2012 Provider Directory - Medicare Advantage - Buckeye ...
2012 Provider Directory - Medicare Advantage - Buckeye ...
2012 Provider Directory - Medicare Advantage - Buckeye ...
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H0908_MEM012_007 File and Use 09/20/2011<br />
<strong>2012</strong> <strong>Provider</strong> <strong>Directory</strong><br />
Northwest Region
<strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan<br />
HMO SNP Plan<br />
<strong>Provider</strong> <strong>Directory</strong><br />
This directory provides a list of <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan’s<br />
(<strong>Buckeye</strong>’s) network providers.<br />
This directory is for the Northwest Region, including the following counties: Allen,<br />
Auglaize, Defiance, Fulton, Hancock, Hardin, Henry, Lucas, Putnam, Sandusky,<br />
Seneca, Van Wert, Williams, and Wood.<br />
This directory is current as of October 1, 2011. Some network providers may have<br />
been added or removed from our network after this directory was printed. We do not<br />
guarantee that each provider is still accepting new members. To get the most up-todate<br />
information about <strong>Buckeye</strong>’s network providers in your area, you can visit<br />
http://advantage.bchpohio.com or call our Member Service Department at 866-389-<br />
7690, Monday – Sunday, 8:00am – 8:00pm. TTY users should call 800-750-0750.<br />
Note: All providers in this directory accept fee-for-service Medicaid. As a member<br />
with full Medicaid, you should not have to pay anything for medical care. If a provider is<br />
asking you to pay, make sure they have a copy of both your <strong>Buckeye</strong> <strong>Advantage</strong> ID<br />
card and your Ohio Medicaid ID card – they will need to bill us for any <strong>Medicare</strong>covered<br />
services and Medicaid for any Medicaid-covered services (including your<br />
<strong>Medicare</strong> copays and coinsurance).<br />
<strong>Buckeye</strong> is a Coordinated Care plan with a <strong>Medicare</strong> <strong>Advantage</strong> contract and a contract<br />
with the Ohio Medicaid program.<br />
This information is available for free in other languages. Please contact our Member<br />
Services number at 888-389-7690 for additional information.
Section 1 – Introduction<br />
This directory provides a list of <strong>Buckeye</strong>’s network providers. To get detailed<br />
information about your health care coverage, please see your Evidence of Coverage.<br />
You will have to choose one of our network providers who are listed in this directory to<br />
be your Primary Care <strong>Provider</strong> (PCP). The term “PCP” will be used throughout this<br />
directory. Generally, you must get your health care coverage from your PCP.<br />
The “network providers” listed in this directory have agreed to provide you with your<br />
health care coverage. You may go to any of our network providers listed in this<br />
directory; however, some services may require a referral. If you have been going to one<br />
network provider, you are not required to continue going to that same provider. In some<br />
cases, you may get covered services from non-network providers.<br />
If you receive a bill from a non-contracted provider (out of network provider) for services<br />
rendered, do not pay the bill. Please forward the bill to our Member Services<br />
Department at 175 S. Third St., Columbus, OH 43215 or fax to 866-719-5435. We will<br />
review the bill and determine if you have any financial liability. We will notify you of any<br />
financial liability.<br />
Emergency care can always be obtained in or out of the service area from the nearest<br />
available provider. When in the service area you must use plan providers for urgent<br />
care. When out of the service area, urgent care may be obtained from the first available<br />
provider. In addition, when out of the service area you can obtain dialysis treatment<br />
from any qualified dialysis provider. If you obtain routine care from out-of-network<br />
providers neither <strong>Medicare</strong> nor <strong>Buckeye</strong> will be responsible for the costs.<br />
What is the service area for <strong>Buckeye</strong>?<br />
The counties in our service area are listed below.<br />
• Allen • Hancock • Sandusky<br />
• Ashtabula • Hardin • Seneca<br />
• Auglaize • Henry • Stark<br />
• Brown • Huron • Summit<br />
• Clermont • Lake • Tuscarawas<br />
• Cuyahoga • Lorain • Van Wert<br />
• Defiance • Lucas • Warren<br />
• Erie • Medina • Wayne<br />
• Fulton • Portage • Williams<br />
• Hamilton • Putnam • Wood
How do you find <strong>Buckeye</strong> providers in your area?<br />
The provider directory is organized by type of provider, then by county, and city. Look<br />
for the type of provider first (PCP, specialist), then look for your county and city to find a<br />
provider close to your area.
TABLE OF CONTENTS<br />
Primary Care <strong>Provider</strong>s ...................................................................................<br />
Page<br />
5<br />
Specialists ....................................................................................................... 13<br />
Allergy & Immunology.................................................................................. 13<br />
Cardiology.................................................................................................... 13<br />
Certified Nurse Practitioner ......................................................................... 16<br />
Gastroernterology ........................................................................................ 19<br />
Internal Medicine ......................................................................................... 21<br />
Obstetrics & Gynecology............................................................................. 24<br />
Opthamology ............................................................................................... 27<br />
Optometry.................................................................................................... 28<br />
Physical Medicine & Rehabilitation.............................................................. 36<br />
Podiatry........................................................................................................ 37<br />
Surgery, General .......................................................................................... 41<br />
Dental .............................................................................................................. 46<br />
Ancillary <strong>Provider</strong>s........................................................................................... 63<br />
Ambulatory Surgery Center ......................................................................... 63<br />
Audiology (Hearing)...................................................................................... 63<br />
Dialysis......................................................................................................... 63<br />
Durable Medical Equipment ........................................................................ 63<br />
Health Department....................................................................................... 65<br />
Home Health................................................................................................ 66<br />
Laboratory.................................................................................................... 67<br />
Physical Medicine & Rehabilitation.............................................................. 68<br />
Radiology/Diagnostic Imaging..................................................................... 69<br />
Transportation .............................................................................................. 70<br />
Urgent Care.................................................................................................. 70<br />
Hospitals.......................................................................................................... 71<br />
Skilled Nursing Facilities ................................................................................. 73<br />
Outpatient Mental Health <strong>Provider</strong>s................................................................ 75<br />
Pharmacies...................................................................................................... 77<br />
Index................................................................................................................ 94<br />
If you have questions about <strong>Buckeye</strong> or require assistance in selecting a PCP, please call our<br />
Member Service Department at 866-389-7690, 8:00am-8:00pm Monday - Sunday. TTY users<br />
should call 800-750-0750. Or, visit http://advantage.bchpohio.com.
Section 2 – List of Plan <strong>Provider</strong>s<br />
Primary Care <strong>Provider</strong>s<br />
Family Medicine Gaynier, Chrstine R. MD<br />
750 W High St<br />
Morris, Susan MD<br />
1003 Bellefontaine Ave<br />
Horman, Deron L. MD<br />
1007 W Auglaize St<br />
Allen County Ste 390 Ste 125 Wapakoneta, OH 45895<br />
Bluffton<br />
Lima, OH 45801<br />
419-996-2500<br />
Lima, OH 45804<br />
419-998-8205<br />
419-738-9601<br />
Shelly, Marion I. DO<br />
132 Garau St<br />
Bluffton, OH 45817<br />
419-358-5916<br />
Ingalls, Connie S. MD<br />
920 W Market St<br />
Lima, OH 45804<br />
419-227-7770<br />
Mueller, Mark T. MD<br />
951 Commerce Parkway<br />
Ste 100<br />
Lima, OH 45804<br />
Jose, Mathew M. MD<br />
1015 S Blackhoof St<br />
Wapakoneta, OH 45895<br />
419-738-3317<br />
419-224-5915 Kaufman, Susan M. DO<br />
Cridersville Kuchipudi, Vijaya L. MD 1251 Lincoln Ave<br />
750 W High St Mumaw, Valerie A. NP Wapakoneta, OH 45895<br />
Cunningham, Frank E. Ste 300 441 E 8th St 419-738-5151<br />
MD Lima, OH 45801 Lima, OH 45804<br />
306 Reichelderfer Rd<br />
Cridersville, OH 45806<br />
419-227-5864 419-221-3072 Crawford County<br />
419-645-4140 Leahy, William J. MD<br />
825 S Cable Rd<br />
Parranto, Greg B. MD<br />
441 E 8th St<br />
Crestline<br />
Lima<br />
Aggarwal, Manu B. MD<br />
2765 Ft. Amanda Rd<br />
Ste 200<br />
Lima, OH 45805<br />
419-227-4472<br />
Foreign Language(s):<br />
Hindi<br />
Aggarwal, Manu B. MD<br />
825 S Cable Rd<br />
Unit A<br />
Lima, OH 45805<br />
419-224-1234<br />
Foreign Language(s):<br />
Hindi<br />
Baldauf, Frank M. MD<br />
1005 Bellefontaine Ave<br />
Ste 100<br />
Lima, OH 45804<br />
419-998-8205<br />
Bauldauf, Frank M. MD<br />
1005 Bellefontaine Ave<br />
Ste 100<br />
Lima, OH 45804<br />
419-227-5298<br />
Curry, Robert I. MD<br />
658 W Market St<br />
Ste 111<br />
Lima, OH 45801<br />
419-222-7010<br />
Unit A<br />
Lima, OH 45805<br />
419-224-1234<br />
Martz, Michael D. DO<br />
825 W Market St<br />
Ste 205<br />
Lima, OH 45805<br />
419-996-5780<br />
McNamara, Bonnie L.<br />
MD<br />
1003 Bellefontaine Ave<br />
Ste 125<br />
Lima, OH 45801<br />
419-998-8205<br />
Melvin, Staci V. NP<br />
441 E 8th St<br />
Lima, OH 45804<br />
419-221-3072<br />
Monroe, Melvin MD<br />
939 W Market St<br />
Lima, OH 45805<br />
419-996-5077<br />
Monroe, Melvin MD<br />
967 Bellefontaine Ave<br />
Ste 201<br />
Lima, OH 45804<br />
419-996-5077<br />
Lima, OH 45804<br />
419-221-3072<br />
Stallkamp, Eric T. MD<br />
750 W High St<br />
Ste 390<br />
Lima, OH 45801<br />
419-996-2500<br />
Waldron, Laura J. MD<br />
525 N Eastown Rd<br />
Lima, OH 45807<br />
419-998-4699<br />
Auglaize County<br />
Minster<br />
Gill, Robert MD<br />
04463 SR 66 North<br />
Minster, OH 45865<br />
419-628-3821<br />
Wapakoneta<br />
Cunningham, Frank E.<br />
MD<br />
1251 Lincoln Way<br />
Wapakoneta, OH 45895<br />
419-738-5151<br />
Herman, Parmie A. MD<br />
1007 W Auglaize St<br />
Wapakoneta, OH 45895<br />
419-738-9601<br />
Beard, Julie C. MD<br />
330 N Seltzer St<br />
Crestline, OH 44827<br />
419-683-3200<br />
Galion<br />
Blais, Francis X. DO<br />
269 Portland Way South<br />
Galion, OH 44833<br />
419-468-4841<br />
Hanna, John T. MD<br />
270 Portland Way South<br />
Galion, OH 44833<br />
419-468-5999<br />
Wood, Mark A. DO<br />
955 Bucyrus Rd<br />
Galion, OH 44833<br />
419-468-4220<br />
Defiance County<br />
Defiance<br />
Fout, Larry MD<br />
1400 E 2nd St<br />
Defiance, OH 43512<br />
419-784-1414<br />
Okuley, Gary MD<br />
1400 E 2nd St<br />
Defiance, OH 43512<br />
419-784-1414<br />
2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan Page 5
Primary Care <strong>Provider</strong>s Section 2 – List of Plan <strong>Provider</strong>s<br />
Family Medicine<br />
cont.<br />
Underwood, Daniel L.<br />
MD<br />
208 N Columbus St<br />
Jabaly, Georges T. MD<br />
620 W Leggett St<br />
Wauseon, OH 43567<br />
Hardin County<br />
Ada<br />
Defiance County<br />
cont.<br />
Defiance cont.<br />
Osborn, Claire L. DO<br />
1400 E 2nd St<br />
Defiance, OH 43512<br />
419-784-1414<br />
Rohrs, Rita MD<br />
1400 E 2nd St<br />
Defiance, OH 43512<br />
419-784-1414<br />
Hicksville, OH 43526<br />
419-542-7729<br />
Fulton County<br />
Delta<br />
Murtiff, Harry E. DO<br />
6696 US 20a<br />
Delta, OH 43515<br />
419-822-3242<br />
Steck, Ann M. MD<br />
6696 US 20a<br />
419-335-9420<br />
Foreign Language(s):<br />
Arabic<br />
Kamp, Kenton MD<br />
495 S Shoop Ave<br />
Wauseon, OH 43567<br />
419-335-7921<br />
McClarren, Rebecca L.<br />
MD<br />
495 S Shoop Ave<br />
Wauseon, OH 43567<br />
419-335-7921<br />
Kuk, Lawerence J. DO<br />
520 W Lincoln Ave<br />
Ste A<br />
Ada, OH 45810<br />
419-634-4085<br />
Tran, Kha H. MD<br />
520 W Lincoln Ave<br />
Ste A<br />
Ada, OH 45810<br />
419-634-2015<br />
Kenton<br />
Vadada, Padmini MD<br />
1400 E 2nd St<br />
Defiance, OH 43512<br />
419-784-1414<br />
Delta, OH 43515<br />
419-345-3135<br />
Steurnagel, Joseph F.<br />
MD<br />
Music, Ronald E. MD<br />
735 S Shoop Ave<br />
Wauseon, OH 43567<br />
419-335-2663<br />
Smith, Leonard K. MD<br />
900 E Franklin<br />
Kenton, OH 43226<br />
419-674-4036<br />
Vandehey, Tricia DO<br />
1400 E 2nd St<br />
Defiance, OH 43512<br />
419-784-1414<br />
101 Adrian St<br />
Delta, OH 43515<br />
419-822-4532<br />
Fayette<br />
Uribes, Anthony G. MD<br />
128 Depot St<br />
Wauseon, OH 43567<br />
419-335-3624<br />
Wesson, Paul D. DO<br />
75 Washington Blvd<br />
Ste 101<br />
Kenton, OH 43326<br />
419-675-1962<br />
Edgerton<br />
Kooistra, Michael MD<br />
104 S West St<br />
Edgerton, OH 43517<br />
419-298-2458<br />
Hicksville<br />
Music, Ronald E. MD<br />
124 W Main St<br />
Fayette, OH 43521<br />
419-335-2663<br />
Wauseon<br />
Felix, Charles G. MD<br />
Hancock County<br />
Arlington<br />
Walton, Michael E. MD<br />
906 N Main St<br />
Arlington, OH 45814<br />
419-365-5153<br />
Mt Victory<br />
Recob, Holly R. DO<br />
460 S Main St<br />
Mt Victory, OH 43340<br />
937-354-2027<br />
Blad, Denise E. MD<br />
208 N Columbus St<br />
Hicksville, OH 43526<br />
725 S Shoop Ave<br />
Wauseon, OH 43567<br />
419-335-2015<br />
Findlay<br />
Aggarwal, Manu B. MD<br />
Henry County<br />
Deshler<br />
419-542-5599<br />
Johnson, Duane P. DO<br />
208 N Columbus St<br />
Hicksville, OH 43536<br />
Grieser, Richard MD<br />
495 S Shoop Ave<br />
Wauseon, OH 43567<br />
419-335-7921<br />
2459 S Main St<br />
Findlay, OH 45840<br />
419-227-4472<br />
Foreign Language(s):<br />
Hindi<br />
Hicks, Carol J. MD<br />
141 N Keyser St<br />
Deshler, OH 43516<br />
419-278-2065<br />
419-542-5484<br />
Miller, Laverne L. MD<br />
208 Columbus St<br />
Hicksville, OH 43526<br />
Issa, Ramon A. MD<br />
725 S Shoop Ave<br />
Wauseon, OH 43567<br />
419-882-3242<br />
Iboaya, Iyabo A. MD<br />
655 Fox Run Rd<br />
Ste E<br />
Findlay, OH 45840<br />
Marshall, Lora R. DO<br />
141 N Keyser Ave<br />
Deshler, OH 43516<br />
419-353-6225<br />
419-542-7718 419-224-0815<br />
Page 6 2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan
Section 2 – List of Plan <strong>Provider</strong>s<br />
Primary Care <strong>Provider</strong>s<br />
Family Medicine<br />
cont.<br />
Maumee<br />
Croci, John M. MD<br />
Oregon<br />
Adil, Jahangir MD<br />
Vega, Patricia M. MD<br />
3458 Navarre<br />
Oregon, OH 43616<br />
Henry County cont. 5705 Monclova Rd 2702 Navarre Ave 419-698-9001<br />
Napoleon<br />
Maumee, OH 43537<br />
419-893-3321<br />
Ste 206<br />
Oregon, OH 43616 Vild, Susan L. NP<br />
Gensolin, Dexter MD<br />
11644 State Rte 424<br />
Ste 107<br />
Napoleon, OH 43545<br />
419-592-0800<br />
Grego, Gary MD<br />
1426 N Scott St<br />
Napoleon, OH 43545<br />
419-599-5600<br />
Losey, Thomas MD<br />
1426 N Scott St<br />
Napoleon, OH 43545<br />
419-599-5600<br />
McMaster, Anna M. MD<br />
11644 State Rte 424<br />
Ste 101<br />
Napoleon, OH 43545<br />
419-592-8774<br />
Daiber, Robert R. MD<br />
111 Clinton St<br />
Maumee, OH 43537<br />
419-893-7671<br />
Hasan, Irshad I. MD<br />
5109 Monclova Rd<br />
Maumee, OH 43537<br />
419-893-5968<br />
Heizelman, Robert J.<br />
MD<br />
1657 Holland Rd<br />
Ste A<br />
Maumee, OH 43537<br />
419-794-2180<br />
Miller, Brian K. MD<br />
5705 Monclova Rd<br />
Maumee, OH 43537<br />
419-893-3321<br />
419-696-6000<br />
Baldwin, Tanya R. MD<br />
2737 Navarre Ave<br />
Ste 204<br />
Oregon, OH 43616<br />
419-696-1515<br />
Bertka, Kenneth R. MD<br />
2702 Navarre Ave<br />
Ste 206<br />
Oregon, OH 43616<br />
419-251-1400<br />
Farooq, Shabana MD<br />
2702 Navarre Ave<br />
Ste 206<br />
Oregon, OH 43616<br />
419-696-6000<br />
Hafeez, Nazima S. MD<br />
2702 Navarre Ave<br />
2815 Dustin Rd<br />
Ste C<br />
Oregon, OH 43616<br />
419-691-6781<br />
Perrysburg<br />
Bazeley, Stephen P. MD<br />
28555 Starbright Blvd<br />
Ste A<br />
Perrysburg, OH 43551<br />
419-887-8771<br />
Espinoza, Nicholas G.<br />
DO<br />
28555 Starbright Blvd<br />
Ste A<br />
Perrysburg, OH 43551<br />
419-887-8771<br />
Toledo<br />
Logan County<br />
Bellefontaine<br />
Aggarwal, Manu B. MD<br />
120 Dowell Ave<br />
Bellefontaine, OH 43311<br />
419-227-4472<br />
Foreign Language(s):<br />
Hindi<br />
Lucas County<br />
Holland<br />
Peyton, Joseph S. DO<br />
111 Clinton St<br />
Maumee, OH 43537<br />
419-893-7671<br />
Pineda, Joy H. MD<br />
5705 Monclova Rd<br />
Maumee, OH 43537<br />
419-893-3321<br />
Rasor, Travis E. DO<br />
5705 Monclova Rd<br />
Maumee, OH 43537<br />
419-893-3321<br />
Ste 206<br />
Oregon, OH 43616<br />
419-696-6000<br />
Riaz, Hamid Q. MD<br />
2702 Navarre Ave<br />
Ste 206<br />
Oregon, OH 43616<br />
419-251-1400<br />
Siebenaler, Jack G. MD<br />
3232 Navarre Ave<br />
Oregon, OH 43616<br />
419-691-0636<br />
Adil, Jahangir MD<br />
2200 Jefferson Ave<br />
Toledo, OH 43604<br />
419-251-1400<br />
Andrabi, Imran A. MD<br />
2200 Jefferson Ave<br />
Toledo, OH 43604<br />
419-251-1400<br />
Andrabi, Imran A. MD<br />
635 N Erie St<br />
Toledo, OH 43624<br />
419-251-1400<br />
Guibord, Roberta J. DO<br />
329 Oak Terrace<br />
Holland, OH 43528<br />
419-213-6253<br />
Saad, Michael W. MD<br />
1657 Holland Rd<br />
Ste A<br />
Maumee, OH 43537<br />
Sigler, Kristi R. MD<br />
2815 Dustin Rd<br />
Ste C<br />
Oregon, OH 43616<br />
419-691-6781<br />
Baldwin, Tanya R. MD<br />
1020 Varland Ave<br />
Toledo, OH 43605<br />
419-696-1515<br />
419-794-2180<br />
Singh, Shalini S. DO<br />
5757 Monclova Rd<br />
Ste 11<br />
Thompson, Joseph B.<br />
MD<br />
2702 Navarre Ave<br />
Ste 206<br />
Bertka, Kenneth R. MD<br />
2200 Jefferson Ave<br />
Toledo, OH 43604<br />
419-251-1400<br />
Maumee, OH 43537 Oregon, OH 43616<br />
419-893-5911 419-696-6000<br />
2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan Page 7
Primary Care <strong>Provider</strong>s Section 2 – List of Plan <strong>Provider</strong>s<br />
Family Medicine<br />
cont.<br />
Jabaly, Georges T. MD<br />
6605 W Central Ave<br />
Toledo, OH 43617<br />
Riaz, Hamid MD<br />
635 N Erie St<br />
Toledo, OH 43624<br />
Schramm, Melanie A.<br />
DO<br />
950 S Main St<br />
Lucas County cont. 419-843-7701 419-213-4266 Ste 6<br />
Toledo cont.<br />
Foreign Language(s):<br />
Arabic Saad, Michael W. MD<br />
Celina, OH 45822<br />
419-586-1722<br />
Bodkin, Kevin S. DO<br />
2200 Jefferson Ave<br />
Toledo, OH 43604<br />
419-251-1400<br />
Jabaly, Georges T. MD<br />
905 Nebraska Ave<br />
Toledo, OH 43602<br />
419-255-4050<br />
2755 Shoreland Ave<br />
Toledo, OH 43611<br />
419-479-7000<br />
Thompson, Joseph B.<br />
Wolters, Nancy L. NP<br />
801 Pro Dr A<br />
Celina, OH 45822<br />
419-586-3113<br />
Fairchild, Darlene S. MD<br />
6800 W Central Ave<br />
Ste K<br />
Toledo, OH 43617<br />
419-861-7600<br />
Farooq, Shabana MD<br />
2200 Jefferson Ave<br />
Toledo, OH 43604<br />
419-251-1400<br />
Farooq, Shabana MD<br />
635 N Erie St<br />
Toledo, OH 43624<br />
419-213-4266<br />
Farooq, Shabana MD<br />
732 South Ave<br />
Toledo, OH 43609<br />
419-335-2015<br />
Foreign Language(s):<br />
Arabic<br />
Johnson, Larry W. MD<br />
2801 W Bancroft St<br />
Toledo, OH 43606<br />
419-350-3451<br />
McClarren, Rebecca L.<br />
MD<br />
2801 W Bancroft St<br />
Toledo, OH 43606<br />
419-350-3451<br />
McClarren, Rebecca L.<br />
MD<br />
3000 Arlington Ave<br />
Toledo, OH 43614<br />
419-383-3000<br />
Ott, Thomas E. MD<br />
MD<br />
2200 Jefferson Ave<br />
Toledo, OH 43604<br />
419-251-1400<br />
Thompson, Joseph B.<br />
MD<br />
430 Nebraska Ave<br />
Toledo, OH 43604<br />
419-255-7883<br />
Uddaraju, Maithry MD<br />
723 Phillips Ave<br />
Bldg A Ste 201<br />
Toledo, OH 43612<br />
419-476-2124<br />
Wentz, Mark A. MD<br />
6800 W Central Ave<br />
Ste K<br />
Toledo, OH 43617<br />
Fort Recovery<br />
Rohrer, David M. MD<br />
807 Blue Jacket Dr<br />
Fort Recovery, OH 45846<br />
419-375-2112<br />
Ottawa County<br />
Genoa<br />
Odeh, Neiman T. DO<br />
22614 W S Rte 51<br />
Genoa, OH 43430<br />
419-855-7772<br />
Paulding County<br />
Antwerp<br />
Guibord, Roberta J. DO<br />
635 N Erie St<br />
Toledo, OH 43624<br />
419-213-4266<br />
3232 Central Park West<br />
Ste B<br />
Toledo, OH 43617<br />
419-473-6615<br />
419-861-7600<br />
Young, Mark E. MD<br />
1020 Varland Ave<br />
Toledo, OH 43605<br />
Wiley, Todd M. MD<br />
422 W River St<br />
Antwerp, OH 45813<br />
419-258-5795<br />
Hafeez, Nazima S. MD<br />
2200 Jefferson Ave<br />
Toledo, OH 43604<br />
419-696-6000<br />
Hasan, Samina MD<br />
2450 N Reynolds Rd<br />
Ste B<br />
Toledo, OH 43615<br />
419-578-2430<br />
Patel, Madhusudan F.<br />
MD<br />
723 Phillips Ave<br />
Bldg A Ste 201<br />
Toledo, OH 43612<br />
419-476-2124<br />
Peterson, Duane G. MD<br />
2450 N Reynolds Rd<br />
Toledo, OH 43615<br />
419-535-3214<br />
419-696-1515<br />
Zambrano, Nestor P.<br />
MD<br />
905 Nebraska Ave<br />
Toledo, OH 43607<br />
419-255-7883<br />
Mercer County<br />
Celina<br />
Putnam County<br />
Columbus Grove<br />
Sandy, John S. MD<br />
204 Sycamore<br />
Columbus Grove, OH<br />
45830<br />
419-659-2134<br />
Glandorf<br />
Jabaly, Georges T. MD<br />
4126 Holland Sylvania Rd<br />
Ste 104<br />
Toledo, OH 43623<br />
419-472-7755<br />
Riaz, Hamid Q. MD<br />
2200 Jefferson Ave<br />
Toledo, OH 43604<br />
419-251-1400<br />
Aggarwal, Manu B. MD<br />
950 S Main St<br />
Celina, OH 45822<br />
419-227-4472<br />
Foreign Language(s):<br />
Hindi<br />
Klass, Mandy A. MD<br />
601 State Rte 224<br />
Glandorf, OH 45848<br />
419-538-7330<br />
Page 8 2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan
Section 2 – List of Plan <strong>Provider</strong>s<br />
Primary Care <strong>Provider</strong>s<br />
Family Medicine<br />
cont.<br />
Naderer, Marc A. MD<br />
402 W McPherson Hwy<br />
Clyde, OH 43410<br />
Stierwalt, Howard MD<br />
2575 Hayes Ave<br />
Ste 3<br />
Uribes, Anthony G. MD<br />
442 W High St<br />
Bryan, OH 43506<br />
Putnam County cont. 419-547-0340 Fremont, OH 43420 419-636-4517<br />
Ottoville<br />
Knerr, Joel D. MD<br />
290 E 3rd St<br />
Ottoville, OH 45876<br />
419-453-3321<br />
Sandusky County<br />
Bellevue<br />
Aichholz, Lisa J. NP<br />
1400 W Main St<br />
Bellevue, OH 44811<br />
419-483-4040<br />
House, Charles P. DO<br />
521 N Sandusky<br />
Bellevue, OH 44811<br />
419-484-7700<br />
Clyde<br />
Fremont<br />
Brown, Frank MD<br />
1916 Glen Springs Dr<br />
Fremont, OH 42420<br />
419-332-4223<br />
Defrance, David T. MD<br />
2265 Hayes Ave<br />
Fremont, OH 43420<br />
419-332-2616<br />
Diller, Jonathan F. MD<br />
2575 Hayes Ave<br />
Ste 4<br />
Fremont, OH 43420<br />
419-332-9978<br />
Furlong, Dennis G. DO<br />
2265 Haynes Ave<br />
Fremont, OH 43420<br />
419-332-2616<br />
419-332-7371<br />
Wonderly, Mary MD<br />
2575 Hayes Ave<br />
Fremont, OH 43420<br />
419-332-3560<br />
Seneca County<br />
Old Fort<br />
Edgar, Philip A. MD<br />
8153 Main St<br />
Old Fort, OH 44861<br />
419-992-4231<br />
Tiffin<br />
Drummond, Brenda L.<br />
NP<br />
486 W Perry St<br />
Tiffin, OH 44883<br />
419-455-8140<br />
Wood County<br />
Bowling Green<br />
Bell, D Wayne MD<br />
1037 Conneaut Ave<br />
Ste 206<br />
Bowling Green, OH 43402<br />
419-353-6225<br />
Horrigan, Elizabeth A.<br />
MD<br />
1215 Ridgewood Dr<br />
Ste B<br />
Bowling Green, OH 43402<br />
419-352-9071<br />
Kuebeck, Edelbert J.<br />
MD<br />
1052 W Wooster St<br />
Bowling Green, OH 43402<br />
419-354-3921<br />
Aichholz, Lisa J. NP<br />
402 W McPherson Hwy<br />
Clyde, OH 43410<br />
419-483-4040<br />
Haynes, Heather A. MD<br />
2265 Haynes Ave<br />
Fremont, OH 43420<br />
419-332-2616<br />
Masood, Naghmana MD<br />
486 W Perry St<br />
Tiffin, OH 44883<br />
419-448-7653<br />
Machanda, Sean D. MD<br />
1215 Ridgewood Dr<br />
Ste B<br />
Bowling Green, OH 43402<br />
419-352-9071<br />
Aona Iii, Francis MD<br />
819 N Main St<br />
Clyde, OH 43410<br />
419-547-0200<br />
Brown, Jennifer L. MD<br />
455 McPherson Hwy<br />
Clyde, OH 43410<br />
419-547-8555<br />
Herring, Daniel A. DO<br />
Hiestand, John J. MD<br />
2575 Hayes Ave<br />
Ste 1<br />
Fremont, OH 43420<br />
419-332-1551<br />
Hoelzle, Mark R. MD<br />
1916 Glen Springs Dr<br />
Fremont, OH 43420<br />
419-332-4648<br />
Wauseon<br />
Issa, Ramon A. MD<br />
425 S Shoop Ave<br />
Wauseon, OH 43567<br />
419-337-9990<br />
Williams County<br />
Bryan<br />
Morris, Heidi A. DO<br />
1039 Haskins Rd<br />
Ste A<br />
Bowling Green, OH 43402<br />
419-352-1121<br />
Noftz Ii, Jeffrey B. MD<br />
1039 Haskins Rd<br />
Bowling Green, OH 43402<br />
419-352-1121<br />
420 W McPherson Way<br />
Clyde, OH 43410<br />
519-547-0584<br />
House, Charles P. DO<br />
420 W. McPherson Hwy<br />
Clyde, OH 43410<br />
419-547-0584<br />
Mauric, John M. DO<br />
605 3rd Ave<br />
Bldg B Ste D<br />
Fremont, OH 43420<br />
419-355-8070<br />
Carrico, Virgil MD<br />
442 W High St<br />
Bryan, OH 43506<br />
419-636-4517<br />
Hagerman, Kimberly L.<br />
MD<br />
442 W High St<br />
Bryan, OH 43506<br />
419-636-4517<br />
Power, Kenneth H. MD<br />
970 W Wooster St<br />
Ste 130<br />
Bowling Green, OH 43402<br />
419-352-9461<br />
Sanchez, Rogelio A. MD<br />
960 W Wooster St<br />
Bowling Green, OH 43402<br />
419-354-8832<br />
2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan Page 9
Primary Care <strong>Provider</strong>s Section 2 – List of Plan <strong>Provider</strong>s<br />
Family Medicine<br />
cont.<br />
Heizelman, Robert J.<br />
MD<br />
1103 Village Square Dr<br />
Fulton County<br />
Delta<br />
Auglaize County<br />
New Bremen<br />
Wood County cont.<br />
Bowling Green cont.<br />
Ste 202<br />
Perrysburg, OH 43551<br />
419-872-3242<br />
Phillips Jr, Dexter DO<br />
6696 US 20a<br />
Delta, OH 43515<br />
Puttagunta, Ranga MD<br />
3920 Southland Rd<br />
New Bremen, OH 45869<br />
Sidiq, Nazia Y. DO<br />
1039 Haskins Rd<br />
Ste A<br />
Bowling Green, OH 43402<br />
419-352-1121<br />
Jeffers, Cheryl L. NP<br />
1103 Village Square Dr<br />
Ste 100<br />
Perrysburg, OH 43551<br />
419-872-3213<br />
419-822-3242<br />
Wauseon<br />
Murtiff, Harry E. DO<br />
419-629-3663<br />
Crawford County<br />
Crestline<br />
Walsh, Richard P. MD<br />
960 W Wooster St<br />
Ste 115<br />
Bowling Green, OH 43402<br />
419-353-6262<br />
Vega, Patricia M. MD<br />
28555 Starbright Blvd<br />
Unit 2<br />
Perrysburg, OH 43551<br />
419-698-9001<br />
606 Shoop Ave<br />
Wauseon, OH 43567<br />
419-325-2015<br />
Wood County<br />
Lee, Andrew J. MD<br />
385 N Seltzer St<br />
Ste 3<br />
Crestline, OH 44827<br />
419-468-0449<br />
North Baltimore<br />
Coates, John T. DO<br />
209 Briarhill Rd<br />
Ste A<br />
North Baltimore, OH<br />
45872<br />
Rossford<br />
Hasan, Irshad I. MD<br />
930 Dixie Hwy<br />
Rossford, OH 43460<br />
419-666-6682<br />
Bowling Green<br />
Wojciechowski, Edward<br />
J. MD<br />
950 W Wooster St<br />
Ste C<br />
Bowling Green, OH 43402<br />
419-373-4162<br />
Siddiqui, Siraji A. MD<br />
216 W Main St<br />
Crestline, OH 44827<br />
419-683-8041<br />
Galion<br />
419-257-1417<br />
Perrysburg<br />
Carrigan, Catherine G.<br />
MD<br />
1103 Village Square Dr<br />
Ste 202<br />
Perrysburg, OH 43551<br />
419-872-3243<br />
Wyandot County<br />
Upper Sandusky<br />
Thomas, Thornton C.<br />
MD<br />
224 W Johnson St<br />
Upper Sandusky, OH<br />
43351<br />
419-294-5711<br />
Wyandot County<br />
Upper Sandusky<br />
Park, Kyle K. MD<br />
107 Houpt Dr<br />
Upper Sandusky, OH<br />
43351<br />
419-294-5757<br />
Ursachi, Mihai-Liviu MD<br />
269 Portland Way South<br />
Galion, OH 44833<br />
419-468-0596<br />
Foreign Language(s):<br />
Slovak<br />
New Washington<br />
Back, Billy MD<br />
202 W Mansfield St<br />
Cooper, Mark DO<br />
28555 Starbright Blvd<br />
General Practice Internal Medicine New Washington, OH<br />
44854<br />
Ste A<br />
Perrysburg, OH 43551<br />
419-887-8771<br />
Auglaize County<br />
Saint Marys<br />
Allen County<br />
Lima<br />
419-492-1300<br />
Defiance County<br />
Guibord, Roberta J. DO<br />
900 W South Boundary<br />
Ste 3b<br />
Perrysburg, OH 43551<br />
419-872-5556<br />
Dozier, Thomas C. DO<br />
112 Court St<br />
Saint Marys, OH 45885<br />
419-394-2384<br />
Rameneni, Anuradha<br />
MD<br />
939 W Market St<br />
Lima, OH 45805<br />
419-996-5077<br />
Defiance<br />
Bhavsar, Dhananjay V.<br />
MD<br />
1400 E 2nd St<br />
Defiance, OH 43512<br />
419-783-3211<br />
Page 10 2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan
Section 2 – List of Plan <strong>Provider</strong>s<br />
Primary Care <strong>Provider</strong>s<br />
Internal Medicine<br />
cont.<br />
Elhady, Hatem S. MD<br />
368 W Elm St<br />
Wauseon, OH 43567<br />
Maumee<br />
Mattison, Timothy J. MD<br />
Ross, Johnathon S. MD<br />
2213 Franklin Ave<br />
Toledo, OH 43620<br />
Defiance County 419-335-4601 5757 Monclova Rd 419-251-2360<br />
cont. Foreign Language(s): Ste 15<br />
Defiance cont.<br />
Spanish Maumee, OH 43537<br />
419-887-5833<br />
Ware, Theodore J. MD<br />
2213 Franklin Ave<br />
Gaspar, Allen L. MD<br />
1400 E 2nd St<br />
Defiance, OH 43512<br />
419-784-1414<br />
Karatsordis, Stavros DO<br />
1400 E 2nd St<br />
Defiance, OH 43512<br />
419-784-1414<br />
Lenhart, Peter MD<br />
1400 E 2nd St<br />
Defiance, OH 43512<br />
419-784-1414<br />
Roy, Vicki MD<br />
1400 E 2nd St<br />
Defiance, OH 43512<br />
419-784-1414<br />
Fulton County<br />
Frederick, Scott A. MD<br />
447 N Shoop Ave<br />
Wauseon, OH 43567<br />
419-337-7980<br />
Galani, Jayantilal D. MD<br />
447 N Shoop Ave<br />
Wauseon, OH 43567<br />
419-337-7980<br />
Hancock County<br />
Findlay<br />
Mills, Stephen D. DO<br />
200 W Pearl St<br />
Findlay, OH 45840<br />
419-424-0380<br />
Hardin County<br />
Kenton<br />
Oregon<br />
Gad, Mohammad A. MD<br />
2739 Navarre Ave<br />
Ste 304<br />
Oregon, OH 43616<br />
419-693-4400<br />
Foreign Language(s):<br />
Arabic<br />
Toledo<br />
Banerjee, Sunita MD<br />
2213 Franklin Ave<br />
Toledo, OH 43620<br />
419-251-2360<br />
Cifuentes, Douglas I. DO<br />
2213 Franklin Ave<br />
Toledo, OH 43620<br />
419-251-2360<br />
Toledo, OH 43620<br />
419-251-2360<br />
Ware, Theodore J. MD<br />
2409 Cherry St<br />
Ste 207<br />
Toledo, OH 43608<br />
419-251-4696<br />
Wehrmeister, John R.<br />
MD<br />
2213 Franklin Ave<br />
Toledo, OH 43620<br />
419-251-2360<br />
Marion County<br />
Marion<br />
Reddy, Sudesh S. MD<br />
402 South State St<br />
Marion, OH 43302<br />
740-387-0650<br />
Swanton Deshmukh, Murlidhar R. Ho-A-Lim, Fred G. MD<br />
Cockley, Mark MD<br />
1 Turtle Creek Circle<br />
Ste F<br />
Swanton, OH 43558<br />
419-825-5151<br />
Mitchem Walter,<br />
Christina M. MD<br />
1 Turtle Creek Circle<br />
Ste F<br />
Swanton, OH 43558<br />
419-825-5151<br />
Wauseon<br />
MD<br />
15047 St Rt 309<br />
Kenton, OH 43326<br />
419-673-0595<br />
Lucas County<br />
Bowling Green<br />
Sidiq, Mohammad MD<br />
1039 Haskins Rd<br />
Ste A<br />
Bowling Green, OH 43402<br />
419-352-1121<br />
3621 Secor Rd<br />
Toledo, OH 43606<br />
419-474-4942<br />
Foreign Language(s):<br />
Malay<br />
McCormick, Randall P.<br />
MD<br />
2213 Franklin Ave<br />
Toledo, OH 43620<br />
419-251-2360<br />
McCormick, Randall P.<br />
MD<br />
2409 Cherry St<br />
Mercer County<br />
Celina<br />
Holleran, Neal E. MD<br />
208 S Main St<br />
Celina, OH 45822<br />
419-584-1664<br />
Satyanarayana, Shanthi<br />
N. MD<br />
950 S Main St<br />
Ste 2<br />
Celina, OH 45822<br />
419-586-1618<br />
Daboul, Nazar Y. MD<br />
368 W Elm St<br />
Wauseon, OH 43567<br />
419-335-4601<br />
Foreign Language(s):<br />
Arabic<br />
Cleveland Heights<br />
Bradford, Dorothy MD<br />
5 Severance Circle<br />
Ste 205<br />
Cleveland Heights, OH<br />
44118<br />
Ste 207<br />
Toledo, OH 43608<br />
419-251-4696<br />
Orlop, Stanley J. DO<br />
2213 Franklin Ave<br />
Toledo, OH 43620<br />
216-382-3750 419-251-2360<br />
2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan Page 11
Primary Care <strong>Provider</strong>s Section 2 – List of Plan <strong>Provider</strong>s<br />
Cifuentes, Douglas I. DO<br />
Internal Medicine 1103 Village Square Dr<br />
cont.<br />
Ste 100<br />
Sandusky County Perrysburg, OH 43551<br />
419-872-3213<br />
Clyde<br />
Orlop, Stanley J. DO<br />
Yuhas, Jonn DO 1103 Village Square Dr<br />
455 W McPherson Hwy Ste 100<br />
Clyde, OH 43410 Perrysburg, OH 43551<br />
419-547-8555 419-872-3213<br />
Seneca County Sheppard, Rees W. MD<br />
Tiffin<br />
1103 Village Square Dr<br />
Ste 100<br />
Ganesan, Mahamuni MD<br />
23 W Perry St<br />
Perrysburg, OH 43551<br />
419-872-3213<br />
Tiffin, OH 44883<br />
419-448-4171 Women’s Health<br />
Sears, Christopher D.<br />
Defiance County<br />
MD<br />
81 Ashwood Dr<br />
Defiance<br />
Tiffin, OH 44883<br />
419-443-8505<br />
McDonel, Karla J. NP<br />
1400 E 2nd St<br />
Defiance, OH 43512<br />
Wood County 419-784-1414<br />
Bowling Green<br />
Miller, Ronald C. MD<br />
960 W Wooster<br />
Ste 205<br />
Bowling Green, OH 43402<br />
419-352-2105<br />
Park, Chris C. MD<br />
1039 Haskins Rd<br />
Ste A<br />
Bowling Green, OH 43402<br />
419-352-1121<br />
Foreign Language(s):<br />
Korean<br />
Perrysburg<br />
Blood, Jeffery P. DO<br />
1103 Village Square Dr<br />
Ste 100<br />
Perrysburg, OH 43551<br />
419-872-3213<br />
Page 12 2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan
Section 2 – List of Plan <strong>Provider</strong>s<br />
Specialists<br />
Allergy &<br />
Immunology<br />
Nelson, Lois A. MD<br />
2222 Cherry St<br />
Toledo, OH 43608<br />
Cardiology<br />
Allen County<br />
Perona, Philip S. MD<br />
635 W Spring<br />
Lima, OH 45802<br />
Allen County 419-251-8040<br />
Bluffton<br />
419-222-7350<br />
Foreign Language(s):<br />
Lima<br />
Pudupakkam,<br />
Ramachandra K. MD<br />
528 W Market St<br />
Lima, OH 45801<br />
419-224-7056<br />
Rehman, Syed M. MD<br />
830 W High St<br />
Lima, OH 45801<br />
419-227-0087<br />
Suresh, Suri R. MD<br />
528 W Market St<br />
Lima, OH 45801<br />
419-227-4602<br />
Suresh, Suri R. MD<br />
967 Bellefontaine Ave<br />
Lima, OH 45804<br />
419-224-7056<br />
Nelson, Lois A. MD<br />
3454 Oak Alley Ct<br />
Toledo, OH 43606<br />
419-536-1322<br />
Rehman, Syed M. MD<br />
6800 W Central Ave<br />
Toledo, OH 43617<br />
419-843-8815<br />
Foreign Language(s):<br />
Hindi, Urdu<br />
Sandusky County<br />
Fremont<br />
Negrich, Ronald J. MD<br />
2575 Hayes Ave<br />
Fremont, OH 43420<br />
419-333-4000<br />
Roberts, Sr., James C.<br />
Rajjoub, Hassan MD<br />
