ........................ 45 Kern Medical Inc dbaHedrick, William MD.... 44 Hook, Bruce MD .......... 16 Jennings, RichardDasco Home MedicalHeinrichs, Timothy Horman, Deron MD ....... 6 DPM ........................ 46 Equopment.............. 65MD .......................... 11 Horner, James MD ...... 41 Jennings, Richard Kern Medical Inc dbaHeizelman, Robert MD... 8 Horrigan, Elizabeth DPM ........................ 47 Dasco Home MedicalHenry County <strong>Health</strong> MD .......................... 13 Jiang, Huiyuan MD...... 43 Equopment.............. 66Department ............. 87 Horrigan, Terrance Jitan, Raed MD ........... 14 Kesler, Carlton MD ...... 44Henry County MD .......................... 28 Jitan, Raed MD ........... 15 Khalil, Abbas MD......... 30Hospital................... 73 Horstman, Anna MD .... 11 Johnson, Duane DO....... 6 Khan, Atiya MD ........... 34Hensen, Eric DO .......... 41 Horvath, William MD ... 30 Johnson, Peter MD...... 28 Khan, MuhammadHeritage <strong>Health</strong> Care Horvath, William MD ... 36 Jones, David DPM....... 46 MD .......................... 10Services .................. 65 Hosey, Daniel DC......... 20 Jordan, Miguel MD...... 27 Khan, Rizwan MD........ 14Heritage <strong>Health</strong> Care Hosey, Douglas DC...... 20 Jose, Mathew MD ......... 6 Kherallah, Nizar MD .... 43Services .................. 66 House, Charles Do....... 25 KKhurshid, NaumanHerkimer, Carl MD....... 40 Houston, Thomas MD.. 39Kabour, Ameer MD...... 15MD .......................... 28Herman, George MD...... 6 Hovest, Kasey DC........ 21Page 94<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan
IndexKidney Services of Kuebeck, Edelbert Lincare Inc .................. 58 May, Janet CNP........... 18West Central Ohio ... 53 MD .......................... 13 Little, Eugene DPM...... 45 McBride, John MD......... 9Kifetew, Hanna MD ..... 31 Kuhlman, Kurt DO........ 44 Little, Eugene DPM...... 46 McClarren, RebeccaKindig, Marilyn DO ...... 27 Kuhns, J. MD .............. 15 Liu, Dennis MD............ 43 MD ............................ 7Kindl, Thomas MD....... 41 Kuhns, J. MD .............. 17 Lofquist, Christopher McCormick, RandallKirk, Daniel DPM ......... 45 Kupper, Thomas MD.... 16 DC........................... 20 MD ............................ 9Kirk, Daniel DPM ......... 46 Lok, Betty DC .............. 20 McDonald, Mark MD ... 38Kirk, Daniel DPM ......... 47 LLok, Betty DC .............. 22 McDonald, Mark MD ... 39Kirk, Mark DC.............. 20 Ladowski, Joseph Lorenz, Jack DC.......... 19 McDonel, Karla NP ........ 6Kitchen, Brenda MD .... 43 MD .......................... 17 Lorenz, William DC...... 19 McFadden, Dwight MD.. 7Kizilisik, Aydin MD....... 16 Lagrange Sav-Mor Lucchese, Christopher McKernan, Daniel MD.. 39Kizilisik, Aydin MD....... 17 Drugs ...................... 58 DO........................... 25 Mcmahon, BrendanKlass Apothecary dba LaGrange Savmor Lucente, Shannon DO.. 29 DC........................... 21Tuckers Pharmacy... 60 Drugs ...................... 85 Luedeke, James MD ..... 6 McMaster, Anna MD.... 23Klass, Mandy MD ........ 11 LaGrange Savmor Luke Prosthetic & McNamara, BonnieKlein, Peter MD ........... 26 Drugs ...................... 88 Orthotic Lab ............ 68 MD ............................ 5Kleinberg, Warren MD ... 9 Lai, Mei Chiew MD...... 44 Lutz, David MD............ 44 McNamara, Mary MD .. 31Klinger Pharmacy ........ 90 Lakshmipathy,Lutz, Stephen MD........ 48 McNeal, Sheilla MD....... 5Klingler, Shane DC ...... 19 Narendranath MD.... 41 Lynn, Jeffrey MD......... 45 Medi-Lab Inc. .............. 68Klir, Wesley MD........... 11 Lakshmiphthy, NarenMedicap ...................... 87Kmart Pharmacy.......... 79 MD .......................... 41MMedicine Shoppe......... 86Kmart Pharmacy.......... 81 Lalor, Peter MD ........... 26 Machanda, Sean MD... 13 Medicine Shoppe......... 89Kmart Pharmacy.......... 82 Lamp, Abby CNM ........ 19 Mack, Donald MD.......... 5 Medicine Shoppe......... 90Kmart Pharmacy.......... 84 Later, Paul MD ............ 34 Magee, Ronald MD...... 50 Medina, Rhonda MD.... 27Kmart Pharmacy.......... 85 Lautzenheiser, Thomas Mahajan, Vijay MD ...... 47 Mehelas, Thomas MD.. 37Knerr, Joel MD ............ 11 MD .......................... 12 Mahajan, Vijay MD ...... 48 Mehta, Manisha DPM .. 46Knotts, Frank MD ........ 26 Lautzenheiser, Thomas Mahmood, Khalid MD.. 34 Meluch, Ralph DDS ..... 23Koehl, Mark MD .......... 11 MD .......................... 25 Mancho, Salim DO ...... 26 Melvin, Staci CNP........ 18Koehler Drug ............... 