132 Garau St<br />
Bluffton, OH 45817<br />
419-358-6238<br />
Shaheen, Adel M. MD<br />
132 Garau St<br />
Bluffton, OH 45817<br />
419-358-6238<br />
Lima<br />
Anike, Paul N. MD<br />
1005 Bellefontaine Ave<br />
Lima, OH 45804<br />
419-224-5915<br />
Arabpour, Mehran MD<br />
121 W High St<br />
Lima, OH 45801<br />
419-998-4573<br />
Spanish<br />
Rajjoub, Hassan MD<br />
730 W Makret St<br />
Lima, OH 45801<br />
419-227-3361<br />
Rajjoub, Hassan MD<br />
770 W High St<br />
Lima, OH 45801<br />
419-222-0189<br />
Shaheen, Adel M. MD<br />
730 W Makret St<br />
Lima, OH 45801<br />
419-227-3361<br />
Wolery, J S. MD<br />
730 W Makret St<br />
Lima, OH 45801<br />
419-227-3361<br />
Hancock County<br />
Findlay<br />
Rehman, Syed M. MD<br />
1319 N Main St<br />
Findlay, OH 45840<br />
419-424-0503<br />
Lucas County<br />
Sylvania<br />
Winder, John A. MD<br />
5860 Alexis Rd<br />
Sylvania, OH 43560<br />
419-885-5755<br />
Toledo<br />
Negrich, Ronald J. MD<br />
MD<br />
2575 Hayes Ave Ste 3<br />
Fremont, OH 43420<br />
419-333-4000<br />
Wood County<br />
Bowling Green<br />
Nelson, Lois A. MD<br />
960 Wooster St<br />
Bowling Green, OH 43402<br />
419-353-3666<br />
Roberts, Sr., James C.<br />
MD<br />
960 W Wooster St<br />
Bowling Green, OH 43402<br />
419-824-5067<br />
Bamdad, A. P. MD<br />
121 W High St<br />
Lima, OH 45801<br />
419-998-4573<br />
Foreign Language(s):<br />
French<br />
Jitan, Raed A. MD<br />
830 W High St<br />
Lima, OH 45801<br />
419-996-5852<br />
Kato, Julius A. MD<br />
730 W Market St<br />
Lima, OH 45801<br />
419-996-5852<br />
Kuhns, J R. MD<br />
730 W Makret St<br />
Lima, OH 45801<br />
419-227-3361<br />
Auglaize County<br />
New Bremen<br />
Kakarla, Rajendra MD<br />
3920 Southland Rd<br />
New Bremen, OH 45869<br />
419-629-3663<br />
St. Marys<br />
Anike, Paul N. MD<br />
1134 Hager St<br />
St. Marys, OH 45885<br />
419-394-3387<br />
Battula, Venkat R. MD<br />
1134 Hager St<br />
St. Marys, OH 45885<br />
419-394-3387<br />
Foreign Language(s):<br />
Telugu<br />
5923 Renaissance Place<br />
Toledo, OH 43615<br />
419-824-5067<br />
Monroe, Todd L. MD<br />
967 Bellefontaine Ave<br />
Lima, OH 45804<br />
419-996-5077<br />
Rajjoub, Hassan MD<br />
1001 Knoxville<br />
St. Marys, OH 45885<br />
419-394-0032<br />
2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan Page 13
Specialists Section 2 – List of Plan <strong>Provider</strong>s<br />
Cardiology cont.<br />
Auglaize County<br />
Lucas County<br />
Maumee<br />
Kanaan, Tarif A. MD<br />
4041 Sylvania Ave<br />
Toledo, OH 43623<br />
Sidney<br />
Anike, Paul N. MD<br />
cont.<br />
St. Marys cont.<br />
Rajjoub, Hassan MD<br />
200 St Clair St<br />
St. Marys, OH 45885<br />
419-222-0189<br />
Shaheen, Adel M. MD<br />
1001 Knoxville<br />
St. Marys, OH 45885<br />
419-394-0032<br />
Shaheen, Adel M. MD<br />
200 St Clair St<br />
St. Marys, OH 45885<br />
419-222-0189<br />
Defiance County<br />
Defiance<br />
Gbur, Carolyn MD<br />
5705 Monclova Rd<br />
Maumee, OH 43537<br />
419-794-7700<br />
Gbur, Charles J. MD<br />
5705 Monclova Rd<br />
Maumee, OH 43537<br />
419-794-7700<br />
Sylvania<br />
Hashmi, Raza MD<br />
7640 Sylvania Ave<br />
Sylvania, OH 43560<br />
419-517-8121<br />
Kanaan, Tarif A. MD<br />
7640 W. Sylvania Ave<br />
Sylvania, OH 43560<br />
419-517-8121<br />
419-251-3700<br />
Kosinski, Daniel MD<br />
2409 Cherry St<br />
Toledo, OH 43608<br />
419-251-3700<br />
Kosinski, Daniel MD<br />
4041 Sylvania Ave<br />
Toledo, OH 43623<br />
419-251-3700<br />
Seneca County<br />
Tiffin<br />
Hashmi, Raza MD<br />
470 W Market St<br />
Tiffin, OH 44883<br />
419-251-3700<br />
Kosinski, Daniel MD<br />
915 W Michigan<br />
Sidney, OH 45365<br />
419-224-5915<br />
Arabpour, Mehran MD<br />
915 W Michigan<br />
Sidney, OH 45365<br />
419-224-5915<br />
Bamdad, A. P. MD<br />
915 W Michigan<br />
Sidney, OH 45365<br />
419-224-5915<br />
Foreign Language(s):<br />
French<br />
Battula, Venkat R. MD<br />
915 West Michigan<br />
Sidney, OH 45365<br />
419-224-5915<br />
Foreign Language(s):<br />
Telugu<br />
Kanaan, Tarif A. MD<br />
1400 E 2nd St<br />
Defiance, OH 43512<br />
419-784-1414<br />
Kosinski, Daniel MD<br />
7640 W Sylvania Ave<br />
Sylvania, OH 43560<br />
888-202-5751<br />
470 W Market St<br />
Tiffin, OH 44883<br />
419-251-3700<br />
Shelby County<br />
Van Wert County<br />
Van Wert<br />
Anike, Paul N. MD<br />
Hardin County<br />
Ada<br />
Arabpour, Mehran MD<br />
520 W Lincoln Ave<br />
Ada, OH 45810<br />
866-359-5915<br />
Bamdad, A. P. MD<br />
1494 S Arlington St<br />
Ada, OH 45810<br />
866-359-5915<br />
Foreign Language(s):<br />
French<br />
Tiffin<br />
Kanaan, Tarif A. MD<br />
425 Home St<br />
Tiffin, OH 44883<br />
419-251-3700<br />
Toledo<br />
Hashmi, Raza MD<br />
2409 Cherry St<br />
Toledo, OH 43608<br />
419-251-3700<br />
Hashmi, Raza MD<br />
New Bremen<br />
Bathini, Ramaswamy<br />
MD<br />
800 E. Monroe St<br />
New Bremen, OH 45869<br />
937-832-2425<br />
Foreign Language(s):<br />
Telugu<br />
Broderick, George T.<br />
MD<br />
800 E. Monroe St<br />
New Bremen, OH 45869<br />
937-832-2425<br />
140 Fox Rd<br />
Van Wert, OH 45891<br />
419-224-5915<br />
Arabpour, Mehran MD<br />
140 Fox Rd<br />
Van Wert, OH 45891<br />
419-224-5915<br />
Bamdad, A. P. MD<br />
140 Fox Rd<br />
Van Wert, OH 45891<br />
419-224-5915<br />
Foreign Language(s):<br />
French<br />
Battula, Venkat R. MD<br />
520 W Lincoln Ave<br />
Ada, OH 45810<br />
866-359-5915<br />
Foreign Language(s):<br />
Telugu<br />
4041 Sylvania Ave<br />
Toledo, OH 43623<br />
419-251-3700<br />
Kanaan, Tarif A. MD<br />
2409 Cherry St<br />
Toledo, OH 43608<br />
419-251-3700<br />
Kupper, Thomas E. MD<br />
800 E Monroe St<br />
New Bremen, OH 45869<br />
937-832-2425<br />
Battula, Venkat R. MD<br />
140 Fox Rd<br />
Van Wert, OH 45891<br />
419-224-5915<br />
Foreign Language(s):<br />
Telugu<br />
Page 14 2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan
Section 2 – List of Plan <strong>Provider</strong>s<br />
Specialists<br />
Cardiology cont.<br />
Wood County<br />
Arabpour, Mehran MD<br />
951 Commerce Parkway<br />
Lima, OH 45804<br />
Ugwanyi, Ebere M. MD<br />
951 Commerce Parkway<br />
Lima, OH 45804<br />
Shelby County<br />
New Bremen<br />
Perrysburg<br />
419-224-5915 419-224-5915<br />
Wase, Abdul MD<br />
Bhatia, Raj K. MD<br />
11201 Sandusky St<br />
Perrysburg, OH 43551<br />
419-874-2263<br />
Biswas, Haridas MD<br />
11201 Sandusky Street<br />
Perrysburg, OH 43551<br />
419-874-2263<br />
Cardiovascular<br />
Disease<br />
Allen County<br />
Azouz, Samer MD<br />
730 W Market St<br />
Lima, OH 45801<br />
419-996-5852<br />
Bamdad, A Pierre P. MD<br />
1001 Bellefontaine Ave<br />
Lima, OH 45804<br />
419-998-4573<br />
Battula, Venkat R. MD<br />
1001 Bellefontaine Ave<br />
Lima, OH 45804<br />
419-998-4573<br />
Battula, Venkat R. MD<br />
Auglaize County<br />
St. Marys<br />
Abdelbaki, Zoheir MD<br />
200 St Clair St<br />
St. Marys, OH 45885<br />
937-236-5456<br />
Foreign Language(s):<br />
Arabic<br />
Bamdad, A Pierre P. MD<br />
1134 Hager St<br />
St. Marys, OH 45885<br />
419-394-3387<br />
800 E Monroe St<br />
New Bremen, OH 45869<br />
937-832-2425<br />
Van Wert County<br />
Van Wert<br />
Ugwanyi, Ebere M. MD<br />
140 Fox Rd<br />
Van Wert, OH 45891<br />
419-224-5915<br />
Cardiovascular<br />
Surgery<br />
Bluffton 121 W High St<br />
Lima, OH 45801<br />
Defiance County Allen County<br />
Abdelbaki, Zoheir MD<br />
132 Garau St<br />
Bluffton, OH 45817<br />
937-236-5456<br />
Foreign Language(s):<br />
Arabic<br />
419-998-4573<br />
Battula, Venkat R. MD<br />
951 Commerce Parkway<br />
Lima, OH 45804<br />
419-224-5915<br />
Defiance<br />
Hashmi, Raza MD<br />
1400 E 2nd St<br />
Defiance, OH 43512<br />
866-296-8731<br />
Lima<br />
Fotouhi, Farzin MD<br />
770 W High St<br />
Lima, OH 45801<br />
419-227-7702<br />
Lima<br />
Abdelbaki, Zoheir MD<br />
730 W Makret St<br />
Lima, OH 45801<br />
937-236-5456<br />
Foreign Language(s):<br />
Arabic<br />
Eastway, Robert J. MD<br />
730 W Makret St<br />
Lima, OH 45801<br />
419-996-5852<br />
Jitan, Raed A. MD<br />
730 W Market St<br />
Lima, OH 45801<br />
419-996-5852<br />
Hardin County<br />
Ada<br />
Anike, Paul N. MD<br />
520 W Lincoln Ave<br />
Ada, OH 45810<br />
866-359-5915<br />
Fotouhi, Farzin MD<br />
951 Commerce Parkway<br />
Lima, OH 45804<br />
419-227-7702<br />
Pohl, Ronald L. MD<br />
1005 Bellefontaine Ave<br />
Lima, OH 45804<br />
419-227-7702<br />
Abdelbaki, Zoheir MD<br />
830 W High St<br />
Lima, OH 45801<br />
937-236-5456<br />
Kuhns, J R. MD<br />
1001 Bellefontaine Ave<br />
Lima, OH 45804<br />
419-998-4573<br />
Ugwanyi, Ebere M. MD<br />
520 W Lincoln Ave<br />
Ada, OH 45810<br />
866-359-5915<br />
Pohl, Ronald 1. MD<br />
951 Commerce Parkway<br />
Lima, OH 45804<br />
419-227-7702<br />
Anike, Paul N. MD<br />
1001 Bellefontaine Ave<br />
Lima, OH 45804<br />
419-998-4573<br />
Perona, Philip S. MD<br />
1001 Bellefontaine Ave<br />
Lima, OH 45804<br />
419-998-4573<br />
Putnam County<br />
Glandorf<br />
Eastway, Robert J. MD<br />
Lucas County<br />
Toledo<br />
Arabpour, Mehran MD<br />
1001 Bellefontaine Ave<br />
Lima, OH 45804<br />
419-998-4573<br />
Perona, Philip S. MD<br />
730 W Makret St<br />
Lima, OH 45801<br />
419-227-3361<br />
601 Rt 224<br />
Glandorf, OH 45847<br />
419-996-5852<br />
Durham, Samuel MD<br />
3065 Arlington Ave<br />
Toledo, OH 43614<br />
419-383-5150<br />
2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan Page 15
Specialists Section 2 – List of Plan <strong>Provider</strong>s<br />
Certified Nurse<br />
Midwife<br />
Sandusky County<br />
Fremont<br />
Brown, Lori L. CNP<br />
1005 Bellefontaine Ave<br />
Lima, OH 45804<br />
Rethman, Heather A.<br />
CNP<br />
730 W Market St<br />
Crawford County<br />
Bucyrus<br />
Rumph, Christina K.<br />
CNM<br />
629 N Sandusky Ave<br />
Bucyrus, OH 44820<br />
419-563-9329<br />
Hancock County<br />
Findlay<br />
Lamp, Abby A. CNM<br />
1920 Glen Springs Dr<br />
Fremont, OH 43420<br />
419-333-9026<br />
Seneca County<br />
Tiffin<br />
Smith, Susan M. CNM<br />
1344 W Seneca Ave<br />
Tiffin, OH 44883<br />
419-447-6900<br />
419-227-2727<br />
Good, Maryellen D. CNP<br />
2615 Ft Amanda<br />
Lima, OH 45804<br />
419-225-7300<br />
Harshfield, Melinda S.<br />
CNP<br />
830 W High St<br />
Lima, OH 45801<br />
419-996-5852<br />
Keller, Brenda S. CNP<br />
Lima, OH 45801<br />
419-996-5159<br />
Schroeder, Jan CNP<br />
441 E 8th St<br />
Lima, OH 45804<br />
419-221-3072<br />
Schwaiger, Deborah A.<br />
CNP<br />
441 E 8th St<br />
Lima, OH 45804<br />
419-221-3072<br />
Cole, Shirley D. CNM<br />
1641 N Lake Court<br />
Findlay, OH 45840<br />
419-425-1510<br />
Fintel, Bonnie S. CNM<br />
1917 South Main St<br />
Findlay, OH 45840<br />
419-420-0904<br />
Lucas County<br />
Holland<br />
Augustine, Donna J.<br />
CNM<br />
6135 Trust D<br />
Holland, OH 43528<br />
419-491-0041<br />
Certified Nurse<br />
Practitioner<br />
Allen County<br />
Ada<br />
Knippen, Laurie A. CNP<br />
520 W Lincoln<br />
Ada, OH 45810<br />
419-227-8209<br />
Delphos<br />
Knippen, Laurie A. CNP<br />
1800 E 5th St<br />
Delphos, OH 45833<br />
419-227-8209<br />
2793 Shawnee Rd<br />
Lima, OH 45806<br />
419-227-8209<br />
Knippen, Laurie A. CNP<br />
2793 Shawnee Rd<br />
Lima, OH 45806<br />
419-227-8209<br />
Kretzer, Christy L. CNP<br />
750 W High St<br />
Lima, OH 45801<br />
419-226-4300<br />
Lee, Sharon K. CNP<br />
1005 Bellfontaine Ave<br />
Lima, OH 45804<br />
419-227-5298<br />
McPhail, Jeffrey T. CNP<br />
Schwaiger, Deborah A.<br />
CNP<br />
967 Bellefontaine Ave<br />
Lima, OH 45804<br />
419-996-5077<br />
Tumblin, Sheryl L. CNP<br />
3123 W Elm St<br />
Lima, OH 45805<br />
419-222-8811<br />
Auglaize County<br />
Wapakoneta<br />
Greve, Diana L. CNP<br />
1251 Lincoln Ave<br />
Wapakoneta, OH 45895<br />
419-227-0824<br />
Marion County Lima<br />
803 W Market St<br />
Lima, OH 45805<br />
Defiance County<br />
Marion<br />
Rumph, Christina K.<br />
CNM<br />
1140 Independence Ave<br />
Marion, OH 43302<br />
740-387-2244<br />
Bish, Beth A. CNP<br />
1005 Bellefontaine Ave<br />
Lima, OH 45804<br />
419-998-8230<br />
Brenek, Judy A. CNP<br />
2758 W Market<br />
Lima, OH 45805<br />
419-996-5063<br />
Foreign Language(s):<br />
Albanian<br />
Mueller, Corie R. CNP<br />
830 W High St<br />
Lima, OH 45801<br />
419-222-4045<br />
Defiance<br />
Strubing, Kori L. CNP<br />
1400 E 2nd St<br />
Defiance, OH 43512<br />
419-784-1414<br />
Hancock County<br />
419-224-4646<br />
Brown, Linda M. CNP<br />
770 W High St<br />
Lima, OH 45801<br />
419-996-2686<br />
Reichardt, Jeffrey A.<br />
CNP<br />
770 W High St<br />
Lima, OH 45801<br />
419-331-2225<br />
Defiance<br />
Gooden, Kellee R. CNP<br />
1400 E 2nd St<br />
Defiance, OH 43512<br />
419-782-1414<br />
Page 16 2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan
Section 2 – List of Plan <strong>Provider</strong>s<br />
Specialists<br />
Certified Nurse<br />
Practitioner cont.<br />
Bruhl, Kimberly A. CNP<br />
2213 Cherry St<br />
Toledo, OH 43608<br />
Mauric, Kelli K. CNP<br />
605 3rd Ave<br />
Fremont, OH 43420<br />
Certified Nurse<br />
Specialist<br />
Hancock County 419-251-3114 419-355-8070<br />
Allen County<br />
cont.<br />
Findlay<br />
Walters, Veronica J.<br />
CNP<br />
1800 N Blanchard St<br />
Findlay, OH 45840<br />
419-427-0809<br />
Jacobs, Cheryl A. CNP<br />
2222 Cherry St<br />
Toledo, OH 43608<br />
419-251-8210<br />
Kauffman, Amy E. CNP<br />
4853 Monroe St<br />
Toledo, OH 43623<br />
419-475-4666<br />
Smith, Diane M. CNP<br />
605 3rd Ave<br />
Fremont, OH 43420<br />
419-332-7223<br />
Seneca County<br />
Tiffin<br />
Lima<br />
Tucker, Barbara A. CNS<br />
770 W High St<br />
Lima, OH 45801<br />
419-996-5240<br />
Lucas County<br />
Hardin County<br />
Ada<br />
Brinkman, Cynthia L.<br />
CNP<br />
520 W Lincoln Ave<br />
Ada, OH 45810<br />
419-634-2015<br />
Lucas County<br />
Maumee<br />
Lake, Norma J. CNP<br />
4126 Holland Sylvania<br />
Ave<br />
Toledo, OH 43623<br />
419-479-5831<br />
Moore, Janet L. CNP<br />
2222 Cherry St<br />
Toledo, OH 43608<br />
419-251-8025<br />
Smith, Diane M. CNP<br />
3170 W Central Ave<br />
Ford, Frances J. CNP<br />
2068 Mahoning Ave NW<br />
Tiffin, OH 44883<br />
419-447-6900<br />
Van Wert County<br />
Van Wert<br />
Keller, Brenda S. CNP<br />
1250 S Washington St<br />
Van Wert, OH 45891<br />
419-227-8209<br />
Oregon<br />
Stausmire, Julie M. CNS<br />
2702 Navarre Ave<br />
Oregon, OH 43616<br />
419-696-6000<br />
Toledo<br />
Stausmire, Julie M. CNS<br />
2200 Jefferson Ave<br />
Toledo, OH 43608<br />
419-251-1400<br />
Mason, Emily R. CNP<br />
5705 Monclova Rd<br />
Maumee, OH 43537<br />
419-893-3321<br />
Oregon<br />
Justus, Kathy J. CNP<br />
2600 Navarre Ave<br />
Oregon, OH 43616<br />
419-696-7725<br />
Toledo, OH 43606<br />
419-531-8558<br />
Smith, Diane M. CNP<br />
3500 Executive Parkway<br />
Toledo, OH 43606<br />
419-531-8558<br />
Putnam County<br />
Glandorf<br />
Knippen, Laurie A. CNP<br />
1250 S Washington St<br />
Van Wert, OH 45891<br />
419-227-8209<br />
Knippen, Laurie A. CNP<br />
140 Fox Run Rd<br />
Van Wert, OH 45891<br />
419-227-8209<br />
Wood County<br />
Chiropractic<br />
Allen County<br />
Elida<br />
Bates, Natalie L. MD<br />
316 E Main St<br />
Elida, OH 45807<br />
419-339-0500<br />
Toledo<br />
Barabash, Theresa M.<br />
CNP<br />
2222 Cherry St<br />
Toledo, OH 43608<br />
Knippen, Laurie A. CNP<br />
601 St Rt 224<br />
Glandorf, OH 45848<br />
419-227-8209<br />
Sandusky County<br />
Perrysburg<br />
Fraser, Jane K. CNP<br />
1021 Sandusky St<br />
Perrysburg, OH 43551<br />
419-872-3232<br />
Lima<br />
Damschroder Jr,<br />
Richard L. MD<br />
3075 W Elm St<br />
Lima, OH 45805<br />
419-224-5678<br />
419-251-8027 Fremont<br />
Rump, Anthony G. MD<br />
Boudouris-Powers,<br />
Angela CNP<br />
2213 Franklin Ave<br />
Toledo, OH 43620<br />
419-251-2360<br />
Ebert, Lisa A. CNP<br />
2575 Hayes Ave<br />
Fremont, OH 43420<br />
419-332-9978<br />
3021 Harding Hwy<br />
Lima, OH 45804<br />
419-224-2221<br />
2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan Page 17
Specialists Section 2 – List of Plan <strong>Provider</strong>s<br />
Chiropractic cont.<br />
Allen County cont.<br />
Hancock County<br />
Findlay<br />
Dunne, Cindy A. MD<br />
3218 Secor Rd<br />
Toledo, OH 43606<br />
Ottawa<br />
Rump, Anthony G. MD<br />
Lima cont.<br />
Stemen, Michael T. DC<br />
1601 Allentown Rd<br />
Lima, OH 45805<br />
419-227-8700<br />
Zelinka, Agnes C. DC<br />
525 N Eastown Rd<br />
Lima, OH 45807<br />
419-998-4699<br />
Hosey, Daniel J. MD<br />
2121 Bright Rd<br />
Findlay, OH 45840<br />
419-422-4240<br />
Lofquist, Christopher A.<br />
MD<br />
643 Trenton Ave<br />
Findlay, OH 45840<br />
419-427-6300<br />
Hardin County<br />
419-535-1500<br />
Morrison, Lorene M. MD<br />
743 S Byrne Rd<br />
Toledo, OH 43609<br />
419-382-7400<br />
Pierzchala, Georgina<br />
MD<br />
3218 Secor Rd<br />
Toledo, OH 43606<br />
419-535-1500<br />
1502 N Perry St<br />
Ottawa, OH 45875<br />
419-523-4898<br />
Seneca County<br />
Attica<br />
Auck, Shawn E. MD<br />
4457 St Rt 4 South<br />
Attica, Oh 44807<br />
419-426-6025<br />
Auglaize County<br />
Ada<br />
Mercer County Fostoria<br />
St. Marys<br />
Spieles, Todd E. MD<br />
1297 E Spring St<br />
St. Marys, OH 45885<br />
419-394-4313<br />
Griffin, Beau J. MD<br />
108 E Highland Ave<br />
Ada, OH 45810<br />
419-634-9897<br />
Fort Recovery<br />
Carr, Daniel J. MD<br />
103 Broadway St<br />
Fort Recovery, OH 45846<br />
419-375-1808<br />
Schweighart, Robert J.<br />
MD<br />
515 Plaza Dr<br />
Fostoria, OH 44830<br />
419-435-0067<br />
Spieles, Zachary J. MD<br />
1297 E Spring St<br />
St. Marys, OH 45885<br />
419-394-4313<br />
Tiffin<br />
Fabrizio, Dominic A. MD<br />
Henry County<br />
Napoleon<br />
Holman, Terry L. MD<br />
620 Monroe St<br />
Napoleon, OH 43545<br />
419-592-8186<br />
Ottawa County<br />
Port Clinton<br />
Darr, Joseph A. MD<br />
125 E 3rd St<br />
Port Clinton, OH 43452<br />
419-734-4210<br />
Tiffin<br />
Solomon, Jerrold L. MD<br />
716 W Market St<br />
Tiffin, OH 44883<br />
419-443-8877<br />
Wapakoneta<br />
676 Miami St<br />
Tiffin, OH 44883<br />
419-738-7763<br />
Crawford County<br />
Bucyrus<br />
Halters Jr., Larry A. MD<br />
234 South Sandusky Ave<br />
Bucyrus, OH 44820<br />
419-562-4242<br />
Fulton County<br />
Lucas County<br />
Holland<br />
Kott, Raymond S. MD<br />
757 S. McCord<br />
Holland, OH 43528<br />
419-865-1727<br />
Toledo<br />
Bertollini, Matthew P.<br />
MD<br />
4333 Monroe St<br />
Toledo, OH 43606<br />
Seibert, Nelson K. MD<br />
123 E 2nd St<br />
Port Clinton, OH 43452<br />
419-732-3189<br />
Foreign Language(s):<br />
German<br />
Putnam County<br />
Columbus Grove<br />
Ellerbrock, Matthew P.<br />
MD<br />
212 W Sycamore St<br />
Fabrizio, Dominic A. MD<br />
803 Brewfield St<br />
Wapakoneta, OH 45895<br />
419-738-7763<br />
Van Wert County<br />
Van Wert<br />
Bullinger, Todd R. MD<br />
10963 Van Wert Decatur<br />
Rd<br />
Van Wert, OH 45891<br />
419-238-6686<br />
Wauseon<br />
Click, Patrick W. MD<br />
561 N Shoop Ave<br />
Wauseon, OH 43567<br />
419-337-8326<br />
419-472-2610<br />
Dumas, Nickalis J. MD<br />
4210 Sylvania Ave<br />
Toledo, OH 43623<br />
419-474-6500<br />
Columbus Grove, OH<br />
45830<br />
419-659-2271<br />
Foster, Shad A. MD<br />
10963 Van Wert Decatur<br />
Rd<br />
Van Wert, OH 45891<br />
419-238-6686<br />
Page 18 2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan
Section 2 – List of Plan <strong>Provider</strong>s<br />
Specialists<br />
Chiropractic cont. Smith, Lucas J. MD<br />
109 Houpt Dr<br />
Toledo Delphos<br />
Van Wert County Upper Sandusky, OH Williams, Ronald Leon Sheikh, Tariq I. MD<br />
cont. 43351 MD 1800 E 5th St<br />
Van Wert cont.<br />
419-294-3489 732 South Ave<br />
Toledo, OH 43609<br />
Delphos, OH 45833<br />
419-227-8209<br />
Hughes, Drake E. MD<br />
834 W Main St<br />
Van Wert, OH 45891<br />
419-232-3322<br />
Endocrinology<br />
Allen County<br />
Lima<br />
419-241-6106<br />
Sandusky County<br />
Fremont<br />
Lima<br />
Capone, Richard R. MD<br />
323 High St<br />
Krouse, Michael D. MD<br />
1185 Westwood Dr<br />
Van Wert, OH 45891<br />
419-232-4470<br />
Osenga, Adam S. MD<br />
10963 Van Wert Decatur<br />
Mishr, Suman K. MD<br />
770 W High St<br />
Lima, OH 45805<br />
419-996-5240<br />
Family Medicine<br />
Sayani, Jairaj N. MD<br />
1220 E State St<br />
Fremont, OH 43420<br />
419-355-8186<br />
Foreign Language(s):<br />
Spanish, Gujarati<br />
Lima, OH 45804<br />
419-996-5077<br />
Capone, Richard R. MD<br />
939 W Market St<br />
Lima, OH 45801<br />
419-996-5077<br />
Rd<br />
Van Wert, OH 45891<br />
419-238-6686<br />
Taylor, Darrin M. DC<br />
1185 Westwood Dr<br />
Van Wert, OH 45891<br />
419-232-4470<br />
Williams County<br />
Edgerton<br />
Schade, Scott P. MD<br />
113 W Lynn<br />
Edgerton, OH 43517<br />
419-298-1700<br />
Wyandot County<br />
Allen County<br />
Lima<br />
Iboaya, Iyabo A. MD<br />
2195 Allentown Rd<br />
Lima, OH 45805<br />
419-227-2245<br />
Martin, Jay W. MD<br />
825 W Market St<br />
Lima, OH 45805<br />
419-227-2245<br />
Parranto, Gregory B. MD<br />
967 Bellefontaine Ave<br />
Lima, OH 45804<br />
419-996-5077<br />
Sandusky<br />
Kaftan, George R. DO<br />
1912 Hayes Ave<br />
Sandusky, OH 44870<br />
419-557-7191<br />
Wood County<br />
Bowling Green<br />
Zimmerman, Janis E.<br />
MD<br />
1180 N Main St<br />
Bowling Green, OH 43402<br />
419-354-8766<br />
Gastroenterology<br />
Kottapalli, Venkata S.<br />
MD<br />
1005 Bellefontaine Ave<br />
Lima, OH 45804<br />
419-228-2600<br />
Foreign Language(s):<br />
Telugu<br />
Kottapalli, Venkata S.<br />
MD<br />
375 N. Eastown Rd<br />
Lima, OH 45807<br />
419-228-2600<br />
Foreign Language(s):<br />
Telugu<br />
Kottapalli, Venkata S.<br />
MD<br />
750 W High St<br />
Carey<br />
Lucas County Allen County<br />
Lima, OH 45801<br />
419-228-2600<br />
Halters Jr., Larry A. MD<br />
106 E Findlay St<br />
Carey, OH 43316<br />
419-396-1515<br />
Upper Sandusky<br />
Maumee<br />
Kanama, Enas MD<br />
5705 Monclova Rd<br />
Maumee, OH 43537<br />
419-893-3321<br />
Ada<br />
Leifer, Mark H. MD<br />
520 W Lincoln<br />
Ada, OH 45810<br />
419-227-8209<br />
Foreign Language(s):<br />
Telugu<br />
Neidich, Robert L. MD<br />
2793 Shawnee Rd<br />
Lima, OH 45806<br />
419-227-8209<br />
Halters Jr., Larry A. MD<br />
714 N. Sandusky Ave<br />
Upper Sandusky, OH<br />
43351<br />
419-294-9490<br />
Odeh, Neiman T. MD<br />
5109 Monclova Rd<br />
Maumee, OH 43537<br />
419-893-5968<br />
Rinesmith, Scott E. MD<br />
520 W Lincoln<br />
Ada, OH 45810<br />
419-227-8209<br />
Rinesmith, Scott E. MD<br />
2793 Shawnee Rd<br />
Lima, OH 45806<br />
419-227-8209<br />
2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan Page 19
Specialists Section 2 – List of Plan <strong>Provider</strong>s<br />
Gastroenterology Toledo Seneca County General Practice<br />
cont.<br />
Corman, Scott MD Tiffin<br />
Van Wert County<br />
Allen County cont.<br />
Lima cont.<br />
2213 Cherry St<br />
Toledo, OH 43608<br />
419-251-4283<br />
Wagner, Steven M. MD<br />
27 St Lawrence Dr<br />
Tiffin, OH 44883<br />
Van Wert<br />
Lautzenheiser, Thomas<br />
Solomon, Howard J. MD<br />
2793 Shawnee Rd<br />
Lima, OH 45806<br />
419-227-8209<br />
Pangulur, Sudhakar N.<br />
MD<br />
3900 Sunforest Ct<br />
Toledo, OH 43623<br />
419-696-5555<br />
419-455-8500<br />
Van Wert County<br />
Van Wert<br />
E. MD<br />
140 Fox Rd<br />
Van Wert, OH 45891<br />
419-238-0808<br />
Auglaize County<br />
Lima<br />
Brunelle, Charles W. MD<br />
2793 Shawnee Rd<br />
Lima, OH 45806<br />
419-227-8209<br />
Leifer, Mark H. MD<br />
2793 Shawnee Rd<br />
Lima, OH 45806<br />
419-227-8209<br />
Sheikh, Tariq I. MD<br />
2793 Shawnee Rd<br />
Lima, OH 45806<br />
419-227-8209<br />
Wapakoneta<br />
Kottapalli, Venkata S.<br />
MD<br />
1251 Lincoln Ave<br />
Wapakoneta, OH 45895<br />
419-738-6675<br />
Foreign Language(s):<br />
Telugu<br />
Reilly, Peter MD<br />
4841 Monroe St<br />
Toledo, OH 43623<br />
419-471-1350<br />
Sodeman, William A.<br />
MD<br />
3120 Glendale Ave<br />
Toledo, OH 43614<br />
419-383-3742<br />
Zack, David DO<br />
2213 Cherry St<br />
Toledo, OH 43608<br />
419-251-4283<br />
Zack, David DO<br />
4841 Monroe St<br />
Toledo, OH 43623<br />
419-471-1350<br />
Mercer County<br />
Celina<br />
Rinesmith, Scott E. MD<br />
950 Main St<br />
Celina, OH 45822<br />
Brunelle, Charles W. MD<br />
1250 S Washington St<br />
Van Wert, OH 45891<br />
419-227-8209<br />
Neidich, Robert L. MD<br />
1250 S Washington St<br />
Van Wert, OH 45891<br />
419-227-8209<br />
Neidich, Robert L. MD<br />
140 Fox Run Rd<br />
Van Wert, OH 45891<br />
419-227-8209<br />
Rinesmith, Scott E. MD<br />
1250 S Washington St<br />
Van Wert, OH 45891<br />
419-227-8209<br />
Sheikh, Tariq I. MD<br />
1250 S Washington St<br />
Van Wert, OH 45891<br />
419-227-8209<br />
Wood County<br />
Perrysburg<br />
Gynecology<br />
Hancock County<br />
Findlay<br />
Parekh, Mahendra C.<br />
MD<br />
300 W Wallace St<br />
Findlay, OH 45840<br />
419-422-6717<br />
Hematology &<br />
Oncology<br />
Allen County<br />
Lima<br />
Khalil, Abbas M. MD<br />
825 W Market St<br />
Lima, OH 45805<br />
419-222-0808<br />
Powell, David D. MD<br />
2740 W Market St<br />
Lima, OH 45805<br />
419-221-2273<br />
Lucas County<br />
Oregon<br />
Pangulur, Sudhakar N.<br />
MD<br />
2702 Navarre Ave<br />
419-227-8209<br />
Coldwater<br />
Rinesmith, Scott E. MD<br />
800 W Main St<br />
Coldwater, OH 45828<br />
Pangulur, Sudhakar N.<br />
MD<br />
1021 E Sandusky St<br />
Perrysburg, OH 43551<br />
419-696-5555<br />
Powell, David D. MD<br />
525 North Eastown Rd<br />
Lima, OH 45807<br />
419-998-4496<br />
Tripuraneni, Ashok K.<br />
MD<br />
Oregon, OH 43616 419-227-8209<br />
525 Eastown Rd<br />
419-696-5555 Lima, OH 45805<br />
419-228-7275<br />
Foreign Language(s):<br />
Hindi<br />
Page 20 2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan
Section 2 – List of Plan <strong>Provider</strong>s<br />
Specialists<br />
Hematology &<br />
Oncology cont.<br />
Paulding County<br />
Paulding<br />
Lucas County<br />
Oregon<br />
Imam, Syed A. MD<br />
730 W Makret St<br />
Lima, OH 45801<br />
Lucas County<br />
Gunda, Rajeswari MD McNamara, Mary MD<br />
419-227-3361<br />
Oregon<br />
Muler, Jeffrey MD<br />
2600 Navarre Ave<br />
1035 WWayne St<br />
Paulding, OH 45879<br />
419-399-1135<br />
2815 Dustin Rd<br />
Oregon, OH 43616<br />
419-266-4400<br />
Imam, Syed A. MD<br />
750 W High St<br />
Lima, OH 45801<br />
419-227-7399<br />
Oregon, OH 43616<br />
419-696-4765<br />
Shehadeh, Nasfat J. MD<br />
2600 Navarre Ave<br />
Oregon, OH 43616<br />
419-696-4765<br />
Tiffin<br />
Horvath, William L. MD<br />
45 St Lawrence<br />
Tiffin, OH 44883<br />
419-455-8101<br />
Toledo<br />
Seneca County<br />
Tiffin<br />
Chen, Wendy Y. MD<br />
40 Fair Lane<br />
Tiffin, OH 44883<br />
419-455-7000<br />
Chen, Wendy Y. MD<br />
45 St Lawrence Dr<br />
Tiffin, OH 44883<br />
419-455-7000<br />
Horvath, William L. MD<br />
40 Fair Lane<br />
Tiffin, OH 44883<br />
Internal Medicine<br />
Allen County<br />
Lima<br />
Anigbogu, Nkolit MD<br />
730 W Makret St<br />
Lima, OH 45801<br />
419-227-3361<br />
Balusu, Pratap MD<br />
730 W Market St<br />
Lima, OH 45801<br />
419-227-3361<br />
Buch, Hector A. MD<br />
Imam, Syed A. MD<br />
801 Medical Dr<br />
Lima, OH 45804<br />
419-227-7399<br />
Rameneni, Anuradha<br />
MD<br />
967 Bellefontaine Ave<br />
Lima, OH 45804<br />
419-996-5077<br />
Wheeler, Robert A. MD<br />
1005 Bellefontaine Ave<br />
Lima, OH 45804<br />
419-227-7399<br />
Chen, Wendy Y. MD<br />
3404 W Sylvania Ave<br />
Toledo, OH 43623<br />
419-407-1200<br />
Horvath, William L. MD<br />
2213 Cherry St<br />
Toledo, OH 43608<br />
419-251-3114<br />
Muler, Jeffrey MD<br />
2213 Cherry St<br />
Toledo, OH 43608<br />
419-251-3114<br />
Shehadeh, Nasfat J. MD<br />
2213 Cherry St<br />
Toledo, OH 43608<br />
419-251-3114<br />
Shehadeh, Nasfat J. MD<br />
3404 W Sylvania Ave<br />
Toledo, OH 43623<br />
419-407-1200<br />
419-455-8101<br />
Muler, Jeffrey MD<br />
40 Fair Lane<br />
Tiffin, OH 44883<br />
419-455-8516<br />
Muler, Jeffrey MD<br />
485 W Market St<br />
Tiffin, OH 44883<br />
419-448-3108<br />
Infectious<br />
Disease<br />
Allen County<br />
Lima<br />
Ellis, Wilfred J. MD<br />
329 North West St<br />
Lima, OH 45801<br />
419-229-6007<br />
1005 Bellefontaine Ave<br />
Lima, OH 45804<br />
419-227-7399<br />
Buch, Hector A. MD<br />
730 W Makret St<br />
Lima, OH 45801<br />
419-227-3361<br />
Buch, Hector A. MD<br />
801 Medical Dr<br />
Lima, OH 45804<br />
419-227-7399<br />
Fisher, Eric B. MD<br />
750 W. High St<br />
Lima, OH 45801<br />
419-227-7399<br />
Goyal, Vijay K. MD<br />
825 W Market St<br />
Lima, OH 45805<br />
419-222-6595<br />
Imam, Syed A. MD<br />
1005 Bellefontaine Ave<br />
Lima, OH 45804<br />
419-227-7399<br />
Hancock County<br />
Findlay<br />
Owusu, Osei T. MD<br />
3609 Park East Dr N<br />
Findlay, OH 45840<br />
567-525-5140<br />
Hardin County<br />
Ada<br />
Das, Kalyan K. MD<br />
520 W Lincoln Ave<br />
Ada, OH 45810<br />
419-634-7300<br />
Marion County<br />
Marion<br />
Arora, Chander MD<br />
1728 Marion Waldo Rd<br />
Marion, OH 43302<br />
740-389-2297<br />
2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan Page 21
Specialists Section 2 – List of Plan <strong>Provider</strong>s<br />
Internal Medicine<br />
cont.<br />
Perni, Sriram C. MD<br />
2213 Cherry St<br />
Toledo, OH 43608<br />
Mercer County<br />
Celina<br />
Te, Minda N. MD<br />
2600 Navarre Ave<br />
Oregon, OH 43616<br />
Sandusky County 419-251-3704<br />
Tripuraneni, Ashok K.<br />
419-696-7725<br />
Fremont<br />
Balaa, Anas MD<br />
715 S Taft Ave<br />
Fremont, oh 43420<br />
419-334-6679<br />
Medical<br />
Oncology<br />
Auglaize County<br />
St. Marys<br />
MD<br />
900 Havemann Rd<br />
Celina, OH 45822<br />
419-584-0505<br />
Seneca County<br />
Toledo<br />
Gupta, Usha MD<br />
2213 Cherry St<br />
Toledo, OH 43608<br />
419-251-4336<br />
Shelby County<br />
New Bremen<br />
Abdelhamed,<br />
Abdelhamed I. MD<br />
800 E Monroe St<br />
New Bremen, OH 45869<br />
937-236-5456<br />
Van Wert County<br />
Van Wert<br />
Owusu, Osei T. MD<br />
1250 S Washington St<br />
Van Wert, OH 45891<br />
567-525-5140<br />
Tripuraneni, Ashok K.<br />
MD<br />
1004 Knoxville Ave<br />
St. Marys, OH 45885<br />
419-394-2724<br />
Wapakoneta<br />
Tripuraneni, Ashok K.<br />
MD<br />
812 Redskin Trail<br />
Wapakoneta, OH 45895<br />
419-394-3335<br />
Lucas County<br />
Maumee<br />
Tiffin<br />
McGee, Scott W. MD<br />
485 W Market St<br />
Tiffin, OH 44883<br />
419-448-3108<br />
Soni, Renu MD<br />
439 W Market St<br />
Tiffin, OH 44883<br />
419-447-1115<br />
Foreign Language(s):<br />
Hindi<br />
Neonatal-<br />
Perinatal<br />
Medicine<br />
Te, Minda N. MD<br />
2213 Cherry St<br />
Toledo, OH 43608<br />
419-251-4336<br />
Neonatology<br />
Lucas County<br />
Maumee<br />
Aouthmany, Moustafa<br />
M. MD<br />
5901 Monclova Rd<br />
Maumee, OH 43537<br />
419-893-5911<br />
Brar, Gagandeep MD<br />
Allen County<br />
Lima<br />
Kirschner, Eric S. MD<br />
730 W Market St<br />
Lima, OH 45801<br />
419-227-3361<br />
Maternal & Fetal<br />
Medicine<br />
Lucas County<br />
Toledo<br />
Jean-Pierre, Claudel D.<br />
MD<br />
2213 Cherry St<br />
Toledo, OH 43608<br />
419-251-3704<br />
Burton, G. Mark MD<br />
5805 Monclova Rd<br />
Maumee, OH 43537<br />
419-891-5600<br />
Oregon<br />
Burton, G. Mark MD<br />
2751 Bay Park Drive<br />
Oregon, OH 43616<br />
419-691-4235<br />
Toledo<br />
Burton, G. Mark MD<br />
4235 Secor Rd<br />
Toledo, OH 43623<br />
419-479-5605<br />
Lucas County<br />
Maumee<br />
Gupta, Usha MD<br />
5901 Monclova Rd<br />
Maumee, OH 43537<br />
419-893-5911<br />
Te, Minda N. MD<br />
5901 Monclova Rd<br />
Maumee, OH 43537<br />
419-893-5911<br />
Oregon<br />
Gupta, Usha MD<br />
2600 Navarre Ave<br />
Oregon, OH 43616<br />
419-696-7725<br />
5901 Monclova Rd<br />
Maumee, OH 43537<br />
419-893-5911<br />
Oregon<br />
Aouthmany, Moustafa<br />
M. MD<br />
2600 Navarre Ave<br />
Oregon, OH 43616<br />
419-696-7725<br />
Brar, Gagandeep MD<br />
2600 Navarre Ave<br />
Oregon, OH 43616<br />
419-696-7725<br />
Byrne, Paul A. MD<br />
2600 Navarre Ave<br />
Oregon, OH 43616<br />
419-696-7725<br />
Page 22 2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan
Section 2 – List of Plan <strong>Provider</strong>s<br />
Specialists<br />
Neonatology cont.<br />
Lucas County cont.<br />
Auglaize County<br />
St. Marys<br />
Fayad, Ramy A. MD<br />
2109 Hughes Dr<br />
Toledo, OH 43606<br />
Defiance County<br />
Hicksville<br />
Toledo<br />
Aouthmany, Moustafa<br />
M. MD<br />
2213 Cherry St<br />
Toledo, OH 43608<br />
419-251-3965<br />
Brar, Gagandeep MD<br />
2213 Cherry St<br />
Bryant, G A. MD<br />
200 St Clair St<br />
St. Marys, OH 45885<br />
419-227-1359<br />
Imler, David L. MD<br />
200 St Clair St<br />
St. Marys, OH 45885<br />
419-227-1359<br />
419-479-2650<br />
Mercer County<br />
Celina<br />
Imler, David L. MD<br />
950 S Main St<br />
Celina, OH 45822<br />
419-227-1359<br />
Dozier, James C. MD<br />
208 N Columbus St<br />
Hicksville, OH 43526<br />
419-542-6692<br />
Neurology<br />
Allen County<br />
Lima<br />
Toledo, OH 43608<br />
419-251-4360<br />
Defiance County Putnam County<br />
Anouti, Ahmad A. MD<br />
Nephrology<br />
Allen County<br />
Lima<br />
Defiance<br />
Lempert, Kenneth MD<br />
1400 E 2nd St<br />
Defiance, OH 43512<br />
419-784-1414<br />
Glandorf<br />
Ukiwe, Jonah O. MD<br />
601 St Rt 224<br />
Glandorf, OH 45848<br />
419-227-1359<br />
730 W Market St<br />
Lima, OH 45801<br />
419-227-3361<br />
Foreign Language(s):<br />
Arabic, French<br />
Camino-Gaztambide,<br />
Bryant, G A. MD<br />
750 WHigh St<br />
Lima, OH 45801<br />
419-227-1359<br />
Hancock County<br />
Findlay<br />
Seneca County<br />
Fostoria<br />
Richard F. MD<br />
830 W High St<br />
Lima, OH 45801<br />
419-996-5033<br />
Imler, David L. MD<br />
730 W Makret St<br />
Lima, OH 45801<br />
419-227-3361<br />
Imler, David L. MD<br />
1920 S Main St<br />
Findlay, OH 45840<br />
419-227-1359<br />
Moser, Norman O. MD<br />
501 Van Buren St<br />
Fostoria, OH 44830<br />
419-227-1359<br />
Hostetter, Robin E. MD<br />
830 W High St<br />
Lima, OH 45801<br />
419-996-5033<br />
Imler, David L. MD<br />
750 WHigh St<br />
Lima, OH 45801<br />
Moser, Norman O. MD<br />
1920 S Main St<br />
Findlay, OH 45840<br />
419-227-1359<br />
Shelby County<br />
Sidney<br />
Crawford County<br />
Bucyrus<br />
419-227-1359<br />
Moser, Norman O. MD<br />
750 W High St<br />
Lima, OH 45801<br />
Hardin County<br />
Kenton<br />
Ukiwe, Jonah O. MD<br />
915 W Michigan St<br />
Sidney, OH 45365<br />
419-227-1359<br />
Drake, Jennifer A. MD<br />
629 N Sandusky Ave<br />
Bucyrus, OH 44820<br />
330-494-2097<br />
419-227-1359<br />
Ukiwe, Jonah O. MD<br />
750 West High St<br />
Lima, OH 45801<br />
419-227-1359<br />
Moser, Norman O. MD<br />
921 E. Franklin St<br />
Kenton, OH 43326<br />
419-227-1359<br />
Lucas County<br />
Neurological<br />
Surgery<br />
Allen County<br />
Lima<br />
Drake, Ryan S. MD<br />
629 N Sandusky Ave<br />
Bucyrus, OH 44820<br />
330-494-2097<br />
Toledo<br />
Baker, Robert L. MD<br />
Debeukelaer, Martin M.<br />
MD<br />
2222 Cherry St<br />
Toledo, OH 43608<br />
419-251-8030<br />
1005 Bellefontaine Ave<br />
Lima, OH 45804<br />
419-998-8200<br />
Foreign Language(s):<br />
French<br />
2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan Page 23
Specialists Section 2 – List of Plan <strong>Provider</strong>s<br />
Neurology cont.<br />
Hancock County<br />
Wood County<br />
Bowling Green<br />
Kahn, James L. MD<br />
830 W High St<br />
Lima, OH 45801<br />
Ryan, Charles R. MD<br />
830 W High St<br />
Lima, OH 45805<br />
Findlay Mahmood, Khalid MD<br />
419-227-0610 419-227-0610<br />
Chodisetty,<br />
Subrahmanyam MD<br />
117 E Wallace St<br />
Findlay, OH 45840<br />
419-424-1862<br />
960 W Wooster St<br />
Bowling Green, OH 43402<br />
419-353-1819<br />
Perrysburg<br />
Kahn, James L. MD<br />
830 W High St<br />
Lima, OH 45805<br />
419-227-0610<br />
Kindig, Marilyn J. MD<br />
Scherger, William E. MD<br />
830 W High St<br />
Lima, OH 45805<br />
419-227-0610<br />
Smaili, Sleiman K. MD<br />
Cameron, Donald I. MD 1520 Broadway St 1220 E Elm St<br />
Lucas County 28442 E River Rd Lima, OH 45804 Lima, OH 45804<br />
Toledo<br />
Perrysburg, OH 43551<br />
419-874-8447<br />
419-227-2727 419-228-1000<br />
Foreign Language(s):<br />
Calderon, Eduardo T.<br />
MD<br />
3949 Sunforest Ct<br />
Toledo, OH 43623<br />
419-475-9341<br />
Obstetrics &<br />
Gynecology (OB/<br />
GYN)<br />
Kindig, Marilyn J. MD<br />
770 W High St<br />
Lima, OH 45801<br />
419-227-2727<br />
Kuchipudi, Sarat B. MD<br />
Arabic<br />
Smaili, Sleiman K. MD<br />
310 South Cable Rd<br />
Lima, OH 45805<br />
419-228-1000<br />
Decarvalho, Carlos MD<br />
4895 Monroe St<br />
Toledo, OH 43623<br />
419-475-4734<br />
Zangara, Peter P. MD<br />
3949 Sunforest Ct<br />
Toledo, OH 43623<br />
419-475-9341<br />
Allen County<br />
Bluffton<br />
Brown, Desrene K. MD<br />
547 Harmon Rd<br />
Bluffton, OH 45817<br />
419-369-4600<br />
Foreign Language(s):<br />
Spanish<br />
528 W Market St<br />
Lima, OH 45804<br />
419-227-5864<br />
Kuchipudi, Sarat B. MD<br />
750 W High St<br />
Lima, OH 45801<br />
419-227-5864<br />
Medina, Rhonda J. MD<br />
Foreign Language(s):<br />
Arabic<br />
Stallkamp, Scott C. MD<br />
830 W High St<br />
Lima, OH 45801<br />
419-227-0610<br />
Stallkamp, Vanessa L.<br />
MD<br />
1220 E Elm St 830 W High St<br />
Ottawa County<br />
Port Clinton<br />
Lima<br />
Bradley, Alan B. MD<br />
Lima, OH 45804<br />
419-224-1500<br />
Lima, OH 45805<br />
419-227-0610<br />
Bauer, Brendan W. MD<br />
615 Fulton St<br />
Port Clinton, OH 43452<br />
419-483-0123<br />
Sandusky County<br />
Fremont<br />
601 St Rt 224<br />
Lima, OH 45804<br />
419-224-2632<br />
Chung, Maurice K. MD<br />
1220 E Elm St<br />
Lima, OH 45804<br />
419-228-1000<br />
Medina, Rhonda J. MD<br />
310 South Cable Rd<br />
Lima, OH 45805<br />
419-228-1000<br />
Niesen, Jennifer F. MD<br />
1005 Bellefontaine Ave<br />
Lima, OH 45804<br />
419-227-2727<br />
Auglaize County<br />
St. Marys<br />
Chung, Maurice K. MD<br />
510 E Spring St<br />
St. Marys, OH 45885<br />
419-228-1000<br />
Benedict, Steven MD<br />
715 S Taft Ave<br />
Fremont, OH 43420<br />
419-332-7321<br />
Chung, Maurice K. MD<br />
310 South Cable Rd<br />
Lima, OH 45805<br />
419-228-1000<br />
Niesen, Jennifer F. MD<br />
770 W High St<br />
Lima, OH 45801<br />
419-227-2727<br />
Kuchipudi, Sarat B. MD<br />
1040 Hager St<br />
St. Marys, OH 45885<br />
419-227-5864<br />
Tartaglia, Louis MD<br />
715 S Taft Ave<br />
Fremont, OH 43420<br />
419-333-0840<br />
Damschroder, Richard<br />
L. MD<br />
830 W High St<br />
Lima, OH 45801<br />
419-228-9098<br />
Ryan, Charles R. MD<br />
830 W High St<br />
Lima, OH 45801<br />
419-227-0610<br />
Medina, Rhonda J. MD<br />
510 E Spring<br />
St. Marys, OH 45885<br />
419-394-2321<br />
Page 24 2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan
Section 2 – List of Plan <strong>Provider</strong>s<br />
Specialists<br />
Obstetrics &<br />
Gynecology (OB/<br />
GYN) cont.<br />
Schultz, Robert E. MD<br />
1641 N Lake Court<br />
Findlay, OH 45840<br />
419-425-1510<br />
Linares, Claudio MD<br />
2735 Navarre Ave<br />
Oregon, OH 43616<br />
419-691-5716<br />
Greenbaum, Mitchell G.<br />
MD<br />
2213 Franklin Ave<br />
Toledo, OH 43620<br />
Auglaize County<br />
cont.<br />
Thomas, Lorie A. DO<br />
1917 S Main St<br />
Foreign Language(s):<br />
Spanish<br />
419-251-6983<br />
Horrigan, Terrence J.<br />
St. Marys cont.<br />
Findlay, OH 45840<br />
419-424-0904<br />
Owen, Mychelle A. MD<br />
2702 Navarre Ave<br />
MD<br />
3120 Glendale Ave<br />
Smaili, Sleiman K. MD<br />
510 E Spring St<br />
St. Marys, OH 45885<br />
419-228-1000<br />
Foreign Language(s):<br />
Arabic<br />
Weingates, Joseph A.<br />
MD<br />
1818 Chapel Dr<br />
Findlay, OH 45840<br />
419-424-1055<br />
Oregon, OH 43616<br />
419-691-8000<br />
Vilela, Oswaldo MD<br />
2737 Navarre Ave<br />
Oregon, OH 43616<br />
419-697-4281<br />
Toledo, OH 43614<br />
419-383-3787<br />
Foreign Language(s):<br />
French<br />
Jones, Angela MD<br />
3840 Woodley Rd<br />
Wapakoneta<br />
Hardin County Foreign Language(s):<br />
Spanish<br />
Toledo, OH 43606<br />
419-475-0001<br />
Kahn, James L. MD<br />
1251 Lincoln Ave<br />
Wapakoneta, OH 45895<br />
419-227-0670<br />
Kuchipudi, Sarat B. MD<br />
1251 Lincoln Ave<br />
Wapakoneta, OH 45895<br />
419-227-5864<br />
Crawford County<br />
Bucyrus<br />
Foulk, David W. MD<br />
629 N Sandusky Ave<br />
Bucyrus, OH 44820<br />
419-563-9329<br />
Fulton County<br />
Wauseon<br />
Fofung, Sema MD<br />
725 S Shoop Ave<br />
Wauseon, OH 43567<br />
419-335-6377<br />
Hancock County<br />
Findlay<br />
Jordan, Miguel A. MD<br />
1900 Chapel Dr<br />
Findlay, OH 45840<br />
419-425-3211<br />
Ada<br />
Chung, Maurice K. MD<br />
520 W Lincoln Ave<br />
Ada, OH 45810<br />
419-634-2360<br />
Lucas County<br />
Oregon<br />
Credico, John MD<br />
2702 Navarre<br />
Oregon, OH 43616<br />
419-696-6000<br />
Credico, John MD<br />
2751 Bay Park Dr<br />
Oregon, OH 43616<br />
419-690-7611<br />
Greenbaum, Mitchell G.<br />
MD<br />
2702 Navarre Ave<br />
Oregon, OH 43616<br />
419-691-8000<br />
Greenbaum, Mitchell G.<br />
MD<br />
4330 Navarre Ave<br />
Oregon, OH 43616<br />
419-691-8000<br />
Sylvania<br />
Jackson, David MD<br />
7135 Sylvania Ave Bldg<br />
Sylvania, OH 43560<br />
419-843-4836<br />
Toledo<br />
Armstrong, Anthony MD<br />
2213 Franklin Ave<br />
Toledo, OH 43620<br />
419-251-2395<br />
Armstrong, Anthony MD<br />
4853 Monroe St<br />
Toledo, OH 43623<br />
419-475-4666<br />
Avram, Tiberiu S. MD<br />
2213 Franklin Ave<br />
Toledo, OH 43620<br />
419-251-6983<br />
Briel, Mark A. MD<br />
2213 Franklin Ave<br />
Toledo, OH 43620<br />
419-251-2415<br />
Credico, John MD<br />
2200 Jefferson Ave<br />
Toledo, OH 43604<br />
419-251-1400<br />
Jones, Angela MD<br />
4881 St Rt 125<br />
Toledo, OH 43620<br />
419-251-2395<br />
Linares, Claudio MD<br />
1020 Varland Ave<br />
Toledo, OH 43605<br />
419-696-1520<br />
Foreign Language(s):<br />
Spanish<br />
Morelli Greenbaum,<br />
Marie M. MD<br />
2213 Franklin Ave<br />
Toledo, OH 43620<br />
419-251-2395<br />
Obayuwana, Alphonsus<br />
O. MD<br />
2213 Cherry St<br />
Toledo, OH 43608<br />
419-251-3232<br />
Phibbs, Garth D. MD<br />
2109 Hughes Dr<br />
Toledo, OH 43606<br />
419-471-2025<br />
Pohlod-Miller, Susan A.<br />
MD<br />
3000 Regency Court<br />
Toledo, OH 43623<br />
419-841-7190<br />
2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan Page 25
Specialists Section 2 – List of Plan <strong>Provider</strong>s<br />
Obstetrics &<br />
Gynecology (OB/<br />
GYN) cont.<br />
Lucas County cont.<br />
Toledo cont.<br />
Pohlod-Miller, Susan A.<br />
MD<br />
4126 Holland Sylvania<br />
Ave<br />
Toledo, OH 43623<br />
Mercer County<br />
Celina<br />
Noureldin, Suhila A. MD<br />
950 S Main St<br />
Celina, OH 45822<br />
419-586-7940<br />
Rhee, Gil J. MD<br />
950 S Main St<br />
Celina, OH 45822<br />
419-586-1118<br />
Dbouk, Tarek MD<br />
595 Bartson Rd<br />
Fremont, OH 43420<br />
419-355-0789<br />
Harrison, Kurt D. MD<br />
1922 Glen Springs Dr<br />
Fremont, OH 43420<br />
419-333-9026<br />
Seneca County<br />
Tiffin<br />
Read, Elizabeth MD<br />
6135 Trust Dr<br />
Holland, OH 43528<br />
419-491-0041<br />
Northwood<br />
Johnson, Peter MD<br />
4400 Woodville Rd<br />
Northwood, OH 43619<br />
419-691-5222<br />
Perrysburg<br />
419-841-7190<br />
Read, Elizabeth MD<br />
2213 Cherry St<br />
Toledo, OH 43068<br />
419-251-3232<br />
Roca, Pedro MD<br />
2213 Franklin Ave<br />
Toledo, OH 43620<br />
419-251-2395<br />
Ottawa County<br />
Ottawa<br />
Brown, Desrene K. MD<br />
1740 N Perry St<br />
Ottawa, OH 45875<br />
419-523-4611<br />
Foreign Language(s):<br />
Spanish<br />
Hedges, Wesley W. MD<br />
1344 Seneca Ave<br />
Tiffin, OH 44883<br />
419-447-6900<br />
Van Wert County<br />
Cincinnati<br />
Bhalani, Vaishali K. MD<br />
10190 Springfield Pike<br />
Arquette, Nancy A. MD<br />
1103 Village Sqare Dr<br />
Perrysburg, OH 43551<br />
419-872-3201<br />
Lucente, Shannon R.<br />
MD<br />
1103 Village Square Dr<br />
Perrysburg, OH 43551<br />
419-872-3201<br />
Saleh, Abdelaziz MD<br />
2213 Franklin Ave<br />
Toledo, OH 43620<br />
Sandusky County<br />
Bellevue<br />
Cincinnati, OH 45215<br />
513-772-7600<br />
Markwood, Richard B.<br />
MD<br />
1103 Village Square Dr<br />
419-251-6983<br />
Shah, Shirish M. MD<br />
4853 Monroe St<br />
Toledo, OH 43623<br />
419-475-4666<br />
Marion County<br />
Marion<br />
Foulk, David W. MD<br />
1140 Independence Ave<br />
Marion, OH 43302<br />
740-387-2244<br />
Moodley, Jay MD<br />
960 S Prospect St<br />
Marion, OH 43302<br />
740-383-2776<br />
Mousa, Emad Y. MD<br />
960 S Prospect St<br />
Marion, OH 43302<br />
740-383-2776<br />
Karasik, Gregory MD<br />
1400 W Main St<br />
Bellevue, OH 44881<br />
419-483-2494<br />
Foreign Language(s):<br />
Arabic, Russian<br />
Clyde<br />
Fazio, Corey R. MD<br />
402 W McPhearson Hwy<br />
Clyde, OH 44811<br />
419-483-2494<br />
Fremont<br />
Campbell, Jennifer C.<br />
MD<br />
1922 Glen Springs Dr<br />
Fremont, OH 43420<br />
419-333-9026<br />
Wood County<br />
Bowling Green<br />
Bass, Nancy E. MD<br />
755 Haskins Rd<br />
Bowling Green, OH 43402<br />
419-352-8427<br />
Leggat, Ian T. MD<br />
755 Haskins Rd<br />
Bowling Green, OH 43402<br />
419-352-8427<br />
Foreign Language(s):<br />
French<br />
Holland<br />
Arquette, Nancy A. MD<br />
6135 Trust Dr<br />
Holland, OH 43528<br />
419-491-0041<br />
Perrysburg, OH 43551<br />
419-872-3201<br />
Owen, Mychelle A. MD<br />
1021 Sandusky St<br />
Perrysburg, OH 43551<br />
419-872-3232<br />
Read, Elizabeth MD<br />
1103 Village Square Dr<br />
Perrysburg, OH 43551<br />
419-872-3201<br />
Rossford<br />
Arquette, Nancy A. MD<br />
513 Superior St<br />
Rossford, OH 43460<br />
419-666-5202<br />
Lucente, Shannon R.<br />
MD<br />
513 Superior St<br />
Rossford, OH 43460<br />
419-666-5202<br />
Page 26 2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan
Section 2 – List of Plan <strong>Provider</strong>s<br />
Specialists<br />
Obstetrics &<br />
Gynecology (OB/<br />
GYN) cont.<br />
Wood County cont.<br />
Rossford cont.<br />
Markwood, Richard B.<br />
MD<br />
513 Superior St<br />
Rossford, OH 43460<br />
419-666-5202<br />
White, Benjamin A. DO<br />
513 Superior St<br />
Rossford, OH 43460<br />
419-666-5202<br />
Ophthalmology<br />
Crawford County<br />
Bucyrus<br />
Seetharaman, Patabi<br />
MD<br />
309 South Walnut St<br />
Bucyrus, OH 44820<br />
419-468-5200<br />
Foreign Language(s):<br />
Hindi<br />
Defiance County<br />
Defiance<br />
O’Donnell, Philip MD<br />
1490 Pinehurst Dr<br />
Defiance, OH 43512<br />
419-782-6588<br />
Lin, Daniel MD<br />
2740 Navarre Ave<br />
Oregon, OH 43616<br />
419-693-4444<br />
Martin, William MD<br />
2740 Navarre Ave<br />
Oregon, OH 43616<br />
248-658-6200<br />
Mehelas, Thomas J. MD<br />
3165 Navarre Ave<br />
Oregon, OH 43616<br />
419-698-2350<br />
Reed, Stephen Y. MD<br />
3165 Navarre Ave<br />
Oregon, OH 43616<br />
419-698-2350<br />
Reed, Stephen MD<br />
Tracy, Michael MD<br />
Reed Vision Associates<br />
P.C.<br />
3165 Navarre Ave<br />
Oregon, OH 43616<br />
419-698-2350<br />
Toledo<br />
Chinavare, Brian MD<br />
Reed Vision by Mercy<br />
4600 Talmadge Rd<br />
Toledo, OH 43623<br />
419-472-1113<br />
Chinavare, Brian MD<br />
Reed Vision by Mercy<br />
5085 Monroe St<br />
Toledo, OH 43623<br />
419-776-1004<br />
Allen County<br />
Lima<br />
Derick, Robert J. MD<br />
855 WMarket St<br />
Lima, OH 45805<br />
419-228-7432<br />
Pajka, John T. MD<br />
855 W Market St<br />
Lima, OH 45805<br />
419-228-7432<br />
Shenouda, Mary I. MD<br />
855 W Market St<br />
Lima, OH 45805<br />
419-228-7432<br />
Auglaize County<br />
St. Marys<br />
Pajka, John T. MD<br />
200 St Clair St<br />
St. Marys, OH 45885<br />
419-228-7432<br />
Hardin County<br />
Kenton<br />
Pajka, John T. MD<br />
921 E Franklin<br />
Kenton, OH 43326<br />
419-228-7432<br />
Lucas County<br />
Maumee<br />
Lin, Daniel MD<br />
485 W Dussel Dr<br />
Maumee, OH 43537<br />
419-693-4444<br />
Martin, William MD<br />
485 W Dussel Dr<br />
Maumee, OH 43537<br />
419-693-4444<br />
Oregon<br />
Chinavare, Brian MD<br />
Reed Vision by Mercy<br />
3165 Navarre Ave<br />
Reed Vision by Mercy<br />
3165 Navarre Ave<br />
Oregon, OH 43616<br />
419-698-2350<br />
Schmidt, Clair DO<br />
Reed Vision by Mercy<br />
3165 Navarre Ave<br />
Oregon, OH 43616<br />
419-698-2350<br />
Tam, Christina P. MD<br />
2702 Navarre Ave<br />
Oregon, OH 43616<br />
419-696-7780<br />
Foreign Language(s):<br />
Tagalog<br />
Tam, Richard C. MD<br />
2702 Navarre Ave<br />
Oregon, OH 43616<br />
419-696-7780<br />
Tao, Stanley MD<br />
Reed Vision by Mercy<br />
3165 Navarre Ave<br />
Oregon, OH 43616<br />
419-698-2350<br />
Eriksen, David MD<br />
3715 Airport Hwy<br />
Toledo, OH 43615<br />
419-385-5756<br />
Eriksen, David MD<br />
3715 Airport Hwy<br />
Toledo, OH 43615<br />
419-385-5756<br />
Lin, Daniel MD<br />
1855 S Reynolds Rd<br />
Toledo, OH 43614<br />
419-382-6400<br />
Lin, Daniel MD<br />
3120 Glendale Ave<br />
Toledo, OH 43614<br />
419-693-4444<br />
Lin, Daniel MD<br />
5733 Lewis Ave<br />
Toledo, OH 43614<br />
419-746-5333<br />
Martin, William MD<br />
1855 S Reynolds Rd<br />
Toledo, OH 43614<br />
Oregon, OH 43616<br />
419-698-2350<br />
419-693-4444<br />
2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan Page 27
Specialists Section 2 – List of Plan <strong>Provider</strong>s<br />
Ophthalmology<br />
cont.<br />
Schmidt, Clair DO<br />
Reed Vision by Mercy<br />
4600 Talmadge Rd<br />
Ottawa County<br />
Port Clinton<br />
Tam, Richard C. MD<br />
900 W S Boundary<br />
Perrysburg, OH 43551<br />
Lucas County cont.<br />
Toledo cont.<br />
Martin, William MD<br />
3120 Glendale Ave<br />
Toledo, OH 43614<br />
419-693-4444<br />
Martin, William MD<br />
5733 Lewis Ave<br />
Toledo, OH 43612<br />
419-693-4444<br />
Mehelas, Thomas J. MD<br />
3335 Meijer Dr<br />
Toledo, OH 43617<br />
419-841-4442<br />
Mehelas, Thomas J. MD<br />
4600 Talmadge Rd<br />
Toledo, OH 43623<br />
419-472-1113<br />
Mehelas, Thomas J. MD<br />
5085 Monroe St<br />
Toledo, OH 43623<br />
419-776-1004<br />
Reed, Stephen Y. MD<br />
4600 Talmadge Rd<br />
Toledo, OH 43623<br />
419-472-1113<br />
Toledo, OH 43623<br />
419-472-1113<br />
Schmidt, Clair DO<br />
Reed Vision by Mercy<br />
5085 Monroe St<br />
Toledo, OH 43623<br />
419-776-1004<br />
Tao, Stanley MD<br />
Reed Vision by Mercy<br />
4600 Talmadge Rd<br />
Toledo, OH 43623<br />
419-472-1113<br />
Tao, Stanley MD<br />
Reed Vision by Mercy<br />
5085 Monroe St<br />
Toledo, OH 43623<br />
419-776-1004<br />
Tolchin, Neal A. MD<br />
3000 Regency Ct<br />
Toledo, OH 43623<br />
800-832-2015<br />
Tracy, Michael MD<br />
Reed Vision Associates<br />
P.C.<br />
4600 Talmadge Rd<br />
Toledo, OH 43623<br />
419-472-1113<br />
Dudenhoefer, Eric J. MD<br />
126 E Perry St<br />
Port Clinton, OH 43452<br />
419-625-6181<br />
Sandusky County<br />
Bellevue<br />
Vassalle, Tiffany OD<br />
Envision Icare, Inc<br />
111 Progress Dr<br />
Bellevue, OH 44811<br />
419-484-8181<br />
Wood County<br />
Bowling Green<br />
Neville, Robert G. MD<br />
970 W Wooster St<br />
Bowling Green, OH 43402<br />
419-354-3926<br />
Tam, Christina P. MD<br />
970 W Wooster St<br />
Bowling Green, OH 43402<br />
419-352-5500<br />
Tam, Richard C. MD<br />
970 W Wooster St<br />
Bowling Green, OH 43402<br />
419-872-3631<br />
Optometry<br />
Allen County<br />
Lima<br />
Berger, Mark OD<br />
WalMart Vision Center<br />
2400 Harding Hwy<br />
Lima, OH 45804<br />
419-222-4977<br />
Cheney, Jr., Richard OD<br />
Vision Center of Lima,<br />
LLC<br />
1593 Allentown Rd<br />
Lima, OH 45805<br />
419-228-9176<br />
Fishbaugh, Jr, Michael<br />
OD<br />
Fishbaugh Family Eyecare<br />
825 W Market St<br />
Lima, OH 45805<br />
419-227-2020<br />
Shockney, Sara OD<br />
825 W Market St<br />
Lima, OH 45805<br />
419-227-2020<br />
Reed, Stephen MD<br />
Reed Vision by Mercy<br />
4600 Talmadge Rd<br />
Toledo, OH 43623<br />
419-472-1113<br />
Reed, Stephen Y. MD<br />
5085 Monroe St<br />
Toledo, OH 43623<br />
419-776-1004<br />
Reed, Stephen MD<br />
Reed Vision by Mercy<br />
5085 Monroe St<br />
Toledo, OH 43623<br />
419-776-1004<br />
Mercer County<br />
Celina<br />
Pajka, John T. MD<br />
950 S Main St<br />
Celina, OH 45822<br />
419-228-7432<br />
Singla, Ramesh K. MD<br />
950 S Main St<br />
Celina, OH 45822<br />
937-320-2020<br />
419-352-5500<br />
Perrysburg<br />
Clark, Stephen E. MD<br />
351 E Boundary St<br />
Perrysburg, OH 43551<br />
419-874-3125<br />
Tam, Christina P. MD<br />
900 W S Boundary<br />
Perrysburg, OH 43551<br />
419-872-3631<br />
Foreign Language(s):<br />
Tagalog<br />
Valentine, Philip OD<br />
Fishbaugh Family Eyecare<br />
825 W Market St<br />
Lima, OH 45805<br />
419-331-2020<br />
Perrysburg<br />
Spohn, Ernest OD<br />
10400 Fremont Pike<br />
Perrysburg, OH 43551<br />
419-874-0590<br />
Page 28 2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan
Section 2 – List of Plan <strong>Provider</strong>s<br />
Specialists<br />
Optometry cont. Duvendack, David OD<br />
WalMart Vision Center<br />
Wires, Duane OD<br />
Village Vision Center Inc<br />
Brittain, Spenser OD<br />
Reed Vision Associates<br />
Auglaize County 485 E Airport Hwy 107 S Main St P.C.<br />
New Bremen<br />
Wauseon, OH 43567<br />
419-337-8900<br />
Ada, OH 45810<br />
419-634-2921<br />
3165 Navarre Ave<br />
Oregon, OH 43616<br />
Knapke, Gene OD<br />
New Bremen Eyecare,<br />
LLC<br />
431 S Washington St<br />
New Bremen, OH 45869<br />
419-629-3241<br />
Foreign Language(s):<br />
Spanish<br />
Hancock County<br />
Findlay<br />
Foreign Language(s):<br />
Spanish<br />
Henry County<br />
Napoleon<br />
419-698-2350<br />
Cherry, Rick OD<br />
Maumee Bay Vision<br />
Center<br />
3017 Navarre Ave<br />
Oregon, OH 43616<br />
Larger, Karla OD<br />
New Bremen Eyecare,<br />
LLC<br />
431 S Washington St<br />
New Bremen, OH 45869<br />
419-629-3241<br />
Duvendack, David OD<br />
WalMart Vision Center<br />
1800 Tiffin Ave<br />
Findlay, OH 45840<br />
419-425-9273<br />
Foreign Language(s):<br />
Spanish<br />
Bostelman, Rachel OD<br />
Napoleon Family Vision<br />
and Contact Lens<br />
Center, LLC<br />
400 Independence Dr<br />
Napoleon, OH 43545<br />
419-599-4541<br />
419-693-4488<br />
Dasher, Kurt OD<br />
Reed Vision by Mercy<br />
3165 Navarre Ave<br />
Oregon, OH 43616<br />
419-698-2350<br />
St. Marys<br />
Wine, Douglas OD<br />
Douglas Wine Family<br />
Optometry<br />
140 W Spring St<br />
St. Marys, OH 45885<br />
419-394-2397<br />
Defiance County<br />
Defiance<br />
Brunswick, Amy OD<br />
Brunswick Eye & Contact<br />
Lens Center<br />
283 Stadium Dr<br />
Defiance, OH 43512<br />
419-782-3937<br />
Williams, Amy OD<br />
Defiance Clinic<br />
1400 E Second St<br />
Defiance, OH 43512<br />
419-784-1414<br />
Fulton County<br />
Wauseon<br />
Aloi, David OD<br />
WalMart Vision Center<br />
485 Airport Hwy<br />
Wauseon, OH 43567<br />
419-337-0300<br />
Seng, John OD<br />
800 N Main St<br />
Findlay, OH 45840<br />
419-424-2002<br />
Wilt, Liane OD<br />
Eyes On Main<br />
334 S Main St<br />
Findlay, OH 45840<br />
419-422-2015<br />
Wires, Duane OD<br />
Eyes On Main<br />
334 S Main St<br />
Findlay, OH 45840<br />
419-422-2015<br />
Foreign Language(s):<br />
Spanish<br />
Hardin County<br />
Ada<br />
Wilt, Liane OD<br />
Village Vision Center<br />
107 S Main St<br />
Ada, OH 45810<br />
419-634-2921<br />
Limbird, Robert OD<br />
Napoleon Family Vision<br />
and Contact Lens<br />
Center LLC<br />
400 Independence Dr<br />
Napoleon, OH 43545<br />
419-599-4541<br />
Lucas County<br />
Holland<br />
Duvendack, David OD<br />
WalMart Vision Center<br />
1355 S McCord Rd<br />
Holland, OH 43528<br />
419-867-0544<br />
Foreign Language(s):<br />
Spanish<br />
Oregon<br />
Aloi, David OD<br />
Reed Vision Associates<br />
P.C.<br />
3165 Navarre Ave<br />
Oregon, OH 43616<br />
419-698-2350<br />
Feinauer, Ken OD<br />
Reed Vision by Mercy<br />
3165 Navarre Ave<br />
Oregon, OH 43616<br />
419-698-2350<br />
Gillies, Douglas OD<br />
Reed Vision by Mercy<br />
3165 Navarre Ave<br />
Oregon, OH 43616<br />
419-698-2350<br />
Johnsonbaugh, Monica<br />
OD<br />
Reed Vision by Mercy<br />
3165 Navarre Ave<br />
Oregon, OH 43616<br />
419-698-2350<br />
Peiffer, Nicholas OD<br />
Reed Vision by Mercy<br />
3165 Navarre Ave<br />
Oregon, OH 43616<br />
419-698-2350<br />
Wagener, Robbin OD<br />
Reed Vision by Mercy<br />
3165 Navarre Ave<br />
Oregon, OH 43616<br />
419-698-2350<br />
2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan Page 29
Specialists Section 2 – List of Plan <strong>Provider</strong>s<br />
Optometry cont. Duvendack, David OD<br />
WalMart Vision Center<br />
Marra, Joseph OD<br />
4240 Secor Rd<br />
Demos, Heather OD<br />
Dreffer, Hicks & Demos,<br />
Lucas County cont. 2925 Glendale Ave Toledo, OH 43623 OD, Inc.<br />
Sylvania<br />
Toledo, OH 43614<br />
419-380-8769<br />
419-475-6605 1074 W McPherson Hwy<br />
Clyde, OH 43410<br />
Cherry, Rick OD<br />
Cherry Vision Center<br />
6600 Sylvania Ave<br />
Sylvania, OH 43560<br />
419-517-7106<br />
Foreign Language(s):<br />
Spanish<br />
Feinauer, Ken OD<br />
Reed Vision Associates<br />
P.C.<br />
Peiffer, Nicholas OD<br />
Reed Vision by Mercy<br />
4600 Talmadge Rd<br />
Toledo, OH 43623<br />
419-472-1113<br />
419-547-9126<br />
Hicks, Gregory OD<br />
Dreffer, Hicks & Demos,<br />
OD, Inc.<br />
1074 W McPherson Hwy<br />
4600 Talmadge Rd Peiffer, Nicholas OD Clyde, OH 43410<br />
Toledo<br />
Toledo, OH 43623 Reed Vision by Mercy 419-547-9126<br />
419-472-1113 5085 Monroe St<br />
Aloi, David OD<br />
Reed Vision Associates<br />
P.C.<br />
4600 Talmadge Rd<br />
Toledo, OH 43623<br />
419-472-1113<br />
Feinauer, Ken OD<br />
Reed Vision by Mercy<br />
5085 Monroe St<br />
Toledo, OH 43623<br />
419-776-1004<br />
Toledo, OH 43623<br />
419-776-1004<br />
Wagener, Robbin OD<br />
Reed Vision by Mercy<br />
4600 Talmadge Rd<br />
Toledo, OH 43623<br />
Woodville<br />
Laub, Dennis OD<br />
107 Walnut St<br />
Woodville, OH 43469<br />
419-849-3811<br />
Belanger, Stephen OD<br />
4240 Secor Rd<br />
Toledo, OH 43623<br />
419-475-6605<br />
Brittain, Spenser OD<br />
Reed Vision Associates<br />
P.C.<br />
4600 Talmadge Rd<br />
Toledo, OH 43623<br />
419-472-1113<br />
Gillies, Douglas OD<br />
Reed Vision by Mercy<br />
4600 Talmadge Rd<br />
Toledo, OH 43623<br />
419-472-1113<br />
Gillies, Douglas OD<br />
Reed Vision by Mercy<br />
5085 Monroe St<br />
Toledo, OH 43623<br />
419-776-1004<br />
419-472-1113<br />
Wagener, Robbin OD<br />
Reed Vision by Mercy<br />
5085 Monroe St<br />
Toledo, OH 43623<br />
419-776-1004<br />
Sandusky County<br />
Bellevue<br />
Seneca County<br />
Tiffin<br />
Barnes, Kimberley OD<br />
WalMart Vision Center,<br />
Barnes Eyecare Inc<br />
2801 W State Rte 18<br />
Tiffin, OH 44883<br />
419-443-1950<br />
Dasher, Kurt OD<br />
Reed Vision by Mercy<br />
4600 Talmadge Rd<br />
Toledo, OH 43623<br />
419-472-1113<br />
Dasher, Kurt OD<br />
Reed Vision by Mercy<br />
5085 Monroe St<br />
Toledo, OH 43623<br />
419-776-1004<br />
Dewey, Courtney OD<br />
Reed Vision Associates<br />
P.C.<br />
4600 Talmadge Rd<br />
Toledo, OH 43623<br />
419-472-1113<br />
Johnsonbaugh, Monica<br />
OD<br />
Reed Vision by Mercy<br />
4600 Talmadge Rd<br />
Toledo, OH 43623<br />
419-472-1113<br />
Johnsonbaugh, Monica<br />
OD<br />
Reed Vision by Mercy<br />
5085 Monroe St<br />
Toledo, OH 43623<br />
419-776-1004<br />
Mahaffey, Donna OD<br />
Northwest Ohio Eyecare<br />
5550 W Central Ave<br />
Toledo, OH 43623<br />
419-539-6989<br />
Vassalle, Tiffany OD<br />
Envision Icare, Inc<br />
111 Progress Dr<br />
Bellevue, OH 44811<br />
419-484-8181<br />
Clyde<br />
Baxter, Stephanie OD<br />
Family Eye Care Centers<br />
1074 W McPherson Hwy<br />
Clyde, OH 43410<br />
419-547-9126<br />
Foreign Language(s):<br />
Spanish<br />
Van Wert County<br />
Van Wert<br />
Bidlack, Mark OD<br />
Van Wert Vision, Ltd.<br />
1183 Westwood Dr<br />
Van Wert, OH 45891<br />
419-238-9244<br />
Karcher, Darrin OD<br />
Van Wert Vision, Ltd.<br />
1183 Westwood Dr<br />
Van Wert, OH 45891<br />
419-238-9244<br />
Miller, Dennis OD<br />
George K. Miller<br />
Optometrists, Inc.<br />
321 W Main St<br />
Van Wert, OH 45891<br />
419-238-5503<br />
Page 30 2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan
Section 2 – List of Plan <strong>Provider</strong>s<br />
Specialists<br />
Optometry cont. Perrysburg Toledo Mullendore, Andrew MD<br />
1456 Marion Waldo Rd<br />
Williams County Ridge, James OD Bell, Ronald H. MD Marion, OH 43302<br />
Bryan<br />
Mobile Medical, Inc<br />
3255 Levis Commons<br />
6725 W Central Ave<br />
Toledo, OH 43617<br />
740-389-2100<br />
Aloi, David OD<br />
WalMart Vision Center<br />
1215 S Main St<br />
Bryan, OH 43506<br />
419-630-2278<br />
Blvd<br />
Perrysburg, OH 43551-<br />
7145<br />
419-874-0393<br />
Wood, John OD<br />
888-833-8441<br />
Hashemi, Amir A. MD<br />
1642 Ralston Cir<br />
Toledo, OH 43615<br />
419-536-7265<br />
Stern, Brian DDS<br />
1456 Marion Waldo Rd<br />
Marion, OH 43302<br />
740-389-2100<br />
Stern, Norman DDS<br />
Hill, Robert OD<br />
Northwest Ohio Eye Care<br />
1313 W High St<br />
Bryan, OH 43506<br />
419-636-1531<br />
Mobile Medical, Inc<br />
3255 Levis Commons<br />
Blvd<br />
Perrysburg, OH 43551-<br />
7145<br />
419-874-0393<br />
Foreign Language(s):<br />
Gujarati, Hindi<br />
Hashemi, Amir A. MD<br />
4014 Elmhurst Rd<br />
Toledo, OH 43613<br />
1456 Marion Waldo Rd<br />
Marion, OH 43302<br />
740-389-2100<br />
Von Kaenel, Douglas<br />
DDS<br />
McCashen, Kyle OD<br />
Bryan Eye Center Inc.<br />
1525 W High St<br />
Bryan, OH 43506<br />
419-636-6723<br />
Olnhausen, Thomas OD<br />
Northwest Ohio Eye Care<br />
1313 W High St<br />
Bryan, OH 43506<br />
419-636-1531<br />
Peters, Randy OD<br />
Peters Family Eyecare<br />
1206 S Main St<br />
Bryan, OH 43506<br />
419-636-3937<br />
Oral Surgery<br />
Defiance County<br />
Defiance<br />
Pittman, Brad MD<br />
1075 E 2nd St<br />
Defiance, OH 43512<br />
419-783-6993<br />
Foreign Language(s):<br />
Spanish<br />
Fulton County<br />
Wauseon<br />
419-536-7265<br />
Foreign Language(s):<br />
Gujarati, Hindi<br />
Holdship, Matthew K.<br />
MD<br />
1850 Eastgate Rd<br />
Toledo, OH 43614<br />
419-385-5743<br />
Holdship, Matthew K.<br />
MD<br />
4646 Nantuckett Dr<br />
Toledo, OH 43623<br />
419-843-2121<br />
Marion County<br />
1456 Marion Waldo Rd<br />
Marion, OH 43302<br />
740-389-2100<br />
Yanich, Jason DDS<br />
1456 Marion Waldo Rd<br />
Marion, OH 43302<br />
740-389-2100<br />
Seneca County<br />
Fostoria<br />
Lee, Richard J. MD<br />
801 Sandusky St<br />
Fostoria, OH 44830<br />
419-435-1842<br />
Richmond, Tara OD<br />
Northwest Ohio Eye Care<br />
1313 W High St<br />
Bryan, OH 43506<br />
419-636-1531<br />
Pittman, Brad MD<br />
1075 N Shoop Ave<br />
Wauseon, OH 43567<br />
419-335-7888<br />
Foreign Language(s):<br />
Spanish<br />
Marion<br />
Bullard, David MD<br />
1456 Marion Waldo Rd<br />
Marion, OH 43302<br />
740-389-2100<br />
Williams County<br />
Bryan<br />
Pittman, Brad MD<br />
201 Van Gundy Dr<br />
Bryan, OH 43506<br />
Wood County<br />
Perrsyburg<br />
Brodie, Kyle OD<br />
Brodie Optometry<br />
955 Commerce Dr<br />
Perrsyburg, OH 43551<br />
419-931-2020<br />
Lucas County<br />
Oregon<br />
Hashemi, Amir A. MD<br />
3246 Navarre Ave<br />
Oregon, OH 43616<br />
419-536-7265<br />
Foreign Language(s):<br />
Gujarati, Hindi<br />
Hughes, William MD<br />
1456 Marion Waldo Rd<br />
Marion, OH 43302<br />
740-389-2100<br />
McEwan, Jack MD<br />
1456 Marion Waldo Rd<br />
Marion, OH 43302<br />
740-389-2100<br />
419-636-7888<br />
Pittman, Brad MD<br />
433 W High St<br />
Bryan, OH 43506<br />
419-636-7888<br />
Foreign Language(s):<br />
Spanish<br />
2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan Page 31
Specialists Section 2 – List of Plan <strong>Provider</strong>s<br />
Oral Surgery cont. McDonald, Mark G. MD<br />
139 Garau St<br />
Delphos Lin, David MD<br />
1003 Bellefontaine Ave<br />
Wood County Bluffton, OH 45817 Briggs, Lloyd C. MD Lima, OH 45804<br />
Bowling Green<br />
800-358-9010 1800 E 5th St<br />
Delphos, OH 45833<br />
419-998-8240<br />
Hashemi, Amir A. MD<br />
990 W Poe Rd<br />
Bowling Green, OH 43402<br />
419-536-7265<br />
Misson, Joseph R. MD<br />
4452 Eastgate Blvd<br />
Bluffton, OH 45817<br />
800-358-9010<br />
800-225-3921<br />
McDonald, Mark G. MD<br />
1800 E 5th St<br />
Delphos, OH 45833<br />
McDonald, Mark G. MD<br />
801 Medical Dr<br />
Lima, OH 45804<br />
419-222-6622<br />
Holdship, Matthew K.<br />
MD<br />
970 W Wooster St<br />
Bowling Green, OH 43402<br />
419-353-2100<br />
Muha, Michael J. MD<br />
139 Garau St<br />
Bluffton, OH 45817<br />
800-358-9010<br />
Nieman, James M. MD<br />
800-225-3921<br />
Muha, Michael J. MD<br />
1800 E 5th St<br />
Delphos, OH 45833<br />
800-225-3921<br />
Misson, Joseph R. MD<br />
801 Medical Dr<br />
Lima, OH 45804<br />
419-222-6622<br />
Muha, Michael J. MD<br />
139 Garau St 801 Medical Dr<br />
Orthodontics Bluffton, OH 45817<br />
800-358-9010<br />
Patel, Samir M. MD<br />
1800 E 5th St<br />
Lima, OH 45804<br />
419-222-6622<br />
Seneca County<br />
Delphos, OH 45833<br />
Tiffin<br />
O’Neill, James A. MD<br />
139 Garau St<br />
800-225-3921<br />
Foreign Language(s):<br />
Nieman, James M. MD<br />
801 Medical Dr<br />
Ellinger, Richard W.<br />
DDS<br />
6 Main St<br />
Tiffin, OH 44883<br />
419-447-1624<br />
Foreign Language(s):<br />
Spanish<br />
Bluffton, OH 45817<br />
800-358-9010<br />
Patel, Samir M. MD<br />
139 Garau St<br />
Bluffton, OH 45817<br />
800-358-9010<br />
Foreign Language(s):<br />
Gujarati, Hindi<br />
Gujarati, Hindi<br />
Patterson, James J. MD<br />
1800 E 5th St<br />
Delphos, OH 45833<br />
800-225-3921<br />
Lima<br />
Lima, OH 45804<br />
419-222-6622<br />
O’Neill, James A. MD<br />
4164 S Cleveland-<br />
Massillon Rd<br />
Lima, OH 45804<br />
419-222-6622<br />
Orthopaedic<br />
Surgery<br />
Allen County<br />
Patterson, James J. MD<br />
139 Garau St<br />
Bluffton, OH 45817<br />
800-358-9010<br />
Bell, Lawrence D. MD<br />
1003 Bellefontaine Ave<br />
Lima, OH 45804<br />
419-998-8240<br />
Patel, Samir M. MD<br />
801 Medical Dr<br />
Lima, OH 45804<br />
419-222-6622<br />
Foreign Language(s):<br />
Bluffton<br />
Briggs, Lloyd C. MD<br />
139 Garau St<br />
Bluffton, OH 45817<br />
800-358-9010<br />
Fumich, Frank E. MD<br />
139 Garau St<br />
Bluffton, OH 45817<br />
800-358-9010<br />
Sanko, William A. MD<br />
139 Garau St<br />
Bluffton, OH 45817<br />
800-358-9010<br />
Schniegenberg, Gary M.<br />
MD<br />
139 Garau St<br />
Bluffton, OH 45817<br />
800-358-9010<br />
Briggs, Lloyd C. MD<br />
801 Medical Dr<br />
Lima, OH 45804<br />
419-222-6622<br />
Fumich, Frank E. MD<br />
801 Medical Dr<br />
Lima, OH 45804<br />
419-222-6622<br />
Haman, Steven P. MD<br />
Gujarati, Hindi<br />
Patterson, James J. MD<br />
801 Medical Dr<br />
Lima, OH 45804<br />
419-222-6622<br />
Sanko, William A. MD<br />
801 Medical Dr<br />
Lima, OH 45804<br />
419-222-6622<br />
Haman, Steven P. MD<br />
139 Garau St<br />
Bluffton, OH 45817<br />
800-358-9010<br />
Wieser, Michael J. MD<br />
139 Garau St<br />
Bluffton, OH 45817<br />
800-358-9010<br />
801 Medical Dr<br />
Lima, OH 45804<br />
419-222-6622<br />
Schniegenberg, Gary M.<br />
MD<br />
801 Medical Dr<br />
Lima, OH 45804<br />
419-222-6622<br />
Page 32 2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan
Section 2 – List of Plan <strong>Provider</strong>s<br />
Specialists<br />
Orthopaedic<br />
Surgery cont.<br />
Misson, Joseph R. MD<br />
1275 Greenville Rd<br />
St. Marys, OH 45885<br />
Hicksville<br />
Moore, Robert W. MD<br />
Fostoria<br />
Tremains, Michael R.<br />
Allen County cont. 419-394-4636 208 N. Columbus St<br />
Hicksville, OH 43526<br />
MD<br />
501 Van Buren St<br />
Lima cont.<br />
Muha, Michael J. MD<br />
1002 Knoxville Rd<br />
419-636-4517 Fostoria, OH 44830<br />
419-475-1600<br />
Wieser, Michael J. MD<br />
801 Medical Dr<br />
Lima, OH 45804<br />
419-222-6622<br />
St. Marys<br />
St. Marys, OH 45885<br />
419-394-4636<br />
Muha, Michael J. MD<br />
1275 Greenville Rd<br />
St. Marys, OH 45885<br />
419-394-4636<br />
Hancock County<br />
Bluffton<br />
Tremains, Michael R.<br />
MD<br />
139 Garau St<br />
Hardin County<br />
Ada<br />
McDonald, Mark G. MD<br />
520 W Lincoln Ave<br />
McDonald, Mark G. MD<br />
1275 Greenville Rd<br />
St. Marys, OH 45885<br />
419-394-4636<br />
O’Neill, James A. MD<br />
1002 Knoxville Rd<br />
St. Marys, OH 45885<br />
419-394-4636<br />
Bluffton, OH 45817<br />
800-358-9010<br />
Findlay<br />
Ada, OH 45810<br />
419-634-7300<br />
Kenton<br />
Auglaize County<br />
St. Marys<br />
Briggs, Lloyd C. MD<br />
1002 Knoxville Rd<br />
St. Marys, OH 45885<br />
419-394-4636<br />
Briggs, Lloyd C. MD<br />
1275 Greenville Rd<br />
St. Marys, OH 45885<br />
419-394-4636<br />
Patel, Samir M. MD<br />
1002 Knoxville Rd<br />
St. Marys, OH 45885<br />
419-394-4636<br />
Foreign Language(s):<br />
Gujarati, Hindi<br />
Patel, Samir M. MD<br />
1275 Greenville Rd<br />
St. Marys, OH 45885<br />
419-394-4636<br />
Foreign Language(s):<br />
Gujarati, Hindi<br />
Copeland, Steven C. MD<br />
301 W Wallace St<br />
Findlay, OH 45840<br />
419-424-0131<br />
Davidson, James J. MD<br />
301 W Wallace St<br />
Findlay, OH 45840<br />
419-424-0131<br />
Havens, Philip E. MD<br />
301 W Wallace St<br />
Findlay, OH 45840<br />
419-424-0131<br />
Briggs, Lloyd C. MD<br />
921 E Franklin St<br />
Kenton, OH 43326<br />
419-222-6622<br />
McDonald, Mark G. MD<br />
921 E Franklin St<br />
Kenton, OH 43326<br />
419-222-6622<br />
Misson, Joseph R. MD<br />
921 E Franklin St<br />
Kenton, OH 43326<br />
419-222-6622<br />
Fumich, Frank E. MD<br />
1002 Knoxville Rd<br />
St. Marys, OH 45885<br />
419-394-4636<br />
Patterson, James J. MD<br />
1002 Knoxville Rd<br />
St. Marys, OH 45885<br />
419-394-4636<br />
Hecht, Brian MD<br />
County Rd 236<br />
Findlay, OH 45840<br />
419-427-1984<br />
Muha, Michael J. MD<br />
921 E Franklin St<br />
Kenton, OH 43326<br />
419-222-6622<br />
Haman, Steven P. MD<br />
1002 Knoxville Rd<br />
St. Marys, OH 45885<br />
419-394-4636<br />
Patterson, James J. MD<br />
1275 Greenville Rd<br />
St. Marys, OH 45885<br />
419-394-4636<br />
McMath, Jeffrey A. MD<br />
301 W Wallace St<br />
Findlay, OH 45840<br />
419-424-0131<br />
Patel, Samir M. MD<br />
921 E Franklin St<br />
Kenton, OH 43326<br />
419-222-6622<br />
McDonald, Mark G. MD<br />
1002 Knoxville Rd<br />
St. Marys, OH 45885<br />
419-394-4636<br />
Misson, Joseph R. MD<br />
1002 Knoxville Rd<br />
St. Marys, OH 45885<br />
419-394-4636<br />
Defiance County<br />
Defiance<br />
Beeks, David MD<br />
1400 E 2nd St<br />
Defiance, OH 43512<br />
419-784-1414<br />
Raabe, Thomas M. MD<br />
301 W Wallace St<br />
Findlay, OH 45840<br />
419-424-0131<br />
Tremains, Michael R.<br />
MD<br />
County Rd 236<br />
Findlay, OH 45840<br />
419-427-1984<br />
Foreign Language(s):<br />
Gujarati, Hindi<br />
Patterson, James J. MD<br />
921 E Franklin St<br />
Kenton, OH 43326<br />
419-222-6622<br />
2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan Page 33
Specialists Section 2 – List of Plan <strong>Provider</strong>s<br />
Orthopaedic<br />
Surgery cont.<br />
Oregon<br />
Beeks, David MD<br />
Muha, Michael J. MD<br />
800 W Main St<br />
Coldwater, OH 45828<br />
Muha, Michael J. MD<br />
601 St Rt 224<br />
Glandorf, OH 45848<br />
Logan County 2702 Navarre Ave<br />
Oregon, OH 43616<br />
419-222-6622 800-225-3921<br />
Bellefontaine 419-696-3131 Patel, Samir M. MD Nieman, James M. MD<br />
800 W Main St 601 St Rt 224<br />
Briggs, Lloyd C. MD<br />
205 Palmer Ave<br />
Bellefontaine, OH 43311<br />
419-222-6622<br />
Patel, Samir M. MD<br />
205 Palmer Ave<br />
Bellefontaine, OH 43311<br />
419-222-6622<br />