90 Lax, Fredric MD........... 33 Mansfield, Linda MD ... 11 Meme, Ralph DDS....... 23Kokocharov, Stoyan Leahy, William MD ........ 5 Mantel Home <strong>Health</strong> Mendoza, LeonardoMD .......................... 26 Lee, S. CNP................. 18 Center Inc. .............. 62 MD ............................ 7Kooistra, Michael MD .. 13 Lee, Scott MD ............... 8 Mardolkar, Sanjay MD... 9 Meniru, Godwin MD..... 29Kosinski, Daniel MD .... 15 Leggat, Ian MD............ 29 Marion GeneralMercer County <strong>Health</strong>Kosinski, Daniel MD .... 23 Leifer, Mark MD .......... 24 Hospital................... 73 Department ............. 64Kottapalli, Venkata MD, Leite, Theresa CNM..... 17 Markwood, Richard Mercy Hospital OfCNSP....................... 24 Lemon, Michael MD .... 13 DO........................... 28 Defiance.................. 73Kraska, Joseph MD ....... 6 Lempert, Kenneth Markwood, Richard Mercy Hospital OfKretzer, Christy CNP.... 18 MD .......................... 33 DO........................... 29 Tiffin........................ 73Kroger Pharmacy......... 79 Lenhart, Peter MD ......... 6 Marshall-Kloene Mercy OutpatientKroger Pharmacy......... 80 Leonard, Patricia CPNP.. 9 Orthopedics, Inc ...... 68 Pharmacy ................ 88Kroger Pharmacy......... 81 Levy, Michael MD........ 16 Martin, Jay MD.............. 5 Mercy St. VincentKroger Pharmacy......... 82 Liberty Nursing Center Martz, JacquelineMedical Center........ 73Kroger Pharmacy......... 83 of Fremont .............. 76 CNS......................... 17 Mid AmericanKroger Pharmacy......... 84 Liberty Nursing Center Martz, Michael DO......... 5 Imaging................... 67Kroger Pharmacy......... 85 of Toledo ................. 75 Masood, Naghmana Miller, Allan DO ........... 26Kroger Phramacy......... 80 Liberty West Nursing MD .......................... 12 Miller, Brian MD ............ 8Kropp, Kenneth MD ..... 43 Center of Toledo...... 75 Masser, Philip MD ....... 11 Miller, Eric DPM .......... 45Krouse, Michael DC..... 20 Lima Brace and Limb Mathieson, Mark MD... 44 Miller, Eric DPM .......... 46Krouse, Michael DC..... 21 Inc........................... 68 Mathur, Muktak MD ...... 6 Miller, Jr., RonaldKrouse, Michael DC..... 22 Lima Memorial <strong>Health</strong> Matyas, Florence MD .... 8 MD .......................... 13Kuchipudi, Sarat MD ... 47 System.................... 73 Mauric, John DO ......... 12 Miller, Kellie CNP........... 9Kuchipudi, Sarat MD ... 48 Lin, David MD ............. 38 Mauric, Kelli NP........... 19 Miller, Laverne MD........ 6Kuck, Cheryl MD ........... 6 Linares, Claudio MD .... 28 Maxim <strong>Health</strong> Care Miller, Laverne MD...... 23Lincare Inc .................. 53 Services .................. 67 Miller, Tracy DC........... 22<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan Page 95
Millers Pharmacy......... 90 Muler, Jeffrey MD ....... 30 National Seating & Noureldin, Suhila MD... 29Millers Pharmacy And Munz, Michael MD ...... 35 Mobility, Inc............. 57 Novakovic, RachelGifts LLC ................. 89 Murray, Susan CNP ..... 35 National Seating & MD .......................... 26Milligan, Steve MD ........ 5 Murry, Susan NP ........... 7 Mobility, Inc............. 59 Nowotny, Jane DC....... 19Mills, Earl MD.............. 33 Murtagh, Daniel MD .... 50 National Seating & Nursing ResourcesMills, Robert MD ........... 9 Murtiff, Harry DO........... 7 Mobility, Inc............. 60 Corporation ............. 66Mishr, Suman MD ....... 23 Murtiff, Harry DO......... 23 National Seating &Misson, Joseph MD..... 38 Music, Ronald MD......... 7 Mobility, Inc............. 61 OMisson, Joseph MD..... 39 Music, Ronald MD....... 23 National Seating & O’Donnell, Philip MD ... 36Mitchell Home MWG Inc United Mobility, Inc............. 62 O’Neill, James MD....... 38Medical, Inc. ........... 59 Rehabilitation & National Seating & O’Neill, James MD....... 40Mitchell Medical Management Mobility, Inc............. 63 O’Shea, Patrick DC...... 22Equipment Inc ......... 55 Services .................. 70 National Seating & Oak Grove Center ........ 75Mitchell Medical Myers, Mary MD.......... 44 Mobility, Inc............. 64 Oaks, Jay DO .............. 50Equipment Inc ......... 58National Seating and Oatis, Pamela MD........ 10Mitchell Medical NMobility Inc.............. 57 Obayuwana, AlphonsusEquipment Inc ......... 59 Naddaf, Mark MD........ 42 Natividad, Recto MD...... 9 MD .......................... 28Mitchell Medical Nafziger, Randy DC ..... 19 Navarre, Robert MD..... 50 Odeh, Neiman DO........ 23Equipment Inc ......... 