Foreign Language(s):<br />
Gujarati, Hindi<br />
Patterson, James J. MD<br />
205 Palmer Ave<br />
Bellefontaine, OH 43311<br />
419-222-6622<br />
Lucas County<br />
Maumee<br />
Herkimer, Carl P. MD<br />
3329 Broadview Rd<br />
Maumee, OH 43537<br />
419-893-2663<br />
Hoeflinger, Michael J.<br />
MD<br />
5755 Monclova Rd<br />
Maumee, OH 43537<br />
Sylvania<br />
Rusin, Joseph J. MD<br />
5750 Alexis Rd<br />
Sylvania, OH 43560<br />
419-824-0300<br />
Toledo<br />
Patel, Arun MD<br />
2213 Cherry St<br />
Toledo, OH 43608<br />
419-251-4283<br />
Foreign Language(s):<br />
Hindi<br />
Patel, Arun MD<br />
3900 Sunforest Court<br />
Toledo, OH 43623<br />
419-475-1600<br />
Mercer County<br />
Celina<br />
Kemmler, James E. MD<br />
123 Hamilton St<br />
Celina, OH 45822<br />
419-586-5760<br />
Coldwater, OH 45828<br />
419-222-6622<br />
Foreign Language(s):<br />
Gujarati, Hindi<br />
Patterson, James J. MD<br />
800 W Main St<br />
Coldwater, OH 45828<br />
419-222-6622<br />
Ottawa County<br />
Ottawa<br />
Tremains, Michael R.<br />
MD<br />
1740 N Perry St<br />
Ottawa, OH 45875<br />
419-523-4611<br />
Putnam County<br />
Glandorf<br />
Briggs, Lloyd C. MD<br />
601 St Rt 224<br />
Glandorf, OH 45848<br />
800-225-3921<br />
Fumich, Frank E. MD<br />
Glandorf, OH 45848<br />
800-225-3921<br />
O’Neill, James A. MD<br />
601 St Rt 224<br />
Glandorf, OH 45848<br />
800-225-3921<br />
Patel, Samir M. MD<br />
601 St Rt 224<br />
Glandorf, OH 45848<br />
800-225-3921<br />
Foreign Language(s):<br />
Gujarati, Hindi<br />
Patterson, James J. MD<br />
601 St Rt 224<br />
Glandorf, OH 45848<br />
800-225-3921<br />
Sanko, William A. MD<br />
601 St Rt 224<br />
Glandorf, OH 45848<br />
800-225-3921<br />
Schniegenberg, Gary M.<br />
MD<br />
601 St Rt 224<br />
Glandorf, OH 45848<br />
800-225-3921<br />
419-893-2663<br />
Houston, Thomas M.<br />
MD<br />
5755 Monclova Rd<br />
Maumee, OH 43537<br />
419-893-2663<br />
Salpietro, Benjamin J.<br />
MD<br />
5755 Monclova Rd<br />
Maumee, OH 43537<br />
419-893-2663<br />
Coldwater<br />
Briggs, Lloyd C. MD<br />
800 W Main St<br />
Coldwater, OH 45828<br />
419-222-6622<br />
McDonald, Mark G. MD<br />
800 W Main St<br />
Coldwater, OH 45828<br />
419-222-6622<br />
Misson, Joseph R. MD<br />
601 St Rt 224<br />
Glandorf, OH 45848<br />
800-225-3921<br />
Haman, Steven P. MD<br />
601 St Rt 224<br />
Glandorf, OH 45848<br />
800-225-3921<br />
McDonald, Mark G. MD<br />
601 St Rt 224<br />
Glandorf, OH 45848<br />
800-225-3921<br />
Wieser, Michael J. MD<br />
601 St Rt 224<br />
Glandorf, OH 45848<br />
800-225-3921<br />
Ottawa<br />
McMath, Jeffrey A. MD<br />
1740 N. Perry St<br />
Ottawa, OH 45875<br />
419-523-0055<br />
800 W Main St<br />
Coldwater, OH 45828<br />
419-222-6622<br />
Misson, Joseph R. MD<br />
601 St Rt 224<br />
Glandorf, OH 45848<br />
800-225-3921<br />
Page 34 2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan
Section 2 – List of Plan <strong>Provider</strong>s<br />
Specialists<br />
Orthopaedic<br />
Surgery cont.<br />
Misson, Joseph R. MD<br />
1180 Professional Dr<br />
Van Wert, OH 45891<br />
Lucas County<br />
Oregon<br />
Sandusky County<br />
Fremont<br />
Seneca County 419-238-9764<br />
Coleman, Gary B. MD Coleman, Gary B. MD<br />
Fostoria<br />
Patel, Arun MD<br />
501 Van Buren St<br />
Fostoria, OH 44832<br />
419-475-1600<br />
Foreign Language(s):<br />
Hindi<br />
Tiffin<br />
Copeland, Steven C. MD<br />
672 Miami St<br />
Tiffin, OH 44883<br />
419-448-7424<br />
Muha, Michael J. MD<br />
1180 Professional Dr<br />
Van Wert, OH 45891<br />
419-238-9764<br />
Patel, Samir M. MD<br />
1180 Professional Dr<br />
Van Wert, OH 45891<br />
419-238-9764<br />
Foreign Language(s):<br />
Gujarati, Hindi<br />
Patterson, James J. MD<br />
1180 Professional Dr<br />
Van Wert, OH 45891<br />
419-238-9764<br />
1050 Isaac St Dr<br />
Oregon, OH 43616<br />
419-474-9324<br />
Shariff, Afser MD<br />
1050 Isaac St Dr<br />
Oregon, OH 43616<br />
419-698-4505<br />
Toledo<br />
Coleman, Gary B. MD<br />
2213 Cherry St<br />
Toledo, OH 43608<br />
419-474-9324<br />
605 3rd Ave<br />
Fremont, OH 43420<br />
419-474-9324<br />
Seneca County<br />
Tiffin<br />
Young, Wade E. MD<br />
60 Ashwood Rd<br />
Tiffin, OH 44883<br />
419-448-8811<br />
Williams County<br />
Bryan<br />
Davidson, James J. MD<br />
672 Miami St<br />
Tiffin, OH 44883<br />
419-448-7424<br />
Williams County<br />
Bryan<br />
Coleman, Gary B. MD<br />
3829 Woodley Rd<br />
Toledo, OH 43606<br />
419-474-9324<br />
Weir, Norman R. MD<br />
442 W High St<br />
Bryan, OH 43506<br />
419-636-4517<br />
Havens, Philip E. MD<br />
672 Miami St<br />
Tiffin, OH 44883<br />
419-448-7424<br />
Hecht, Brian MD<br />
3101 W Us 224<br />
Tiffin, OH 44883<br />
419-427-1984<br />
Heck, Bruce E. MD<br />
3101 W Us 224<br />
Tiffin, OH 44883<br />
419-427-1984<br />
Van Wert County<br />
Van Wert<br />
Moore, Robert W. MD<br />
9393 Cincinnati-<br />
Columbus Rd<br />
Bryan, OH 43506<br />
419-636-4517<br />
Otolarynology<br />
Allen County<br />
Lima<br />
Rossi, Susan J. MD<br />
750 W. High St<br />
Lima, OH 45801<br />
419-226-4300<br />
Defiance County<br />
Hnatiuk, Mark MD<br />
2213 Cherry St<br />
Toledo, OH 43608<br />
419-251-4283<br />
Shariff, Afser MD<br />
2213 Cherry St<br />
Toledo, OH 43608<br />
419-251-4283<br />
Toma, Vincent MD<br />
2213 Cherry St<br />
Toledo, OH 43608<br />
419-251-4283<br />
Mercer County<br />
Coldwater<br />
Pain<br />
Management<br />
Allen County<br />
Lima<br />
Hogan, William E. MD<br />
375 N Easttown Rd<br />
Lima, OH 45807<br />
419-221-1364<br />
Foreign Language(s):<br />
Spanish, Greek, Sign<br />
Language<br />
West Chester<br />
Briggs, Lloyd C. MD<br />
1180 Professional Dr<br />
Van Wert, OH 45891<br />
419-238-9764<br />
McDonald, Mark G. MD<br />
1180 Professional Dr<br />
Van Wert, OH 45891<br />
419-238-9764<br />
Defiance<br />
Weir, Norman R. MD<br />
1400 E 2nd St<br />
Defiance, OH 43512<br />
419-784-1414<br />
Hensen, Eric L. MD<br />
800 W Main St<br />
Coldwater, OH 45828<br />
419-678-5244<br />
Lee, Hungchih MD<br />
7862 Kingland Dr<br />
West Chester, OH 45069<br />
513-755-1341<br />
Foreign Language(s):<br />
Korean, Spanish<br />
2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan Page 35
Specialists Section 2 – List of Plan <strong>Provider</strong>s<br />
Pain<br />
Management cont.<br />
Kuhlman, Kurt A. MD<br />
658 W Market St<br />
Lima, OH 45801<br />
Lucas County<br />
Perrysburg<br />
Union County<br />
Marysville<br />
Hancock County 419-228-5434<br />
Kale, Lawrence A. MD Flenner, Tim J. MD<br />
Findlay<br />
Gould, Robert E. MD<br />
1900 S Main St<br />
Findlay, OH 45840<br />
419-423-5555<br />
Myers, Mary A. MD<br />
770 W High St<br />
Lima, OH 45801<br />
419-996-5201<br />
Myers, Mary Ann MD<br />
6550 North Ridge Rd<br />
28555 Starbright Blvd<br />
Perrysburg, OH 43551<br />
419-887-8771<br />
Toledo<br />
Myers, Mary Ann MD<br />
500 London Ave<br />
Marysville, OH 43040<br />
513-891-3373<br />
Van Wert County<br />
Van Wert<br />
Lucas County<br />
Tiffin<br />
Lakshmipathy,<br />
Narendranath MD<br />
27 St Lawrence Dr<br />
Lima, OH 45801<br />
419-383-3760<br />
Owens, Matthew T. MD<br />
658 W Market St<br />
Lima, OH 45801<br />
419-228-5434<br />
3120 Glendale Ave<br />
Toledo, OH 43614<br />
419-383-3760<br />
Mercer County<br />
Celina<br />
Wray, Jocelyn M. MD<br />
140 Fox Rd<br />
Van Wert, OH 45891<br />
419-232-6333<br />
Wood County<br />
Tiffin, OH 44883<br />
419-455-8529<br />
Physical<br />
Medicine &<br />
Rehabilitation<br />
Crawford County<br />
Crestline<br />
Lai, Mei Chiew MD<br />
293 Chambers Ave<br />
Crestline, OH 44827<br />
Wray, Jocelyn M. MD<br />
123 Hamilton St<br />
Celina, OH 45822<br />
419-586-5760<br />
Putnam County<br />
Perrysburg<br />
Rice, Susan MD<br />
28555 Starbright Blvd<br />
Perrysburg, OH 43551<br />
419-531-2232<br />
Allen County 419-683-3073<br />
Glandorf Plastic &<br />
Bluffton<br />
Dasari, Grace R. MD<br />
139 Garau St<br />
Bluffton, OH 45817<br />
800-358-9010<br />
Delphos<br />
Dasari, Grace R. MD<br />
329 Marion Ave NW<br />
Delphos, OH 45833<br />
800-225-3921<br />
Defiance County<br />
Hicksville<br />
Kaplansky, Bryan MD<br />
208 N Columbus St<br />
Hicksville, OH 43626<br />
419-542-6692<br />
Hancock County<br />
Findlay<br />
Dasari, Grace R. MD<br />
Dasari, Grace R. MD<br />
601 St Rt 224<br />
Glandorf, OH 45848<br />
800-225-3921<br />
Ottawa<br />
Myers, Mary Ann MD<br />
91 5th St SE<br />
Ottawa, OH 45875<br />
419-383-3760<br />
Seneca County<br />
Reconstructive<br />
Surgery<br />
Lucas County<br />
Toledo<br />
Dalagiannis, Athanasios<br />
T. MD<br />
2213 Cherry St<br />
Toledo, OH 43608<br />
419-251-4283<br />
Marion County<br />
Lima 1900 S Main St<br />
Findlay, OH 45840<br />
Tiffin Marion<br />
Dasari, Grace R. MD<br />
801 Medical Dr<br />
Lima, OH 45804<br />
419-222-6622<br />
800-225-3921<br />
Michaels, Matthew MD<br />
1501 Bright Rd<br />
Findlay, OH 45840<br />
Hill, Nathan A. MD<br />
27 St Lawrence Dr<br />
Tiffin, OH 44883<br />
419-455-8505<br />
Kumpf Ii, Aurthur L. MD<br />
1040 Delaware Ave<br />
Marion, OH 43302<br />
740-383-9040<br />
Hubbell, Susan L. MD<br />
658 WMarket St<br />
Lima, OH 45801<br />
419-228-5434<br />
419-424-0131<br />
Page 36 2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan
Section 2 – List of Plan <strong>Provider</strong>s<br />
Specialists<br />
Podiatry<br />
Allen County<br />
Minster<br />
Benjamin-Swonger,<br />
Kirk, Daniel W. MD<br />
812 Redskin Trail<br />
Wapakoneta, OH 45895<br />
Hardin County<br />
Kenton<br />
Bluffton<br />
Benjamin-Swonger,<br />
Mary K. MD<br />
148 N Main St<br />
Bluffton, OH 45817<br />
419-586-8557<br />
Jennings, Richard F.<br />
MD<br />
148 N Main St<br />
Bluffton, OH 45817<br />
419-358-3050<br />
Kail, Janet R. MD<br />
148 N Main St<br />
Bluffton, OH 45817<br />
419-358-3050<br />
Mary K. MD<br />
6 Eagle Dr<br />
Minster, OH 45865<br />
419-586-8557<br />
Jennings, Richard F.<br />
MD<br />
6 Eagle Dr<br />
Minster, OH 45865<br />
419-628-7874<br />
Kail, Janet R. MD<br />
6 Eagle Dr.<br />
Minster, OH 45865<br />
419-628-7874<br />
Kirk, Daniel W. MD<br />
6 Eagle Dr<br />
Minster, OH 45865<br />
419-628-7874<br />
419-586-7478<br />
Little, Eugene R. MD<br />
812 Redskin Trail<br />
Wapakoneta, OH 45895<br />
419-394-8664<br />
Miller, Eric C. MD<br />
812 Redskin Trail<br />
Wapakoneta, OH 45895<br />
419-394-8664<br />
Nielsen-Haak, Laurie A.<br />
MD<br />
812 Redskin Trail<br />
Wapakoneta, OH 45895<br />
419-394-8664<br />
Crawford County<br />
Mehta, Manisha MD<br />
875 Columbus St<br />
Kenton, OH 43326<br />
419-675-3668<br />
Vichinsky, Lewis M.<br />
DPM<br />
75 Washington Blvd<br />
Kenton, OH 43326<br />
216-941-3338<br />
Wilson, Jeffrey DPM<br />
875 Columbus St<br />
Kenton, OH 43326<br />
419-675-3668<br />
Logan County<br />
Bellefontaine<br />
Lima<br />
Niemeyer, Alison G. MD<br />
1138 W High St<br />
Lima, OH 45801<br />
419-225-2726<br />
St. Marys<br />
Little, Eugene R. MD<br />
1013 E Spring St<br />
St. Marys, OH 45885<br />
Galion<br />
Ciccero, Kimberly S. MD<br />
396 Portland Way N<br />
Galion, OH 44833<br />
419-468-3668<br />
Benjamin-Swonger,<br />
Mary K. MD<br />
3722 St Rte 68 S<br />
Bellefontaine, OH 43311<br />
419-586-8557<br />
Vichinsky, Lewis M.<br />
DPM<br />
825 W Market St<br />
Lima, OH 45801<br />
419-225-4911<br />
Ward, Shawn C. DPM<br />
1138 West High St<br />
Lima, OH 45801<br />
419-225-2726<br />
Auglaize County<br />
Lima<br />
419-394-8664<br />
Miller, Eric C. MD<br />
1013 E Spring St<br />
St. Marys, OH 45885<br />
419-394-8664<br />
Wapakoneta<br />
Benjamin-Swonger,<br />
Mary K. MD<br />
812 Redskin Trail<br />
Wapakoneta, OH 45895<br />
419-586-8557<br />
Lynn, Jeffrey A. MD<br />
396 Portland Way N<br />
Galion, OH 44833<br />
419-468-3668<br />
Mitsos, Angelo MD<br />
396 Portland Way N<br />
Galion, OH 44833<br />
419-468-3668<br />
Stanos Jr, Mark DPM<br />
396 Portland Way N<br />
Galion, OH 44833<br />
419-468-3668<br />
Kirk, Daniel W. MD<br />
3722 St Rte 68 S<br />
Bellefontaine, OH 43311<br />
937-599-3668<br />
Lucas County<br />
Beachwood<br />
Osting, Ralph G. MD<br />
3609 Park East Dr N<br />
Beachwood, OH 44122<br />
216-591-1311<br />
Little, Eugene R. MD<br />
825 W Market St<br />
Lima, OH 45805<br />
419-224-8414<br />
Jennings, Richard F.<br />
MD<br />
1251 Lincoln Ave<br />
Wapakoneta, OH 45895<br />
419-599-3668<br />
Hancock County<br />
Findlay<br />
Marsh, Scott E. MD<br />
Fremont<br />
Brent, Jessica MD<br />
1900 Hayes Ave<br />
Fremont, OH 43420<br />
419-332-8105<br />
Kail, Janet R. MD<br />
1251 Lincoln Ave<br />
Wapakoneta, OH 45985<br />
419-738-3733<br />
1501 Bright Rd<br />
Findlay, OH 45840<br />
419-424-0131<br />
2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan Page 37
Specialists Section 2 – List of Plan <strong>Provider</strong>s<br />
Podiatry cont.<br />
Lucas County cont.<br />
Degere, Michael W. MD<br />
7640 Sylvania Ave<br />
Toledo, OH 43560<br />
Kail, Janet R. MD<br />
1222 Imscher Blvd<br />
Celina, OH 45822<br />
Shelby County<br />
Sidney<br />
Maumee<br />
Bortel, Beau G. MD<br />
5757 Monclova Rd<br />
Maumee, OH 43537<br />
419-893-5757<br />
Oregon<br />
Cragel, Micheal D. MD<br />
1050 Isaac St Dr<br />
Oregon, OH 43616<br />
419-693-4171<br />
Russell, Corey B. MD<br />
2600 Navarre Ave<br />
419-479-5757<br />
Mehta, Manisha MD<br />
3030 W Sylvania Ave<br />
Toledo, OH 43613<br />
419-471-0079<br />
Saunders, Neil E. MD<br />
2213 Franklin Ave<br />
Toledo, OH 43620<br />
419-251-2360<br />
Vichinsky, Lewis M.<br />
DPM<br />
3030 W Sylvania Ave<br />
Toledo, OH 43613<br />
419-471-0079<br />
419-586-7874<br />
Kirk, Daniel W. MD<br />
1222 Irmscher Blvd<br />
Celina, OH 45822<br />
419-586-8557<br />
Sandusky County<br />
Bellevue<br />
Pensiero, Christopher A.<br />
MD<br />
815 Northwest St<br />
Bellevue, OH 44811<br />
419-483-2329<br />
Little, Eugene R. MD<br />
2097 Russell Rd<br />
Sidney, OH 45365<br />
937-492-9094<br />
Miller, Eric C. MD<br />
2097 Russell Rd<br />
Sidney, OH 45365<br />
937-492-9094<br />
Nielsen-Haak, Laurie A.<br />
MD<br />
2097 Russell Rd<br />
Sidney, OH 45365<br />
937-492-9094<br />
Oregon, OH 43616<br />
419-696-3008<br />
Wilkinson, Khase A.<br />
DPM<br />
1050 Isaac St Dr<br />
Oregon, OH 43616<br />
419-693-4171<br />
Wilkinson, Khase A.<br />
DPM<br />
2213 Franklin Ave<br />
Toledo, OH 43620<br />
419-251-2360<br />
Witt, David DPM<br />
2213 Franklin Ave<br />
Fremont<br />
Clarke, John J. MD<br />
1900 Hayes Ave<br />
Fremont, OH 43420<br />
419-332-8105<br />
Westlake<br />
Union County<br />
Marysville<br />
Vichinsky, Lewis M.<br />
DPM<br />
245 Stocksdale Dr<br />
Marysville, OH 43040<br />
937-642-9936<br />
Wilkinson, Khase A.<br />
DPM<br />
2600 Navarre Ave<br />
Oregon, OH 43611<br />
419-696-3008<br />
Sylvania<br />
Toledo, OH 43620<br />
419-251-2360<br />
Witt, David J. DPM<br />
4888 Whiteford<br />
Toledo, OH 43623<br />
419-885-5563<br />
Zaccardelli, William<br />
DPM<br />
960 Clague Rd<br />
Westlake, OH 44145<br />
440-250-2070<br />
Seneca County<br />
Van Wert County<br />
Van Wert<br />
Benjamin-Swonger,<br />
Mary K. MD<br />
140 Fox Rd<br />
Jones, David E. MD<br />
5151 S Main St<br />
Sylvania, OH 43560<br />
419-882-5000<br />
Washurn, Frank E. DPM<br />
5151 S Main St<br />
Sylvania, OH 43560<br />
419-882-5000<br />
Toledo<br />
Degere, Michael W. MD<br />
4235 Secor Rd<br />
Toledo, OH 43623<br />
419-479-5757<br />
Mercer County<br />
Celina<br />
Benjamin-Swonger,<br />
Mary K. MD<br />
1222 Irmscher Blvd<br />
Celina, OH 45822<br />
419-586-8557<br />
Jennings, Richard F.<br />
MD<br />
1222 Irschmer Blvd<br />
Celina, OH 45822<br />
419-586-7874<br />
Tiffin<br />
Bremyer, John MD<br />
27 St Lawrence St<br />
Tiffin, OH 44883<br />
419-455-8505<br />
Bremyer, John MD<br />
481 W Perry St<br />
Tiffin, OH 44883<br />
419-447-9683<br />
Consolo, Joel W. MD<br />
40 Clay St<br />
Tiffin, OH 44883<br />
419-443-8637<br />
Van Wert, OH 45891<br />
419-586-8557<br />
Jennings, Richard F.<br />
MD<br />
140 Fox Rd<br />
Van Wert, OH 45891<br />
419-232-3338<br />
Kail, Janet R. MD<br />
140 Fox Rd<br />
Van Wert, OH 45891<br />
419-232-3338<br />
Kirk, Daniel W. MD<br />
140 Fox Rd<br />
Van Wert, OH 45891<br />
419-232-3338<br />
Page 38 2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan
Section 2 – List of Plan <strong>Provider</strong>s<br />
Specialists<br />
Podiatry cont. Hostetter, Robin E. MD<br />
830 W High St<br />
Rovner, Marc S. MD<br />
730 W Market St<br />
Ruiz, Jamey MD<br />
1661 Holland Rd<br />
Wood County Lima, OH 45801 Lima, OH 45801 Maumee, OH 43537<br />
Bowling Green<br />
419-996-5033 419-227-3361 419-843-7800<br />
Desilvio, Mark MD<br />
735 Haskins Rd<br />
Bowling Green, OH 43402<br />
419-352-8110<br />
Pulmonary<br />
Disease<br />
Allen County<br />
Rovner, Marc S. MD<br />
770 W High St<br />
Lima, OH 45801<br />
419-996-2686<br />
Oregon<br />
Fernandes, Karl MD<br />
1050 Issacs St Dr Ste<br />
124<br />
Witt, David DPM<br />
735 Haskins Rd<br />
Bowling Green, OH 43402<br />
419-352-8110<br />
Witt, Sandra DPM<br />
735 Haskins Rd<br />
Bowling Green, OH 43402<br />
419-352-8110<br />
Perrysburg<br />
Witt, David DPM<br />
1021 Sandusky St Ste A<br />
Perrysburg, OH 43551<br />
419-874-4494<br />
Podiatry / Foot &<br />
Ankle Surgery<br />
Lucas County<br />
Rossford<br />
Green, Kristina E. MD<br />
928 Dixie Hwy<br />
Rossford, OH 43460<br />
419-666-5299<br />
Psychiatry<br />
Allen County<br />
Lima<br />
Lima<br />
Anigbogu, Joseph M.<br />
MD<br />
528 W Market St<br />
Lima, OH 45804<br />
419-227-5864<br />
Anigbogu, Joseph M.<br />
MD<br />
730 W Makret St<br />
Lima, OH 45801<br />
419-227-3361<br />
Anigbogu, Joseph M.<br />
MD<br />
750 WHigh St<br />
Lima, OH 45801<br />
419-227-5864<br />
Chanamolu, Sreenivasa<br />
R. MD<br />
528 W Market St<br />
Lima, OH 45804<br />
419-227-5864<br />
Foreign Language(s):<br />
Telugu<br />
Chanamolu, Sreenivasa<br />
R. MD<br />
750 WHigh St<br />
Lima, OH 45801<br />
419-227-5864<br />
Foreign Language(s):<br />
Telugu<br />
Defiance County<br />
Defiance<br />
Jacob, Hany J. MD<br />
1250 Ralston Ave<br />
Defiance, OH 43512<br />
419-843-7800<br />
Pipoly, Daniel MD<br />
1250 Ralston Ave<br />
Defiance, OH 43512<br />
419-843-7800<br />
Lucas County<br />
Maumee<br />
Fernandes, Karl MD<br />
1661 Holland Rd<br />
Maumee, OH 43537<br />
419-843-7800<br />
Jacob, Hany J. MD<br />
1661 Holland Rd<br />
Maumee, OH 43537<br />
419-843-7800<br />
Kose, Robert MD<br />
1661 Holland Rd<br />
Maumee, OH 43537<br />
419-843-7800<br />
Kose, Robert MD<br />
5600 Monclova Rd<br />
Maumee, OH 43537<br />
Oregon, OH 43616<br />
419-843-7800<br />
Sylvania<br />
Ruiz, Jamey MD<br />
7640 W. Sylvania Ave<br />
Sylvania, OH 43560<br />
419-843-7800<br />
Toledo<br />
Assaly, Ragheb A. MD<br />
3120 Glendale Ave<br />
Toledo, OH 43614<br />
419-383-3742<br />
Foreign Language(s):<br />
Arabic<br />
Assaly, Ragheb A. MD<br />
4041 W Sylvania Ave<br />
Toledo, OH 43623<br />
419-292-1616<br />
Foreign Language(s):<br />
Arabic<br />
Fernandes, Karl MD<br />
7640 W. Sylvania Ave<br />
Toledo, OH 43617<br />
419-843-7800<br />
Jacob, Hany J. MD<br />
7640 W. Sylvania Ave<br />
Toledo, OH 43617<br />
419-843-7800<br />
Camino-Gaztambide,<br />
Richard F. MD<br />
830 W High St<br />
Lima, OH 45801<br />
419-996-5033<br />
Chanamolu, Sreenivasa<br />
R. MD<br />
770 W High St<br />
Lima, OH 45801<br />
419-996-2686<br />
Foreign Language(s):<br />
Telugu<br />
419-893-3306<br />
Pipoly, Daniel MD<br />
1661 Holland Rd<br />
Maumee, OH 43537<br />
419-843-7800<br />
Jamal, Raheel MD<br />
2222 Cherry St<br />
Toledo, OH 43608<br />
419-251-4790<br />
2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan Page 39
Specialists Section 2 – List of Plan <strong>Provider</strong>s<br />
Pulmonary Tiffin Radiation<br />
Lucas County<br />
Disease cont.<br />
Jamal, Raheel MD<br />
Oncology Maumee<br />
Lucas County cont.<br />
Toledo cont.<br />
27 St Lawrence Dr<br />
Tiffin, OH 44883<br />
419-448-3486<br />
Allen County<br />
Lima<br />
Herrington, Sandra J.<br />
MD<br />
5805 Monclova Rd<br />
Kose, Robert MD<br />
7640 W. Sylvania Ave<br />
Toledo, OH 43617<br />
419-843-7800<br />
Mahajan, Vijay K. MD<br />
2222 Cherry St<br />
Toledo, OH 43608<br />
419-251-4790<br />
Pipoly, Daniel MD<br />
2121 Hughes Drive<br />
Toledo, OH 43606<br />
419-843-7800<br />
Pipoly, Daniel MD<br />
Katragadda, Srinivas<br />
MD<br />
2222 Cherry St<br />
Tiffin, OH 44883<br />
419-448-3486<br />
Katragadda, Srinivas<br />
MD<br />
27 St Lawrence Dr<br />
Tiffin, OH 44883<br />
419-448-3108<br />
Mahajan, Vijay K. MD<br />
27 St Lawrence<br />
Tiffin, OH 44883<br />
419-448-3486<br />
Herrington, Sandra J.<br />
MD<br />
803 W Market St<br />
Lima, OH 45805<br />
419-996-5063<br />
Kaiser, Heather S. MD<br />
803 W Market St<br />
Lima, OH 45802<br />
419-584-1900<br />
Kirschner, Eric S. MD<br />
730 W Market St<br />
Lima, OH 45801<br />
419-227-3361<br />
Maumee, OH 43537<br />
419-891-5600<br />
Herrington, Sandra J.<br />
MD<br />
5901 Monclova Rd<br />
Maumee, OH 43537<br />
419-893-5917<br />
Oregon<br />
Herrington, Sandra J.<br />
MD<br />
2600 Navarre Ave<br />
Oregon, OH 43616<br />
419-696-7465<br />
7640 W. Sylvania Ave<br />
Toledo, OH 43617<br />
419-843-7800<br />
Tita, James DO<br />
27 St Lawrence Dr<br />
Tiffin, OH 44883<br />
Hancock County<br />
Findlay<br />
Herrington, Sandra J.<br />
MD<br />
2802 Bay Park Dr<br />
Tita, James DO<br />
2222 Cherry St<br />
419-448-3486 Ashworth, Jeannie L.<br />
MD<br />
Oregon, OH 43616<br />
419-383-4541<br />
Toledo, OH 43608 Shelby County 15990 Medical Dr South<br />
419-251-4790<br />
Sidney<br />
Findlay, OH 45840<br />
419-423-3703<br />
Toledo<br />
Sandusky County<br />
Fremont<br />
Fernandes, Karl MD<br />
715 S Taft Ave<br />
Fremont, OH 43420<br />
419-843-7800<br />
Chanamolu, Sreenivasa<br />
R. MD<br />
915 Michigan Ave<br />
Sidney, OH 45365<br />
937-498-2311<br />
Foreign Language(s):<br />
Telugu<br />
Henry County<br />
Napoleon<br />
Herrington, Sandra J.<br />
MD<br />
11 600 Sr 424<br />
Herrington, Sandra J.<br />
MD<br />
4841 Monroe St<br />
Toledo, OH 43623<br />
419-473-2636<br />
Kaiser, Heather S. MD<br />
4841 Monroe St<br />
Jacob, Hany J. MD<br />
715 S Taft Ave<br />
Fremont, OH 43420<br />
419-333-0840<br />
Rovner, Marc S. MD<br />
915 Michigan Ave<br />
Sidney, OH 45365<br />
937-498-2311<br />
Napoleon, OH 43524<br />
419-592-4015<br />
Logan County<br />
Toledo, OH 43623<br />
419-473-2636<br />
Mercer County<br />
Bowling Green Celina<br />
Seneca County<br />
Fremont<br />
Wood County<br />
Bowling Green<br />
Herrington, Sandra J.<br />
MD<br />
Herrington, Sandra J.<br />
MD<br />
Ruiz, Jamey MD<br />
715 S Taft Ave<br />
Fremont, OH 43420<br />
419-843-7800<br />
El Gamal, Hesham H.<br />
MD<br />
960 W Wooster St<br />
Bowling Green, OH 43402<br />
419-373-7692<br />
960 W Wooster St<br />
Bowling Green, OH 43402<br />
419-352-9498<br />
900 Havemann Rd<br />
Celina, OH 45822<br />
419-584-1900<br />
Page 40 2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan
Section 2 – List of Plan <strong>Provider</strong>s<br />
Specialists<br />
Radiation<br />
Oncology cont.<br />
Seneca County<br />
Tiffin<br />
Hixenbaugh, Todd J. MD<br />
730 W Makret St<br />
Lima, OH 45801<br />
Defiance County<br />
Defiance<br />
Sandusky County<br />
Tita, James DO<br />
419-227-7117<br />
Shaw, John W. MD<br />
Sandusky<br />
Barton, Fredrick J. MD<br />
701 Tyler Rd<br />
27 St Lawrence Dr<br />
Tiffin, OH 44883<br />
419-448-3486<br />
Hixenbaugh, Todd J. MD<br />
770 W High St<br />
Lima, OH 45801<br />
419-227-7117<br />
1400 E 2nd St<br />
Defiance, OH 43612<br />
419-784-1414<br />
Sandusky, OH 44870<br />
216-844-3951<br />
Wood County<br />
Bowling Green<br />
Kaiser, Heather S. MD<br />
960 W Wooster St<br />
Bowling Green, OH 43402<br />
419-352-9498<br />
Surgery, General<br />
Allen County<br />
Lima<br />
Bowersock, Jason D.<br />
MD<br />
1001 Bellefontaine Ave<br />
Lima, OH 45804<br />
419-227-7117<br />
Hixenbaugh, Todd J. MD<br />
830 W High St<br />
Lima, OH 45801<br />
419-227-7117<br />
Lucchese, Christopher<br />
F. MD<br />
545 W Market St<br />
Lima, OH 45801<br />
419-331-2225<br />
Fulton County<br />
Wauseon<br />
Weigand, Frederick T.<br />
MD<br />
725 S Shoop<br />
Wauseon, OH 43567<br />
419-335-6880<br />
Hardin County<br />
Bowersock, Jason D. Lucchese, Christopher Kenton<br />
Rhuematology MD F. MD<br />
730 W Makret St 770 W High St<br />
Bowersock, Jason D.<br />
Lucas County Lima, OH 45801 Lima, OH 45801<br />
MD<br />
Toledo<br />
419-227-7117 419-228-8012<br />
921 E Franklin St<br />
Kenton, OH 43326<br />
Mubashir, Eisha MD<br />
Bowersock, Jason D.<br />
Auglaize County<br />
419-227-7117<br />
3020 McCord Ave<br />
MD<br />
Toledo, OH 43615<br />
770 W High St St. Marys<br />
Hixenbaugh, Todd J. MD<br />
419-517-1115<br />
Lima, OH 45801 921 E. Franklin St<br />
Foreign Language(s):<br />
419-227-7117 Bryant, K Lance MD Kenton, OH 43326<br />
Hindi, Portuguese,<br />
1165 Knoxville Ave 419-227-7117<br />
Urdu<br />
Bowersock, Jason D. St. Marys, OH 45885<br />
MD 419-394-3332 Lucas County<br />
830 W High St<br />
Sleep Medicine Lima, OH 45801 Hudson, Wayne R. MD Maumee<br />
419-227-7117<br />
Lucas County<br />
1134 Hagar St<br />
St. Marys, OH 45885 Cashen, Constance P.<br />
Toledo<br />
Cox, Marcus F. MD 419-394-4044<br />
MD<br />
1003 Bellefontaine Ave 5757 Monclova Rd<br />
Calderon, Eduardo T.<br />
Lima, OH 45804 Keighley, Robert D. MD Maumee, OH 43537<br />
MD<br />
419-998-8207 1165 Knoxville Ave 419-724-4777<br />
3949 Sunforest Ct<br />
St. Marys, OH 45885<br />
Toledo, OH 43623<br />
Ferrini, Victor F. MD 419-394-3332<br />
Evans, Darrell K. MD<br />
419-475-9341<br />
830 W High St 5871 Monclova Rd<br />
Lima, OH 45801 Quinter, Paul L. MD Maumee, OH 43537<br />
Tita, James DO<br />
419-227-7117 1165 Knoxville Ave 419-897-8376<br />
2222 Cherry St<br />
St. Marys, OH 45885<br />
Toledo, OH 43608<br />
Hixenbaugh, Todd J. MD 419-394-3332<br />
Nazemi, Bettina I. MD<br />
419-251-4790<br />
1001 Bellefontaine Ave 5757 Monclova Rd<br />
Lima, OH 45804 Reichert, James A. MD Maumee, OH 43537<br />
419-227-7117 1165 S Knoxville Ave 419-724-4777<br />
St. Marys, OH 45885<br />
419-394-3332<br />
2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan Page 41
Specialists Section 2 – List of Plan <strong>Provider</strong>s<br />
Surgery, General<br />
cont.<br />
Knotts, Frank MD<br />
2213 Cherry St<br />
Toledo, OH 43608<br />
Rosol, Stanley MD<br />
4646 Nantucket<br />
Toledo, OH 43623<br />
Fremont<br />
Peters, Ralph W. MD<br />
Lucas County cont. 419-251-4674 419-724-4777 1908 Glen Springs Dr<br />
Maumee cont. Nazemi, Bettina I. MD<br />
Foreign Language(s):<br />
Polish<br />
Fremont, OH 43420<br />
419-332-4778<br />
Rosol, Stanley J. MD<br />
5757 Monclova Rd<br />
Maumee, OH 43537<br />
419-724-4777<br />
Sylvania<br />
2200 Jefferson Ave<br />
Toledo, OH 43604<br />
419-251-1400<br />
Nazemi, Bettina I. MD<br />
4646 Nantucket<br />
Toledo, OH 43623<br />
419-724-4777<br />
Sipe, Eilynn K. MD<br />
3909 Woodley Rd<br />
Toledo, OH 43606<br />
419-291-2241<br />
Stark, Michael E. MD<br />
2000 Regency Ct<br />
Medina<br />
Zadeh, Barry J. MD<br />
973 E. Washington St<br />
Medina, OH 44256<br />
330-723-5500<br />
Sferra, Joseph J. MD<br />
5800 Monroe St<br />
Sylvania, OH 43560<br />
419-885-2524<br />
Stengle, John B. MD<br />
5800 Monroe St<br />
Sylvania, OH 43560<br />
419-885-2524<br />
Toledo<br />
Braun, Theodore M. MD<br />
2000 Regency Ct<br />
Toledo, OH 43623<br />
419-292-0300<br />
Novakovic, Rachel L.<br />
MD<br />
2213 Cherry St<br />
Toledo, OH 43608<br />
419-251-4674<br />
Novakovic, Rachel L.<br />
MD<br />
2409 Cherry St<br />
Toledo, OH 43608<br />
419-251-4674<br />
Oweis, Thomas D. MD<br />
2213 Cherry St<br />
Toledo, OH 43608<br />
419-251-4674<br />
Toledo, OH 43623<br />
419-841-6600<br />
Stengle, John B. MD<br />
2213 Cherry St<br />
Toledo, OH 43608<br />
419-251-4674<br />
White, Patrick W. MD<br />
4041 W Sylvania Ave<br />
Toledo, OH 43623<br />
419-292-0300<br />
Wright, Jonathan D. MD<br />
2000 Regency Ct<br />
Toledo, OH 43623<br />
419-841-6600<br />
Norwalk<br />
Zadeh, Barry J. MD<br />
282 Benedict Ave<br />
Norwalk, OH 44857<br />
419-668-1155<br />
Van Wert County<br />
Van Wert<br />
Bowersock, Jason D.<br />
MD<br />
1182 Professional Dr<br />
Van Wert, OH 45891<br />
419-227-7117<br />
Butler, Candilee MD<br />
2000 Regency Ct<br />
Toledo, OH 43623<br />
419-841-6600<br />
Cashen, Constance P.<br />
MD<br />
2200 Jefferson Ave<br />
Toledo, OH 43604<br />
419-251-1400<br />
Parodi, Jose E. MD<br />
4041 W Sylvania Ave<br />
Toledo, OH 43623<br />
419-292-0300<br />
Raimonde, Anthony J.<br />
MD<br />
2213 Cherry St<br />
Toledo, OH 43608<br />
419-251-4647<br />
Putnam County<br />
Glandorf<br />
Bowersock, Jason D.<br />
MD<br />
601 St Rt 224<br />
Glandorf, OH 45848<br />
419-227-7117<br />
Bowersock, Jason D.<br />
MD<br />
1250 S Washington St<br />
Van Wert, OH 45891<br />
419-227-7117<br />
Hixenbaugh, Todd J. MD<br />
1182 Professional Dr<br />
Van Wert, OH 45891<br />
419-227-7117<br />
Cashen, Constance P.<br />
MD<br />
4646 Nantucket<br />
Toledo, OH 43623<br />
419-724-4777<br />
Klein, Peter F. MD<br />
3909 Woodley Rd<br />
Toledo, OH 43606<br />
419-291-2241<br />
Rosol, Stanley J. MD<br />
2200 Jefferson Ave<br />
Toledo, OH 43604<br />
419-251-1400<br />
Rosol, Stanley J. MD<br />
4646 Nantucket<br />
Toledo, OH 43623<br />
419-424-4777<br />
Sandusky County<br />
Bellevue<br />
Centa, Joseph E. MD<br />
1400 WMain St<br />
Bellevue, OH 44811<br />
419-483-6655<br />
Zadeh, Barry J. MD<br />
1400 Main St<br />
Bellevue, OH 44811<br />
419-483-4040<br />
Hixenbaugh, Todd J. MD<br />
1250 S Washington St<br />
Van Wert, OH 45891<br />
419-227-7117<br />
Page 42 2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan
Section 2 – List of Plan <strong>Provider</strong>s<br />
Specialists<br />
Surgery, General<br />
cont.<br />
Hashmi, Fayyaz H. MD<br />
2409 Cherry St<br />
Toledo, OH 43608<br />
Urology<br />
Allen County<br />
Pizza, Eric A. MD<br />
5757 Monclova Rd<br />
Maumee, OH 43537<br />
Williams County 419-251-3180<br />
Lima<br />
419-725-6850<br />
Archold<br />
Fritz, Kevin MD<br />
121 Westfield Dr<br />
Archold, OH 43512<br />
419-445-2015<br />
Wood County<br />
Bowling Green<br />
Lalor, Peter F. MD<br />
960 W Wooster St<br />
Bowling Green, OH 43402<br />
419-353-7069<br />
Surgical Critical<br />
Care<br />
Allen County<br />
Schwann, Thomas A.<br />
MD<br />
3000 Arlington Ave<br />
Toledo, OH 43614<br />
419-383-4000<br />
Seneca County<br />
Tiffin<br />
Hashmi, Fayyaz H. MD<br />
27 St Lawrence Dr<br />
Tiffin, OH 44883<br />
419-455-8500<br />
Thoracic Surgery<br />
Allen County<br />
Lima<br />
Bansal, Narendra K. MD<br />
770 W High St<br />
Lima, OH 45801<br />
419-228-8950<br />
Jacobs, Edward C. MD<br />
770 W High St<br />
Lima, OH 45801<br />
419-228-8950<br />
Nicholson, Craig A. MD<br />
770 W High St<br />
Lima, OH 45801<br />
419-228-8950<br />
Foreign Language(s):<br />
Korean<br />
Smolowitz, Edwin L. MD<br />
1005 Bellefontaine Ave<br />
Lima, OH 45804<br />
Zafar, Saleem S. MD<br />
5757 Monclova Rd<br />
Maumee, OH 43537<br />
419-725-6850<br />
Oregon<br />
Sutton, Stephen P. MD<br />
1050 Isaac St Dr<br />
Oregon, OH 43616<br />
419-698-2020<br />
Foreign Language(s):<br />
Spanish<br />
Sutton, Stephen P. MD<br />
2702 Navarre Ave<br />
Oregon, OH 43616<br />
419-893-7134<br />
Foreign Language(s):<br />
Spanish<br />
Lima<br />
Kirschner, Eric S. MD<br />
730 W Market St<br />
Lima, OH 45801<br />
419-227-3361<br />
Thoracic<br />
Cardiovascular<br />
Surgery<br />
Allen County<br />
Lima<br />
Rodriguez, Jose R. MD<br />
951 Commerce Parkway<br />
Lima, OH 45804<br />
419-227-7702<br />
Lucas County<br />
Toledo<br />
Burdine, Jim MD<br />
2409 Cherry St<br />
Toledo, OH 43608<br />
419-251-3180<br />
Fotouhi, Farzin MD<br />
770 W High St<br />
Lima, OH 45801<br />
419-227-7702<br />
Fotouhi, Farzin MD<br />
951 Commerce Parkway<br />
Lima, OH 45804<br />
419-227-7702<br />
Pohl, Ronald L. MD<br />
1005 Bellefontaine Ave<br />
Lima, OH 45804<br />
419-227-7702<br />
Pohl, Ronald 1. MD<br />
951 Commerce Parkway<br />
Lima, OH 45804<br />
419-227-7702<br />
Lucas County<br />
Toledo<br />
Durham, Samuel MD<br />
3065 Arlington Ave<br />
Toledo, OH 43614<br />
419-383-5150<br />
419-998-8226<br />
Taylor, Russell J. MD<br />
770 W High St<br />
Lima, OH 45801<br />
419-228-8950<br />
Defiance County<br />
Defiance<br />
Walsh, Thomas F. MD<br />
1400 E 2nd St<br />
Defiance, OH 43512<br />
419-784-1414<br />
Lucas County<br />
Maumee<br />
Baig, Mirza M. MD<br />
5757 Monclova Rd<br />
Maumee, OH 43537<br />
419-725-6850<br />
Foreign Language(s):<br />
Urdu<br />
Toledo<br />
Emmert Jr, Gregor K.<br />
MD<br />
3500 Executive Parkway<br />
Toledo, OH 43606<br />
419-531-8558<br />
Haselhuhn, Gregory MD<br />
2000 Regency Court<br />
Toledo, OH 43623<br />
419-725-1900<br />
Murtagh, Daniel S. MD<br />
3500 Executive Parkway<br />
Toledo, OH 43606<br />
419-531-8558<br />
Navarre, Robert J. MD<br />
3500 Executive Parkway<br />
Toledo, OH 43606<br />
419-531-8558<br />
Pizza, Eric A. MD<br />
2213 Cherry St<br />
Toledo, OH 43608<br />
419-251-4925<br />
2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan Page 43
Specialists Section 2 – List of Plan <strong>Provider</strong>s<br />
Urology cont.<br />
Lucas County cont.<br />
Sandusky County Wood County Hardin County<br />
Fremont Bowling Green Ada<br />
Toledo cont.<br />
Boyle Jr, Emmett T. MD De La Serna, Manuel L. Magee, Ronald R. MD<br />
605 3rd Ave MD 520 W Lincoln Ave<br />
Pizza, Eric A. MD Fremont, OH 43420 960 W Wooster St Ada, OH 45810<br />
3170 W Central Ave 419-332-7221 Bowling Green, OH 43402 866-359-5915<br />
Toledo, OH 43606<br />
419-352-1404<br />
419-531-8558 Murtagh, Daniel S. MD<br />
605 3rd Ave Peron, Salvador MD<br />
Lucas County<br />
Pizza, Eric A. MD<br />
3500 Executive Parkway<br />
Toledo, OH 43606<br />
419-531-8558<br />
Rashid, Michael G. MD<br />
3170 W Central Ave<br />
Toledo, OH 43606<br />
419-531-8558<br />
Fremont, OH 43420<br />
419-332-7221<br />
Navarre, Robert J. MD<br />
605 3rd Ave<br />
Fremont, OH 43420<br />
419-332-7221<br />
Pizza, Eric A. MD<br />
605 3rd Ave<br />
960 W Wooster St<br />
Bowling Green, OH 43402<br />
419-352-1404<br />
Foreign Language(s):<br />
Spanish<br />
Vascular Surgery<br />
Allen County<br />
Toledo<br />
Martinez, Bernardo D.<br />
MD<br />
4235 Secor Rd<br />
Toledo, OH 43623<br />
419-479-5897<br />
Mercer County<br />
Rashid, Michael G. MD<br />
3500 Executive Parkway<br />
Fremont, OH 43420<br />
419-332-7221<br />
Lima Celina<br />
Toledo, OH 43606<br />
419-531-8558<br />
Putnam County<br />
Rashid, Michael G. MD<br />
605 3rd Ave<br />
Fremont, OH 43420<br />
419-332-7221<br />
Magee, Ronald R. MD<br />
1003 Bellefontaine Ave<br />
Lima, OH 45804<br />
419-998-8207<br />
Magee, Ronald R. MD<br />
950 S Main St<br />
Celina, OH 45822<br />
419-224-5915<br />
Delphos<br />
Bansal, Narendra K. MD<br />
1800 E 5th St<br />
Delphos, OH 45833<br />
419-692-2662<br />
Taylor, Russell J. MD<br />
1800 E 5th St<br />
Delphos, OH 45833<br />
419-692-2662<br />
Glandorf<br />
Bansal, Narendra K. MD<br />
601 St Rt 224<br />
Glandorf, OH 45875<br />
419-228-8950<br />
Schuster, Timothy G.<br />
MD<br />
3121 Evelyn Dr<br />
Fremont, OH 43420<br />
419-332-7221<br />
Wainstein, Mark A. MD<br />
605 3rd Ave<br />
Fremont, OH 43420<br />
419-332-7221<br />
Seneca County<br />
Tiffin<br />
Desai, Ajitkumar MD<br />
27 St Lawrence Dr<br />
Tiffin, OH 44883<br />
419-455-8562<br />
Magee, Ronald R. MD<br />
951 Commerce Parkway<br />
Lima, OH 45804<br />
419-224-5915<br />
Oaks, Jay F. MD<br />
1003 Bellefontaine Ave<br />
Lima, OH 45804<br />
419-998-8207<br />
Auglaize County<br />
St. Marys<br />
Magee, Ronald R. MD<br />
1134 Hager St<br />
St. Marys, OH 45885<br />
419-394-3387<br />
Defiance County<br />
Defiance<br />
Sandusky County<br />
Tiffin<br />
Clark, Paul MD<br />
27 St Lawrence Dr<br />
Tiffin, OH 44883<br />
419-251-3112<br />
Seneca County<br />
Tiffin<br />
Walker, Gregory W. DO<br />
27 St Lawrence Dr<br />
Tiffin, OH 44883<br />
419-251-3112<br />
Shelby County<br />
Sidney<br />
Hashmi, Fayyaz H. MD<br />
1400 E 2nd St<br />
Defiance, OH 43512<br />
419-784-1414<br />
Magee, Ronald R. MD<br />
915 W Michigan<br />
Sidney, OH 45365<br />
419-224-5915<br />
Page 44 2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan
Section 2 – List of Plan <strong>Provider</strong>s<br />
Vascular Surgery<br />
cont.<br />
Van Wert County<br />
Van Wert<br />
Magee, Ronald R. MD<br />
140 Fox Rd<br />
Van Wert, OH 45891<br />
419-224-5915<br />
Wood County<br />
Bowling Green<br />
Ubunama, Innocent N.<br />
DO<br />
735 Haskins Rd<br />
Bowling Green, OH 43402<br />
419-373-6000<br />
Foreign Language(s): Ibo<br />
Specialists<br />
2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan Page 45
Dental <strong>Provider</strong>s Section 2 – List of Plan <strong>Provider</strong>s<br />
Dentistry,<br />
Endodontics<br />
Allen County<br />
Lima<br />
Fulks, David DDS Ollom, Chad DDS Searcy, William R DDS<br />
Lima Community Dental Lima Community Dental Health Partners Of<br />
Risolvato Inc Risolvato Inc Western Ohio<br />
2115 Allentown Rd<br />
Lima, OH 45805<br />
2115 Allentown Rd<br />
Lima, OH 45805<br />
540 S Central Ave<br />
Lima, OH 45804<br />
419-222-0693 419-222-0693 419-221-3072<br />
Mikesell, Philip DDS Gerity, Thomas DDS Piper, Kristin DDS Searcy, William R DDS<br />
Health Partners Of 2115 Allentown Rd Lima Community Dental Health Partners Of<br />
Western Ohio Lima, OH 45805 Risolvato Inc Western Ohio<br />
441 E 8th St<br />
419-228-4036 2115 Allentown Rd 658 W Market St<br />
Lima, OH 45804<br />
Lima, OH 45805 Ste 115<br />
419-221-3072<br />
Lyons, Paul DDS 419-222-0693 Lima, OH 45801<br />
Foreign Language(s): Health Partners Of 419-222-3213<br />
German, Japanese Western Ohio Ramsey, Richard DDS<br />
441 E 8th St Health Partners Of Terry, Theodore DDS<br />
Dentistry,<br />
General<br />
Lima, OH 45804<br />
419-221-3072<br />
Foreign Language(s):<br />
Western Ohio<br />
441 E 8th St<br />
Lima, OH 45804<br />
Health Partners Of<br />
Western Ohio<br />
441 E 8th St<br />
Allen County<br />
German, Japanese 419-221-3072<br />
Foreign Language(s):<br />
Lima, OH 45804<br />
419-221-3072<br />
Lima<br />
Lyons, Paul DDS<br />
Health Partners Of<br />
German, Japanese Foreign Language(s):<br />
German, Japanese<br />
Amerson, Alyson DDS<br />
Burns Dental Inc<br />
459 S Main St<br />
Lima, OH 45804<br />
419-228-5502<br />
Western Ohio<br />
540 S Central Ave<br />
Lima, OH 45804<br />
419-221-3072<br />
Miller, Gary DDS<br />
Ramsey, Richard DDS<br />
Health Partners Of<br />
Western Ohio<br />
540 S Central Ave<br />
Lima, OH 45804<br />
419-221-3072<br />
Tomelin, Thomas DMD<br />
Health Partners Of<br />
Western Ohio<br />
441 E 8th St<br />
Lima, OH 45804<br />
Brunk, Gary DDS<br />
Health Partners Of<br />
Western Ohio<br />
441 E 8th St<br />
Lima, OH 45804<br />
419-221-3072<br />
Foreign Language(s):<br />
German, Japanese<br />
Miller Dental Associates<br />
LLC<br />
1031 W Richie Ave<br />
Lima, OH 45805<br />
419-228-3384<br />
Mohr, Jacob DDS<br />
Health Partners Of<br />
Western Ohio<br />
Ramsey, Richard DDS<br />
Health Partners Of<br />
Western Ohio<br />
658 W Market St<br />
Ste 115<br />
Lima, OH 45801<br />
419-222-3213<br />
419-221-3072<br />
Foreign Language(s):<br />
German, Japanese<br />
Tomelin, Thomas DMD<br />
Health Partners Of<br />
Western Ohio<br />
540 S Central Ave<br />
Lima, OH 45804<br />
Clemens, Kenneth DDS<br />
Lima Community Dental<br />
Risolvato Inc<br />
2115 Allentown Rd<br />
Lima, OH 45805<br />
419-222-0693<br />
441 E 8th St<br />
Lima, OH 45804<br />
419-221-3072<br />
Foreign Language(s):<br />
German, Japanese<br />
Mohr, Jacob DDS<br />
Risolvato, Erik DDS<br />
Lima Community Dental<br />
Risolvato Inc<br />
2115 Allentown Rd<br />
Lima, OH 45805<br />
419-222-0693<br />
419-221-3072<br />
Tomelin, Thomas DMD<br />
Health Partners Of<br />
Western Ohio<br />
658 W Market St<br />
Ste 115<br />
Cline, William DDS<br />
Affordable Dentures -<br />
Lima<br />
1951 Bellefontaine Rd<br />
Lima, OH 45804<br />
419-228-6680<br />
Health Partners Of<br />
Western Ohio<br />
540 S Central Ave<br />
Lima, OH 45804<br />
419-221-3072<br />
Searcy, William R DDS<br />
Health Partners Of<br />
Western Ohio<br />
441 E 8th St<br />
Lima, OH 45804<br />
419-221-3072<br />
Foreign Language(s):<br />
German, Japanese<br />
Lima, OH 45801<br />
419-222-3213<br />
Page 46 2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan
Section 2 – List of Plan <strong>Provider</strong>s<br />
Dental <strong>Provider</strong>s<br />
Dentistry,<br />
General cont.<br />
Fulton County<br />
Swanton<br />
Hashemi, Amir DDS<br />
Corner Dental<br />
1 Turtle Creek Cir<br />
Wauseon<br />
Pelok, David DDS<br />
Auglaize County<br />
Saint Marys<br />
Fleagle, Jeffrey DDS<br />
Fleagle Family Dentistry<br />
Inc<br />
124 N Front St<br />
Saint Marys, OH 45885<br />
419-394-2413<br />
Crawford County<br />
Bucyrus<br />
Nagy, Attila DDS<br />
Oakwood Dental<br />
823 S Sandusky Ave<br />
Po Box 431<br />
Bucyrus, OH 44820<br />
419-562-4378<br />
Foreign Language(s):<br />
Hungarian<br />
Nagy, Michelle DDS<br />
Oakwood Dental<br />
823 S Sandusky Ave<br />
Po Box 431<br />
Bucyrus, OH 44820<br />
419-562-4378<br />
Foreign Language(s):<br />
Hungarian<br />
Crestline<br />
Schaeferle, Matthew<br />
DMD<br />
Schaeferle & Schaeferle<br />
Family Dental Care<br />
1000 W Main St<br />
Crestline, OH 44827<br />
419-683-1135<br />
Schaeferle, Tammi DDS<br />
Schaeferle & Schaeferle<br />
Family Dental Care<br />
1000 W Main St<br />
Crestline, OH 44827<br />
419-683-1135<br />
Amborski, Andrew DDS<br />
Corner Dental<br />
1 Turtle Creek Cir<br />
Swanton, OH 43558<br />
419-536-7265<br />
Foreign Language(s):<br />
Arabic, Armenian,<br />
Chinese<br />
Booker, Nicholas DDS<br />
Corner Dental<br />
1 Turtle Creek Cir<br />
Swanton, OH 43558<br />
419-536-7265<br />
Foreign Language(s):<br />
Arabic, Armenian,<br />
Chinese<br />
Choi, William DDS<br />
Corner Dental<br />
1 Turtle Creek Cir<br />
Swanton, OH 43558<br />
419-536-7265<br />
Foreign Language(s):<br />
Arabic, Armenian,<br />
Chinese<br />
Choksey, Alap I DMD<br />
Corner Dental<br />
1 Turtle Creek Cir<br />
Swanton, OH 43558<br />
419-536-7265<br />
Foreign Language(s):<br />
Arabic, Armenian,<br />
Chinese<br />
Geisler, Catherine DDS<br />
Corner Dental<br />
1 Turtle Creek Cir<br />
Swanton, OH 43558<br />
419-536-7265<br />
Foreign Language(s):<br />
Arabic, Armenian,<br />
Chinese<br />
Swanton, OH 43558<br />
419-536-7265<br />
Foreign Language(s):<br />
Arabic, Armenian,<br />
Chinese<br />
Klassen, Alexis DDS<br />
Corner Dental<br />
1 Turtle Creek Cir<br />
Swanton, OH 43558<br />
419-536-7265<br />
Foreign Language(s):<br />
Arabic, Armenian,<br />
Chinese<br />
Lantzy, Steven DDS<br />
Corner Dental<br />
1 Turtle Creek Cir<br />
Swanton, OH 43558<br />
419-536-7265<br />
Foreign Language(s):<br />
Arabic, Armenian,<br />
Chinese<br />
Mucci, Francisco DDS<br />
Corner Dental<br />
1 Turtle Creek Cir<br />
Swanton, OH 43558<br />
419-536-7265<br />
Foreign Language(s):<br />
Arabic, Armenian,<br />
Chinese<br />
Namay, Robert DDS<br />
Corner Dental<br />
1 Turtle Creek Cir<br />
Swanton, OH 43558<br />
419-536-7265<br />
Foreign Language(s):<br />
Arabic, Armenian,<br />
Chinese<br />
Sandulache, Camelia<br />
DDS<br />
Corner Dental<br />
1 Turtle Creek Cir<br />
Swanton, OH 43558<br />
419-536-7265<br />
Foreign Language(s):<br />
Arabic, Armenian,<br />
Chinese<br />
David R Pelok Inc<br />
229 N Franklin St<br />
Wauseon, OH 43567<br />
419-337-2391<br />
Foreign Language(s):<br />
Spanish<br />
Hancock County<br />
Findlay<br />
Abdul-Latif, Abrar DDS<br />
Blanchard Valley Dental<br />
Clinic<br />
1800 N Blanchard St<br />
Suite 122<br />
Findlay, OH 45840<br />
419-422-7664<br />
Foreign Language(s):<br />
Hindi, Spanish<br />
Al-Habaj, Firas DDS<br />
Blanchard Valley Dental<br />
Clinic<br />
1800 N Blanchard St<br />
Suite 122<br />
Findlay, OH 45840<br />
419-422-7664<br />
Foreign Language(s):<br />
Hindi, Spanish<br />
Arthur, Stephen J DDS<br />
Blanchard Valley Dental<br />
Clinic<br />
1800 N Blanchard St<br />
Suite 122<br />
Findlay, OH 45840<br />
419-422-7664<br />
Foreign Language(s):<br />
Hindi, Spanish<br />
Barricklow, Amy M DDS<br />
Blanchard Valley Dental<br />
Clinic<br />
1800 N Blanchard St<br />
Suite 122<br />
Findlay, OH 45840<br />
419-422-7664<br />
Foreign Language(s):<br />
Hindi, Spanish<br />
2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan Page 47
Dental <strong>Provider</strong>s Section 2 – List of Plan <strong>Provider</strong>s<br />
Dentistry,<br />
General cont.<br />
Hancock County<br />
cont.<br />
Findlay cont.<br />
Bosserman, Jan DDS<br />
Blanchard Valley Dental<br />
Clinic<br />
1800 N Blanchard St<br />
Suite 122<br />
Findlay, OH 45840<br />
419-422-7664<br />
Foreign Language(s):<br />
Hindi, Spanish<br />
Burrow, Craig DDS<br />
Blanchard Valley Dental<br />
Clinic<br />
1800 N Blanchard St<br />
Suite 122<br />
Findlay, OH 45840<br />
419-422-7664<br />
Foreign Language(s):<br />
Hindi, Spanish<br />
Czerniak, Lauren DDS<br />
Blanchard Valley Dental<br />
Clinic<br />
1800 N Blanchard St<br />
Suite 122<br />
Findlay, OH 45840<br />
419-422-7664<br />
Foreign Language(s):<br />
Hindi, Spanish<br />
Davar, Kapil DDS<br />
1800 N Blanchard St<br />
Ste 122<br />
Findlay, OH 45840<br />
419-422-7664<br />
Eaton, Jeanine DDS<br />
Blanchard Valley Dental<br />
Clinic<br />
1800 N Blanchard St<br />
Suite 122<br />
Findlay, OH 45840<br />
419-422-7664<br />
Foreign Language(s):<br />
Hindi, Spanish<br />
Fifer, Ruby DDS Hoffner, Austin DDS MacDonald, Leland DDS<br />
Blanchard Valley Dental Blanchard Valley Dental Blanchard Valley Dental<br />
Clinic Clinic Clinic<br />
1800 N Blanchard St<br />
Suite 122<br />
1800 N Blanchard St<br />
Suite 122<br />
1800 N Blanchard St<br />
Suite 122<br />
Findlay, OH 45840 Findlay, OH 45840 Findlay, OH 45840<br />
419-422-7664 419-422-7664 419-422-7664<br />
Foreign Language(s): Foreign Language(s): Foreign Language(s):<br />
Hindi, Spanish Hindi, Spanish Hindi, Spanish<br />
George, Susan DDS Jones, Christopher DDS Mattin, Stephen DDS<br />
Blanchard Valley Dental Blanchard Valley Dental Blanchard Valley Dental<br />
Clinic Clinic Clinic<br />
1800 N Blanchard St 1800 N Blanchard St 1800 N Blanchard St<br />
Suite 122 Suite 122 Suite 122<br />
Findlay, OH 45840 Findlay, OH 45840 Findlay, OH 45840<br />
419-422-7664 419-422-7664 419-422-7664<br />
Foreign Language(s): Foreign Language(s): Foreign Language(s):<br />
Hindi, Spanish Hindi, Spanish Hindi, Spanish<br />
Grewal, Rimple DDS Kastner, Michael DDS Michalak, Rachael DDS<br />
Blanchard Valley Dental Blanchard Valley Dental Blanchard Valley Dental<br />
Clinic Clinic Clinic<br />
1800 N Blanchard St 1800 N Blanchard St 1800 N Blanchard St<br />
Suite 122 Suite 122 Suite 122<br />
Findlay, OH 45840 Findlay, OH 45840 Findlay, OH 45840<br />
419-422-7664 419-422-7664 419-422-7664<br />
Foreign Language(s): Foreign Language(s): Foreign Language(s):<br />
Hindi, Spanish Hindi, Spanish Hindi, Spanish<br />
Hart, Gregory DDS Kruse, Frederick DDS Michelakis, Joseph DDS<br />
Blanchard Valley Dental Blanchard Valley Dental 1800 N Blanchard St<br />
Clinic Clinic Ste 122<br />
1800 N Blanchard St 1800 N Blanchard St Findlay, OH 45840<br />
Suite 122 Suite 122 419-422-7664<br />
Findlay, OH 45840 Findlay, OH 45840<br />
419-422-7664 419-422-7664 Mutchler, Bruce A DDS<br />
Foreign Language(s): Foreign Language(s): Bruce A Mutchler DDS<br />
Hindi, Spanish Hindi, Spanish 133 Hillcrest Ave<br />
Findlay, OH 45840<br />
Hartnett, Daniel DDS Lechlak, Jerome DDS 419-423-0343<br />
Blanchard Valley Dental Blanchard Valley Dental<br />
Clinic Clinic Niaz, Reema DDS<br />
1800 N Blanchard St 1800 N Blanchard St Blanchard Valley Dental<br />
Suite 122 Suite 122 Clinic<br />
Findlay, OH 45840 Findlay, OH 45840 1800 N Blanchard St<br />
419-422-7664 419-422-7664 Suite 122<br />
Foreign Language(s): Foreign Language(s): Findlay, OH 45840<br />
Hindi, Spanish Hindi, Spanish 419-422-7664<br />
Foreign Language(s):<br />
Heater, Bruce S. DDS Lewis, Kathryn DDS Hindi, Spanish<br />
310 W Hardin St Bruce A Mutchler DDS<br />
Findlay, OH 45840 133 Hillcrest Ave<br />
419-423-1499 Findlay, OH 45840<br />
419-423-0343<br />
Page 48 2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan
Section 2 – List of Plan <strong>Provider</strong>s<br />
Dental <strong>Provider</strong>s<br />
Dentistry,<br />
General cont.<br />
Walcott, Ann Marie DDS<br />
Blanchard Valley Dental<br />
Clinic<br />
Heintzelman, Emily DDS<br />
McComb Family Dentistry<br />
Inc<br />
Renick, Michele DMD<br />
Childrens Dental Health<br />
Foundation - Hardin<br />
Hancock County<br />
cont.<br />
1800 N Blanchard St<br />
Suite 122<br />
Findlay, OH 45840<br />
269 Park Dr S<br />
McComb, OH 45858<br />
419-293-2335<br />
County Health Dept<br />
175 W Franklin St<br />
Ste 120<br />
Findlay cont.<br />
Palakodeti, Anupama<br />
DMD<br />
Blanchard Valley Dental<br />
Clinic<br />
1800 N Blanchard St<br />
Suite 122<br />
Findlay, OH 45840<br />
419-422-7664<br />
Foreign Language(s):<br />
Hindi, Spanish<br />
419-422-7664<br />
Foreign Language(s):<br />
Hindi, Spanish<br />
Wolfram, Peter DDS<br />
Blanchard Valley Dental<br />
Clinic<br />
1800 N Blanchard St<br />
Suite 122<br />
Findlay, OH 45840<br />
419-422-7664<br />
Foreign Language(s):<br />
Hindi, Spanish<br />
Hardin County<br />
Ada<br />
Shull, Mark DDS<br />
Mark B Shull DDS<br />
120 S Main St<br />
Ada, OH 45810<br />
419-634-5901<br />
Kenton<br />
Kenton, OH 43326<br />
419-673-6230<br />
Schaeferle, Matthew<br />
DMD<br />
Schaeferle & Schaeferle<br />
Dental Care<br />
850 E Franklin St<br />
Kenton, OH 43326<br />
419-675-0505<br />
Schaeferle, Tammi DDS<br />
Schaeferle & Schaeferle<br />
Prathipati, Sangeeta<br />
DDS<br />
Blanchard Valley Dental<br />
Clinic<br />
1800 N Blanchard St<br />
Suite 122<br />
Findlay, OH 45840<br />
419-422-7664<br />
Foreign Language(s):<br />
Hindi, Spanish<br />
Radin, Stanley J DDS<br />
Blanchard Valley Dental<br />
Clinic<br />
1800 N Blanchard St<br />
Suite 122<br />
Findlay, OH 45840<br />
419-422-7664<br />
Foreign Language(s):<br />
Hindi, Spanish<br />
Tertel, Nanette DDS<br />
Blanchard Valley Dental<br />
Clinic<br />
1800 N Blanchard St<br />
Suite 122<br />
Findlay, OH 45840<br />
419-422-7664<br />
Foreign Language(s):<br />
Hindi, Spanish<br />
Zink, Richard DDS<br />
Blanchard Valley Dental<br />
Clinic<br />
1800 N Blanchard St<br />
Suite 122<br />
Findlay, OH 45840<br />
419-422-7664<br />
Foreign Language(s):<br />
Hindi, Spanish<br />
McComb<br />
Arbogast, Marion V.<br />
DDS<br />
269 Park Dr S<br />
McComb, OH 45858<br />
419-293-2335<br />
Best, Kimberli DDS<br />
McComb Family Dentistry<br />
Inc<br />
269 Park Dr S<br />
McComb, OH 45858<br />
419-293-2335<br />
Dysinger, Nancy DDS<br />
McComb Family Dentistry<br />
Inc<br />
269 Park Dr S<br />
McComb, OH 45858<br />
419-293-2335<br />
Bryant, Roger DDS<br />
Childrens Dental Health<br />
Foundation - Hardin<br />
County Health Dept<br />
175 W Franklin St<br />
Ste 120<br />
Kenton, OH 43326<br />
419-673-6230<br />
Meluch, Ralph DDS<br />
Childrens Dental Health<br />
Foundation - Hardin<br />
County Health Dept<br />
175 W Franklin St<br />
Ste 120<br />
Kenton, OH 43326<br />
419-673-6230<br />
Meme, Philip DDS<br />
175 W Franklin St<br />
Ste 120<br />
Kenton, OH 43326<br />
888-833-8441<br />
O’Neil-Johnson, Julia<br />
DDS<br />
Childrens Dental Health<br />
Foundation - Hardin<br />
County Health Dept<br />
175 W Franklin St<br />
Ste 120<br />
Kenton, OH 43326<br />
419-673-6230<br />
Dental Care<br />
850 E Franklin St<br />
Kenton, OH 43326<br />
419-675-0505<br />
Schmerge, William DDS<br />
Childrens Dental Health<br />
Foundation - Hardin<br />
County Health Dept<br />
175 W Franklin St<br />
Ste 120<br />
Kenton, OH 43326<br />
419-673-6230<br />
Henry County<br />
Liberty Center<br />
Ahmed, Adnan DDS<br />
Adnan Ahmed DDS Inc<br />
119 East St<br />
P O Box 1<br />
Liberty Center, OH 43532<br />
419-533-5050<br />
Foreign Language(s):<br />
Hindi, Urdu<br />
Fuqua, Charles DDS<br />
Adnan Ahmed DDS Inc<br />
119 East St<br />
P O Box 1<br />
Liberty Center, OH 43532<br />
419-533-5050<br />
Foreign Language(s):<br />
Hindi, Urdu<br />
2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan Page 49
Dental <strong>Provider</strong>s Section 2 – List of Plan <strong>Provider</strong>s<br />
Dentistry,<br />
General cont.<br />
Henry County cont.<br />
Liberty Center cont.<br />
Safadi, Tala DDS<br />
Adnan Ahmed DDS Inc<br />
119 East St<br />
P O Box 1<br />
Liberty Center, OH 43532<br />
419-533-5050<br />
Foreign Language(s):<br />
Hindi, Urdu<br />
Stanciu, Bradley DDS<br />
Adnan Ahmed DDS Inc<br />
119 East St<br />
P O Box 1<br />
Liberty Center, OH 43532<br />
419-533-5050<br />
Foreign Language(s):<br />
Hindi, Urdu<br />
Napoleon<br />
Aderman, Andrew DDS<br />
Safety Net Dental Clinic<br />
1843 Oakwood Ave<br />
Napoleon, OH 43545<br />
419-591-3060<br />
Cochran, George DDS<br />
George S Cochran<br />
1066 Chelsea Ave<br />
Napoleon, OH 43545<br />
419-599-4216<br />
Foreign Language(s):<br />
Spanish<br />
Maley, Matthew DDS<br />
Safety Net Dental Clinic<br />
1843 Oakwood Ave<br />
Napoleon, OH 43545<br />
419-591-3060<br />
O’Neill, Jamie DDS<br />
Safety Net Dental Clinic<br />
1843 Oakwood Ave<br />
Napoleon, OH 43545<br />
419-591-3060<br />
Palmer, William A. DDS Choi, William DDS Lantzy, Steven DDS<br />
1843 Oakwood Ave Corner Dental - Maumee Corner Dental - Maumee<br />
Napoleon, OH 43545 447 W Dussel Dr 447 W Dussel Dr<br />
419-591-3060 Maumee, OH 43537<br />
419-536-7265<br />
Maumee, OH 43537<br />
419-536-7265<br />
Parsell, Rod DDS Foreign Language(s): Foreign Language(s):<br />
Rod Parsell DDS Arabic, Armenian, Arabic, Armenian,<br />
655 Trail Dr<br />
Napoleon, OH 43545<br />
Chinese Chinese<br />
419-592-7100 Choksey, Alap I DMD Mucci, Francisco DDS<br />
Foreign Language(s): Corner Dental - Maumee Corner Dental - Maumee<br />
German 447 W Dussel Dr 447 W Dussel Dr<br />
Maumee, OH 43537 Maumee, OH 43537<br />
Schweizer, Michael DDS 419-536-7265 419-536-7265<br />
6770 Mayfield Rd Foreign Language(s): Foreign Language(s):<br />
Ste 424 Arabic, Armenian, Arabic, Armenian,<br />
Napoleon, OH 43545<br />
419-591-3060<br />
Chinese Chinese<br />
Fuqua, Charles DDS Patel, Krishan DDS<br />
Wagenhauser, Michael Adnan Ahmed DDS Inc 447 W Dussel Dr<br />
DDS 2444 Detroit Ave Maumee, OH 43537<br />
1843 Oakwood Ave Maumee, OH 43537 419-536-7265<br />
Napoleon, OH 43545 419-893-8431 Foreign Language(s):<br />
419-591-3060 Foreign Language(s): Arabic, Armenian,<br />
Hindi, Urdu Chinese<br />
Lucas County<br />
Geisler, Catherine DDS Robinson, Gary DDS<br />
Maumee<br />
Corner Dental - Maumee<br />
447 W Dussel Dr<br />
Anthony Wayne Dental<br />
121 W Sophia St<br />
Ahmed, Adnan DDS<br />
Adnan Ahmed DDS Inc<br />
2444 Detroit Ave<br />
Maumee, OH 43537<br />
419-893-8431<br />
Foreign Language(s):<br />
Hindi, Urdu<br />
Maumee, OH 43537<br />
419-536-7265<br />
Foreign Language(s):<br />
Arabic, Armenian,<br />
Chinese<br />
Hashemi, Amir DDS<br />
Corner Dental - Maumee<br />
Maumee, OH 43537<br />
419-893-4541<br />
Stanciu, Bradley DDS<br />
Adnan Ahmed DDS Inc<br />
2444 Detroit Ave<br />
Maumee, OH 43537<br />
419-893-8431<br />
Amborski, Andrew DDS<br />
Corner Dental - Maumee<br />
447 W Dussel Dr<br />
Maumee, OH 43537<br />
419-536-7265<br />
Foreign Language(s):<br />
Arabic, Armenian,<br />
Chinese<br />
Booker, Nicholas DDS<br />
Corner Dental - Maumee<br />
447 W Dussel Dr<br />
Maumee, OH 43537<br />
419-536-7265<br />
Foreign Language(s):<br />
Arabic, Armenian,<br />
Chinese<br />
447 W Dussel Dr<br />
Maumee, OH 43537<br />
419-536-7265<br />
Foreign Language(s):<br />
Arabic, Armenian,<br />
Chinese<br />
Klassen, Alexis DDS<br />
Corner Dental - Maumee<br />
447 W Dussel Dr<br />
Maumee, OH 43537<br />
419-536-7265<br />
Foreign Language(s):<br />
Arabic, Armenian,<br />
Chinese<br />
Foreign Language(s):<br />
Hindi, Urdu<br />
Oregon<br />
Amborski, Andrew DDS<br />
Corner Dental - Oregon<br />
3246 Navarre Ave<br />
Oregon, OH 43616<br />
419-536-7265<br />
Foreign Language(s):<br />
Arabic, Armenian,<br />
Chinese<br />
Page 50 2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan
Section 2 – List of Plan <strong>Provider</strong>s<br />
Dental <strong>Provider</strong>s<br />
Dentistry,<br />
General cont.<br />
Hashemi, Amir DDS<br />
Corner Dental - Oregon<br />
3246 Navarre Ave<br />
Booker, Nicholas DDS<br />
Corner Dental<br />
7640 Sylvania Ave<br />
Lantzy, Steven DDS<br />
Corner Dental<br />
7640 Sylvania Ave<br />
Lucas County cont. Oregon, OH 43616<br />
419-536-7265<br />
Sylvania, OH 43560<br />
419-536-7265<br />
Sylvania, OH 43560<br />
419-536-7265<br />
Oregon cont.<br />
Foreign Language(s):<br />
Arabic, Armenian,<br />
Foreign Language(s):<br />
Arabic, Armenian,<br />
Foreign Language(s):<br />
Arabic, Armenian,<br />
Booker, Nicholas DDS Chinese Chinese Chinese<br />
Corner Dental - Oregon<br />
3246 Navarre Ave<br />
Oregon, OH 43616<br />
419-536-7265<br />
Foreign Language(s):<br />
Arabic, Armenian,<br />
Chinese<br />
Klassen, Alexis DDS<br />
Corner Dental - Oregon<br />
3246 Navarre Ave<br />
Oregon, OH 43616<br />
419-536-7265<br />
Foreign Language(s):<br />
Arabic, Armenian,<br />
Choi, William DDS<br />
Corner Dental<br />
7640 Sylvania Ave<br />
Sylvania, OH 43560<br />
419-536-7265<br />
Foreign Language(s):<br />
Arabic, Armenian,<br />
McLaughlin, Larry DDS<br />
Affordable Dentures -<br />
Toledo, Larry A<br />
McLaughlin DDS Inc<br />
6411 River Crossings<br />
Sylvania, OH 43560<br />
419-824-2171<br />
Boulos, Joseph DDS<br />
3246 Navarre Ave<br />
Oregon, OH 43616<br />
419-536-7265<br />
Foreign Language(s):<br />
Gujarati, Hindi<br />
Chinese<br />
Lantzy, Steven DDS<br />
Corner Dental - Oregon<br />
3246 Navarre Ave<br />
Oregon, OH 43616<br />
419-536-7265<br />
Chinese<br />
Choksey, Alap I DMD<br />
Corner Dental<br />
7640 Sylvania Ave<br />
Sylvania, OH 43560<br />
419-536-7265<br />
Mucci, Francisco DDS<br />
Corner Dental<br />
7640 Sylvania Ave<br />
Sylvania, OH 43560<br />
419-536-7265<br />
Foreign Language(s):<br />
Choi, William DDS<br />
Corner Dental - Oregon<br />
3246 Navarre Ave<br />
Oregon, OH 43616<br />
419-536-7265<br />
Foreign Language(s):<br />
Arabic, Armenian,<br />
Chinese<br />
Foreign Language(s):<br />
Arabic, Armenian,<br />
Chinese<br />
Mucci, Francisco DDS<br />
Corner Dental - Oregon<br />
3246 Navarre Ave<br />
Oregon, OH 43616<br />
419-536-7265<br />
Foreign Language(s):<br />
Arabic, Armenian,<br />
Chinese<br />
Geisler, Catherine DDS<br />
Corner Dental<br />
7640 Sylvania Ave<br />
Sylvania, OH 43560<br />
419-536-7265<br />
Arabic, Armenian,<br />
Chinese<br />
Namay, Robert DDS<br />
Corner Dental<br />
7640 Sylvania Ave<br />
Sylvania, OH 43560<br />
419-536-7265<br />
Foreign Language(s):<br />
Choksey, Alap I DMD<br />
Corner Dental - Oregon<br />
3246 Navarre Ave<br />
Oregon, OH 43616<br />
419-536-7265<br />
Foreign Language(s):<br />
Arabic, Armenian,<br />
Chinese<br />
Foreign Language(s):<br />
Arabic, Armenian,<br />
Chinese<br />
Pecherski, Gail DDS<br />
3246 Navarre Ave<br />
Oregon, OH 43616<br />
419-536-7265<br />
Foreign Language(s):<br />
Arabic, Armenian,<br />
Chinese<br />
Hashemi, Amir DDS<br />
Corner Dental<br />
7640 Sylvania Ave<br />
Sylvania, OH 43560<br />
419-536-7265<br />
Arabic, Armenian,<br />
Chinese<br />
Sandulache, Camelia<br />
DDS<br />
Corner Dental<br />
7640 Sylvania Ave<br />
Sylvania, OH 43560<br />
419-536-7265<br />
Geisler, Catherine DDS<br />
Corner Dental - Oregon<br />
3246 Navarre Ave<br />
Oregon, OH 43616<br />
419-536-7265<br />
Foreign Language(s):<br />
Arabic, Armenian,<br />
Chinese<br />
Sylvania<br />
Amborski, Andrew DDS<br />
Corner Dental<br />
7640 Sylvania Ave<br />
Sylvania, OH 43560<br />
419-536-7265<br />
Foreign Language(s):<br />
Arabic, Armenian,<br />
Chinese<br />
Foreign Language(s):<br />
Arabic, Armenian,<br />
Chinese<br />
Klassen, Alexis DDS<br />
Corner Dental<br />
7640 Sylvania Ave<br />
Sylvania, OH 43560<br />
419-536-7265<br />
Foreign Language(s):<br />
Arabic, Armenian,<br />
Chinese<br />
Foreign Language(s):<br />
Arabic, Armenian,<br />
Chinese<br />
2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan Page 51
Dental <strong>Provider</strong>s Section 2 – List of Plan <strong>Provider</strong>s<br />
Dentistry,<br />
General cont.<br />
Lucas County cont.<br />
Toledo<br />
Abdul-Latif, Abrar DDS<br />
Dental Center Northwest<br />
Ohio<br />
2130 Madison Ave<br />
Toledo, OH 43604<br />
419-241-1644<br />
Foreign Language(s):<br />
Hindi, Spanish<br />
Abdul-Latif, Abrar DDS<br />
Dental Center Of<br />
Northwest Ohio<br />
2138 Madison Ave<br />
Toledo, OH 43604<br />
419-241-6215<br />
Foreign Language(s):<br />
Hindi, Spanish<br />
Al-Habaj, Firas DDS<br />
Dental Center Northwest<br />
Ohio<br />
2130 Madison Ave<br />
Toledo, OH 43604<br />
419-241-1644<br />
Foreign Language(s):<br />
Hindi, Spanish<br />
Al-Habaj, Firas DDS<br />
Dental Center Of<br />
Northwest Ohio<br />
2138 Madison Ave<br />
Toledo, OH 43604<br />
419-241-6215<br />
Foreign Language(s):<br />
Hindi, Spanish<br />
Amborski, Andrew DDS<br />
Corner Dental - Ralston<br />
1642 Ralston Cir<br />
Toledo, OH 43615<br />
419-536-7265<br />
Foreign Language(s):<br />
Arabic, Armenian,<br />
Chinese<br />
Amborski, Andrew DDS Barricklow, Amy M DDS Boisette, Pascal DDS<br />
Corner Dental - Talmadge Dental Center Of Small Smiles Dental<br />
(Elmhurst) Northwest Ohio Centers Of Toledo LLC<br />
4321 Talmadge Rd<br />
Toledo, OH 43623<br />
2138 Madison Ave<br />
Toledo, OH 43604<br />
1520 Broadway St<br />
Toledo, OH 43609<br />
419-536-7265 419-241-6215 419-255-9000<br />
Foreign Language(s): Foreign Language(s): Foreign Language(s):<br />
Arabic, Armenian,<br />
Chinese<br />
Hindi, Spanish Spanish<br />
Beitelschees, Ted DDS Boltz, Karyn DDS<br />
Amborski, Andrew DDS Westgate Family Dental Smile Care LLC<br />
Corner Dental 3100 W Central Ave 6725 W Central Ave<br />
5855 Lewis Ave Ste 155 Ste M#111<br />
Toledo, OH 43612 Toledo, OH 43606 Toledo, OH 43617<br />
419-536-7265<br />
Foreign Language(s):<br />
419-578-4110 888-833-8441<br />
Arabic, Armenian, Bell, Daniel DDS Booker, Nicholas DDS<br />
Chinese Small Smiles Dental Corner Dental - Ralston<br />
Centers Of Toledo LLC 1642 Ralston Cir<br />
Andrus, Robert F. DDS 1520 Broadway St Toledo, OH 43615<br />
1520 Broadway St Toledo, OH 43609 419-536-7265<br />
Toledo, OH 43609 419-255-9000 Foreign Language(s):<br />
419-255-9000 Foreign Language(s): Arabic, Armenian,<br />
Foreign Language(s):<br />
Spanish<br />
Spanish Chinese<br />
Benedict, Mark George Booker, Nicholas J. DDS<br />
Armstrong, Earl DDS DDS 1642 Ralston Cir<br />
Armstrong Family M G Benedict DDS Inc Toledo, OH 43615<br />
Dentistry 4235 Secor Rd 419-536-7265<br />
3536 Glendale Ave Toledo, OH 43623 Foreign Language(s):<br />
Suite E<br />
Toledo, OH 43614<br />
419-474-4858 Gujarati, Hindi<br />
419-380-8094 Bhatti, Sabina DDS Booker, Nicholas DDS<br />
Smile Care LLC Corner Dental - Talmadge<br />
Bailey, Brenda DDS 6725 W Central Ave (Elmhurst)<br />
Smile Care LLC Ste M#111 4321 Talmadge Rd<br />
6725 W Central Ave Toledo, OH 43617 Toledo, OH 43623<br />
Ste M#111 888-833-8441 419-536-7265<br />
Toledo, OH 43617 Foreign Language(s):<br />
888-833-8441 Biniker, Meghan L. DDS Arabic, Armenian,<br />
2138 Madison Ave Chinese<br />
Barricklow, Amy M DDS Toledo, OH 43604<br />
Dental Center Northwest 419-241-6215 Booker, Nicholas DDS<br />
Ohio Foreign Language(s): Corner Dental<br />
2130 Madison Ave Hindi, Spanish 5855 Lewis Ave<br />
Toledo, OH 43604 Toledo, OH 43612<br />
419-241-1644 Bloxson, Michele L. DDS 419-536-7265<br />
Foreign Language(s): 1520 Broadway St Foreign Language(s):<br />
Hindi, Spanish Toledo, OH 43609 Arabic, Armenian,<br />
419-255-9000<br />
Foreign Language(s):<br />
Spanish<br />
Chinese<br />
Page 52 2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan
Section 2 – List of Plan <strong>Provider</strong>s<br />
Dentistry,<br />
General cont.<br />
Lucas County cont.<br />
Toledo cont.<br />
Bosserman, Jan DDS<br />
Dental Center Northwest<br />
Ohio<br />
2130 Madison Ave<br />
Toledo, OH 43604<br />
419-241-1644<br />
Foreign Language(s):<br />
Hindi, Spanish<br />
Bosserman, Jan DDS<br />
Dental Center Of<br />
Northwest Ohio<br />
2138 Madison Ave<br />
Toledo, OH 43604<br />
419-241-6215<br />
Foreign Language(s):<br />
Hindi, Spanish<br />
Boulos, Joseph DDS<br />
1642 Ralston Cir<br />
Toledo, OH 43615<br />
419-536-7265<br />
Foreign Language(s):<br />
Gujarati, Hindi<br />
Boulos, Joseph DDS<br />
4014 Elmhurst Rd<br />
Toledo, OH 43613<br />
419-536-7265<br />
Foreign Language(s):<br />
Gujarati, Hindi<br />
Bowman, Douglas DDS<br />
Great Smiles Family<br />
Dentistry<br />
4646 Nantuckett Dr<br />
Ste D<br />
Toledo, OH 43623<br />
419-843-8095<br />
Bronko, Robert DDS<br />
L Robert Bronko<br />
3636 Monroe St<br />
Toledo, OH 43606<br />
419-243-9079<br />
Dental <strong>Provider</strong>s<br />
Bryant, Roger DDS Choksey, Alap I DMD Czerniak, Lauren DDS<br />
Smile Care LLC Corner Dental - Ralston Dental Center Northwest<br />
6725 W Central Ave 1642 Ralston Cir Ohio<br />
Ste M#111<br />
Toledo, OH 43617<br />
Toledo, OH 43615<br />
419-536-7265<br />
2130 Madison Ave<br />
Toledo, OH 43604<br />
888-833-8441 Foreign Language(s): 419-241-1644<br />
Arabic, Armenian, Foreign Language(s):<br />
Burrow, Craig DDS<br />
Dental Center Northwest<br />
Chinese Hindi, Spanish<br />
Ohio Choksey, Alap I DMD Czerniak, Lauren DDS<br />
2130 Madison Ave Corner Dental - Talmadge Dental Center Of<br />
Toledo, OH 43604 (Elmhurst) Northwest Ohio<br />
419-241-1644 4321 Talmadge Rd 2138 Madison Ave<br />
Foreign Language(s): Toledo, OH 43623 Toledo, OH 43604<br />
Hindi, Spanish 419-536-7265 419-241-6215<br />
Foreign Language(s): Foreign Language(s):<br />
Burrow, Craig DDS Arabic, Armenian, Hindi, Spanish<br />
Dental Center Of Chinese<br />
Northwest Ohio Davis, William DDS<br />
2138 Madison Ave Choksey, Alap I DMD Dental Service At The<br />
Toledo, OH 43604 Corner Dental University Of Toledo<br />
419-241-6215 5855 Lewis Ave Medical Center<br />
Foreign Language(s): Toledo, OH 43612 3000 Arlington Ave<br />
Hindi, Spanish 419-536-7265 Mail Stop 1092<br />
Foreign Language(s): Toledo, OH 43614<br />
Choi, William DDS Arabic, Armenian, 419-383-3805<br />
Corner Dental - Ralston Chinese Foreign Language(s):<br />
1642 Ralston Cir Arabic, Chinese<br />
Toledo, OH 43615 Cobb, Michael W. DDS<br />
419-536-7265 4014 Elmhurst Rd Demaria, James DDS<br />
Foreign Language(s): Toledo, OH 43613 Randall T. Boggs, D.D.S.<br />
Arabic, Armenian, 419-536-7265 3416 W Laskey Rd<br />
Chinese Toledo, OH 43623<br />
Connelly, Daniel DDS 419-473-8885<br />
Choi, William DDS Daniel R Connelly DDS<br />
Corner Dental - Talmadge 5429 Secor Rd Deucher, Robert F. DDS<br />
(Elmhurst) Toledo, OH 43623 6725 W Central Ave<br />
4321 Talmadge Rd 419-474-3411 Ste 111<br />
Toledo, OH 43623 Toledo, OH 43617<br />
419-536-7265 Croom, Olivia DDS 888-833-8441<br />
Foreign Language(s): Small Smiles Dental<br />
Arabic, Armenian, Centers Of Toledo LLC Dohar, Amanda DDS<br />
Chinese 1520 Broadway St Small Smiles Dental<br />
Toledo, OH 43609 Centers Of Toledo LLC<br />
Choi, William DDS 419-255-9000 1520 Broadway St<br />
Corner Dental Foreign Language(s): Toledo, OH 43609<br />
5855 Lewis Ave Spanish 419-255-9000<br />
Toledo, OH 43612 Foreign Language(s):<br />
419-536-7265<br />
Foreign Language(s):<br />
Arabic, Armenian,<br />
Chinese<br />
Spanish<br />
2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan Page 53
Dental <strong>Provider</strong>s Section 2 – List of Plan <strong>Provider</strong>s<br />
Dentistry,<br />
General cont.<br />
Lucas County cont.<br />
Toledo cont.<br />
Drake, Laurence DDS<br />
Smile Care LLC<br />
6725 W Central Ave<br />
Ste M#111<br />
Toledo, OH 43617<br />
888-833-8441<br />
Dycman, Robert DDS<br />
Smile Care LLC<br />
6725 W Central Ave<br />
Ste M#111<br />
Toledo, OH 43617<br />
888-833-8441<br />
Eaton, Jeanine DDS<br />
Small Smiles Dental<br />
Centers Of Toledo LLC<br />
1520 Broadway St<br />
Toledo, OH 43609<br />
419-255-9000<br />
Foreign Language(s):<br />
Spanish<br />
Eaton, Jeanine DDS<br />
Dental Center Of<br />
Northwest Ohio<br />
2138 Madison Ave<br />
Toledo, OH 43604<br />
419-241-6215<br />
Foreign Language(s):<br />
Hindi, Spanish<br />
Fifer, Ruby DDS<br />
Small Smiles Dental<br />
Centers Of Toledo LLC<br />
1520 Broadway St<br />
Toledo, OH 43609<br />
419-255-9000<br />
Foreign Language(s):<br />
Spanish<br />
Fifer, Ruby DDS Gant, Pamela DDS George, Susan DDS<br />
Dental Center Of Midwest Dental Center Dental Center Of<br />
Northwest Ohio 2915 Lagrange St Northwest Ohio<br />
2138 Madison Ave<br />
Toledo, OH 43604<br />
Toledo, OH 43608<br />
419-382-8888<br />
2138 Madison Ave<br />
Toledo, OH 43604<br />
419-241-6215 Foreign Language(s): 419-241-6215<br />
Foreign Language(s): French, Spanish Foreign Language(s):<br />
Hindi, Spanish<br />
Gant, Pamela DDS<br />
Hindi, Spanish<br />
Fox, Dwight DMD Dental Definitions Gill, Kimberly DDS<br />
Smile Care LLC 5350 Airport Hwy Smile Care LLC<br />
6725 W Central Ave Suite 109 6725 W Central Ave<br />
Ste M#111 Toledo, OH 43615 Ste M#111<br />
Toledo, OH 43617 419-244-1691 Toledo, OH 43617<br />
888-833-8441<br />
Geisler, Catherine DDS<br />
888-833-8441<br />
Frogameni, Deborah Lee Corner Dental - Ralston Gormley, Anne DDS<br />
DDS 1642 Ralston Cir Smile Care LLC<br />
Toledo-Lucas County Toledo, OH 43615 6725 W Central Ave<br />
Health Department 419-536-7265 Ste M#111<br />
635 N Erie St Foreign Language(s): Toledo, OH 43617<br />
Toledo, OH 43604 Arabic, Armenian, 888-833-8441<br />
419-213-4266 Chinese<br />
Grewal, Rimple DDS<br />
Fulton, Debra DDS Geisler, Catherine DDS Dental Center Northwest<br />
Debra Fulton DDS Corner Dental - Talmadge Ohio<br />
3416 W Laskey Rd (Elmhurst) 2130 Madison Ave<br />
Toledo, OH 43623 4321 Talmadge Rd Toledo, OH 43604<br />
419-474-7808 Toledo, OH 43623 419-241-1644<br />
419-536-7265 Foreign Language(s):<br />
Fulton, Debra DDS Foreign Language(s): Hindi, Spanish<br />
Cordelia Martin Arabic, Armenian,<br />
430 Nebraska Ave Chinese Grewal, Rimple DDS<br />
Toledo, OH 43604 Dental Center Of<br />
419-720-7883 Geisler, Catherine DDS Northwest Ohio<br />
Corner Dental 2138 Madison Ave<br />
Galvan, Juan DDS 5855 Lewis Ave Toledo, OH 43604<br />
Smile Care LLC Toledo, OH 43612 419-241-6215<br />
6725 W Central Ave 419-536-7265 Foreign Language(s):<br />
Ste M#111 Foreign Language(s): Hindi, Spanish<br />
Toledo, OH 43617 Arabic, Armenian,<br />
888-833-8441 Chinese Haggerty, James DDS<br />
James B Haggerty DDS<br />
Gant, Pamela DDS George, Susan DDS 4210 W Sylvania Ave<br />
Midwest Dental Center Dental Center Northwest Ste 203<br />
1843 W Alexis Rd Ohio Toledo, OH 43623<br />
Suite 4 2130 Madison Ave 419-472-5006<br />
Toledo, OH 43613 Toledo, OH 43604<br />
419-475-5450 419-241-1644 Hamann, Robert DDS<br />
Foreign Language(s): Smile Care LLC<br />
Hindi, Spanish 6725 W Central Ave<br />
Ste M#111<br />
Toledo, OH 43617<br />
888-833-8441<br />
Page 54 2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan
Section 2 – List of Plan <strong>Provider</strong>s<br />
Dentistry,<br />
General cont.<br />
Lucas County cont.<br />
Toledo cont.<br />
Hartnett, Daniel DDS<br />
Dental Center Northwest<br />
Ohio<br />
2130 Madison Ave<br />
Toledo, OH 43604<br />
419-241-1644<br />
Foreign Language(s):<br />
Hindi, Spanish<br />
Hartnett, Daniel DDS<br />
Dental Center Of<br />
Northwest Ohio<br />
2138 Madison Ave<br />
Toledo, OH 43604<br />
419-241-6215<br />
Foreign Language(s):<br />
Hindi, Spanish<br />
Hashemi, Amir DDS<br />
Corner Dental - Ralston<br />
1642 Ralston Cir<br />
Toledo, OH 43615<br />
419-536-7265<br />
Foreign Language(s):<br />
Arabic, Armenian,<br />
Chinese<br />
Hashemi, Amir DDS<br />
Corner Dental - Talmadge<br />
(Elmhurst)<br />
4321 Talmadge Rd<br />
Toledo, OH 43623<br />