61 Nagy, Alexander MD.... 49 Neer, Jody MD ............ 34 Odyssey <strong>Health</strong>care OfMitsos, Angelo MD ...... 45 Nallu, Ramchandra Negrich, Ronald MD .... 14 Toledo ..................... 67Mlakar, Jospeh MD ..... 44 MD ............................ 5 Neidich, Robert MD ..... 24 OE Meyer Company..... 57Mobile Physicians Of Nallu, Ramchandra Neiswander, Michael OE Meyer Company..... 61Ohio Inc................... 66 MD .......................... 11 MD .......................... 23 OE Meyer Company..... 62Mobility Rehab National Rehab Nelson, Lois MD .......... 14 Oen, Connie NP ............. 5Specialists Inc ......... 70 Equipment, Inc. ....... 53 Neuschwanger, S.M. Oh, William MD ........... 38Mody, Rajen MD.......... 43 National RehabDPM ........................ 47 Ohio Rehab &Monroe Pharmacy Inc.. 88 Equipment, Inc. ....... 54 Neville, Robert MD ...... 37 Diagnostic Center,Monroe, Melvin MD....... 5 National Rehab Nicholson, Jonathon Inc........................... 53Moodley, Jaybalan Equipment, Inc. ....... 55 MD .......................... 10 Ohio Rehab &MD .......................... 29 National RehabNielsen-Haak, Laurie Diagnostic Center,Moore, Debra CNM...... 18 Equipment, Inc. ....... 56 DPM ........................ 45 Inc........................... 54Moore, Robert MD....... 40 National RehabNielsen-Haak, Laurie Ohio Rehab &Moorjani, Romena Equipment, Inc. ....... 57 DPM ........................ 46 Diagnostic Center,MD .......................... 12 National Rehab Nieman, James MD..... 38 Inc........................... 55Moosa, Mahmood Equipment, Inc. ....... 58 Nieman, James MD..... 39 Ohio Rehab &MD .......................... 23 National RehabNiesen, Jennifer DO .... 27 Diagnostic Center,Morris, Dennis DPM .... 45 Equipment, Inc. ....... 59 Noceti-Dunphy,Inc........................... 56Morris, Susan MD ......... 5 National RehabStephanie MD ......... 13 Ohio Rehab &Morrison, Lorene DC ... 21 Equipment, Inc. ....... 60 Noftz II, Jeffrey MD ..... 13 Diagnostic Center,Morrison, Steven DC ... 21 National Rehab Nopkhun, Vijit MD ....... 28 Inc........................... 57Moser, Norman DO...... 32 Equipment, Inc. ....... 61 Northwest OhioOhio Rehab &Moser, Norman DO...... 33 National RehabHearing Clinic.......... 52 Diagnostic Center,Mousa, Emad MD........ 29 Equipment, Inc. ....... 62 Northwest OhioInc........................... 58Mubashir, Eisha MD .... 49 National RehabOrthopedics & Sports Ohio Rehab &Muck, Robert Dc ......... 20 Equipment, Inc. ....... 63 Medicine Inc............ 67 Diagnostic Center,Mueller, Corie CNP ...... 18 National Rehab Northwest OhioInc........................... 59Mueller, Corie MD ....... 44 Equipment, Inc. ....... 64 Orthopedics & Sports Ohio Rehab &Mueller, Mark MD ......... 5 National Rehab Inc ...... 63 Medicine Inc............ 70 Diagnostic Center,Mueller- Kronast, Nils National Seating & Northwest Ohio Urgent Inc........................... 60MD .......................... 34 Mobility, Inc............. 54 Care ........................ 72 Ohio Rehab &Muha, Michael MD ...... 38 National Seating & Northwest Physical Diagnostic Center,Muha, Michael MD ...... 40 Mobility, Inc............. 55 Therapy Inc. ............ 69 Inc........................... 61Mukundan, Deepa National Seating & Northwest Physical Ohio Rehab &MD .......................... 43 Mobility, Inc............. 56 Therapy Inc. ............ 71 Diagnostic Center,Page 96<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan
IndexInc........................... 62 P & R Home IV Patel, Samir MD .......... 39 Phibbs, Garth MD ........ 28Ohio Rehab & Service, Inc. ............ 54 Patel, Samir MD .......... 40 Phillips, Dexter Do......... 7Diagnostic Center, P & R Home IV Pathology Labs, Inc. .... 68 Philpott, JonathanInc........................... 63 Service, Inc. ............ 55 Pathology Labs, Inc. .... 69 MD .......................... 17Ohio Rehab & P & R Home IV Patterson, James MD .. 38 Phuong, Loi MD........... 35Diagnostic Center, Service, Inc. ............ 56 Patterson, James MD .. 39 Physicians ChoiceInc........................... 64 P & R Home IV Patterson, James MD .. 40 Hospital................... 73Ohio Therapeutic Service, Inc. ............ 57 Paulding County <strong>Health</strong> Physicians Plus............ 72<strong>Health</strong> Services P & R Home IV Department ............. 65 Physio Source PhysicalInc........................... 69 Service, Inc. ............ 58 Peak Physical Therapy, Therapy................... 70Ohio Therapeutic P & R Home IV LLC ......................... 