419-536-7265<br />
Foreign Language(s):<br />
Arabic, Armenian,<br />
Chinese<br />
Hashemi, Amir DDS<br />
Corner Dental<br />
5855 Lewis Ave<br />
Toledo, OH 43612<br />
419-536-7265<br />
Foreign Language(s):<br />
Arabic, Armenian,<br />
Chinese<br />
Dental <strong>Provider</strong>s<br />
Hoffner, Austin DDS Kastner, Michael DDS Klassen, Alexis DDS<br />
Dental Center Northwest Dental Center Northwest Corner Dental<br />
Ohio Ohio 5855 Lewis Ave<br />
2130 Madison Ave<br />
Toledo, OH 43604<br />
2130 Madison Ave<br />
Toledo, OH 43604<br />
Toledo, OH 43612<br />
419-536-7265<br />
419-241-1644 419-241-1644 Foreign Language(s):<br />
Foreign Language(s): Foreign Language(s): Arabic, Armenian,<br />
Hindi, Spanish Hindi, Spanish Chinese<br />
Hoffner, Austin DDS Kastner, Michael DDS Knierim, Gerald R DDS<br />
Dental Center Of Dental Center Of Toledo-Lucas County<br />
Northwest Ohio Northwest Ohio Health Department<br />
2138 Madison Ave 2138 Madison Ave 635 N Erie St<br />
Toledo, OH 43604 Toledo, OH 43604 Toledo, OH 43604<br />
419-241-6215 419-241-6215 419-213-4266<br />
Foreign Language(s): Foreign Language(s):<br />
Hindi, Spanish Hindi, Spanish Korman, Sheldon DDS<br />
Smile Care LLC<br />
Holman, Amy DDS Kenney, Garrett D. DDS 6725 W Central Ave<br />
Smile Care LLC 6725 W Central Ave Ste M#111<br />
6725 W Central Ave Ste 111 Toledo, OH 43617<br />
Ste M#111 Toledo, OH 43617 888-833-8441<br />
Toledo, OH 43617 888-833-8441<br />
888-833-8441 Kruse, Frederick DDS<br />
Kestranek, John DDS Dental Center Northwest<br />
Jhamb, Sunita DMD Smile Care LLC Ohio<br />
Small Smiles Dental 6725 W Central Ave 2130 Madison Ave<br />
Centers Of Toledo LLC Ste M#111 Toledo, OH 43604<br />
1520 Broadway St Toledo, OH 43617 419-241-1644<br />
Toledo, OH 43609 888-833-8441 Foreign Language(s):<br />
419-255-9000 Hindi, Spanish<br />
Foreign Language(s): Kim, Seung DDS<br />
Spanish Small Smiles Dental Kruse, Frederick DDS<br />
Centers Of Toledo LLC Dental Center Of<br />
Jones, Christopher DDS 1520 Broadway St Northwest Ohio<br />
Dental Center Northwest Toledo, OH 43609 2138 Madison Ave<br />
Ohio 419-255-9000 Toledo, OH 43604<br />
2130 Madison Ave Foreign Language(s): 419-241-6215<br />
Toledo, OH 43604 Spanish Foreign Language(s):<br />
419-241-1644 Hindi, Spanish<br />
Foreign Language(s): Kin Zaciewski,<br />
Hindi, Spanish Samantha R. DDS Kuehner, Aric A. DDS<br />
3416 W Laskey Rd 1520 Broadway St<br />
Kadiyala, Sai L. DDS Toledo, OH 43623 Toledo, OH 43609<br />
1520 Broadway St 419-473-8885 419-255-9000<br />
Toledo, OH 43609 Foreign Language(s):<br />
419-255-9000 Klassen, Alexis DDS Spanish<br />
Foreign Language(s): Corner Dental - Talmadge<br />
Spanish (Elmhurst) Lane, Kevin M. DDS<br />
4321 Talmadge Rd 2138 Madison Ave<br />
Toledo, OH 43623 Toledo, OH 43604<br />
419-536-7265 419-241-6215<br />
Foreign Language(s): Foreign Language(s):<br />
Arabic, Armenian,<br />
Chinese<br />
Hindi, Spanish<br />
2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan Page 55
Dental <strong>Provider</strong>s Section 2 – List of Plan <strong>Provider</strong>s<br />
Dentistry,<br />
General cont.<br />
Lucas County cont.<br />
Toledo cont.<br />
Lantzy, Steven DDS<br />
Corner Dental - Ralston<br />
1642 Ralston Cir<br />
Toledo, OH 43615<br />
419-536-7265<br />
Foreign Language(s):<br />
Arabic, Armenian,<br />
Chinese<br />
Lantzy, Steven DDS<br />
Corner Dental - Talmadge<br />
(Elmhurst)<br />
4321 Talmadge Rd<br />
Toledo, OH 43623<br />
419-536-7265<br />
Foreign Language(s):<br />
Arabic, Armenian,<br />
Chinese<br />
Lantzy, Steven DDS<br />
Corner Dental<br />
5855 Lewis Ave<br />
Toledo, OH 43612<br />
419-536-7265<br />
Foreign Language(s):<br />
Arabic, Armenian,<br />
Chinese<br />
Larue, Jason DDS<br />
Small Smiles Dental<br />
Centers Of Toledo LLC<br />
1520 Broadway St<br />
Toledo, OH 43609<br />
419-255-9000<br />
Foreign Language(s):<br />
Spanish<br />
Lechlak, Jerome DDS<br />
Dental Center Mobile<br />
Services<br />
2130 Madison Ave<br />
Toledo, OH 43604<br />
419-241-1644<br />
Foreign Language(s):<br />
Hindi, Spanish<br />
Lechlak, Jerome DDS Maley, Matthew DDS Michalak, Rachael DDS<br />
Dental Center Northwest Matthew R Maley DDS Dental Center Northwest<br />
Ohio Inc Ohio<br />
2130 Madison Ave<br />
Toledo, OH 43604<br />
3780 King Rd<br />
Building 2 Suite A<br />
2130 Madison Ave<br />
Toledo, OH 43604<br />
419-241-1644 Toledo, OH 43617 419-241-1644<br />
Foreign Language(s): 419-882-0622 Foreign Language(s):<br />
Hindi, Spanish<br />
Mattin, Stephen DDS<br />
Hindi, Spanish<br />
Lechlak, Jerome DDS Dental Center Northwest Michalak, Rachael DDS<br />
Dental Center Of Ohio Dental Center Of<br />
Northwest Ohio 2130 Madison Ave Northwest Ohio<br />
2138 Madison Ave Toledo, OH 43604 2138 Madison Ave<br />
Toledo, OH 43604 419-241-1644 Toledo, OH 43604<br />
419-241-6215 Foreign Language(s): 419-241-6215<br />
Foreign Language(s): Hindi, Spanish Foreign Language(s):<br />
Hindi, Spanish<br />
Mattin, Stephen DDS<br />
Hindi, Spanish<br />
Lenghel, Carmen DDS Dental Center Of Moeller, James DDS<br />
Small Smiles Dental Northwest Ohio James C Moeller DDS<br />
Centers Of Toledo LLC 2138 Madison Ave 5445 Southwyck Blvd<br />
1520 Broadway St Toledo, OH 43604 Ste 105<br />
Toledo, OH 43609 419-241-6215 Toledo, OH 43614<br />
419-255-9000 Foreign Language(s): 419-865-1201<br />
Foreign Language(s): Hindi, Spanish<br />
Spanish Morek, Aubrey DDS<br />
McCabe, Patrick DDS Smile Care LLC<br />
MacDonald, Leland DDS Harbor Light Oral 6725 W Central Ave<br />
Dental Center Northwest Surgeons Inc Ste M#111<br />
Ohio 1850 Eastgate Rd Toledo, OH 43617<br />
2130 Madison Ave Suite A 888-833-8441<br />
Toledo, OH 43604 Toledo, OH 43614<br />
419-241-1644 419-385-5743 Mosley, Monica DDS<br />
Foreign Language(s): Small Smiles Dental<br />
Hindi, Spanish McCabe, Patrick DDS Centers Of Toledo LLC<br />
Harbor Light Oral 1520 Broadway St<br />
MacDonald, Leland DDS Surgeons Inc Toledo, OH 43609<br />
Dental Center Of 4646 Nantuckett Dr 419-255-9000<br />
Northwest Ohio Toledo, OH 43623 Foreign Language(s):<br />
2138 Madison Ave<br />
Toledo, OH 43604<br />
419-843-2121 Spanish<br />
419-241-6215 Meluch, Ralph DDS Mrozinski, Jodi DDS<br />
Foreign Language(s): Smile Care LLC Small Smiles Dental<br />
Hindi, Spanish 6725 W Central Ave Centers Of Toledo LLC<br />
Ste M#111 1520 Broadway St<br />
Mack, Michael DMD Toledo, OH 43617 Toledo, OH 43609<br />
Dental Center Of 888-833-8441 419-255-9000<br />
Northwest Ohio Foreign Language(s):<br />
2138 Madison Ave Meyer, Jennifer DDS Spanish<br />
Toledo, OH 43604 Smile Care LLC<br />
419-241-6215 6725 W Central Ave<br />
Foreign Language(s):<br />
Hindi, Spanish<br />
Ste M#111<br />
Toledo, OH 43617<br />
888-833-8441<br />
Page 56 2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan
Section 2 – List of Plan <strong>Provider</strong>s<br />
Dentistry,<br />
General cont.<br />
Lucas County cont.<br />
Toledo cont.<br />
Mucci, Francisco DDS<br />
Corner Dental - Ralston<br />
1642 Ralston Cir<br />
Toledo, OH 43615<br />
419-536-7265<br />
Foreign Language(s):<br />
Arabic, Armenian,<br />
Chinese<br />
Mucci, Francisco DDS<br />
Corner Dental - Talmadge<br />
(Elmhurst)<br />
4321 Talmadge Rd<br />
Toledo, OH 43623<br />
419-536-7265<br />
Foreign Language(s):<br />
Arabic, Armenian,<br />
Chinese<br />
Mucci, Francisco DDS<br />
Corner Dental<br />
5855 Lewis Ave<br />
Toledo, OH 43612<br />
419-536-7265<br />
Foreign Language(s):<br />
Arabic, Armenian,<br />
Chinese<br />
Nadler, Sergio DMD<br />
Small Smiles Dental<br />
Centers Of Toledo LLC<br />
1520 Broadway St<br />
Toledo, OH 43609<br />
419-255-9000<br />
Foreign Language(s):<br />
Spanish<br />
Namay, Robert DDS<br />
Corner Dental<br />
5855 Lewis Ave<br />
Toledo, OH 43612<br />
419-536-7265<br />
Foreign Language(s):<br />
Arabic, Armenian,<br />
Chinese<br />
Dental <strong>Provider</strong>s<br />
Nehls, Maryann DDS O’Neil-Johnson, Julia Patel, Krishan DDS<br />
Small Smiles Dental DDS 4321 Talmadge Rd<br />
Centers Of Toledo LLC Smile Care LLC Toledo, OH 43623<br />
1520 Broadway St<br />
Toledo, OH 43609<br />
6725 W Central Ave<br />
Ste M#111<br />
419-536-7265<br />
Foreign Language(s):<br />
419-255-9000 Toledo, OH 43617 Arabic, Armenian,<br />
Foreign Language(s):<br />
Spanish<br />
888-833-8441 Chinese<br />
O’Neill, Brian DDS Patton, Joe DDS<br />
Ngo, Taiwo DDS Harbor Light Oral Smile Care LLC<br />
Midwest Dental Center Surgeons Inc 6725 W Central Ave<br />
1843 W Alexis Rd 1850 Eastgate Rd Ste M#111<br />
Suite 4 Suite A Toledo, OH 43617<br />
Toledo, OH 43613 Toledo, OH 43614 888-833-8441<br />
419-475-5450 419-385-5743<br />
Pecherski, Gail DDS<br />
Ngo, Taiwo DDS O’Neill, Brian DDS 1642 Ralston Cir<br />
Midwest Dental Center Harbor Light Oral Toledo, OH 43615<br />
2915 Lagrange St Surgeons Inc 419-536-7265<br />
Toledo, OH 43608 4646 Nantuckett Dr<br />
419-382-8888 Toledo, OH 43623 Pecherski, Gail DDS<br />
Foreign Language(s): 419-843-2121 4321 Talmadge Rd<br />
French, Spanish Toledo, OH 43623<br />
Palakodeti, Anupama 419-536-7265<br />
Ngo, Taiwo DDS DMD<br />
Dental Definitions Dental Center Northwest Pietro, Stephan DDS<br />
5350 Airport Hwy Ohio 6725 W Central Ave<br />
Suite 109 2130 Madison Ave Ste 111<br />
Toledo, OH 43615 Toledo, OH 43604 Toledo, OH 43617<br />
419-244-1691 419-241-1644<br />
Foreign Language(s):<br />
888-833-8441<br />
Niaz, Reema DDS Hindi, Spanish Prathipati, Sangeeta<br />
Dental Center Northwest DDS<br />
Ohio Palakodeti, Anupama Dental Center Northwest<br />
2130 Madison Ave DMD Ohio<br />
Toledo, OH 43604 Dental Center Of 2130 Madison Ave<br />
419-241-1644 Northwest Ohio Toledo, OH 43604<br />
Foreign Language(s): 2138 Madison Ave 419-241-1644<br />
Hindi, Spanish Toledo, OH 43604 Foreign Language(s):<br />
419-241-6215 Hindi, Spanish<br />
Niaz, Reema DDS Foreign Language(s):<br />
Dental Center Of Hindi, Spanish Prathipati, Sangeeta<br />
Northwest Ohio DDS<br />
2138 Madison Ave Patel, Krishan DDS Dental Center Of<br />
Toledo, OH 43604 1642 Ralston Cir Northwest Ohio<br />
419-241-6215 Toledo, OH 43615 2138 Madison Ave<br />
Foreign Language(s): 419-536-7265 Toledo, OH 43604<br />
Hindi, Spanish Foreign Language(s): 419-241-6215<br />
Arabic, Armenian, Foreign Language(s):<br />
Chinese Hindi, Spanish<br />
2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan Page 57
Dental <strong>Provider</strong>s Section 2 – List of Plan <strong>Provider</strong>s<br />
Dentistry,<br />
General cont.<br />
Lucas County cont.<br />
Toledo cont.<br />
Radin, Stanley J DDS<br />
Dental Center Northwest<br />
Ohio<br />
2130 Madison Ave<br />
Toledo, OH 43604<br />
419-241-1644<br />
Foreign Language(s):<br />
Hindi, Spanish<br />
Radin, Stanley J DDS<br />
Dental Center Of<br />
Northwest Ohio<br />
2138 Madison Ave<br />
Toledo, OH 43604<br />
419-241-6215<br />
Foreign Language(s):<br />
Hindi, Spanish<br />
Renick, Michele DMD<br />
Smile Care LLC<br />
6725 W Central Ave<br />
Ste M#111<br />
Toledo, OH 43617<br />
888-833-8441<br />
Sandhu, Avneet DDS<br />
Small Smiles Dental<br />
Centers Of Toledo LLC<br />
1520 Broadway St<br />
Toledo, OH 43609<br />
419-255-9000<br />
Foreign Language(s):<br />
Spanish<br />
Sandulache, Camelia<br />
DDS<br />
Corner Dental<br />
5855 Lewis Ave<br />
Toledo, OH 43612<br />
419-536-7265<br />
Foreign Language(s):<br />
Arabic, Armenian,<br />
Chinese<br />
Schlang, Elliot DDS Sydlowski, Thomas DDS Veeranna, Supreeth L.<br />
Smile Care LLC Harbor Light Oral DDS<br />
6725 W Central Ave Surgeons Inc 1520 Broadway St<br />
Ste M#111<br />
Toledo, OH 43617<br />
1850 Eastgate Rd<br />
Suite A<br />
Toledo, OH 43609<br />
419-255-9000<br />
888-833-8441 Toledo, OH 43614 Foreign Language(s):<br />
Schmerge, William DDS<br />
419-385-5743 Spanish<br />
Smile Care LLC Sydlowski, Thomas DDS Walcott, Ann Marie DDS<br />
6725 W Central Ave Harbor Light Oral Dental Center Northwest<br />
Ste M#111 Surgeons Inc Ohio<br />
Toledo, OH 43617 4646 Nantuckett Dr 2130 Madison Ave<br />
888-833-8441 Toledo, OH 43623 Toledo, OH 43604<br />
419-843-2121 419-241-1644<br />
Silk, Jane DDS Foreign Language(s):<br />
Smile Care LLC Tertel, Nanette DDS Hindi, Spanish<br />
6725 W Central Ave Dental Center Northwest<br />
Ste M#111 Ohio Walcott, Ann Marie DDS<br />
Toledo, OH 43617 2130 Madison Ave Dental Center Of<br />
888-833-8441 Toledo, OH 43604 Northwest Ohio<br />
419-241-1644 2138 Madison Ave<br />
Skiba, Shannon DDS Foreign Language(s): Toledo, OH 43604<br />
Small Smiles Dental Hindi, Spanish 419-241-6215<br />
Centers Of Toledo LLC Foreign Language(s):<br />
1520 Broadway St Tertel, Nanette DDS Hindi, Spanish<br />
Toledo, OH 43609 Dental Center Of<br />
419-255-9000 Northwest Ohio Weinstein, Daniel DDS<br />
Foreign Language(s): 2138 Madison Ave Smile Care LLC<br />
Spanish Toledo, OH 43604 6725 W Central Ave<br />
419-241-6215 Ste M#111<br />
Smeiles, Rebekkah DDS Foreign Language(s): Toledo, OH 43617<br />
Small Smiles Dental<br />
Centers Of Toledo LLC<br />
Hindi, Spanish 888-833-8441<br />
1520 Broadway St Tiruveedula, Chitra DDS White, Karyn DDS<br />
Toledo, OH 43609 Small Smiles Dental Smile Care LLC<br />
419-255-9000 Centers Of Toledo LLC 6725 W Central Ave<br />
Foreign Language(s): 1520 Broadway St Ste M#111<br />
Spanish Toledo, OH 43609 Toledo, OH 43617<br />
419-255-9000 888-833-8441<br />
Smith, John DDS Foreign Language(s):<br />
Smile Care LLC Spanish Whiting, Shawn DDS<br />
6725 W Central Ave Small Smiles Dental<br />
Ste M#111 Traynor, William DDS Centers Of Toledo LLC<br />
Toledo, OH 43617 Small Smiles Dental 1520 Broadway St<br />
888-833-8441 Centers Of Toledo LLC Toledo, OH 43609<br />
1520 Broadway St 419-255-9000<br />
Stubblefield, Michael Toledo, OH 43609 Foreign Language(s):<br />
DDS 419-255-9000 Spanish<br />
Toledo-Lucas County Foreign Language(s):<br />
Health Department<br />
635 N Erie St<br />
Toledo, OH 43604<br />
419-213-4266<br />
Spanish<br />
Page 58 2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan
Section 2 – List of Plan <strong>Provider</strong>s<br />
Dental <strong>Provider</strong>s<br />
Dentistry,<br />
General cont.<br />
Marion County<br />
Marion<br />
Hamilton, Ernest DDS<br />
Appleseed Family Dental<br />
LLC<br />
Snipes, Matthew DDS<br />
Appleseed Family Dental<br />
LLC<br />
Lucas County cont.<br />
Toledo cont.<br />
Wright, Amber DDS<br />
Small Smiles Dental<br />
Centers Of Toledo LLC<br />
1520 Broadway St<br />
Toledo, OH 43609<br />
419-255-9000<br />
Foreign Language(s):<br />
Spanish<br />
Zaciewski, Samantha<br />
DDS<br />
Randall T. Boggs, D.D.S.<br />
3416 W Laskey Rd<br />
Toledo, OH 43623<br />
419-473-8885<br />
Zarick, Sarah DDS<br />
Smile Care LLC<br />
6725 W Central Ave<br />
Ste M#111<br />
Toledo, OH 43617<br />
888-833-8441<br />
Asbrock-Suvag, Paige<br />
DDS<br />
Marion Dental Partners<br />
LLP<br />
1598 Marion Mount<br />
Gilead Rd<br />
Marion, OH 43302<br />
740-386-6600<br />
Foreign Language(s):<br />
Spanish<br />
Beckman, Richard DDS<br />
Marion Dental Partners<br />
LLP<br />
1598 Marion Mount<br />
Gilead Rd<br />
Marion, OH 43302<br />
740-386-6600<br />
Foreign Language(s):<br />
Spanish<br />
Carr, Richard DDS<br />
Richard G. Carr, D.D.S.<br />
613B E Center St<br />
Marion, OH 43302<br />
740-387-2892<br />
1199 Delaware Ave<br />
Ste 106<br />
Marion, OH 43302<br />
740-387-1324<br />
Foreign Language(s):<br />
Chinese<br />
Kopylowicz, Janina DDS<br />
Janina Zuzanna<br />
Kopylowicz DDS<br />
607 Delaware Ave<br />
Marion, OH 43302<br />
740-387-3544<br />
Foreign Language(s):<br />
Polish<br />
McVeigh, Adam DDS<br />
Marion Dental Partners<br />
LLP<br />
1598 Marion Mount<br />
Gilead Rd<br />
Marion, OH 43302<br />
740-386-6600<br />
Foreign Language(s):<br />
Spanish<br />
Pun, Ming Hong DDS<br />
1199 Delaware Ave<br />
Ste 106<br />
Marion, OH 43302<br />
740-387-1324<br />
Foreign Language(s):<br />
Chinese<br />
Wang, Zheng DDS<br />
Appleseed Family Dental<br />
LLC<br />
1199 Delaware Ave<br />
Ste 106<br />
Marion, OH 43302<br />
740-387-1324<br />
Foreign Language(s):<br />
Chinese<br />
Wise, David DDS<br />
Marion Dental Partners<br />
LLP<br />
1598 Marion Mount<br />
Gilead Rd<br />
Marion, OH 43302<br />
740-386-6600<br />
Foreign Language(s):<br />
Spanish<br />
Zink, Richard DDS<br />
Dental Center Northwest<br />
Ohio<br />
2130 Madison Ave<br />
Toledo, OH 43604<br />
419-241-1644<br />
Foreign Language(s):<br />
Hindi, Spanish<br />
Froning, Geoffrey DDS<br />
Appleseed Family Dental<br />
LLC<br />
1199 Delaware Ave<br />
Ste 106<br />
Marion, OH 43302<br />
740-387-1324<br />
Foreign Language(s):<br />
Appleseed Family Dental<br />
LLC<br />
1199 Delaware Ave<br />
Ste 106<br />
Marion, OH 43302<br />
740-387-1324<br />
Foreign Language(s):<br />
Chinese<br />
Prospect<br />
Stanko, Joseph DDS<br />
Joseph S Stanko DDS<br />
141 S Main St<br />
P.O. Box 47<br />
Prospect, OH 43342<br />
740-494-2971<br />
Zink, Richard DDS<br />
Dental Center Of<br />
Northwest Ohio<br />
2138 Madison Ave<br />
Toledo, OH 43604<br />
419-241-6215<br />
Foreign Language(s):<br />
Hindi, Spanish<br />
Chinese<br />
Gaston, Paul DDS<br />
Appleseed Family Dental<br />
LLC<br />
1199 Delaware Ave<br />
Ste 106<br />
Marion, OH 43302<br />
740-387-1324<br />
Foreign Language(s):<br />
Chinese<br />
Sawalha, Laith DMD<br />
Marion Family Dental Inc<br />
716 S Prospect St<br />
Marion, OH 43302<br />
740-387-5188<br />
Schmelzer, Jerald B<br />
DDS<br />
J B Schmelzer DDS<br />
520 E Center St<br />
Ste B<br />
Marion, OH 43302<br />
740-387-9020<br />
Foreign Language(s):<br />
French<br />
Mercer County<br />
Celina<br />
Lutz, Travis DDS<br />
Grand Lake Family<br />
Dentistry Ltd<br />
800 E Wayne St<br />
Po Box 316<br />
Celina, OH 45822<br />
419-586-1615<br />
2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan Page 59
Dental <strong>Provider</strong>s Section 2 – List of Plan <strong>Provider</strong>s<br />
Dentistry,<br />
General cont.<br />
Paulding County<br />
Antwerp<br />
Pandora<br />
Kline Snyder, Nancy<br />
Reineck, J Thomas DDS<br />
J Thomas Reineck DDS<br />
507 Garrison St<br />
Mercer County cont.<br />
Coldwater<br />
Bruns, Michael DDS<br />
Coldwater Dental Inc<br />
750 W Main St<br />
Coldwater, OH 45828<br />
419-678-4806<br />
Hoyng, Robert DDS<br />
Coldwater Dental Inc<br />
750 W Main St<br />
Coldwater, OH 45828<br />
419-678-4806<br />
Wenning, Benjamin DDS<br />
Coldwater Dental Inc<br />
750 W Main St<br />
Coldwater, OH 45828<br />
419-678-4806<br />
Bricker, William S. DDS<br />
302 S Cleveland St<br />
Antwerp, OH 45813<br />
419-399-3282<br />
Mowery, Sarah DDS<br />
Sarah J Mowery DDS Inc<br />
302 S Cleveland St<br />
Antwerp, OH 45813<br />
419-258-6511<br />
Foreign Language(s):<br />
Spanish<br />
Paulding<br />
Bricker, William S. DDS<br />
120 S Walnut St<br />
Paulding, OH 45879<br />
419-399-3282<br />
Mowery, Sarah DDS<br />
DMD<br />
Dr Nancy F Kline DMD Inc<br />
dba Putnam Family<br />
Dental<br />
108 N Jefferson St<br />
Po Box 445<br />
Pandora, OH 45877<br />
419-384-3278<br />
Kline Snyder, Nancy<br />
DMD<br />
Dr Nancy F Kline DMD Inc<br />
dba Putnam Family<br />
Dental<br />
15 E Main St<br />
Po Box 445<br />
Pandora, OH 45877<br />
419-943-2278<br />
Kline-Snyder, Nancy<br />
DDS<br />
201 5th St NE<br />
Fremont, OH 43420<br />
419-332-6131<br />
Woodruff, Thomas DDS<br />
Community And Rural<br />
Health Services Inc<br />
410 Birchard Ave<br />
Fremont, OH 43420<br />
419-334-8855<br />
Seneca County<br />
Attica<br />
Kagy, David DDS<br />
David M Kagy DDS<br />
26 Cook Dr P O Box 457<br />
Attica, OH 44807<br />
419-426-4892<br />
Bellevue<br />
Ottawa County<br />
Genoa<br />
Norwalk, Keith DDS<br />
Keith A Norwalk DDS Inc<br />
103 W 5th St<br />
Genoa, OH 43430<br />
419-855-4700<br />
Port Clinton<br />
Hart, Gregory DDS<br />
Catawba Dental<br />
3274 NE Catawba Rd<br />
Port Clinton, OH 43452<br />
419-797-2010<br />
Wolfram, Peter DDS<br />
Catawba Dental<br />
3274 NE Catawba Rd<br />
Port Clinton, OH 43452<br />
419-797-2010<br />
Sarah J Mowery DDS Inc<br />
120 S Walnut St<br />
Paulding, OH 45879<br />
419-399-3282<br />
Putnam County<br />
Columbus Grove<br />
Recker, Earl DDS<br />
Earl J Recker DDS Inc<br />
dba Columbus Grove<br />
Family Dentistry<br />
109 N High St<br />
Columbus Grove, OH<br />
45830<br />
419-659-6000<br />
Leipsic<br />
Kline-Snyder, Nancy<br />
DDS<br />
15 E Main St<br />
Leipsic, OH 45856<br />
419-943-2278<br />
Pandora, OH 45877<br />
419-384-3278<br />
Sandusky County<br />
Fremont<br />
Becker, Jennifer DDS<br />
Community And Rural<br />
Health Services Inc<br />
410 Birchard Ave<br />
Fremont, OH 43420<br />
419-334-8855<br />
Bowman, Douglas DDS<br />
Gentle Caring Dentistry<br />
1229 Napoleon St<br />
Fremont, OH 43420<br />
419-332-1303<br />
Drake, Laurence DDS<br />
Community And Rural<br />
Health Services Inc<br />
410 Birchard Ave<br />
Fremont, OH 43420<br />
419-334-8855<br />
Journay, Rick DDS<br />
Rick L Journay DDS<br />
716 W Main St<br />
Bellevue, OH 44811<br />
419-483-4734<br />
Storm, Robert DDS<br />
Robert E Storm DDS<br />
142 Kilbourne St<br />
Po Box 428<br />
Bellevue, OH 44811<br />
419-483-4020<br />
Fostoria<br />
Guernsey, Thomas DDS<br />
Tri-County Dental Center<br />
LLC<br />
521 Summit St<br />
Fostoria, OH 44830<br />
419-435-3255<br />
Page 60 2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan
Section 2 – List of Plan <strong>Provider</strong>s<br />
Dental <strong>Provider</strong>s<br />
Dentistry,<br />
General cont.<br />
Mani, Adarsh DDS<br />
Sidney Dental Associates<br />
Inc<br />
Wood County<br />
Bowling Green<br />
Klassen, Alexis DDS<br />
Corner Dental - Bowling<br />
Green<br />
Seneca County cont.<br />
Tiffin<br />
Colavincenzo, Raymond<br />
DDS<br />
Seneca County General<br />
Health District<br />
71 S Washington St<br />
Ste 1102<br />
Tiffin, OH 44883<br />
419-447-3691<br />
Felton, John C. DDS<br />
71 S Washington St<br />
Ste 1102<br />
Tiffin, OH 44883<br />
419-447-3691<br />
Fletcher, Richard DDS<br />
Richard L Fletcher DDS<br />
Inc<br />
300 W Market St<br />
Tiffin, OH 44883<br />
419-447-1181<br />
Wilson, James C. DDS<br />
19 W Market St<br />
Ste A<br />
Tiffin, OH 44883<br />
419-447-9541<br />
Zaciewski, Samantha<br />
DDS<br />
Tiffin Dental Associates<br />
27 St Lawrence Dr<br />
Ste 109<br />
Tiffin, OH 44883<br />
419-447-7337<br />
Shelby County<br />
Sidney<br />
Boedigheimer, John<br />
DDS<br />
John K Boedigheimer<br />
DDS Inc<br />
1445 N Main Ave<br />
Sidney, OH 45365<br />
937-492-9983<br />
113 N Ohio Ave<br />
Suite 310<br />
Sidney, OH 45365<br />
937-492-4598<br />
Foreign Language(s):<br />
Hindi<br />
Mani, Adarsh DDS<br />
Sidney Dental Associates<br />
Inc<br />
1465 N Vandemark Rd<br />
Sidney, OH 45365<br />
937-492-4598<br />
Foreign Language(s):<br />
Hindi<br />
Van Wert County<br />
Van Wert<br />
Frey, Loreen DDS<br />
1142 Westwood Dr<br />
Van Wert, OH 45891<br />
419-238-9193<br />
Okuley, Roger J. DDS<br />
707 Fox Rd<br />
Ste 200<br />
Van Wert, OH 45891<br />
419-238-4385<br />
Williams County<br />
Montpelier<br />
Sheperd, Daniel DDS<br />
Daniel Sheperd DDS<br />
904 E Snyder Ave P O<br />
Box 69<br />
Montpelier, OH 43543<br />
419-485-3145<br />
Amborski, Andrew DDS<br />
Corner Dental - Bowling<br />
Green<br />
990 W Poe Rd<br />
Bowling Green, OH 43402<br />
419-536-7265<br />
Foreign Language(s):<br />
Arabic, Armenian<br />
Booker, Nicholas DDS<br />
Corner Dental - Bowling<br />
Green<br />
990 W Poe Rd<br />
Bowling Green, OH 43402<br />
419-536-7265<br />
Foreign Language(s):<br />
Arabic, Armenian<br />
Boulos, Joseph DDS<br />
990 W Poe Rd<br />
Bowling Green, OH 43402<br />
419-536-7265<br />
Choi, William DDS<br />
Corner Dental - Bowling<br />
Green<br />
990 W Poe Rd<br />
Bowling Green, OH 43402<br />
419-536-7265<br />
Foreign Language(s):<br />
Arabic, Armenian<br />
Choksey, Alap I DMD<br />
Corner Dental - Bowling<br />
Green<br />
990 W Poe Rd<br />
Bowling Green, OH 43402<br />
419-536-7265<br />
Foreign Language(s):<br />
Arabic, Armenian<br />
Geisler, Catherine DDS<br />
Corner Dental - Bowling<br />
Green<br />
990 W Poe Rd<br />
Bowling Green, OH 43402<br />
419-536-7265<br />
Foreign Language(s):<br />
Arabic, Armenian<br />
990 W Poe Rd<br />
Bowling Green, OH 43402<br />
419-536-7265<br />
Foreign Language(s):<br />
Arabic, Armenian<br />
Lantzy, Steven DDS<br />
Corner Dental - Bowling<br />
Green<br />
990 W Poe Rd<br />
Bowling Green, OH 43402<br />
419-536-7265<br />
Foreign Language(s):<br />
Arabic, Armenian<br />
McCabe, Patrick DDS<br />
Harbor Light Oral<br />
Surgeons Inc<br />
970 W Wooster St<br />
Suite 126<br />
Bowling Green, OH 43402<br />
419-353-2100<br />
Mucci, Francisco DDS<br />
Corner Dental - Bowling<br />
Green<br />
990 W Poe Rd<br />
Bowling Green, OH 43402<br />
419-536-7265<br />
Foreign Language(s):<br />
Arabic, Armenian<br />
O’Neill, Brian DDS<br />
Harbor Light Oral<br />
Surgeons Inc<br />
970 W Wooster St<br />
Suite 126<br />
Bowling Green, OH 43402<br />
419-353-2100<br />
Pecherski, Gail DDS<br />
990 W Poe Rd<br />
Bowling Green, OH 43402<br />
419-536-7265<br />
Sydlowski, Thomas DDS<br />
Harbor Light Oral<br />
Surgeons Inc<br />
970 W Wooster St<br />
Suite 126<br />
Bowling Green, OH 43402<br />
419-353-2100<br />
2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan Page 61
Dental <strong>Provider</strong>s Section 2 – List of Plan <strong>Provider</strong>s<br />
Dentistry, Perrysburg Sycamore<br />
Dentistry,<br />
General cont.<br />
Butler, Paul DDS Amin, Jayna DDS<br />
Periodontics<br />
Wood County cont. Onsight Healthcare<br />
3255 Levis Commons<br />
Jayna D Amin DDS<br />
107 Sycamore Ave.<br />
Lucas County<br />
Grand Rapids<br />
Blvd<br />
Perrysburg, OH 43551<br />
P.O. Box 153<br />
Sycamore, OH 44882<br />
Toledo<br />
Ahmed, Adnan DDS 419-874-0393 419-927-5562 Thaler, Russell DDS<br />
Adnan Ahmed DDS Inc<br />
24163 Front St<br />
P O Box 369<br />
Grand Rapids, OH 43522<br />
419-832-9101<br />
Foreign Language(s):<br />
Hindi, Urdu<br />
Fuqua, Charles DDS<br />
Adnan Ahmed DDS Inc<br />
24163 Front St<br />
P O Box 369<br />
Grand Rapids, OH 43522<br />
419-832-9101<br />
Foreign Language(s):<br />
Hindi, Urdu<br />
Cosentino, Bruno DDS<br />
Onsight Healthcare<br />
845 Commerce Dr Ste A<br />
Perrysburg, OH 43551<br />
419-874-0393<br />
Lieberman, Richard M.<br />
DDS<br />
845 Commerce Dr<br />
Ste A<br />
Perrysburg, OH 43551<br />
419-874-0393<br />
Moore, Michael DMD<br />
Premier Denture Center<br />
LLC<br />
Upper Sandusky<br />
Beitler, Claude DDS<br />
Claude T Beitler DDS<br />
646 N Sandusky Ave<br />
Upper Sandusky, OH<br />
43351<br />
419-294-2125<br />
Musgrave, Joan DDS<br />
Joan S Musgrave DDS<br />
112 E Wyandot Ave<br />
Upper Sandusky, OH<br />
43351<br />
419-294-3352<br />
Smile Care LLC<br />
6725 W Central Ave<br />
Ste M#111<br />
Toledo, OH 43617<br />
888-833-8441<br />
Safadi, Tala DDS<br />
Adnan Ahmed DDS Inc<br />
24163 Front St<br />
P O Box 369<br />
Grand Rapids, OH 43522<br />
419-832-9101<br />
Foreign Language(s):<br />
Hindi, Urdu<br />
Stanciu, Bradley DDS<br />
Adnan Ahmed DDS Inc<br />
24163 Front St<br />
P O Box 369<br />
Grand Rapids, OH 43522<br />
419-832-9101<br />
Foreign Language(s):<br />
Hindi, Urdu<br />
184 E South Boundary St<br />
# 7<br />
Perrysburg, OH 43551<br />
419-874-5324<br />
Sullivan, Edward DDS<br />
Onsight Healthcare<br />
3255 Levis Commons<br />
Blvd<br />
Perrysburg, OH 43551<br />
419-874-0393<br />
Williams, Brent DDS<br />
Onsight Healthcare<br />
3255 Levis Commons<br />
Blvd<br />
Perrysburg, OH 43551<br />
419-874-0393<br />
Dentistry,<br />
Orthodontics<br />
Marion County<br />
Marion<br />
Pham, Sang DMD<br />
Comfort Dental Braces<br />
1598 Marion Mount<br />
Gilead Rd<br />
Marion, OH 43302<br />
740-386-2700<br />
Seneca County<br />
Tiffin<br />
North Baltimore<br />
Glamm, Gregg DDS<br />
Gregg C Glamm DDS<br />
104 N Main St P O Box<br />
96<br />
North Baltimore, OH<br />
45872<br />
Wyandot County<br />
Carey<br />
Ogborne, Michael DDS<br />
Dr Michael W Ogborne<br />
DDS<br />
Ellinger, Richard DDS<br />
Dr Richard W Ellinger<br />
DDS MS PC<br />
6 Main St<br />
Tiffin, OH 44883<br />
419-447-1624<br />
Foreign Language(s):<br />
Spanish<br />
419-257-3661<br />
132 E Findlay St<br />
Carey, OH 43316<br />
419-396-3525<br />
Page 62 2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan
Section 2 – List of Plan <strong>Provider</strong>s<br />
Ambulance Audiology<br />
Allen County Defiance County<br />
Ancillary<br />
Ottawa County Delaware County<br />
Port Clinton Delaware<br />
Lima Defiance Dr. Roberts & DCA Of Delaware<br />
Associates Inc. County<br />
Cooperative Health Defiance Hearing Aid 304 Madison St 1788 Columbus Pike<br />
Partners Center, Inc Port Clinton, OH 43452 Delaware, OH 43015<br />
303 W Spring St 836 E Second St 419-732-1900 740-369-4870<br />
Lima, OH 45802 Defiance, OH 43512<br />
419-224-4075 419-782-0836 Williams County Wood County<br />
Lucas County Fulton County<br />
Bryan Bowling Green<br />
Toledo Wauseon Defiance Hearing Aid DCA of Toledo, LLC<br />
Center, Inc 1037 Conneaut Ave<br />
Cooperative Health Defiance Hearing Aid 123 E Bryan St Bowling Green, OH 43402<br />
Partners Center, Inc Bryan, OH 43506 419-353-1080<br />
1402 Lagrange St 7300 State Highway 108 419-636-6157<br />
Toledo, OH 43605<br />
419-245-6210<br />
Wauseon, OH 43567<br />
419-335-5155 Wood County<br />
Durable Medical<br />
Equipment<br />
Ambulatory Henry County Bowling Green<br />
Allen County<br />
Surgery Center<br />
Allen County<br />
Lima<br />
Eye Surgery Center of<br />
Western Ohio<br />
855 W Market St<br />
Lima, OH 45805<br />
Napoleon<br />
Defiance Hearing Aid<br />
Center, Inc<br />
118 E Clinton Ste A<br />
Napoleon, OH 43545<br />
419-592-3463<br />
Lucas County<br />
Defiance Hearing Aid<br />
Center, Inc<br />
1021 Revere<br />
Bowling Green, OH 43402<br />
419-352-7399<br />
Cardiac<br />
Catheritization<br />
Lima<br />
Apria Healthcare Inc,<br />
Apria Number Two<br />
Inc<br />
1518 Main St Ste 11<br />
Lima, OH 45801<br />
419-222-1500<br />
419-228-9991<br />
Toledo<br />
Lucas County Lincare Inc<br />
1216 W Robb Ave<br />
West Central Ohio<br />
Surgery & Endoscopy<br />
Center<br />
770 W High St Ste 100<br />
Lima, OH 45801<br />
419-226-8700<br />
Lucas County<br />
Toledo<br />
Surgery Center at<br />
Regency Park, LLC<br />
2000 Regency Ct Ste 101<br />
Toledo, OH 43623<br />
419-882-0003<br />
Audiology Associates<br />
1000 Regency Ct Ste 101<br />
Toledo, OH 43623<br />
419-842-0664<br />
Northwest Ohio Hearing<br />
Clinic<br />
3000 Arlington Ave<br />
Toledo, OH 43614<br />
419-383-4012<br />
Toledo Hearing and<br />
Speech Center<br />
3148 W Central Ave<br />
Toledo, OH 43606<br />
419-241-6219<br />
Toledo<br />
Cardiovascular<br />
Diagnostics Group<br />
2409 Cherry St<br />
Toledo, OH 43608<br />
419-251-3700<br />
Dialysis<br />
Allen County<br />
Lima<br />
Kidney Services of West<br />
Central Ohio<br />
750 W High St Ste 100<br />
Lima, OH 45801<br />
419-227-0918<br />
Lima, OH 45801<br />
419-228-5632<br />
Auglaize County<br />
Minster<br />
Apria Healthcare Inc,<br />
Apria Number Two<br />
Inc<br />
311 Industrail Dr<br />
Minster, OH 45865<br />
419-628-4496<br />
2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan Page 63
Ancillary Section 2 – List of Plan <strong>Provider</strong>s<br />
Durable Medical<br />
Equipment cont.<br />
Lucas County<br />
Maumee<br />
Lincare Inc<br />
2948 Centennial Rd<br />
Toledo, OH 43617<br />
Putnam County<br />
Glandorf<br />
Crawford County<br />
Dimitri’s Shoe Service,<br />
419-841-7711<br />
Tuckers Pharmacy<br />
Galion<br />
Shaw & Ott Medical<br />
120 Harding Way E Ste<br />
101<br />
Galion, OH 44833<br />
419-462-3070<br />
Defiance County<br />
LLC dba Red Wing<br />
Shoes & Repair<br />
209 Conant St<br />
Maumee, OH 43537<br />
419-893-8647<br />
OE Meyer Company<br />
817 Ford St<br />
Maumee, OH 43537<br />
419-887-1263<br />
That Special Woman<br />
2461 N Reynolds<br />
Toledo, OH 43615<br />
419-536-6206<br />
That Special Woman Inc<br />
2461 N Reynolds<br />
Toledo, OH 43616<br />
419-536-6206<br />
105 Doctor Thayte Dr<br />
Glandorf, OH 43082<br />
419-538-7120<br />
Leipsic<br />
Duraline Medical<br />
Products, Inc.<br />
324 Werner St<br />
Leipsic, OH 45856<br />
Hicksville<br />
Hicksville Pharmacy &<br />
Home Medical<br />
116 E High St<br />
Hicksville, OH 43526<br />
419-542-6218<br />
Fulton County<br />
Orbit Medical Inc<br />
1679 Lanie Pointe Unit C<br />
Maumee, OH 43537<br />
877-813-0205<br />
Redwing Shoes &<br />
Repair<br />
209 Conant St<br />
Maumee, OH 43537<br />
The Colony Pharmacy,<br />
Inc. dba The<br />
Pharmacy Counter,<br />
Inc.<br />
2655 W Central<br />
Toledo, OH 43606<br />
419-473-1493<br />
Marion County<br />
419-943-2044<br />
Ottawa<br />
Klass Apothecary dba<br />
Tuckers Pharmacy<br />
1831 E Main St<br />
Ottawa, OH 45875<br />
419-523-6122<br />
Swanton<br />
419-893-7647 Marion<br />
Sandusky County<br />
Swanton Sav-Mor Drugs<br />
147 E Airport Hwy<br />
Swanton, OH 43558<br />
419-825-5050<br />
Sleep Right SG LLC<br />
1661 Holland Rd Ste 400<br />
Maumee, OH 44325<br />
419-720-2005<br />
Lincare Inc<br />
1233 Pale Land Rd<br />
Marion, OH 43302<br />
740-382-1611<br />
Fremont<br />
Mitchell Medical<br />
Equipment Inc<br />
Wauseon<br />
Tri-State Medical<br />
Supply<br />
732 S Shoop Ave<br />
Wauseon, OH 43567<br />
419-337-2399<br />
North Olmstead<br />
Solace<br />
26777 Lorain Rd<br />
North Olmstead, OH<br />
44070<br />
440-471-4630<br />
Mercer County<br />
Ft Recovery<br />
Kaup Pharmacy<br />
110 E Butler St<br />
Ft Recovery, OH 45846<br />
419-375-2323<br />
1900 W State St<br />
Fremont, OH *Name<br />
419-333-8200<br />
OE Meyer Company<br />
1005 Everett Rd<br />
Fremont, OH 43420<br />
419-332-6931<br />
Henry County<br />
Napoleon<br />
Village Square Inc.<br />
1412 N Scott St<br />
Napoleon, OH 43545<br />
419-599-9355<br />
Toledo<br />
Health Care Solutions at<br />
Home, Inc<br />
858 Capital Commons Dr<br />
Toledo, OH 43615<br />
419-865-4244<br />
Lagrange Sav-Mor<br />
Drugs<br />
3130 Lagrange St<br />
Toledo, OH 43608<br />
419-241-8065<br />
Ottawa County<br />
Port Clinton<br />
Green’s Pharmacy<br />
200 Madison St<br />
Port Clinton, OH 43452<br />
419-732-3151<br />
Gibsonburg<br />
Pills N Packages<br />
241 W Madison St<br />
Gibsonburg, OH 43431<br />
419-637-7441<br />
Page 64 2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan
Section 2 – List of Plan <strong>Provider</strong>s<br />
Ancillary<br />
Durable Medical Family Planning Defiance County Ottawa County<br />
Equipment cont.<br />
Hancock County Defiance Port Clinton<br />
Williams County<br />
Findlay Defiance County Ottawa County Health<br />
Bryan<br />
Planned Parenthood of<br />
General Health<br />
District<br />
Department<br />
1856 E Perry St<br />
American Home Patient<br />
08035 St Rte 15<br />
Bryan, OH 43506<br />
419-636-6951<br />
Northwest Ohio<br />
1039 N Main St<br />
Findlay, OH 45840<br />
419-423-4611<br />
1300 E Second St Ste<br />
100<br />
Defiance, OH 43512<br />
419-784-3818<br />
Port Clinton, OH 43452<br />
419-734-6800<br />
Paulding County<br />
Mantel Home Health Lucas County Hicksville<br />
Paulding<br />
Center Inc.<br />
116 W High St<br />
Bryan, OH 43506<br />
419-636-8010<br />
Montpelier<br />
National Rehab Inc<br />
Toledo<br />
Planned Parenthood of<br />
Northwest Ohio<br />
1301 Jefferson Ave<br />
Toledo, OH 43624<br />
419-255-1115<br />
Defiance County<br />
General Health<br />
District<br />
104 Main St<br />
Hicksville, OH 43526<br />
419-784-3818<br />
Paulding County Health<br />
Department<br />
101 W Perry St<br />
Paulding, OH 45879<br />
419-399-3921<br />
Putnam County<br />
1272 S St Route 15<br />
Montpelier, OH 43543<br />
800-451-6510<br />
Wood County<br />
Perrysburg<br />
APDS Health Supplies<br />
26611 N Dixie Hwy Ste<br />
115<br />
Perrysburg, OH 43551<br />
419-872-4775<br />
Wyandot County<br />
Alpharetta<br />
Uromed, Inc.<br />
1095 Windward Ridge<br />
Planned Parenthood of<br />
Northwest Ohio<br />
1301 Jefferson Ave<br />
Toledo, OH 43604<br />
419-255-1123<br />
Health<br />
Department<br />
Crawford County<br />
Bucyrus<br />
Crawford County<br />
General Health<br />
District<br />
130 N Walnut St Ste B<br />
Bucyrus, OH 44820<br />
419-562-5871<br />
Hancock County<br />
Findlay<br />
Hancock County Health<br />
Department<br />
209 W Main Cross St Ste<br />
101<br />
Findlay, OH 45840<br />
419-424-7869<br />
Hardin County<br />
Kenton<br />
Kenton Hardin Health<br />
Department<br />
175 W Franklin St<br />
Kenton, OH 43326<br />
419-673-6230<br />
Ottawa<br />
Putnam County Health<br />
Department<br />
256 Williamstown Rd<br />
Ottawa, OH 45875<br />
419-523-5608<br />
Seneca County<br />
Fostoria<br />
Seneca County General<br />
Health District<br />
109 S Main St<br />
Fostoria, OH 44830<br />
419-447-3691<br />
Wyandot County<br />
Pkwy, Ste 170<br />
Alpharetta, GA 30005 Galion Mercer County<br />
Upper Sandusky<br />
800-525-5718<br />
Van Wert<br />
P & R Home IV Service,<br />
Inc.<br />
16937 Defiance Trail<br />
Van Wert, OH 45891<br />
419-587-3349<br />
Galion City Health<br />
Department<br />
113 Harding Way E<br />
Galion, OH 44833<br />
419-468-1075<br />
Celina<br />
Mercer County Health<br />
Department<br />
220 W Livingston St<br />
B152<br />
Celina, OH 45822<br />
419-586-3251<br />
Wyandot County<br />
General Health<br />
District<br />
127-A South Sandusky<br />
Ave<br />
Upper Sandusky, OH<br />
43351<br />
419-294-3852<br />
2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan Page 65
Ancillary Section 2 – List of Plan <strong>Provider</strong>s<br />
Home Health<br />
Allen County<br />
Crawford County Marion County Seneca County<br />
Bucyrus Marion Tiffin<br />
Lima B & K Home Medical Kern Medical Inc dba B & K Home Medical<br />
Services Inc. Dasco Home Medical Services Inc.<br />
Continued Care Inc 123 N Sandusky Ave Equipment 11 Jackson St<br />
920 W Market Ste 202 Bucyrus, OH 44820 1322 Mt Vernon Ave Tiffin, OH 44883-q<br />
Lima, OH 45805 419-563-0101 Marion, OH 43302 419-448-4040<br />
419-222-2273 740-386-5199<br />
Divine Home Health<br />
Care of Ohio, LLC<br />
892 B South Cable Rd<br />
Lima, OH 45805<br />
419-222-9410<br />
Crestline<br />
Caring Solutions Inc.<br />
220 E Bucyrus St<br />
Crestline, OH 44827<br />
800-683-9302<br />
Mercer County<br />
Celina<br />
Community Health<br />
Van Wert County<br />
Van Wert<br />
Community Health<br />
Professionals<br />
Professionals 1159 Westwood Dr<br />
Heritage Health Care<br />
Services<br />
1617 Allentown Rd Ste<br />
101<br />
Lima, OH 45805<br />
419-222-2404<br />
Kern Medical Inc dba<br />
Dasco Home Medical<br />
Equipment<br />
1054 Bellefontaine Ave<br />
Ste A<br />
Lima, OH 45804<br />
419-224-1135<br />
Fulton County<br />
Archbold<br />
Community Health<br />
Professionals<br />
230 Westfield Dr<br />
Archbold, OH 43502<br />
419-445-5128<br />
Hancock County<br />
Findlay<br />
816 Pro Dr<br />
Celina, OH 45822<br />
419-586-1999<br />
Ottawa County<br />
Port Clinton<br />
Ottawa County Health<br />
Department<br />
1856 Perry St<br />
Port Clinton, OH 43452<br />
419-734-6800<br />
Van Wert, OH 45891<br />
419-238-9223<br />
V.N.A. Comprehensive<br />
Services Inc<br />
1157 Westwood Dr<br />
Van Wert, OH 43082<br />
419-238-3714<br />
Williams County<br />
Bryan<br />
Americare Health<br />
Auglaize County<br />
Dublin<br />
Primary Care Nursing<br />
Services,Inc<br />
3140 Lilly Mar Ct<br />
Dublin, OH 43017<br />
614-764-0960<br />
Heritage Health Care<br />
Services<br />
1265 Fostoria Rd Ste B<br />
Findlay, OH 45840<br />
419-422-2002<br />
Lucas County<br />
Toledo<br />
Paulding County<br />
Paulding<br />
Community Health<br />
Professionals<br />
250 Dooley Dr Ste A<br />
Paulding, OH 45879<br />
419-399-4708<br />
Services LLC<br />
102 W Brian St<br />
Bryan, OH 43506<br />
419-636-2702<br />
Wood County<br />
Toledo<br />
Maxim Health Care<br />
Wapakoneta<br />
Community Health<br />
Professionals<br />
Omnicare Home Health<br />
Agency LLC<br />
210 S Raynolds Rd Ste<br />
210<br />
Toledo, OH 43615<br />
Putnam County<br />
Ottawa<br />
Putnam county<br />
Services<br />
3131 Executive Pkwy Ste<br />
205<br />
Toledo, OH 43606<br />
419-536-0777<br />
15 Willipie St 419-720-0440<br />
Homecare<br />
Wapakoneta, OH 45895 139 Court St<br />
419-738-7430 Ottawa, OH 45875<br />
419-523-4449<br />
Page 66 2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan
Section 2 – List of Plan <strong>Provider</strong>s<br />
Ancillary<br />
Home Health cont. Occupational Hancock County Williams County<br />
Wyandot County<br />
Therapy Findlay Bryan<br />
Upper Sandusky<br />
Auglaize County<br />
Luke Prosthetic & SRT Prosthetics &<br />
Wyandot County Home<br />
Minster<br />
Orthotic Lab<br />
825 Tiffin Ave<br />
Orthotics LLC<br />
1115 W High St<br />
Health Agency<br />
210 N Sanducky Ave<br />
Upper Sandusky, OH<br />
44070<br />
419-294-3881<br />
Cornerstone<br />
Rehabilitation, Ltd<br />
253 W Sixth St<br />
Minster, OH 45865<br />
419-501-2165<br />
Findlay, OH 45840<br />
419-422-5009<br />
Lucas County<br />
Oegon<br />
Bryan, OH 43506<br />
419-633-3961<br />
Pathology<br />
Allen County<br />
Hospice Hancock County<br />
Orthotic & Prosthetic Delphos<br />
Allen County Findlay<br />
Center Inc<br />
860 Ansonia Rd Ste 4 Pathology Labs, Inc.<br />
Lima<br />
St. Rita’s Hospice<br />
770 W North St<br />
Lima, OH 45801<br />
419-226-9021<br />
Northwest Ohio<br />
Orthopedics & Sports<br />
Medicine Inc.<br />
7595 County Road 236<br />
Findlay, OH 45840<br />
419-427-1984<br />
Oegon, OH 43616<br />
419-690-2653<br />
Toledo<br />
Swanson Orthotic &<br />
Prosthetic<br />
1800 E Fifth St<br />
Delphos, Oh 45833<br />
800-235-5227<br />
Lima<br />
Pathology Labs, Inc.<br />
Lucas County<br />
Maumee<br />
Lucas County<br />
Toledo<br />
3102 W Sylvania Ave<br />
Toledo, OH 43613<br />
419-472-8910<br />
830 W High St Ste 206<br />
Lima, Oh 45801<br />
419-222-8794<br />
Odyssey Healthcare Of<br />
Toledo<br />
1755 Indian Wood Circle<br />
Maumee, OH 43537<br />
419-887-6700<br />
Putnam County<br />
Ottawa<br />
Toledo Hearing and<br />
Speech Center<br />
3148 W Central Ave<br />
Toledo, OH 43606<br />
419-241-6219<br />
Orthotics &<br />
Prosthetics<br />
That Special Woman Inc<br />
2461 N Reynolds<br />
Toledo, OH 43616<br />
419-536-6206<br />
Marion County<br />
Marion<br />
Auglaize County<br />
Wapakoneta<br />
Pathology Labs, Inc.<br />
1015 S Blackhoof Ste C<br />
Wapakoneta, Oh 45895<br />
419-738-4607<br />
Putnam County<br />
Homecare and<br />
Hospice<br />
139 Court St<br />
Ottawa, OH 45875<br />
419-523-4449<br />
Laboratory<br />
Allen County<br />
Lima<br />
Medi-Lab Inc.<br />
855 W Market St<br />
Lima, OH 45805<br />
419-228-8800<br />
Allen County<br />
Lima<br />
Lima Brace and Limb<br />
Inc.<br />
1000 Bellefontaine Ave<br />
Lima, OH 45804<br />
419-224-4841<br />
Luke Prosthetic &<br />
Orthotic Lab<br />
1214 Bellefontaine Ste B<br />
Lima, OH 45804<br />
419-879-9992<br />
Certified Orthotic &<br />
Prosthetic Inc.<br />
1136 Independence Ave<br />
Marion, OH 43302<br />
740-383-3490<br />
Van Wert County<br />
Van Wert<br />
Lima Brace and Limb<br />
Inc.<br />
120 E Irvin<br />
Van Wert, OH 45891<br />
419-238-6300<br />
Hancock County<br />
Findlay<br />
Pathology Labs, Inc.<br />
1920 S Main St Ste A<br />
Findlay, Oh 45840<br />
419-422-5125<br />
Hardin County<br />
Ada<br />
Pathology Labs, Inc.<br />
1200 S Main St<br />
Ada, Oh 45810<br />
800-235-5227<br />
2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan Page 67
Ancillary Section 2 – List of Plan <strong>Provider</strong>s<br />
Pathology cont.<br />
Lucas County<br />
Wood County<br />
Perrysburg<br />
Defiance County<br />
Defiance<br />
Progressive Therapy<br />
Alternatives Inc<br />
1560 Henthorne Dr<br />
Oregon Pathology Labs, Inc.<br />
11201 Sandusky St<br />
Defiance Rehab<br />
Services<br />
Maumee, OH 43537<br />
419-866-5196<br />
Pathology Labs, Inc.<br />
2300 Navarre<br />
Perrysburg, Oh 43551<br />
419-874-5869<br />
851 S Clinton St<br />
Defiance, OH 43512<br />
Toledo<br />
Oregon, Oh 43616<br />
419-691-9042<br />
Toledo<br />
Pathology Labs, Inc.<br />
1555 S Byrne Rd Ste 105<br />
Toledo, Oh 43614<br />
419-385-2461<br />
Pathology Labs, Inc.<br />
1946 N 13th St Ste 301<br />
Toledo, Oh 43604<br />
419-255-4600<br />
Physical Therapy<br />
Allen County<br />
Bluffton<br />
Northwest Physical<br />
Therapy Inc.<br />
215 Snider Rd<br />
Bluffton, OH 45817<br />
419-358-6978<br />
Deloitos<br />
419-782-8808<br />
Fulton County<br />
Delta<br />
Delta Physical Therapy<br />
816 Main St<br />
Delta, OH 43515<br />
419-822-4100<br />
Hancock County<br />
Findlay<br />
Central Park West<br />
Rehab Center<br />
3130 Central Park West<br />
Dr Ste A<br />
Toledo, OH 43617<br />
419-841-9622<br />
Healtherapy Partners<br />
Inc<br />
3312 Glanzman Rd<br />
Toledo, OH 43614<br />
419-382-8141<br />
Healtherapy Partners<br />
Pathology Labs, Inc.<br />
2800 W Central<br />
Toledo, Oh 43605<br />
419-474-2121<br />
Putnam County<br />
Kalida<br />
Northwest Physical<br />
Therapy Inc.<br />
333 North St Ste 102<br />
Deloitos, OH 45833<br />
419-692-0095<br />
Lima<br />
Northwest Ohio<br />
Orthopedics & Sports<br />
Medicine Inc.<br />
7595 County Road 236<br />
Findlay, OH 45840<br />
419-427-1984<br />
Lucas County<br />
Inc<br />
3318 Glanzman Rd<br />
Toledo, OH 43614<br />
419-382-9578<br />
Heartland Rehab<br />
Services<br />
3234 Executive Pkwy Ste<br />
111<br />
Pathology Labs, Inc.<br />
109 S Broad St<br />
Kalida, Oh 45853<br />
419-532-2444<br />
Seneca County<br />
Tiffin<br />
Pathology Labs, Inc.<br />
1344 Seneca Ave<br />
Tiffin, Oh 44883<br />
419-448-7720<br />
Van Wert County<br />
Van Wert<br />
Pathology Labs, Inc.<br />
140 Fox Rd Ste 106<br />
Van Wert, Oh 45891<br />
800-235-5227<br />
Ohio Therapeutic Health<br />
Services Inc.<br />
1470 Riverview Dr<br />
Lima, OH 45805<br />
419-991-3151<br />
Ohio Therapeutic Health<br />
Services Inc.<br />
3063 W Elm St<br />
Lima, OH 45805<br />
419-999-1105<br />
Auglaize County<br />
Minster<br />
Cornerstone<br />
Rehabilitation, Ltd<br />
253 W Sixth St<br />
Minster, OH 45865<br />
419-501-2165<br />
Maumee<br />
Comprehensive<br />
Rehabilitation Group<br />
Inc<br />
1675 Lance Pointe Dr<br />
Maumee, OH 43537<br />
419-891-9800<br />
Heartland Rehab<br />
Services<br />
1787 Indian Wood Circle<br />
Maumee, OH 43537<br />
419-897-9822<br />
Mobility Rehab<br />
Specialists Inc<br />
8075 English Garden Ct<br />
Maumee, OH 43537<br />
888-295-4690<br />
Toledo, OH 43606<br />
419-536-8030<br />
Heartland Rehab<br />
Services<br />
333 N Summit St Ste 103<br />
Toledo, OH 43604<br />
419-252-5621<br />
Holiday Park Physical<br />
Rehabilitation<br />
3130 Central Park W<br />
Toledo, OH 43617<br />
419-720-1290<br />
Ohio Vestibular and<br />
Balance Services<br />
7337 W Bancroft<br />
Toledo, OH 43615<br />
419-841-3477<br />
Page 68 2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan
Section 2 – List of Plan <strong>Provider</strong>s<br />
Ancillary<br />
Physical Therapy Sandusky County Radiology/ Marion County<br />
cont.<br />
Lucas County cont.<br />
Toledo cont.<br />
Physio Source Physical<br />
Therapy<br />
2000 Regency Ct Ste 202<br />
Toledo, OH 43623<br />
419-724-5580<br />
Prohab Physical<br />
Therapy<br />
1000 Regency Ct Ste 105<br />
Toledo, OH 43623<br />
419-885-2322<br />
St. James Therapy<br />
7337 W Bancroft<br />
Toledo, OH 43615<br />
419-842-1922<br />
Whitehouse<br />
Progressive Therapy<br />
Alternatives Inc<br />
Clyde<br />
Progressive Therapy<br />
Alternatives Inc<br />
123 W <strong>Buckeye</strong> St<br />
Clyde, OH 43410<br />
419-547-6651<br />
Woodville<br />
Peak Physical Therapy,<br />
LLC<br />
108 E Main St Ste B<br />
Woodville, OH 43469<br />
419-849-2900<br />
Wood County<br />
Bowling Green<br />
Progressive Therapy<br />
Alternatives Inc<br />
850 W Poe Rd<br />
Bowling Green, OH 43402<br />
419-352-2228<br />
Diagnostic<br />
Imaging<br />
Allen County<br />
Lima<br />
Alliance Healthcare<br />
Svcs Inc<br />
1001 Bellefontaine Ave<br />
Lima, OH 45804<br />
866-667-7226<br />
Services: CT, MRI, PET<br />
Defiance County<br />
Defiance<br />
Mid American Imaging<br />
Inc<br />
1400 E 2nd St<br />
Defiance, OH 43512<br />
866-533-4296<br />
Services: CT, MRI, PET<br />
Lucas County<br />
Marion<br />
Accu Radiology Inc<br />
1069 Delaware Ave Ste<br />
105<br />
Marion, OH 43302<br />
740-382-4300<br />
Services: MRI, MRA<br />
University Center<br />
Imaging<br />
1065 Delaware Ave<br />
Marion, OH 43302<br />
740-223-3456<br />
Services: CT, MRI, MRA<br />
Sandusky County<br />
Fremont<br />
PDI Fremont<br />
1303 W State St<br />
Fremont, OH 43420<br />
419-355-1500<br />
Services: CT, CTA, MRI,<br />
MRA, PET, CCTA<br />
10305 Waterville St<br />
Whitehouse, OH 43571<br />
419-877-5144<br />
Ottawa County<br />
Port Clinton<br />
Quality Primary Care<br />
dba Fast Track<br />
Urgent Care<br />
135 W Perry St<br />
Port Clinton, OH 43452<br />
419-693-3344<br />
Putnam County<br />
Ottawa<br />
Northwest Physical<br />
Therapy Inc.<br />
1880 N Perry St Ste 100<br />
Ottawa, OH 45875<br />
419-523-9003<br />
North Baltimore<br />
Progressive Therapy<br />
Alternatives Inc<br />
125 S Main St<br />
North Baltimore, OH<br />
45872<br />
419-257-9070<br />
Perrysburg<br />
Heartland Rehab<br />
Services<br />
900 W South Boundary<br />
Ste 7B<br />
Perrysburg, OH 43551<br />
419-874-2657<br />
Holiday Park Physical<br />
Rehabilitation<br />
27511 Holiday Lane<br />
Perrysburg, OH 43551<br />
419-873-3488<br />
Sylvania<br />
Toledo Medical Imaging<br />
5660 Monroe St Ste 7<br />
Sylvania, OH 43560<br />
419-882-3333<br />
Services: MRI<br />
Toledo<br />
Imaging Center<br />
4447 Talmadge Rd Ste H<br />
Toledo, OH 43623<br />
419-292-0400<br />
Services: MRI, MRA<br />
PDI Toledo LLC<br />
4126 Holland Sylvania Rd<br />
Toledo, OH 43623<br />
419-517-0500<br />
Services: MRI<br />
Seneca County<br />
Tiffin<br />
Advanced Medical<br />
Imaging<br />
3101 W US Highway 224<br />
Tiffin, OH 44883<br />
419-448-6848<br />
Services: CT, MRI, MRA,<br />
PET<br />
Qualified Family<br />
Planning<br />
<strong>Provider</strong><br />
Auglaize County<br />
Wapakoneta<br />
Auglaize County Health<br />
Department<br />
214 S Wagner St<br />
Wapakoneta, OH 45895<br />
419-738-3410<br />
2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan Page 69
Ancillary Section 2 – List of Plan <strong>Provider</strong>s<br />
Auglaize County<br />
cont.<br />
Speech Therapy<br />
Auglaize County<br />
Minster<br />
Cornerstone<br />
Rehabilitation, Ltd<br />
253 W Sixth St<br />
Minster, OH 45865<br />
419-501-2165<br />
Non-Emergency<br />
Transportation<br />
<strong>Buckeye</strong> also covers nonemergency<br />
transportation<br />
services (such as cab,<br />
van, or taxi) as a value<br />
added benefit for being a<br />
member of our plan.<br />
<strong>Buckeye</strong> offers up to 30<br />
round-trip visits (60 oneway<br />
trips) per member<br />
per calendar year. We<br />
cover trips to healthcare<br />
and dental appointments,<br />
Urgent Care<br />
Allen County<br />
Lima<br />
Westside Urgent Care<br />
2195 Allentown Rd<br />
Lima, OH 45805<br />
419-227-2245<br />
Lucas County<br />
Maumee<br />
Lucas County<br />
Toledo<br />
Toledo Hearing and<br />
Speech Center<br />
3148 W Central Ave<br />
Toledo, OH 43606<br />
419-241-6219<br />
Transportation<br />
Ambulance<br />
<strong>Buckeye</strong> covers<br />
<strong>Medicare</strong>-covered<br />
ambulance services.<br />
Emergency services can<br />
be arranged by calling<br />
911. Non-emergency<br />
ambulance services can<br />
be arranged by<br />
contacting Medical<br />
Management at 866-246-<br />
4359 8:00AM to 6:00PM<br />
Monday through Friday,<br />
or our 24-hour Nurseline<br />
for urgent cases after<br />
hours at 866-246-4358<br />
(option #7).<br />
WIC appointments, and<br />
redetermination<br />
appointments with your<br />
county Medicaid office.<br />
Members can call<br />
Transportation<br />
Management Services<br />
(TMS) directly 48 hours<br />
(2 business days) in<br />
advance toll-free at 866-<br />
973-2522 to schedule<br />
transportation except for<br />
urgent appointments.<br />
Urgent appointments will<br />
be verified with the<br />
provider before<br />
transportation is provided<br />
and are subject to<br />
availability. When you call<br />
to schedule trips, please<br />
have your provider’s<br />
name, address, and<br />
phone number along with<br />
the appointment date and<br />
time.<br />
If you have any questions<br />
about transportation<br />
please call Member<br />
Aspen Urgent Care<br />
111 Clinton St<br />
Maumee, OH 43537<br />
419-893-7671<br />
Northwest Ohio Urgent<br />
Care<br />
1015 Conant St<br />
Maumee, OH 43537<br />
419-891-0525<br />
St. George Urgent Care<br />
1661 Holland Rd Ste 100<br />
Maumee, OH 43537<br />
419-438-2619<br />
Oregon<br />
Oregon Urgent Care<br />
3232 Navarre Ave<br />
Oregon, OH 43616<br />
419-691-0636<br />
Toledo<br />
Alexis Industrial<br />
Medical Center<br />
1155 E Alexis Rd<br />
Toledo, OH 43612<br />
Services at 866-389-<br />
7690, 8:00AM to 8:00PM,<br />
7 days a week. TTY users<br />
should call 800-750-<br />
0750.<br />
419-726-6500<br />
Page 70 2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan
Section 2 – List of Plan <strong>Provider</strong>s<br />
Allen County Fulton County Sylvania<br />
Hospitals<br />
Bluffton Wauseon Regency Hospital of Toledo<br />
Blanchard Valley Regional Health<br />
Center<br />
139 Garau St<br />
Fulton County Health Center<br />
725 South Shoop Ave<br />
Wauseon, OH 43567<br />
5220 Alexis Rd<br />
Sylvania, OH 43560<br />
419-318-5700<br />
Bluffton, OH 45817<br />
419-358-9010<br />
419-335-2015<br />
Toledo<br />
Lima<br />
Institute for Orthopaedic Surgery<br />
801 Medical Dr Suite B<br />
Lima, OH 45804<br />
419-224-7586<br />
Lima Memorial Hospital<br />
1001 Bellefontaine Ave<br />
Hancock County<br />
Findlay<br />
Blanchard Valley Regional Health<br />
Center Findlay<br />
1900 S. Main St<br />
Findlay, OH 45840<br />
419-423-5235<br />
Mercy St Vincent Children’s<br />
Hospital<br />
2213 Cherry St<br />
Toledo, OH 43608<br />
419-321-4147<br />
St Anne Mercy Hospital<br />
3404 West Sylvania<br />
Toledo, OH 43623<br />
419-407-2663<br />
Lima, OH 45804<br />
Hardin County<br />
419-228-3335<br />
SCCI Hospital Lima<br />
730 West Market St<br />
Lima, OH 45801<br />
419-224-1888<br />
St. Ritas Medical Center<br />
730 West Market St<br />
Lima, OH 45801<br />
419-226-9138<br />
Kenton<br />
Hardin Memorial Hospital<br />
921 E Franklin St<br />
Kenton, OH 43326<br />
419-673-0761<br />
Henry County<br />
Napoleon<br />
St. Vincent Hospital<br />
2213 Cherry St<br />
Toledo, OH 43608<br />
419-321-4147<br />
Toledo Childrens Hospital<br />
2142 N Cove Blvd<br />
Toledo, OH 43606<br />
419-471-4215<br />
Toledo Hospital<br />
Defiance County<br />
Defiance<br />
Mercy Hospital Of Defiance LLC<br />
1404 E Second St<br />
Defiance, OH 43512<br />
419-782-8444<br />
Henry County Hospital<br />
11600 State Route 424<br />
Napoleon, OH 43545<br />
419-592-4015<br />
Lucas County<br />
Maumee<br />
2142 N Cove Blvd<br />
Toledo, OH 43606<br />
419-291-4000<br />
Marion County<br />
Marion<br />
Marion General Hospital<br />
Hicksville<br />
Community Memorial Hospital<br />
208 N Columbus<br />
Hicksville, OH 43526<br />
419-542-5591<br />
St Lukes Hospital<br />
5901 Monclova Rd<br />
Maumee, OH 43537<br />
419-893-5929<br />
Oregon<br />
1000 Mckinley Park Dr<br />
Marion, OH 43302<br />
740-383-8400<br />
Sandusky County<br />
Fremont<br />
St Charles Hospital<br />
2600 Navarre Ave<br />
Oregon, OH 43616<br />
419-696-7200<br />
Memorial Hospital<br />
715 South Taft Ave<br />
Fremont, OH 43420<br />
419-332-7321<br />
2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan Page 71
Hospitals Section 2 – List of Plan <strong>Provider</strong>s<br />
Sandusky County cont.<br />
Fremont cont.<br />
Physicians Choice Hospital<br />
Fremont<br />
2390 Enterprise Dr<br />
Fremont, OH 43420<br />
419-461-1057<br />
Seneca County<br />
Tiffin<br />
Mercy Hospital of Tiffin<br />
485 W Market St<br />
Tiffin, OH 44883<br />
419-448-7653<br />
Williams County<br />
Bryan<br />
Community Hospitals of Williams<br />
County - Bryan<br />
433 West High St<br />
Bryan, OH 43506<br />
419-636-1131<br />
Montpelier<br />
Community Hospital of Williams<br />
County - Montpelier<br />
909 E Snyder Ave<br />
Montpelier, OH 43543<br />
419-636-1131<br />
Wood County<br />
Bowling Green<br />
Wood County Hospital<br />
950 West Wooster St<br />
Bowling Green, OH 43402<br />
419-257-9961<br />
Page 72 2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan
Section 2 – List of Plan <strong>Provider</strong>s<br />
Allen County Fulton County Maumee<br />
Skilled Nursing Facilities (SNF)<br />
Delphos Swanton Ridgewood Manor<br />
Sarah Jane Living Center<br />
328 West Second St<br />
Delphos, OH 45833<br />
Swanton Healthcare<br />
214 S Munson Rd<br />
Swanton, OH 43558<br />
3231 Manley Rd<br />
Maumee, OH 43537<br />
419-865-1248<br />
419-692-6618 419-825-1145 Swan Pointe Care Center<br />
3600 Butz Rd<br />
Auglaize County Hancock County Maumee, OH 43537<br />
Cridersville Oregon<br />
419-867-7926<br />
Cridersville Nursing Home Orchard Villa<br />
Toledo<br />
603 East Main Street<br />
Cridersville, OH 45806<br />
419-645-4468<br />
2841 Munding Dr<br />
Oregon, OH 43616<br />
419-697-4100<br />
Fairview Skilled Nursing and<br />
Rehabilitation Center<br />
4420 South Ave<br />
Crawford County Hardin County<br />
Toledo, OH 43615<br />
419-531-4201<br />
Crestline Kenton<br />
Foundation Park Care Center<br />
Crestline Nursing Care Center<br />
327 W Main St<br />
Crestline, OH 44827<br />
Kenton Nursing and<br />
Rehabilitation Center<br />
117 Jacob-Parrot Blvd<br />
1621 S. Byrne Rd<br />
Toledo, OH 45236<br />
419-385-3958<br />
419-683-3255<br />
Galion<br />
Mill Creek Nursing and<br />
Rehabilitation<br />
Kenton, OH 43326<br />
419-674-4197<br />
Henry County<br />
Deschler<br />
Heatherdowns Rehabilitation and<br />
Residential<br />
2401 Cass Rd<br />
Toledo, OH 43614<br />
419-382-5050<br />
900 Wedgewood Circle<br />
Galion, OH 44833<br />
419-462-0173<br />
Olentangy Woods Nursing and<br />
Oak Grove Center<br />
620 East Water St<br />
Deschler, OH 43516<br />
419-278-6921<br />
Liberty Nursing Center of Toledo<br />
2005 Ashland Ave<br />
Toledo, OH 43620<br />
419-255-3040<br />
Rehabilitation<br />
935 Rosewood Dr<br />
Galion, OH 44833<br />
419-468-7544<br />
Defiance County<br />
Defiance<br />
Brookview Health Care Center<br />
214 Harding St<br />
Holgate<br />
Holgate Care Center<br />
600 Joe E Brown Ave<br />
Holgate, OH 43527<br />
419-264-0700<br />
Lucas County<br />
Bowling Green<br />
Liberty West Nursing Center of<br />
Toledo<br />
2051 Collingwood Blvd<br />
Toledo, OH 43620<br />
419-243-5191<br />
Waterford Commons<br />
955 Garden Lake Pkwy<br />
Toledo, OH 43614<br />
419-382-2200<br />
Defiance, OH 43512<br />
419-784-1014<br />
Blakely Care Center of Bowling<br />
Green<br />
850 West Poe Rd<br />
Bowling Green, OH 43402<br />
Marion County<br />
Marion<br />
419-352-7558<br />
Harding Pointe<br />
339 N Prospect St<br />
Marion, OH 43302<br />
740-382-9500<br />
2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan Page 73
Skilled Nursing Facilities (SNF) Section 2 – List of Plan <strong>Provider</strong>s<br />
Marion County cont. Putnam County Williams County<br />
Marion cont.<br />
Marion Pointe<br />
409 Bellfontaine Ave<br />
Marion, OH 43302<br />
740-383-2126<br />
Ottawa Edgerton<br />
Autumn Court Park View Nursing Center<br />
1925 East 4th St 328 West Vine St<br />
Ottawa, OH 45875 Edgerton, OH 43517<br />
419-523-4370 419-298-2321<br />
Morning View Pointe<br />
677 Marion Cardington Rd W<br />
Marion, OH 43302<br />
Shelby County<br />
Sidney<br />
Wyandot County<br />
Carey<br />
740-389-1214<br />
Sidney Care Center Carey Nursing Center<br />
Mercer County<br />
510 <strong>Buckeye</strong> St<br />
Sidney, OH 45365<br />
821 E. Findlay St<br />
Carey, OH 43316<br />
Celina<br />
937-492-3171 419-396-6344<br />
The Gardens at Celina<br />
1301 Myers Rd<br />
Celina, OH 45822<br />
419-584-0100<br />
St. Henry<br />
The Gardens at St. Henry<br />
522 Western Ave (SR 119)<br />
St. Henry, OH 45883<br />
419-678-9800<br />
Ottawa County<br />
Fremont<br />
Liberty Nursing Center of<br />
Fremont<br />
1865 Countryside Dr<br />
Fremont, OH 43420<br />
419-334-2602<br />
Paulding County<br />
Paulding<br />
The Gardens at Paulding<br />
1017 W Wayne St<br />
Paulding, OH 45879<br />
419-399-4940<br />
The Pavilion<br />
705 Fulton St<br />
Sidney, OH 45365<br />
937-492-9591<br />
Union County<br />
Marysville<br />
Milcrest Nursing Center<br />
730 Milcrest Dr<br />
Marysville, OH 43040<br />
937-642-1026<br />
Van Wert County<br />
Convoy<br />
Convoy Care Center<br />
127 Mentzer Dr<br />
Convoy, OH 45832<br />
419-749-2194<br />
Van Wert<br />
Van Wert Health<br />
10357 Van Wert Decatur Rd<br />
Van Wert, OH 45891<br />
419-238-4646<br />
Page 74 2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan
Section 2 – List of Plan <strong>Provider</strong>s<br />
Outpatient Mental Health <strong>Provider</strong>s<br />
Allen County Strobel, Glen PHD<br />
Practice Of Clinical<br />
Lucas County Indurti, Sreekanth MD<br />
Unison Behavioral Health<br />
Facility<br />
These providers offer<br />
<strong>Medicare</strong>-covered<br />
services such as inpatient<br />
and outpatient mental<br />
health care, partial<br />
Psychology<br />
1000 W Market Street<br />
Lima, OH 45805<br />
419-227-5515<br />
Restriction(s): 3 & Over<br />
West-Frieson, Elizabeth<br />
Ahmed, Irfan MD<br />
Unison Behavioral Health<br />
1425 Starr Ave<br />
Toledo, OH 43604<br />
419-693-0631<br />
Restriction(s): 3 & Over<br />
Care Group<br />
544 E Woodruff Ave<br />
Toledo, OH 43604<br />
419-693-0631<br />
Restriction(s): 18 & Over<br />
Foreign Language(s):<br />
Telugu, Hindi<br />
hospitalization services,<br />
and outpatient substance<br />
abuse services.<br />
St Rita’s Medical Center<br />
730 W Market Street<br />
Lima, OH 45801<br />
419-227-3361<br />
LISW<br />
Health Partners Of<br />
Western Ohio<br />
441 E 8Th St<br />
Lima, OH 45801<br />
419-221-3072<br />
Restriction(s): 2 To 64<br />
Chahal, Bhupinder MD<br />
6800 W Central D-3<br />
Toledo, OH 43617<br />
419-841-1355<br />
Restriction(s): 18 & Over<br />
Foreign Language(s):<br />
Punjabi, Hindi<br />
Jennings, Mylo LICSW<br />
2737 Navarre Ave Ste<br />
205<br />
Oregon, OH 43616<br />
419-691-8500<br />
Restriction(s): 3 & Over<br />
Individual<br />
Practitioners<br />
These providers offer<br />
<strong>Medicare</strong>-covered mental<br />
health services.<br />
Joseph, Jolene LISW<br />
Health Partners Of<br />
Western Ohio<br />
441 E 8Th St<br />
Lima, OH 45801<br />
419-221-3072<br />
Restriction(s): 2 & Over<br />
Lindo, Daphne LISW<br />
Health Partners Of<br />
Western Ohio<br />
441 E 8Th St<br />
Lima, OH 45801<br />
419-221-3072<br />
Restriction(s): 18 & Over<br />
Lombardo, Angel LISW<br />
Health Partners Of<br />
Western Ohio<br />
441 E 8Th St<br />
Lima, OH 45801<br />
419-221-3072<br />
Clark County<br />
Joseph, Jolene LISW<br />
New Carlisle Community<br />
Health Center<br />
106 N Main St<br />
New Carlisle, OH 45344<br />
937-667-1122<br />
Restriction(s): 2 & Over<br />
Lindo, Daphne LISW<br />
New Carlisle Community<br />
Health Center<br />
106 N Main St<br />
New Carlisle, OH 45344<br />
937-667-1122<br />
Restriction(s): 18 & Over<br />
Lombardo, Angel LISW<br />
New Carlisle Community<br />
Health Center<br />
106 N Main St<br />
New Carlisle, OH 45344<br />
937-667-1122<br />
West-Frieson, Elizabeth<br />
LISW<br />
New Carlisle Community<br />
Health Center<br />
106 N Main St<br />
New Carlisle, OH 45344<br />
937-667-1122<br />
Daniels, Kettlie MD<br />
Unison Behavioral Health<br />
Care Group<br />
544 E Woodruff Ave<br />
Toledo, OH 43604<br />
419-693-0631<br />
Restriction(s): 18 & Over<br />
Forgac, Gregory PHD<br />
3900 Sunforest Ct Ste<br />
200<br />
Toledo, OH 43623<br />
419-475-8625<br />
Restriction(s): 5 & Over<br />
Gill, Satwant MD<br />
Unison Behavioral Health<br />
1425 Starr Ave<br />
Toledo, OH 43605<br />
419-693-0631<br />
Restriction(s): 18 & Over<br />
Gill, Satwant MD<br />
Unison Behavioral Health<br />
Care Group<br />
544 E Woodruff Ave<br />
Toledo, OH 43604<br />
419-693-0631<br />
Restriction(s): 18 & Over<br />
Gupta, Kul MD<br />
4447 Talmadge Rd Ste C<br />
Kazmi, Alamdar MD<br />
Unison Behavioral Health<br />
1425 Starr Ave<br />
Toledo, OH 43605<br />
419-693-0631<br />
Restriction(s): 3 & Over<br />
Kelly, Victoria MD<br />
Unison Behavioral Health<br />
Care Group<br />
544 E Woodruff Ave<br />
Toledo, OH 43604<br />
419-693-0631<br />
Restriction(s): 18 & Over<br />
Foreign Language(s):<br />
Korean<br />
Khan, Tufal MD<br />
Unison Behavioral Health<br />
1425 Starr Ave<br />
Toledo, OH 43605<br />
419-693-0631<br />
Restriction(s): 3 & Over<br />
Kostrzewski, Maria MD<br />
Unison Behavioral Health<br />
Care Group<br />
544 E Woodruff Ave<br />
Toledo, OH 43604<br />
419-693-0631<br />
Restriction(s): 18 & Over<br />
Restriction(s): 2 To 64<br />
Toledo, OH 43623<br />
419-475-7007<br />
Restriction(s): 18 & Over<br />
Foreign Language(s):<br />
Hindi<br />
2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan Page 75
Outpatient Mental Health <strong>Provider</strong>s Section 2 – List of Plan <strong>Provider</strong>s<br />
Lucas County<br />
cont.<br />
Individual<br />
Practitioners cont.<br />
Salvi, Usha MD<br />
Unison Behavioral Health<br />
Care Group<br />
544 E Woodruff Ave<br />
Toledo, OH 43604<br />
419-693-0631<br />
Restriction(s): 18 & Over<br />
Shahid, Agha MD<br />
Agha Shahid Inc<br />
2741 Navarre Ave Ste<br />
D404<br />
Oregon, OH 43616<br />
419-698-2902<br />
Restriction(s): 21 & Over<br />
Zake, Jerome PHD<br />
3454 Oak Alley Ct Ste<br />
305<br />
Toledo, OH 43606<br />
419-534-2468<br />
The <strong>Provider</strong>s listed<br />
above offer <strong>Medicare</strong>covered<br />
services through<br />
our plan. In addition,<br />
<strong>Buckeye</strong> can help you<br />
access Medicaid-covered<br />
services through local<br />
Community Mental Health<br />
Centers (CMHC) and Ohio<br />
Department of Alcohol<br />
and Drug Addiction<br />
Services (ODADAS)<br />
providers. For a listing of<br />
CMHC or ODADAS<br />
providers in your area,<br />
call Member Services at<br />
866-389-7690, 8:00AM<br />
to 8:00PM, 7 days a<br />
week, TTY users should<br />
call 800-750-0750.<br />
Page 76 2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan
<strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan (HMO SNP)<br />
Pharmacy <strong>Directory</strong><br />
This section provides a list of <strong>Buckeye</strong>’s network pharmacies. All network pharmacies<br />
may not be listed in this directory. Pharmacies may have been added or removed from<br />
the list after this directory was printed. To get current information about <strong>Buckeye</strong><br />
network pharmacies in your area, please visit our Web site at advantage.bchpohio.com<br />
or call our Member Services at 866-389-7690, 8:00am – 8:00pm, Monday - Sunday.<br />
TTY users should call 800-750-0750.<br />
Beneficiaries must use network pharmacies to access their prescription drug benefit.<br />
Benefits, formulary, pharmacy network, premium and/or copayments/coinsurance may<br />
change on January 1, 2013.<br />
Introduction<br />
This section provides a list of <strong>Buckeye</strong>’s network pharmacies. To get a complete<br />
description of your prescription coverage, including how to fill your prescriptions, please<br />
review the Evidence of Coverage and <strong>Buckeye</strong>’s formulary. If you have additional<br />
questions, please call our Member Services at 866-389-7690, 8:00am – 8:00pm,<br />
Monday - Sunday. TTY users should call 800-750-0750. Or, visit<br />
advantage.bchpohio.com.<br />
We call the pharmacies on this list our “network pharmacies” because we have made<br />
arrangements with them to provide prescription drugs to Plan members. A network<br />
pharmacy is a pharmacy where beneficiaries obtain prescription drug benefits provided<br />
by <strong>Buckeye</strong>. In most cases, your prescriptions are covered under <strong>Buckeye</strong> only if they<br />
are filled at a network pharmacy or through our mail order pharmacy service. Once you<br />
go to one, you are not required to continue going to the same pharmacy to fill your<br />
prescription. You can go to any of our network pharmacies. We will fill prescriptions at<br />
non-network pharmacies under certain circumstances as described in your Evidence of<br />
Coverage.<br />
<strong>Buckeye</strong>’s Network Pharmacies<br />
The pharmacy section is organized by type of provider, then by county, and city. Look<br />
for the type of provider first (retail, chain), then look for your county and city to find a<br />
provider close to your area.<br />
Chain.................................................... Page 78<br />
Home Infusion …………….…………….... Page 84<br />
Long-Term Care…………….……………... Page 84<br />
Mail Order Pharmacy………….…………. Page 85<br />
Retail………………………………………..… Page 85
Pharmacies Section 2 – List of Plan <strong>Provider</strong>s<br />
Chain<br />
Rite Aid Pharmacy 07928<br />
3230 W Elm St<br />
St Marys<br />
Note: All prescribers support<br />
electronic prescribing unless<br />
otherwise noted. <strong>Provider</strong>s who are<br />
willing to offer extended day<br />
supplies of certain medications are<br />
also noted.<br />
Lima, OH 45805-2519<br />
419-221-3679<br />
Sams Pharmacy<br />
1150 Greely Chapel Rd<br />
Lima, OH 45804-4162<br />
419-221-1611<br />
Kmart Pharmacy3557+<br />
1292 Indiana Ave<br />
St Marys, OH 45885<br />
419-394-4436<br />
Kroger Pharmacy*<br />
475 Fortman Drive<br />
Allen County St Marys, OH 45885<br />
Delphos<br />
Walgreens #11914+<br />
730 W Market St<br />
419-394-8930<br />
Delphos Discount Drugs<br />
660 Elida Ave<br />
Delphos, OH 45833<br />
419-692-3784<br />
Lima, OH 45801<br />
419-221-0166<br />
Walgreens #7441*+<br />
701 N Cable Road<br />
Rite Aid Pharmacy 01198*<br />
1502 Executive Drive<br />
St Marys, OH 45885-3317<br />
419-394-3542<br />
Rite Aid Pharmacy 03185<br />
940 Elida Ave<br />
Delphos, OH 45833-1778<br />
419-695-8055<br />
Lima<br />
Lima, OH 45805<br />
419-222-9978<br />
Walgreens #7684*+<br />
2366 Harding Hwy<br />
Lima, OH 45804<br />
419-222-3600<br />
Wapakoneta<br />
CVS Pharmacy+<br />
1101 Bellefontaine St<br />
Wapakoneta, OH 45895<br />
419-738-8926<br />
CVS Pharmacy+<br />
900 Bellefontaine Rd<br />
Lima, OH 45804<br />
419-227-7970<br />
Wal-Mart Pharmacy<br />
2400 Harding Highway<br />
Lima, OH 45804<br />
419-222-6828<br />
Wal-Mart Pharmacy<br />
1257 Bellefontaine St<br />
Wapakoneta, OH 45895<br />
419-738-0490<br />
Kmart Pharmacy7532+ Wal-Mart Pharmacy<br />
Defiance County<br />
2250 Harding Hwy<br />
Lima, OH 45804<br />
975 N Cable Road<br />
Lima, OH 45805<br />
Defiance<br />
419-227-3155 419-224-3767 Kroger Pharmacy*<br />
Rite Aid Pharmacy 02319*<br />
506 W Market St<br />
Lima, OH 45801-4718<br />
419-222-7797<br />
Rite Aid Pharmacy 02351*<br />
302 W Robb Ave<br />
Lima, OH 45801-2745<br />
419-229-5846<br />
Rite Aid Pharmacy 02367*<br />
1415 Bellefontaine Ave<br />
Lima, OH 45804-3168<br />
419-228-2296<br />
Auglaize County<br />
Lima<br />
CVS Pharmacy+<br />
2620 W Breese Rd<br />
Lima, OH 45806<br />
419-991-0010<br />
Rite Aid Pharmacy 03580*<br />
3710 Shawnee Rd<br />
Lima, OH 45806-1619<br />
419-991-2867<br />
1890 E Second St<br />
Defiance, OH 43512<br />
419-782-8079<br />
Rite Aid Pharmacy 02352*<br />
1816 E Second St<br />
Defiance, OH 43512-2502<br />
419-782-7832<br />
Rite Aid Pharmacy 02364*<br />
618 N Clinton St<br />
Defiance, OH 43512-1609<br />
419-782-0155<br />
Walgreens #9483*+<br />
1829 N Clinton St<br />
Defiance, OH 43512<br />
419-782-8233<br />
Page 78 2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan<br />
*<strong>Provider</strong>s identified with an *asterisk support electronic prescribing.<br />
+<strong>Provider</strong>s identified with a + offer extended day supplies of some medications.