71 Pierzchala, Georgina<strong>Health</strong> Services Service, Inc. ............ 59 Pediatric Products, DC........................... 20Inc........................... 71 P & R Home IV LLC ......................... 53 Pierzchala, GeorginaOhio Vestibular and Service, Inc. ............ 60 Pediatric Products, DC........................... 21Balance Services..... 70 P & R Home IV LLC ......................... 54 Pierzchala, StevenOjo, Oluremi MD.......... 31 Service, Inc. ............ 61 Pediatric Products, DC........................... 20Okuley, Gary MD ........... 6 P & R Home IV LLC ......................... 55 Pigott, John MD .......... 50Okuleys Pharmacy....... 89 Service, Inc. ............ 62 Pediatric Products, Pills In Packages ......... 85Okuleys Pharmacy And P & R Home IV LLC ......................... 56 Pills N Packages.......... 88Home Medical Inc ... 87 Service, Inc. ............ 63 Pediatric Products, Pills N Packages.......... 89Omitowoju, Olayinka P & R Home IV LLC ......................... 57 PILLS ‘‘N’’ PACKAGES.. 61MD .......................... 31 Service, Inc. ............ 64 Pediatric Products, Pineda, Joy MD............. 8OMNI CARE.................. 66 P & R Home IV LLC ......................... 58 Pizza, Eric MD ............. 50Omnicare Home <strong>Health</strong> Service, Inc. ............ 67 Pediatric Products, Planned Parenthood ofAgency, LLC ............ 66 P And R Home IV LLC ......................... 59 Northwest Ohio ....... 64Orbit Medical Inc......... 57 Service.................... 90 Pediatric Products, Pohl, Ronald MD.......... 16Orchard Villa................ 75 Pahl, Nancy CNP ......... 10 LLC ......................... 60 Pohlod-Miller, SusanOregon Urgent Care..... 72 Pajka, John MD........... 36 Pediatric Products, MD .......................... 28Orion Cancer Center.... 68 Pajka, John MD........... 37 LLC ......................... 61 Pothoulakis, AnthonyOrlop, Stanley DO........ 10 Pak, Michael MD ......... 36 Pediatric Products, MD .......................... 31Orr, Michael DC........... 22 Pak, Michael MD ......... 48 LLC ......................... 62 Powell, David DO......... 30Orthotic & Prosthetic Pamida Pharmacy........ 80 Pediatric Products, Power, Kenneth MD..... 13Center Inc ............... 68 Pamida Pharmacy........ 84 LLC ......................... 63 Precision DiagnosticOsborn, Claire DO.......... 6 Pangulur, Sudhakar Pedler, Kristi MD ......... 27 Imaging................... 67Osenga, Adam DC ....... 22 MD .......................... 25 Pensiero, Christopher Prescription Solutions.. 87Osowik, Rosemarie Papp, Christopher DPM ........................ 46 Primary Care NursingMD .......................... 24 MD .......................... 37 Perng, Wuu-Jau MD.... 10 Services, Inc. .......... 65Ott, Thomas MD .......... 10 Pappas, Michael MD.... 24 Perni, Sriram MD......... 32 Primary Care NursingOttawa County <strong>Health</strong> Parekh, Mahendra Perona, Philip MD........ 17 Services, Inc. .......... 66Deparment .............. 66 MD .......................... 27 Perry, Renee DC.......... 20 Primary Care NursingOttawa County <strong>Health</strong> Park View Nursing Perry, Renee DC.......... 21 Services, Inc. .......... 67Department ............. 64 Center ..................... 76 Peters, Ralph MD ........ 26 Pro2 Lima, LLC dbaOttinger, C Joe MD...... 34 Park, Chris MD ............ 13 Peterson, Alan MD....... 17 Pro2 RespiratoryOwen, Mychelle DO..... 28 Park, Kyle MD ............. 13 Peterson, Duane MD ... 10 Services, LLC .......... 53Owens, Matthew MD... 44 Park, Pierce MD .......... 32 Pharm Pharmacy Progressive TherapyPark, Pierce MD .......... 33 6105 ....................... 88 Alternatives Inc ....... 70PParodi, Jose MD.......... 26 Pharm Pharmacy Progressive TherapyP & R Home IV Service Parschauer, Kenneth 6106 ....................... 87 Alternatives Inc ....... 71Inc........................... 62 DO........................... 37 Pharm Pharmacy Prohab PhysicalP & R Home IV Service Patel, Arun MD............ 39 6111 ....................... 87 Therapy................... 70Inc........................... 67 Patel, Ashalata MD...... 10 Pharm Pharmacy Promedica HomeP & R Home IV Patel, Madhusudan 6112 ....................... 89 Infusion Pharmacy... 85Service, Inc. ............ 53 MD .......................... 10 Pharm Pharmacy Pruitt, Aaron DC .......... 21Patel, Samir MD .......... 38 6123 ....................... 90<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan Page 97
Pudupakkam, Regional MRI of Toledo Rite Aid Pharmacy....... 84 Sanko, William MD...... 40Ramachandra MD ... 14 Inc........................... 68 Rite Aid Pharmacy....... 85 Sarah Jane LivingPutnam County <strong>Health</strong> Rehman, Syed MD ...... 14 Rizk, Magea MD.......... 15 Center ..................... 75Department ............. 65 Reichardt, Jeffrey Roberts, Sr, James Satyanarayana,Putnam County CNP......................... 18 MD .......................... 14 Shanthi MD ............. 11Homecare................ 66 Reichert, James DO .... 25 Roca, Pedro MD .......... 28 Saunders, Neil DPM .... 46Putnam County Reilly, Peter MD........... 24 Roca, Pedro MD .......... 29 ScarbroughHomeCare & Renick, Michele DMD.. 23 Rodriguez, Jose MD .... 16 Pharmacy ................ 87Hospice ................... 67 Reser, Richard DC....... 20 Rogalski, Francis MD... 10 ScarbroughReser, Richard DC....... 22 Rohrbach, Rebecca Pharmacy ................ 89QRespiratory CNP......................... 12 ScarbroughQuality Primary Care Technologies, Inc..... 53 Rohrer, David MD........ 25 Pharmacy ................ 90dba Fast Track Urgent Respiratory Rohrs, Rita MD.............. 6 Scavo, Vincent MD ...... 17Care ........................ 71 Technologies, Inc..... 54 Rooney, John Do ........... 7 Schaeufele, John MD .. 10Quay Drugs Inc............ 86 Respiratory Rosol, Stanley DO........ 49 Scherger, William MD.. 27Quinter, Paul MD ......... 25 Technologies, Inc..... 55 Ross, Johnathon MD ... 10 Schermerhorn, ClaraRespiratory Rossi, Susan MD ......... 40 MD .......................... 12RTechnologies, Inc..... 56 Roth, Daniel DO........... 44 Schliesser, Jason MD.. 20Rabe, Steven DC ......... 19 Respiratory Roth, Deborah CNP...... 35 Schmerge, WilliamRader, Eric DO............. 13 Technologies, Inc..... 57 Rovner, Marc MD ........ 47 DDS......................... 23Raham, Hythem DC..... 21 Respiratory Roy, Vicki MD................ 6 Schmidt, Clair DO........ 37Rahman, Syed MD ...... 48 Technologies, Inc..... 58 Rump, Anthony DC...... 19 Schniegenberg, GaryRaimonde, Anthony Respiratory Rump, Anthony DC...... 21 MD .......................... 38MD .......................... 26 Technologies, Inc..... 60 Rush, Teresa FNP........ 18 Schniegenberg, GaryRajjoub, Hassan MD .... 32 Respiratory Rusher, Steven DPM ... 45 MD .......................... 39Ralston, Michael MD ... 39 Technologies, Inc..... 61 Rusin, Joseph MD ....... 39 Schniegenberg, GaryRameneni, Anuradha Respiratory Ryan Pharmacy And MD .......................... 40MD .......................... 31 Technologies, Inc..... 62 Orthopedic Supply... 88 Schramm, MelanieRandall, Kelly MD ........ 40 Respiratory Ryan, Charles MD........ 27 DO........................... 11Ranga, Puttagunta Technologies, Inc..... 63 Schreck, Stephen MD.. 40MD .......................... 15 Respiratory SSchreier, Eric MD ........ 44Rao, Upamaka MD ...... 11 Technologies, Inc..... 64 S. A. Maher, Inc. ......... 53 Schroeder, Kelly MD.... 31Rashid, Michael MD .... 49 Rhee, Gil MD ............... 29 S. A. Maher, Inc. ......... 54 Schultz, David MD....... 11Rashid, Michael MD .... 50 Riaz, Hamid MD ............ 8 S. A. Maher, Inc. ......... 55 Schuster, TimothyRasor, Travis DO............ 8 Riaz, Hamid MD .......... 10 S. A. Maher, Inc. ......... 56 MD .......................... 50Ratnasamy, Nathaniel Rich, Mark DC............. 21 S. A. Maher, Inc. ......... 57 Schutz, Robert MD ...... 27MD .......................... 31 Ridgewood Manor ....... 75 S. A. Maher, Inc. ......... 58 Schwann, ThomasRayford, Kristie CPNP .. 10 Riley, Robert DC .......... 21 S. A. Maher, Inc. ......... 59 MD .......................... 50Rays Pharmacy And Rinehart, Gregory DC... 20 S. A. Maher, Inc. ......... 60 Schweighart, RobertWellness Center ...... 86 Rinesmith, Scott MD.... 24 S. A. Maher, Inc. ......... 61 DC........................... 22Read, Elizabeth MD ..... 28 Ringers Drug Store...... 86 S. A. Maher, Inc. ......... 62 SchwietermanRecker-Herman, Ringers Drug Store...... 90 S. A. Maher, Inc. ......... 63 Pharmacy ................ 86Christine CNP .......... 18 Ringers Professional Saad, Michael MD....... 49 SchwietermanRecob, Holly DO ............ 7 Pharmacy ................ 90 Saad, Michael MDPharmacy ................ 88Red Wing Shoes & Rings Pharmacy Inc..... 90 MPH ........................ 10 Sears, ChristopherRepair ..................... 57 Ringwald, Ronald MD.... 5 Saaka, Michael MD ..... 25 MD .......................... 12Reddy, Ramalinga Rioch, Scott MD ............ 7 Saleh, Abdelaziz MD.... 29 Seibert, Nelson DC ...... 21MD .......................... 43 Riordan, Christopher Salpietro, Benjamin Seiwert, Andrew MD ... 50Reddy, Sudesh MD...... 10 MD .......................... 50 MD .......................... 39 Sell, Jerry MD ............. 11Reed, Stephen MD ...... 37 Rite Aid Pharmacy....... 79 Sams Pharmacy .......... 81 Seneca County GeneralReed, Stephen Y MD ... 37 Rite Aid Pharmacy....... 80 Sanchez, Rogelio MD .. 13 <strong>Health</strong> District ......... 65Regional MRI of Toledo Rite Aid Pharmacy....... 81 Sandy, J. MD .............. 11 Sferra, Joseph MD ...... 26Inc........................... 67 Rite Aid Pharmacy....... 82 Sanko, William MD...... 38 Shaffer Pharmacy Inc .. 88Rite Aid Pharmacy....... 83 Sanko, William MD...... 39 Shah, Aamir MD.......... 17Page 98<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan
IndexShah, Aamir MD.......... 49 Solace ......................... 54 St. Rita’s Home Surgery Center atShah, Shirish MD ........ 29 Solace ......................... 55 Infusion ................... 67 Regency Park, LLC .. 52Shaheen, Adel MD....... 15 Solace ......................... 56 St. Rita’s Hospice ........ 67 Sutherland, John DC ... 21Shahid, Agha............... 77 Solace ......................... 57 St. Rita’s Medical Sutherland, StephenShank, Kelly NP........... 35 Solace ......................... 58 Center ..................... 73 MD .......................... 33Shanmugam, Sasikala Solace ......................... 59 Stallkamp, Eric MD........ 5 Sutherland, StephenMD .......................... 31 Solace ......................... 60 Stallkamp, Scott MD.... 27 MD .......................... 34Shannon-Irizarry, Judith Solace ......................... 61 Stallkamp, Vanessa Sutton, Stepphen MD .. 49MD ............................ 5 Solace ......................... 62 MD .......................... 27 Swaim, Robin MD........ 20Shaw & Ott Medical .... 58 Solace ......................... 63 Stanos Jr., Mark Swan Pointe CareShaw & Ott Medical .... 64 Solace ......................... 64 DPM ........................ 45 Center ..................... 75Shaw, John MD........... 25 Solomon, Howard Stark, Michael MD....... 26 Swanson Orthotic &Shearer, Paul DPM ...... 45 MD .......................... 24 Stausmire, Julie CNS... 10 Prosthetic................ 68Shehadeh, Nasfat MD ..... Solomon, Jerrold DC ... 22 Stausmire, Julie CNS... 35 Swanton <strong>Health</strong>care .... 75............................... 30 Soni, Renu MD ............ 36 Steck, Ann MD .............. 7 Swanton Sav-MorSheikh, Farrukh MD .... 14 Spees, Robert DC ........ 19 Stemen, Michael DC.... 19 Drugs ...................... 55Sheikh, Tariq MD......... 24 Spieles, Christopher Stengle, John MD........ 26 Swanton SavmorSheldon, Charles DO ... 10 MD .......................... 39 Stephenson, Jackie Pharmacy ................ 85Shelly, Marion DO ......... 5 Spieles, Todd DC ......... 19 CNM........................ 18 Swanton SavmorShenouda, Mary MD.... 36 Spieles, Zachary DC .... 19 Steurnagel, Joseph Pharmacy ................ 87Shivaprasad, Shetty Spiers, Matt DC........... 19 MD .......................... 23 Swope, Elaine NP ........ 35MD ............................ 7 Spiers, Matt DC........... 22 Steven, James MD ...... 34 Syed, Tauseef MD ....... 49Shriver, Jacqueline Spinal Rehab Stierwalt, Howard Sylvania Pharmacy ...... 87CNP......................... 18 Solutions, Inc. ......... 53 MD .......................... 12 Sylvania PhysicalShriver, Jacqueline Spinal Rehab Stoller, Carrie CNP....... 12 Therapy and SportsCNP......................... 19 Solutions, Inc. ......... 54 Strobel, Glen................ 77 Medicine ................. 70Siddiqui, Siraj MD.......... 6 Spinal Rehab Strubing, Kori NP........... 6 Sylvania UltrasoundSidiq, Mohammad Solutions, Inc. ......... 55 Suarez, William MD..... 42 Institute & Men’sMD .......................... 13 Spinal Rehab Sulier, Sandra NP ........ 35 <strong>Health</strong> Center .......... 67Sidiq, Nazia DO ........... 13 Solutions, Inc. ......... 56 Summers, Robert DO .. 27Sidney Care Center ..... 76 Spinal Rehab SunMed Medical TSiebenaler, Jack MD ..... 8 Solutions, Inc. ......... 57 Systems, LLC .......... 53 Taja, Abdulla MD ......... 24Simons, Michelle DC ... 20 Spinal Rehab SunMed Medical Tam, Christina MD....... 37Simons, Michelle DC ... 22 Solutions, Inc. ......... 58 Systems, LLC .......... 54 Tam, Richard MD......... 37Singh, Parminder MD .. 10 Spinal Rehab SunMed Medical Tao, Stanley MD .......... 36Singh, Shalini DO ........ 24 Solutions, Inc. ......... 59 Systems, LLC .......... 55 Tao, Stanley MD .......... 37Singla, Ramesh MD..... 37 Spinal Rehab SunMed Medical Tapper, Richard MD..... 50Sipe, Eilynn MD........... 26 Solutions, Inc. ......... 60 Systems, LLC .......... 56 Tarabishi, Ridwan MD.. 43Skoskiewicz, Marek Spinal Rehab SunMed Medical Target Pharmacy ......... 83MD, PHD ................. 26 Solutions, Inc. ......... 61 Systems, LLC .......... 57 Target Pharmacy ......... 85Skrzynecki, Debra DC.. 21 Spinal Rehab SunMed Medical Tartaglia, Louis MD ..... 49Sleep Right SG LLC ..... 57 Solutions, Inc. ......... 62 Systems, LLC .......... 58 Tatabishi, Ridwan MD.. 33Smith, Connie DC........ 21 Spinal Rehab SunMed Medical Taylor, Darrin DC......... 20Smith, David MD ......... 43 Solutions, Inc. ......... 63 Systems, LLC .......... 59 Taylor, Darrin DC......... 22Smith, Diane CNP........ 50 SRT Prosthetics & SunMed Medical Taylor, Russell MD....... 49Smith, Jay MD ............ 41 Orthotics LLC .......... 68 Systems, LLC .......... 60 Tegano, Joseph DDS ... 23Smith, Leonard MD ....... 7 St. Anne Mercy SunMed Medical Tegenkamp, MichelleSmith, Lucas DC ......... 22 Hospital................... 73 Systems, LLC .......... 61 CPNP....................... 18Smith, Susan CNM ...... 18 St. Charles Mercy SunMed Medical Temar, Kerry DPM....... 46Snodgrass, Darren Hospital................... 73 Systems, LLC .......... 62 That Special Woman ... 58DC........................... 21 St. George Urgent SunMed Medical That Special Woman ... 68Sodeman, William Care ........................ 72 Systems, LLC .......... 63 The Clinic Pharmacy.... 88MD .......................... 25 St. James Therapy ...... 70 SunMed Medical The Colony Pharmacy,Solace ......................... 53 St. Luke’s Hospital ...... 73 Systems, LLC .......... 64 Inc. dba The Pharmacy<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan Page 99
Counter, Inc............. 58 Direct ...................... 62 Tripuraneni, Ashok Vigesaa, Gregory MD... 15The Drug Store Of The Matrix MD .......................... 36 Vilela, Oswaldo MD ..... 29Perrysburg............... 90 Management Group Triumph Hospital Village Apothecary....... 87The Gardens at dba Signature Medical Lima........................ 68 Village Apothecary....... 89Celina...................... 76 Direct ...................... 63 Tucker, Barbara CNS ... 17 Village Apothecary....... 90The Gardens at The Matrix Tuckers Ottawa Village Pharmacy......... 86Paulding .................. 76 Management Group Pharmacy ................ 89 Village Square Inc. ...... 57The Gardens at St. dba Signature Medical Tuckers Pharmacy ....... 60 VNA ComprehensiveHenry ...................... 76 Direct ...................... 64 Tuckers Pharmacy ....... 89 Services .................. 67The Institute For The Pavilion................. 76 Tumblin, Sheryl CNP...... 5Orthopaedic The Pharmacy Twombly, Joanna DO... 29 WSurgery ................... 73 Counter ................... 87Waggoner, Carl MD ..... 23The Lorain ASC, LP The Pharmacy UWagner, Steven MD..... 24dba Erie Shores Counter ................... 88 Ubunama, Innocent Wagner, Steven MD..... 25Endoscopy Center ... 52 Thiel, Matthew DC....... 22 DO........................... 51 Wainstein, Mark MD.... 50The Matrix Thomas, Janis NP ......... 6 Ugwanyi, Ebere MD..... 15 Wal-Mart Pharmacy..... 79Management Group Thomas, Lorie DO ....... 27 Ugwanyi, Ebere MD..... 17 Wal-Mart Pharmacy..... 80dba Signature Medical Thomas, Richard DC.... 19 Ukiwe, Jonah MD ........ 32 Wal-Mart Pharmacy..... 81Direct ...................... 53 Thompson, Joseph MD.. 8 Ukiwe, Jonah MD ........ 33 Wal-Mart Pharmacy..... 82The MatrixThompson, Joseph Ulrich, Christine CNP ... 12 Wal-Mart Pharmacy..... 83Management Group MD .......................... 10 Underwood, Daniel Wal-Mart Pharmacy..... 84dba Signature Medical Thornton, ThomasMD .......................... 23 Wal-Mart Pharmacy..... 85Direct ...................... 54 MD .......................... 13 United Rehab............... 71 Waldron, Laura MD ....... 5The Matrix Tita, James DO............ 47 United Seating and Walgreen Drug Store ... 79Management Group Tita, James DO............ 48 Mobility ................... 57 Walgreen Drug Store ... 80dba Signature Medical Toledo Hearing and University Of Toledo Walgreen Drug Store ... 81Direct ...................... 55 Speech Center......... 52 Main Campus Walgreen Drug Store ... 82The MatrixToledo Hearing and Pharmacy ................ 88 Walgreen Drug Store ... 83Management Group Speech Center......... 71 Uribes, Anthony MD....... 7 Walgreen Drug Store ... 84dba Signature Medical Toledo Hosp Outpatient Uromed, Inc................. 53 Walgreen Drug Store ... 85Direct ...................... 56 Pharmacy ................ 88 Uromed, Inc................. 54 Walker, Gregory DO..... 50The MatrixToledo Lucas County Uromed, Inc................. 55 Walker, Jonathan md .. 36Management Group <strong>Health</strong> DeptUromed, Inc................. 56 Walsh, Richard MD...... 13dba Signature Medical Pharmacy ................ 88 Uromed, Inc................. 57 Walsh, Thomas MD ..... 49Direct ...................... 57 Toledo Orthopedic Uromed, Inc................. 58 Walt Churchill’s MarketThe Matrix Rehabilitation .......... 71 Uromed, Inc................. 59 & Pharmacy............. 90Management Group Toledo Regional PET Uromed, Inc................. 60 Walton, Michael MD ...... 7dba Signature Medical Scan........................ 68 Uromed, Inc................. 61 Ward, Shawn DPM ...... 45Direct ...................... 58 Toma, Vincent MD ....... 41 Uromed, Inc................. 62 Ware, Theodore MD .... 10The Matrix Tong, Alan MD............. 27 Uromed, Inc................. 63 Wase, Abdul MD,Management Group Total E Medical............ 55FACP, FACC ............. 17Vdba Signature Medical Tracy, Ty DC ................ 21 Washak, Ronald DO..... 44Direct ...................... 59 Tran, Kha MD ................ 6 V.N.A. Comprehensive Washburn, FrankThe Matrix Tran, Kha MD ................ 7 Services, Inc. .......... 66 DPM ........................ 46Management Group Trax, Timothy DC......... 21 Van Arsdel, Gina DC .... 21 Waterford Commons.... 75dba Signature Medical Tremains, Michael Van Wert <strong>Health</strong>........... 76 Waters, Scott MD .......... 7Direct ...................... 60 MD .......................... 39 Vandehey, Tricia DO ...... 6 Wehrmeister, JohnThe Matrix Trent, Cynthia CNP ...... 18 Vergara, Wilfredo MD .. 42 MD .......................... 10Management Group Tri State Inc dba Tri- Vichinsky, Lewis Weigand, Truman MD.. 25dba Signature Medical State MedicalDPM ........................ 45 Weingates, JosephDirect ...................... 61 Supply..................... 55 Vichinsky, Lewis MD .......................... 27The Matrix Trimpey, Randy MD..... 13 DPM ........................ 46 Weir, Norman MD........ 40Management Group Triplett, Stephens MD.. 27 Vichinsky, Lewis Wellman, Cynthia MD.. 40dba Signature MedicalDPM ........................ 47 Wellman, Linda NP ...... 11Page 100<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan
IndexWelt, Ionel MD............. 10XWentz, Mark MD ......... 10West Central Ohio X-Ray Associates Inc... 67Surgery & EndoscopyX-Ray Associates Inc... 68Center ..................... 52YWest Central Yanik, Michael MD....... 44Pharmacy ................ 85 Yarkosky, Erin CNP...... 18Westfall, John MD ....... 40 Yoder FamilyWestside Urgent Care.. 72 Pharmacy ................ 87Whalen, Ralph MD....... 50 Young, Mark MD.......... 10Wheeler, Michael DC... 19 Young, Wade MD......... 37Wheeler, Robert MD .... 31 Young, William MD ...... 35Wheeler, Robert MD .... 32 Yuhas, John DO........... 12White, Benjamin DO .... 29White, Benjamin DO .... 30ZWhite, Patrick MD ....... 26 Zacharias, Anoar MD... 50Whitehouse Zack, David DO ........... 24Apothecary.............. 88 Zack, David DO ........... 25Wical, Shelden DO......... 5 Zadeh, Barry MD ......... 16Wiecek, Rick MD......... 26 Zake, Jerome .............. 77Wieser, Michael MD .... 38 Zakelj, Mary MD............ 5Wieser, Michael MD .... 39 Zeiler, Alean MD.......... 10Wieser, Michael MD .... 40 Zelinka, Agnes DC....... 19Wiley, Todd MD ........... 11 Zellner Pharmacy......... 89Wiley, Todd MD ........... 24 Zimmerman, Janis MD.. 8Wilkinson, Khase Zimmerman, JanisDPM ........................ 46 MD .......................... 10Wilson Orthopedic & Zollinger, Charles MD.. 33Sport PT.................. 70Wilson, Jeffrey MD ...... 46Winerman, Mark MD ..... 5Wise, Stephen DC ....... 21Witt, David DPM .......... 46Witt, Sandra DPM........ 47Witwer, Thomas DC..... 22Wojeciechowski,Thomas MD............. 13Wolery, J. MD ............. 32Wolfe, James MD ........ 41Wolters, Nancy CNP..... 11Wonderly, Mary MD..... 12Wood CountyHospital................... 74Wray, Jocelyn MD ....... 44Wright & Filippis.......... 58Wright & Filippis.......... 66Wright, Jonathan MD .. 26Wyandot CountyGeneral <strong>Health</strong>District .................... 65Wyandot County Home<strong>Health</strong> Agency ......... 67<strong>2011</strong> <strong>Advantage</strong> by Buckeye Community <strong>Health</strong> Plan Page 101
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