Section 2 – List of Plan <strong>Provider</strong>s<br />
Chain cont.<br />
Hancock County Kenton<br />
Defiance County cont. Findlay<br />
CVS Pharmacy+<br />
Defiance cont.<br />
Wal-Mart Pharmacy<br />
1804 N Clinton St<br />
Defiance, OH 43512<br />
419-784-2404<br />
CVS Pharmacy+<br />
463 Tiffin Ave<br />
Findlay, OH 45840<br />
419-423-3236<br />
Kroger Pharmacy*<br />
101 6th St<br />
987 E Columbus St<br />
Kenton, OH 43326<br />
419-673-0731<br />
Kmart Pharmacy7736+<br />
1005 E Columbus St<br />
Kenton, OH 43326<br />
419-673-0003<br />
Fulton County<br />
Findlay, OH 45840<br />
Pharmacies<br />
419-423-4721 Kroger Pharmacy*<br />
Archbold 981 E Columbus St<br />
Kroger Pharmacy* Kenton, OH 43326<br />
Pamida Pharmacy 1996 E Tiffin Ave<br />
419-675-2705<br />
2015 S Defiance St<br />
Findlay, OH 45840<br />
Archbold, OH 43502-9111 419-427-3662<br />
Rite Aid Pharmacy 02363*<br />
419-445-0052 130 S Detroit St<br />
Rite Aid Pharmacy 02359* Kenton, OH 43326-1902<br />
Rite Aid Pharmacy 02583* 1501 N M Ain St<br />
419-673-5220<br />
1921 S Defiance Road<br />
Findlay, OH 45840-2749<br />
Archbold, OH 43502-9491 419-424-1828<br />
Wal-Mart Pharmacy<br />
419-446-2335 1241 E Columbus St<br />
Rite Aid Pharmacy 04736 Kenton, OH 43326<br />
Swanton<br />
301 N Main St 419-675-1289<br />
Kroger Phramacy*<br />
113 E Airport Highway<br />
Swanton, OH 43558<br />
419-825-1475<br />
Rite Aid Pharmacy 02355*<br />
105 W Airport Highway<br />
Swanton, OH 43558-1410<br />
419-825-1161<br />
Swanton Savmor Pharmacy*+<br />
147 Airport Highway<br />
Swanton, OH 43558<br />
419-825-5050<br />
Wauseon<br />
Rite Aid Pharmacy 02348*<br />
1496 N Shoop Ave<br />
Wauseon, OH 43567-1825<br />
419-337-5050<br />
Wal-Mart Pharmacy<br />
Findlay, OH 45840-3503<br />
419-420-9485<br />
Walgreens #7683*+<br />
15031 US 224 E<br />
Findlay, OH 45840<br />
419-420-0025<br />
Wal-Mart Pharmacy<br />
1161 Trenton Ave<br />
Findlay, OH 45840<br />
419-425-5992<br />
Wal-Mart Pharmacy<br />
2500 Tiffin Ave<br />
Findlay, OH 45840<br />
419-425-5511<br />
Hardin County<br />
Ado<br />
Rite Aid Pharmacy 07844<br />
610 S Main St<br />
Ado, OH 45810-1503<br />
Henry County<br />
Napoleon<br />
Rite Aid Pharmacy 02313*<br />
1111Scott St<br />
Napoleon, OH 43545-1080<br />
419-592-9086<br />
Wal-Mart Pharmacy<br />
1815 Scott St<br />
Napoleon, OH 43545<br />
419-599-0170<br />
Lucas County<br />
Holland<br />
Kroger Pharmacy*<br />
1414 Spring Meadows Drive<br />
Holland, OH 43528<br />
419-865-1654<br />
485 E Airport Hwy<br />
Wauseon, OH 43567<br />
419-337-8122<br />
419-634-0888<br />
2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan Page 79<br />
*<strong>Provider</strong>s identified with an *asterisk support electronic prescribing.<br />
+<strong>Provider</strong>s identified with a + offer extended day supplies of some medications.
Pharmacies Section 2 – List of Plan <strong>Provider</strong>s<br />
Chain cont.<br />
Rite Aid Pharmacy 07945<br />
3362 Navarre Ave<br />
Toledo<br />
Lucas County cont. Oregon, OH 43616-3314 Giant Eagle Pharmacy 6536+<br />
Holland cont.<br />
419-690-8269 6930 W Central Ave<br />
Toledo, OH 43617<br />
Kroger Pharmacy*<br />
850 S Mccord Rd<br />
Holland, OH 43528<br />
419-865-5776<br />
Walgreens #5906*+<br />
2562 Navarre Ave<br />
Oregon, OH 43616<br />
419-693-9115<br />
419-843-3819<br />
Heartland Healthcare Services<br />
4755 S Ave<br />
Toledo, OH 43615-6422<br />
Rite Aid Pharmacy 02343*<br />
7225 Airport Highway<br />
Holland, OH 43528-0250<br />
419-866-8943<br />
Wal-Mart Pharmacy<br />
3721 Navarre Ave<br />
Oregon, OH 43616<br />
419-698-5156<br />
419-535-8435<br />
Kmart Pharmacy3302+<br />
1801 W Alexis Rd<br />
Toledo, OH 43613<br />
Sams Pharmacy<br />
Slyvania<br />
419-473-0206<br />
1300 E Mall Drive<br />
Holland, OH 43528<br />
419-868-1398<br />
Wal-Mart Pharmacy<br />
Rite Aid Pharmacy 07946<br />
8310 Sylvania Metamora Road<br />
Slyvania, OH 43560<br />
419-882-7241<br />
Kmart Pharmacy4209+<br />
627701 E Manhattan Blvd<br />
Toledo, OH 43608<br />
419-729-3801<br />
1355 S Mccord Road<br />
Holland, OH 43528<br />
419-867-0452<br />
Maumee<br />
Rite Aid Pharmacy 06679<br />
105 Golden Gate Plaza<br />
Maumee, OH 43537<br />
419-893-5533<br />
Oregon<br />
Kmart Pharmacy4168+<br />
2830 Navarre Rd<br />
Oregon, OH 43616<br />
419-698-4364<br />
Kroger Pharmacy*<br />
1920 Woodville Road<br />
Oregon, OH 43616<br />
419-697-1580<br />
Kroger Pharmacy*<br />
3301 Navarre Ave<br />
Oregon, OH 43616<br />
419-691-7034<br />
Sylvania<br />
Kroger Pharmacy*<br />
6235 Monroe St<br />
Sylvania, OH 43560<br />
419-885-4738<br />
Kroger Pharmacy*<br />
7545 Sylvania Ave<br />
Sylvania, OH 43560<br />
419-841-6468<br />
Rite Aid Pharmacy 02341*<br />
6484 Monroe St<br />
Sylvania, OH 43560-1430<br />
419-885-3616<br />
Rite Aid Pharmacy 02354<br />
4018 N Mccord Road<br />
Sylvania, OH 43560<br />
419-885-2989<br />
Rite Aid Pharmacy 06681<br />
5890 Monroe St<br />
Sylvania, OH 43560-2200<br />
419-882-5860<br />
Kmart Pharmacy4276+<br />
2244 S Reynolds Rd<br />
Toledo, OH 43614<br />
419-865-7391<br />
Kroger Pharmacy*<br />
1415 Byrne Rd<br />
Toledo, OH 43614<br />
419-382-2385<br />
Kroger Pharmacy*<br />
2257 N Holland Sylvania<br />
Toledo, OH 43615<br />
419-578-6465<br />
Kroger Pharmacy*<br />
2555 Glendale Ave<br />
Toledo, OH 43614<br />
419-385-4675<br />
Kroger Pharmacy*<br />
4533 Monroe St<br />
Toledo, OH 43613<br />
419-471-9240<br />
Kroger Pharmacy*<br />
4633 Suder Ave<br />
Toledo, OH 43611<br />
419-727-2650<br />
Page 80 2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan<br />
*<strong>Provider</strong>s identified with an *asterisk support electronic prescribing.<br />
+<strong>Provider</strong>s identified with a + offer extended day supplies of some medications.
Section 2 – List of Plan <strong>Provider</strong>s<br />
Pharmacies<br />
Chain cont.<br />
Rite Aid Pharmacy 02316*<br />
3325 W Central Ave<br />
Rite Aid Pharmacy 06682<br />
1030 W Alexis Road<br />
Lucas County cont. Toledo, OH 43606-1406 Toledo, OH 43612-4202<br />
Toledo cont.<br />
419-531-1172 419-476-0651<br />
Kroger Pharmacy*<br />
4925 Jackman Road<br />
Toledo, OH 43613<br />
419-475-9103<br />
Rite Aid Pharmacy 02317<br />
3013 Monroe St<br />
Toledo, OH 43606-4602<br />
419-243-9803<br />
Rite Aid Pharmacy 06683<br />
3911 Secor Road<br />
Toledo, OH 43623<br />
419-472-8027<br />
Kroger Pharmacy*<br />
5109 Glendale Ave<br />
Toledo, OH 43614<br />
419-381-0703<br />
Rite Aid Pharmacy 02318*<br />
5224 Dorr St<br />
Toledo, OH 43615-3602<br />
419-531-2115<br />
Rite Aid Pharmacy 07817<br />
7504 W Central Ave<br />
Toledo, OH 43617-1524<br />
419-841-8525<br />
Kroger Pharmacy*<br />
833 W Alexis Rd<br />
Toledo, OH 43612<br />
419-269-6909<br />
Rite Aid Pharmacy 02321*<br />
2430 Glendale Ave<br />
Toledo, OH 43614-2736<br />
419-381-6981<br />
Target Pharmacy*<br />
5225 Monroe St<br />
Toledo, OH 43623<br />
419-843-1622<br />
Lagrange Savmor Drugs*+<br />
3103 Lagrange<br />
Toledo, OH 43608<br />
419-241-8065<br />
Rite Aid Pharmacy 02331*<br />
4869 N Summit St<br />
Toledo, OH 43611-2854<br />
419-726-8449<br />
Walgreens #10611+<br />
6636 W Central Ave<br />
Toledo, OH 43617<br />
419-843-2039<br />
Rite Aid Pharmacy 01092*<br />
2450 S Reynolds Rd<br />
Toledo, OH 43614-1419<br />
419-865-3130<br />
Rite Aid Pharmacy 02339*<br />
5033 Suder Ave<br />
Toledo, OH 43611-1458<br />
419-729-9934<br />
Walgreens #5319*+<br />
925 Woodville Rd<br />
Toledo, OH 43605<br />
419-693-0545<br />
Rite Aid Pharmacy 01217<br />
5765 Secor Road<br />
Toledo, OH 43623-0000<br />
419-473-2451<br />
Rite Aid Pharmacy 02340*<br />
2434 W Laskey Road<br />
Toledo, OH 43613-3504<br />
419-473-1221<br />
Walgreens #5323*+<br />
1910 S Reynolds Rd<br />
Toledo, OH 43614<br />
419-867-1865<br />
Rite Aid Pharmacy 02309*<br />
1012 W Sylvania Ave<br />
Toledo, OH 43612-1702<br />
419-478-8177<br />
Rite Aid Pharmacy 02346*<br />
810 E Manhattan Boulevard<br />
Toledo, OH 43608-1471<br />
419-729-2907<br />
Walgreens #5324*+<br />
1330 Reynolds Rd<br />
Toledo, OH 43615<br />
419-536-2031<br />
Rite Aid Pharmacy 02310*<br />
210 Main St<br />
Toledo, OH 43605-2036<br />
419-691-5851<br />
Rite Aid Pharmacy 02637*<br />
1525 Cherry St<br />
Toledo, OH 43608-2911<br />
419-255-9524<br />
Walgreens #6168*+<br />
4580 Monroe St<br />
Toledo, OH 43613<br />
419-474-2028<br />
Rite Aid Pharmacy 02314*<br />
1605 Broadway St<br />
Toledo, OH 43609-3239<br />
419-244-5781<br />
Rite Aid Pharmacy 06680<br />
114 S Bryne Road<br />
Toledo, OH 43615-6213<br />
419-535-0069<br />
Walgreens #9337*+<br />
5815 Secor Rd<br />
Toledo, OH 43623<br />
419-472-8610<br />
2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan Page 81<br />
*<strong>Provider</strong>s identified with an *asterisk support electronic prescribing.<br />
+<strong>Provider</strong>s identified with a + offer extended day supplies of some medications.
Pharmacies Section 2 – List of Plan <strong>Provider</strong>s<br />
Chain cont.<br />
Oak Harbor Sandusky County<br />
Lucas County cont. Rite Aid Pharmacy 02566* Clyde<br />
Toledo cont.<br />
Wal-Mart Pharmacy<br />
2925 Glendale Ave<br />
Toledo, OH 43614<br />
419-380-8670<br />
Wal-Mart Pharmacy<br />
5821 Central Ave West<br />
Toledo, OH 43615<br />
306 W Water St<br />
Oak Harbor, OH 43449-1336<br />
419-898-3911<br />
Port Clinton<br />
Kroger Pharmacy*<br />
2028 E Harbor Rd<br />
Port Clinton, OH 43452<br />
419-732-6452<br />
Discount Drug Mart<br />
1062 W Mcpherson Highway<br />
Clyde, OH 43410-1002<br />
419-547-4000<br />
Rite Aid Pharmacy 03230*<br />
710 N Main St<br />
Clyde, OH 43410-1647<br />
419-547-7991<br />
419-536-9259<br />
Rite Aid Pharmacy 03179* Fremont<br />
Waterville<br />
Kroger Pharmacy*<br />
8730 Waterville Swanton Rd<br />
Waterville, OH 43566-9726<br />
419-878-1040<br />
Rite Aid Pharmacy 02353*<br />
1330 Michigan Ave<br />
Waterville, OH 43566-1011<br />
419-878-8384<br />
1626 E Perry St<br />
Port Clinton, OH 43452-1332<br />
419-734-5583<br />
Wal-Mart Pharmacy<br />
2826 E Harbor Road<br />
Port Clinton, OH 43452<br />
419-732-3866<br />
Paulding County<br />
Paulding<br />
CVS Pharmacy+<br />
600 E State St<br />
Fremont, OH 43420<br />
419-332-1505<br />
Kmart Pharmacy3784+<br />
1825 N State Route 19<br />
Fremont, OH 43420<br />
419-334-3900<br />
Kroger Pharmacy*<br />
1316 Oak Harbor Rd<br />
Mercer County<br />
Celina<br />
CVS Pharmacy+<br />
1020 N Main St<br />
Celina, OH 45822<br />
Rite Aid Pharmacy 02372<br />
1000 N Williams St<br />
Paulding, OH 45879-1076<br />
419-399-5348<br />
Putnam County<br />
Fremont, OH 43420<br />
419-332-9187<br />
Rite Aid Pharmacy 03058*<br />
2020 W State St<br />
Fremont, OH 43420-1019<br />
419-332-2186<br />
419-586-1340 Ottawa<br />
Walgreens #12159+<br />
Wal-Mart Pharmacy<br />
1950 Havemann Road<br />
Celina, OH 45822<br />
419-586-6177<br />
Rite Aid Pharmacy 02350*<br />
305 W Main St<br />
Ottawa, OH 45875-1725<br />
419-523-6030<br />
1900 W State St<br />
Fremont, OH 43420-1638<br />
419-355-9760<br />
Wal-Mart Pharmacy<br />
Ottawa County<br />
Genoa<br />
Wal-Mart Pharmacy<br />
1720 N Perry St<br />
Ottawa, OH 45875<br />
2052 State Route 53<br />
Fremont, OH 43420<br />
419-334-8410<br />
Rite Aid Pharmacy 02373*<br />
21991 W State Route 51<br />
Genoa, OH 43430-1251<br />
419-855-8363<br />
419-523-9205<br />
Page 82 2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan<br />
*<strong>Provider</strong>s identified with an *asterisk support electronic prescribing.<br />
+<strong>Provider</strong>s identified with a + offer extended day supplies of some medications.
Section 2 – List of Plan <strong>Provider</strong>s<br />
Pharmacies<br />
Chain cont.<br />
Seneca County<br />
Williams County<br />
Bryan<br />
Wal-Mart Pharmacy<br />
131 W Gypsy Lane<br />
Bowling Green, OH 43402<br />
Fostoria CVS Pharmacy+<br />
419-352-3396<br />
Kroger Pharmacy<br />
341 W High St<br />
Bryan, OH 43506<br />
Northwood<br />
126 W High St<br />
Fostoria, OH 44830<br />
419-435-4190<br />
Rite Aid Pharmacy 02320*<br />
419-636-5021<br />
Rite Aid Pharmacy 02347<br />
1221 W High St<br />
Bryan, OH 43506-1543<br />
Rite Aid Pharmacy 06677<br />
2674 Woodville Road<br />
Northwood, OH 43619-1446<br />
419-693-1310<br />
113 N Countyline St<br />
Fostoria, OH 44830-1766<br />
419-636-6142<br />
Perrysburg<br />
419-435-7716<br />
Tiffin<br />
CVS Pharmacy+<br />
733 W Market St<br />
Tiffin, OH 44883-2520<br />
419-455-9104<br />
Kroger Pharmacy*<br />
790 W Market St<br />
Walgreens #10579+<br />
403 S Main St<br />
Bryan, OH 43506-2164<br />
419-636-0613<br />
Wal-Mart Pharmacy<br />
1215 S Main<br />
Bryan, OH 43506<br />
419-636-9153<br />
Montpelier<br />
Kroger Pharmacy*<br />
27386 Carronade Drive<br />
Perrysburg, OH 43551<br />
419-874-7014<br />
Omnicare Pharmacy Of<br />
Northwest Ohio<br />
7643 Ponderosa Rd<br />
Perrysburg, OH 43551<br />
419-661-2200<br />
Tiffin, OH 44883<br />
419-447-8304<br />
Rite Aid Pharmacy 03191*<br />
530 W Market St<br />
Pamida Pharmacy<br />
1625 E Main St<br />
Montpelier, OH 43543-0000<br />
419-485-3570<br />
Rite Aid Pharmacy 02326*<br />
1175 Louisiana Ave<br />
Perrysburg, OH 43551-2527<br />
419-874-3587<br />
Tiffin, OH 44883-2610<br />
419-443-0189<br />
Wal-Mart Pharmacy<br />
2801 W State Route 18<br />
Wood County<br />
Bowling Green<br />
Walgreens #9409*+<br />
10003 Fremont Pike<br />
Perrysburg, OH 43551<br />
419-872-8240<br />
Tiffin, OH 44883<br />
419-447-9177<br />
Van Wert County<br />
Kroger Pharmacy*<br />
1094 Main St<br />
Bowling Green, OH 43402<br />
419-353-5116<br />
Wal-Mart Pharmacy<br />
10392 Fremont Pike<br />
Perrysburg, OH 43551<br />
419-874-0571<br />
Van Wert Rite Aid Pharmacy 07728*<br />
722 740 S Main St<br />
CVS Pharmacy+ Bowling Green, OH 43402-3830<br />
703 W Ervin St 419-354-3911<br />
Van Wert, OH 45891<br />
419-238-2483 Walgreens #10868+<br />
1013 N Main St<br />
Wal-Mart Pharmacy Bowling Green, OH 43402-1302<br />
301 Town Center Blvd 419-352-1645<br />
Van Wert, OH 45891<br />
419-238-5928<br />
Rossford<br />
Giant Eagle Pharmacy 6535+<br />
9880 Olde US 20<br />
Rossford, OH 43460<br />
419-874-4684<br />
Rite Aid Pharmacy 06678<br />
801 Dixie Highway<br />
Rossford, OH 43460<br />
419-666-1583<br />
2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan Page 83<br />
*<strong>Provider</strong>s identified with an *asterisk support electronic prescribing.<br />
+<strong>Provider</strong>s identified with a + offer extended day supplies of some medications.
Pharmacies Section 2 – List of Plan <strong>Provider</strong>s<br />
Chain cont. Long-Term Care<br />
Sandusky County<br />
Wood County cont. Residents of a long-term care<br />
Gibsonburg<br />
Rossford cont.<br />
Target Pharmacy*<br />
9666 Old US 20<br />
Rossford, OH 43460<br />
facility may access their<br />
prescription drugs covered under<br />
<strong>Buckeye</strong> through the facility’s longterm<br />
care pharmacy or another<br />
network long-term care pharmacy.<br />
Pills In Packages*+<br />
249 W Madison St<br />
Gibsonburg, OH 43431<br />
419-637-7441<br />
419-872-9126 Fulton County Seneca County<br />
Wyandot County<br />
Swanton Tiffin<br />
Upper Sandusky<br />
Discount Drug Mart<br />
1155 E Wyandot Ave<br />
Upper Sandusky, OH 43351-9630<br />
Swanton Savmor Pharmacy*+<br />
147 Airport Highway<br />
Swanton, OH 43558<br />
419-825-5050<br />
ICP Inc+<br />
1815 W County Rd 54<br />
Tiffin, OH 44883<br />
419-447-6216<br />
419-294-5900 Henry County Williams County<br />
Rite Aid Pharmacy 02360* Napoleon<br />
Bryan<br />
429 W Church St<br />
Upper Sandusky, OH 43351-1038 Village Apothecary*<br />
Ringers Drug Store<br />
419-294-3469 1412 and One Half N Scott St 125 S Main St<br />
Napoleon, OH 43545 Bryan, OH 43506-1786<br />
419-599-9355<br />
Wal-Mart Pharmacy 419-636-1355<br />
1855 E Wyandot Ave<br />
Upper Sandusky, OH 43351 Lucas County Wood County<br />
419-294-3721<br />
Toledo Perrysburg<br />
Home Infusion Genoa Healthcare Omnicare Pharmacy Of<br />
5151 Monroe Str Northwest Ohio<br />
Note: All prescribers support Toledo, OH 43623 7643 Ponderosa Rd<br />
electronic prescribing unless 419-517-1317 Perrysburg, OH 43551<br />
otherwise noted. <strong>Provider</strong>s who are<br />
willing to offer extended day Heartland Healthcare Services<br />
supplies of certain medications are 4755 S Ave<br />
also noted. Toledo, OH 43615-6422<br />
419-535-8435<br />
Lucas County<br />
Toledo<br />
Promedica Home Infusion<br />
Pharmacy+<br />
4345 Secor Road<br />
Toledo, OH 43623<br />
419-291-8247<br />
Lagrange Savmor Drugs*+<br />
3103 Lagrange<br />
Toledo, OH 43608<br />
419-241-8065<br />
West Central Pharmacy*+<br />
2150 W Central<br />
Toledo, OH 43606-3834<br />
419-291-8530<br />
419-661-2200<br />
Page 84 2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan<br />
*<strong>Provider</strong>s identified with an *asterisk support electronic prescribing.<br />
+<strong>Provider</strong>s identified with a + offer extended day supplies of some medications.
Section 2 – List of Plan <strong>Provider</strong>s<br />
Pharmacies<br />
Mail Order Pharmacy Pack Pharmacy<br />
701 W Market St<br />
Walgreens #7441*+<br />
701 N Cable Road<br />
Maintenance medications are<br />
available through our mail order<br />
Lima, OH 45801-4601<br />
419-223-8906<br />
Lima, OH 45805<br />
419-222-9978<br />
pharmacy, Rx Direct. To obtain a<br />
mail order enrollment form, list of<br />
medications available through mail<br />
order, or ask questions about this<br />
program, call Member Services or<br />
RxDirect.<br />
Member Services<br />
Phone: 866-389-7690<br />
TTY 800-750-0750<br />
8:00AM to 8:00PM, 7 days a week<br />
https://advantage.bchpohio.com<br />
Rays Pharmacy and Wellness<br />
Center*<br />
2100 Harding Hwy<br />
Lima, OH 45804<br />
419-222-9355<br />
Rays Pharmacy and Wellness<br />
Center*<br />
890 S Cable Road<br />
Lima, OH 45805<br />
419-221-2059<br />
Walgreens #7684*+<br />
2366 Harding Hwy<br />
Lima, OH 45804<br />
419-222-3600<br />
Wal-Mart Pharmacy<br />
2400 Harding Highway<br />
Lima, OH 45804<br />
419-222-6828<br />
Wal-Mart Pharmacy<br />
RxDirect<br />
Phone: 800-785-4197<br />
9:00AM to 6:00PM Monday-Friday<br />
10:00AM to 1:00PM Saturday<br />
www.rxdirect.com<br />
Rays Pharmacy and Wellness<br />
Center*+<br />
927 N Cable Rd<br />
Lima, OH 45805-1745<br />
419-222-0778<br />
975 N Cable Road<br />
Lima, OH 45805<br />
419-224-3767<br />
Spencerville<br />
Retail<br />
Allen County<br />
Delphos<br />
Rite Aid Pharmacy 02319*<br />
506 W Market St<br />
Lima, OH 45801-4718<br />
419-222-7797<br />
Canal Pharmacy<br />
102 S Broadway<br />
Spencerville, OH 45887<br />
419-647-4584<br />
Delphos Discount Drugs<br />
660 Elida Ave<br />
Delphos, OH 45833<br />
419-692-3784<br />
Rite Aid Pharmacy 03185<br />
940 Elida Ave<br />
Delphos, OH 45833-1778<br />
419-695-8055<br />
Lima<br />
CVS Pharmacy+<br />
900 Bellefontaine Rd<br />
Rite Aid Pharmacy 02351*<br />
302 W Robb Ave<br />
Lima, OH 45801-2745<br />
419-229-5846<br />
Rite Aid Pharmacy 02367*<br />
1415 Bellefontaine Ave<br />
Lima, OH 45804-3168<br />
419-228-2296<br />
Rite Aid Pharmacy 07928<br />
3230 W Elm St<br />
Lima, OH 45805-2519<br />
419-221-3679<br />
Auglaize County<br />
Lima<br />
CVS Pharmacy+<br />
2620 W Breese Rd<br />
Lima, OH 45806<br />
419-991-0010<br />
Rite Aid Pharmacy 03580*<br />
3710 Shawnee Rd<br />
Lima, OH 45806-1619<br />
419-991-2867<br />
Minster<br />
Lima, OH 45804<br />
419-227-7970<br />
Kmart Pharmacy7532+<br />
2250 Harding Hwy<br />
Lima, OH 45804<br />
419-227-3155<br />
Sams Pharmacy<br />
1150 Greely Chapel Rd<br />
Lima, OH 45804-4162<br />
419-221-1611<br />
Walgreens #11914+<br />
730 W Market St<br />
Lima, OH 45801<br />
419-221-0166<br />
Schwietermans Minster<br />
Pharmacy*<br />
324 N Main St<br />
Minster, OH 45865<br />
419-628-2305<br />
2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan Page 85<br />
*<strong>Provider</strong>s identified with an *asterisk support electronic prescribing.<br />
+<strong>Provider</strong>s identified with a + offer extended day supplies of some medications.
Pharmacies Section 2 – List of Plan <strong>Provider</strong>s<br />
Retail cont.<br />
Auglaize County cont.<br />
Defiance County Fulton County<br />
Defiance Archbold<br />
New Bremen<br />
Chief Pharmacy and Wellness Pamida Pharmacy<br />
Center* 2015 S Defiance St<br />
Schwietermans Drug Store Inc* 705 Deatrick St Archbold, OH 43502-9111<br />
2 N Washington St<br />
Defiance, OH 43512 419-445-0052<br />
New Bremen, OH 45869-1113 419-784-0088<br />
419-629-2336<br />
Rite Aid Pharmacy 02583*<br />
Defiance Clinic Pharmacy 1921 S Defiance Road<br />
St Marys<br />
1400 E 2nd St<br />
Defiance, OH 43512<br />
Archbold, OH 43502-9491<br />
419-446-2335<br />
Kmart Pharmacy3557+<br />
419-783-3376<br />
1292 Indiana Ave<br />
St Marys, OH 45885<br />
419-394-4436<br />
Kroger Pharmacy*<br />
475 Fortman Drive<br />
St Marys, OH 45885<br />
419-394-8930<br />
Rite Aid Pharmacy 01198*<br />
1502 Executive Drive<br />
St Marys, OH 45885-3317<br />
419-394-3542<br />
Schwietermans Pharmacy*<br />
1052 E Spring St<br />
St Marys, OH 45885-2401<br />
419-394-3219<br />
Wapakoneta<br />
Kroger Pharmacy*<br />
1890 E Second St<br />
Defiance, OH 43512<br />
419-782-8079<br />
Okuleys Pharmacy and Home<br />
Medical Inc<br />
1245 E Second St<br />
Defiance, OH 43512<br />
419-784-4800<br />
Rite Aid Pharmacy 02352*<br />
1816 E Second St<br />
Defiance, OH 43512-2502<br />
419-782-7832<br />
Rite Aid Pharmacy 02364*<br />
618 N Clinton St<br />
Defiance, OH 43512-1609<br />
419-782-0155<br />
Delta<br />
Community Market 310<br />
Pharmacy<br />
702 Main St<br />
Delta, OH 43515<br />
419-822-0306<br />
Swanton<br />
Kroger Phramacy*<br />
113 E Airport Highway<br />
Swanton, OH 43558<br />
419-825-1475<br />
Rite Aid Pharmacy 02355*<br />
105 W Airport Highway<br />
Swanton, OH 43558-1410<br />
419-825-1161<br />
Swanton Savmor Pharmacy*+<br />
CVS Pharmacy+<br />
1101 Bellefontaine St<br />
Wapakoneta, OH 45895<br />
419-738-8926<br />
Schwieterman Pharmacy*<br />
1302 Defiance St<br />
Wapakoneta, OH 45895-0005<br />
419-738-5959<br />
Wal-Mart Pharmacy<br />
1257 Bellefontaine St<br />
Walgreens #9483*+<br />
1829 N Clinton St<br />
Defiance, OH 43512<br />
419-782-8233<br />
Wal-Mart Pharmacy<br />
1804 N Clinton St<br />
Defiance, OH 43512<br />
419-784-2404<br />
Hicksville<br />
147 Airport Highway<br />
Swanton, OH 43558<br />
419-825-5050<br />
Wauseon<br />
Okuleys Pharmacy & Home<br />
Medical Of Wause<br />
123 S Fulton St<br />
Wauseon, OH 43567-1381<br />
419-335-6901<br />
Wapakoneta, OH 45895<br />
419-738-0490 Hicksville Pharmacy and Home<br />
Medical<br />
116-118 E High St<br />
Hicksville, OH 43526<br />
419-542-6218<br />
Rite Aid Pharmacy 02348*<br />
1496 N Shoop Ave<br />
Wauseon, OH 43567-1825<br />
419-337-5050<br />
Page 86 2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan<br />
*<strong>Provider</strong>s identified with an *asterisk support electronic prescribing.<br />
+<strong>Provider</strong>s identified with a + offer extended day supplies of some medications.
Section 2 – List of Plan <strong>Provider</strong>s<br />
Pharmacies<br />
Retail cont.<br />
Fulton County cont.<br />
Wal-Mart Pharmacy<br />
1161 Trenton Ave<br />
Findlay, OH 45840<br />
Henry County<br />
Deshler<br />
Wauseon cont.<br />
Wal-Mart Pharmacy<br />
485 E Airport Hwy<br />
Wauseon, OH 43567<br />
419-337-8122<br />
419-425-5992<br />
Wal-Mart Pharmacy<br />
2500 Tiffin Ave<br />
Findlay, OH 45840<br />
419-425-5511<br />
Scarbrough Pharmacy<br />
139 W Main St<br />
Deshler, OH 43516-1159<br />
419-278-1851<br />
Napoleon<br />
Hancock County<br />
Findlay<br />
Center For Medication<br />
Management<br />
1900 S Main St<br />
Findlay, OH 45840<br />
419-429-7002<br />
Findley<br />
Prescription Solutions<br />
1809 S Main St<br />
Findley, OH 45840<br />
419-423-1513<br />
Hardin County<br />
Ado<br />
Rite Aid Pharmacy 02313*<br />
1111Scott St<br />
Napoleon, OH 43545-1080<br />
419-592-9086<br />
Village Apothecary*<br />
1412 and One Half N Scott St<br />
Napoleon, OH 43545<br />
419-599-9355<br />
CVS Pharmacy+<br />
463 Tiffin Ave<br />
Findlay, OH 45840<br />
419-423-3236<br />
Rite Aid Pharmacy 07844<br />
610 S Main St<br />
Ado, OH 45810-1503<br />
419-634-0888<br />
Wal-Mart Pharmacy<br />
1815 Scott St<br />
Napoleon, OH 43545<br />
419-599-0170<br />
Kroger Pharmacy*<br />
101 6th St<br />
Kenton<br />
Lucas County<br />
Findlay, OH 45840<br />
419-423-4721<br />
Kroger Pharmacy*<br />
1996 E Tiffin Ave<br />
Findlay, OH 45840<br />
419-427-3662<br />
Rite Aid Pharmacy 02359*<br />
1501 N M Ain St<br />
Findlay, OH 45840-2749<br />
419-424-1828<br />
Rite Aid Pharmacy 04736<br />
301 N Main St<br />
Findlay, OH 45840-3503<br />
419-420-9485<br />
Walgreens #7683*+<br />
15031 US 224 E<br />
Findlay, OH 45840<br />
419-420-0025<br />
CVS Pharmacy+<br />
987 E Columbus St<br />
Kenton, OH 43326<br />
419-673-0731<br />
Kmart Pharmacy7736+<br />
1005 E Columbus St<br />
Kenton, OH 43326<br />
419-673-0003<br />
Kroger Pharmacy*<br />
981 E Columbus St<br />
Kenton, OH 43326<br />
419-675-2705<br />
Rite Aid Pharmacy 02363*<br />
130 S Detroit St<br />
Kenton, OH 43326-1902<br />
419-673-5220<br />
Wal-Mart Pharmacy<br />
1241 E Columbus St<br />
Kenton, OH 43326<br />
419-675-1289<br />
Holland<br />
Kroger Pharmacy*<br />
1414 Spring Meadows Drive<br />
Holland, OH 43528<br />
419-865-1654<br />
Kroger Pharmacy*<br />
850 S Mccord Rd<br />
Holland, OH 43528<br />
419-865-5776<br />
Rite Aid Pharmacy 02343*<br />
7225 Airport Highway<br />
Holland, OH 43528-0250<br />
419-866-8943<br />
Sams Pharmacy<br />
1300 E Mall Drive<br />
Holland, OH 43528<br />
419-868-1398<br />
2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan Page 87<br />
*<strong>Provider</strong>s identified with an *asterisk support electronic prescribing.<br />
+<strong>Provider</strong>s identified with a + offer extended day supplies of some medications.
Pharmacies Section 2 – List of Plan <strong>Provider</strong>s<br />
Retail cont.<br />
Wal-Mart Pharmacy<br />
3721 Navarre Ave<br />
Toledo<br />
Lucas County cont. Oregon, OH 43616 Arings Compound Corner<br />
Holland cont.<br />
419-698-5156 Pharmacy<br />
6725 W Central Ave<br />
Wal-Mart Pharmacy<br />
1355 S Mccord Road<br />
Holland, OH 43528<br />
419-867-0452<br />
Maumee<br />
Slyvania<br />
Rite Aid Pharmacy 07946<br />
8310 Sylvania Metamora Road<br />
Slyvania, OH 43560<br />
419-882-7241<br />
Toledo, OH 43617<br />
419-841-3833<br />
Community Pharmacy Partners*<br />
1910 Collingwood Blvd<br />
Toledo, OH 43604-5011<br />
419-244-1809<br />
Rite Aid Pharmacy 06679<br />
105 Golden Gate Plaza<br />
Maumee, OH 43537<br />
419-893-5533<br />
Sylvania<br />
Flower Hospital Outpatient<br />
Phcy*+<br />
5200 Harroun Rd<br />
Erie Drug*<br />
4502 Lewis Ave<br />
Toledo, OH 43612-2335<br />
419-476-4322<br />
Oregon<br />
Sylvania, OH 43560<br />
419-824-1690<br />
Genoa Healthcare<br />
5151 Monroe Str<br />
Kmart Pharmacy4168+<br />
2830 Navarre Rd<br />
Oregon, OH 43616<br />
419-698-4364<br />
Kroger Pharmacy*<br />
6235 Monroe St<br />
Sylvania, OH 43560<br />
419-885-4738<br />
Toledo, OH 43623<br />
419-517-1317<br />
Giant Eagle Pharmacy 6536+<br />
6930 W Central Ave<br />
Kroger Pharmacy*<br />
1920 Woodville Road<br />
Oregon, OH 43616<br />
419-697-1580<br />
Kroger Pharmacy*<br />
7545 Sylvania Ave<br />
Sylvania, OH 43560<br />
419-841-6468<br />
Toledo, OH 43617<br />
419-843-3819<br />
James Pharmacy Inc<br />
623 Lagrange St<br />
Kroger Pharmacy*<br />
3301 Navarre Ave<br />
Oregon, OH 43616<br />
419-691-7034<br />
Rite Aid Pharmacy 02341*<br />
6484 Monroe St<br />
Sylvania, OH 43560-1430<br />
419-885-3616<br />
Toledo, OH 43604<br />
419-243-9161<br />
Kahler Pharmacy<br />
1941 Airport Hwy<br />
Pharmacy Counter LLC*<br />
2701 Navarre Ave<br />
Oregon, OH 43616<br />
419-698-5408<br />
Rite Aid Pharmacy 02354<br />
4018 N Mccord Road<br />
Sylvania, OH 43560<br />
419-885-2989<br />
Toledo, OH 43609-1899<br />
419-382-2911<br />
Kmart Pharmacy3302+<br />
1801 W Alexis Rd<br />
Rite Aid Pharmacy 07945<br />
3362 Navarre Ave<br />
Oregon, OH 43616-3314<br />
419-690-8269<br />
Rite Aid Pharmacy 06681<br />
5890 Monroe St<br />
Sylvania, OH 43560-2200<br />
419-882-5860<br />
Toledo, OH 43613<br />
419-473-0206<br />
Kmart Pharmacy4209+<br />
627701 E Manhattan Blvd<br />
Walgreens #5906*+<br />
2562 Navarre Ave<br />
Oregon, OH 43616<br />
419-693-9115<br />
Sylvania Pharmacy*<br />
7640 W Sylvania Ave<br />
Sylvania, OH 43560<br />
419-842-1531<br />
Toledo, OH 43608<br />
419-729-3801<br />
Kmart Pharmacy4276+<br />
2244 S Reynolds Rd<br />
Toledo, OH 43614<br />
419-865-7391<br />
Page 88 2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan<br />
*<strong>Provider</strong>s identified with an *asterisk support electronic prescribing.<br />
+<strong>Provider</strong>s identified with a + offer extended day supplies of some medications.
Section 2 – List of Plan <strong>Provider</strong>s<br />
Pharmacies<br />
Retail cont.<br />
Monroe Pharmacy Inc*<br />
4122 Monroe St<br />
Rite Aid Pharmacy 02317<br />
3013 Monroe St<br />
Lucas County cont. Toledo, OH 43606-2092 Toledo, OH 43606-4602<br />
Toledo cont.<br />
419-473-1531 419-243-9803<br />
Kroger Pharmacy*<br />
1415 Byrne Rd<br />
Toledo, OH 43614<br />
419-382-2385<br />
Pharmacy Counter LLC*<br />
1515 S Byrne Rd<br />
Toledo, OH 43614-3458<br />
419-382-3475<br />
Rite Aid Pharmacy 02318*<br />
5224 Dorr St<br />
Toledo, OH 43615-3602<br />
419-531-2115<br />
Kroger Pharmacy*<br />
2257 N Holland Sylvania<br />
Toledo, OH 43615<br />
419-578-6465<br />
Pharmacy Counter LLC*<br />
2655 W Central<br />
Toledo, OH 43606-3550<br />
419-473-1493<br />
Rite Aid Pharmacy 02321*<br />
2430 Glendale Ave<br />
Toledo, OH 43614-2736<br />
419-381-6981<br />
Kroger Pharmacy*<br />
2555 Glendale Ave<br />
Toledo, OH 43614<br />
419-385-4675<br />
Promedica Home Infusion<br />
Pharmacy+<br />
4345 Secor Road<br />
Toledo, OH 43623<br />
419-291-8247<br />
Rite Aid Pharmacy 02331*<br />
4869 N Summit St<br />
Toledo, OH 43611-2854<br />
419-726-8449<br />
Kroger Pharmacy*<br />
4533 Monroe St<br />
Toledo, OH 43613<br />
419-471-9240<br />
Rite Aid Pharmacy 01092*<br />
2450 S Reynolds Rd<br />
Toledo, OH 43614-1419<br />
419-865-3130<br />
Rite Aid Pharmacy 02339*<br />
5033 Suder Ave<br />
Toledo, OH 43611-1458<br />
419-729-9934<br />
Kroger Pharmacy*<br />
4633 Suder Ave<br />
Toledo, OH 43611<br />
419-727-2650<br />
Rite Aid Pharmacy 01217<br />
5765 Secor Road<br />
Toledo, OH 43623-0000<br />
419-473-2451<br />
Rite Aid Pharmacy 02340*<br />
2434 W Laskey Road<br />
Toledo, OH 43613-3504<br />
419-473-1221<br />
Kroger Pharmacy*<br />
4925 Jackman Road<br />
Toledo, OH 43613<br />
419-475-9103<br />
Rite Aid Pharmacy 02309*<br />
1012 W Sylvania Ave<br />
Toledo, OH 43612-1702<br />
419-478-8177<br />
Rite Aid Pharmacy 02346*<br />
810 E Manhattan Boulevard<br />
Toledo, OH 43608-1471<br />
419-729-2907<br />
Kroger Pharmacy*<br />
5109 Glendale Ave<br />
Toledo, OH 43614<br />
419-381-0703<br />
Rite Aid Pharmacy 02310*<br />
210 Main St<br />
Toledo, OH 43605-2036<br />
419-691-5851<br />
Rite Aid Pharmacy 02637*<br />
1525 Cherry St<br />
Toledo, OH 43608-2911<br />
419-255-9524<br />
Kroger Pharmacy*<br />
833 W Alexis Rd<br />
Toledo, OH 43612<br />
419-269-6909<br />
Rite Aid Pharmacy 02314*<br />
1605 Broadway St<br />
Toledo, OH 43609-3239<br />
419-244-5781<br />
Rite Aid Pharmacy 06680<br />
114 S Bryne Road<br />
Toledo, OH 43615-6213<br />
419-535-0069<br />
Lagrange Savmor Drugs*+<br />
3103 Lagrange<br />
Toledo, OH 43608<br />
419-241-8065<br />
Rite Aid Pharmacy 02316*<br />
3325 W Central Ave<br />
Toledo, OH 43606-1406<br />
419-531-1172<br />
Rite Aid Pharmacy 06682<br />
1030 W Alexis Road<br />
Toledo, OH 43612-4202<br />
419-476-0651<br />
2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan Page 89<br />
*<strong>Provider</strong>s identified with an *asterisk support electronic prescribing.<br />
+<strong>Provider</strong>s identified with a + offer extended day supplies of some medications.
Pharmacies Section 2 – List of Plan <strong>Provider</strong>s<br />
Retail cont.<br />
Lucas County cont.<br />
Walgreens #5324*+<br />
1330 Reynolds Rd<br />
Toledo, OH 43615<br />
Mercer County<br />
Celina<br />
Toledo cont.<br />
Rite Aid Pharmacy 06683<br />
3911 Secor Road<br />
Toledo, OH 43623<br />
419-472-8027<br />
Rite Aid Pharmacy 07817<br />
7504 W Central Ave<br />
Toledo, OH 43617-1524<br />
419-841-8525<br />
Ryan Pharmacy and Orthopedic<br />
Supply<br />
3340 Dorr St<br />
Toledo, OH 43607-2717<br />
419-531-2836<br />
419-536-2031<br />
Walgreens #6168*+<br />
4580 Monroe St<br />
Toledo, OH 43613<br />
419-474-2028<br />
Walgreens #9337*+<br />
5815 Secor Rd<br />
Toledo, OH 43623<br />
419-472-8610<br />
Wal-Mart Pharmacy<br />
2925 Glendale Ave<br />
Toledo, OH 43614<br />
419-380-8670<br />
Wal-Mart Pharmacy<br />
Arnold Pharmacy Inc<br />
101 S Main St<br />
Celina, OH 45822<br />
419-586-2238<br />
CVS Pharmacy+<br />
1020 N Main St<br />
Celina, OH 45822<br />
419-586-1340<br />
Wal-Mart Pharmacy<br />
1950 Havemann Road<br />
Celina, OH 45822<br />
419-586-6177<br />
Coldwater<br />
Shaffer Pharmacy Inc*<br />
3900 Sunforest Ct<br />
Toledo, OH 43623-4421<br />
419-473-0891<br />
5821 Central Ave West<br />
Toledo, OH 43615<br />
419-536-9259<br />
Walters Pharmacy+<br />
Schwietermans Drug Store Inc*<br />
404 W N St<br />
Coldwater, OH 45828-1507<br />
419-678-3435<br />
Target Pharmacy*<br />
5225 Monroe St<br />
Toledo, OH 43623<br />
419-843-1622<br />
766 Oak St<br />
Toledo, OH 43605-2697<br />
419-693-0606<br />
Waterville<br />
Ft Recovery<br />
Kaup Pharmacy*<br />
110 E Butler St<br />
Ft Recovery, OH 45846-0605<br />
Toledo Hosp Outpatient<br />
Pharmacy*+<br />
2142 N Cove Blvd<br />
Toledo, OH 43606-3895<br />
419-291-5418<br />
Kroger Pharmacy*<br />
8730 Waterville Swanton Rd<br />
Waterville, OH 43566-9726<br />
419-878-1040<br />
419-375-2323<br />
Ottawa County<br />
Elmore<br />
Walgreens #10611+<br />
6636 W Central Ave<br />
Toledo, OH 43617<br />
419-843-2039<br />
Rite Aid Pharmacy 02353*<br />
1330 Michigan Ave<br />
Waterville, OH 43566-1011<br />
419-878-8384<br />
Pills N Packages*<br />
350 Rice St<br />
Elmore, OH 43416<br />
419-862-2982<br />
Walgreens #5319*+<br />
Whitehouse Genoa<br />
925 Woodville Rd<br />
Toledo, OH 43605<br />
419-693-0545<br />
Walgreens #5323*+<br />
1910 S Reynolds Rd<br />
Toledo, OH 43614<br />
419-867-1865<br />
Whitehouse Apothecary*<br />
5911 Weckerly Rd<br />
Whitehouse, OH 43571-9648<br />
419-877-5712<br />
Rite Aid Pharmacy 02373*<br />
21991 W State Route 51<br />
Genoa, OH 43430-1251<br />
419-855-8363<br />
Page 90 2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan<br />
*<strong>Provider</strong>s identified with an *asterisk support electronic prescribing.<br />
+<strong>Provider</strong>s identified with a + offer extended day supplies of some medications.
Section 2 – List of Plan <strong>Provider</strong>s<br />
Pharmacies<br />
Retail cont.<br />
Paulding Tuckers Ottawa Pharmacy*<br />
1831 E Main St<br />
Ottawa County cont. Rite Aid Pharmacy 02372 Ottawa, OH 45875-1695<br />
Oak Harbor<br />
1000 N Williams St<br />
Paulding, OH 45879-1076<br />
419-523-6122<br />
IGA Community Markets<br />
Pharmacy*<br />
279 W Water St<br />
Oak Harbor, OH 43449<br />
419-399-5348<br />
Putnam County<br />
Columbus Grove<br />
Wal-Mart Pharmacy<br />
1720 N Perry St<br />
Ottawa, OH 45875<br />
419-523-9205<br />
419-898-0954<br />
Pandora<br />
Rite Aid Pharmacy 02566*<br />
306 W Water St<br />
Oak Harbor, OH 43449-1336<br />
419-898-3911<br />
Hawkeys Pharmacy<br />
114 N High St<br />
Columbus Grove, OH 45830-0126<br />
419-659-2366<br />
Continental<br />
Riley Creek Pharmacy*<br />
112 E Main St<br />
Pandora, OH 45877<br />
419-384-3303<br />
Port Clinton<br />
Sandusky County<br />
Bassetts Pharmacy<br />
3994 E Harbor Rd<br />
Port Clinton, OH 43452<br />
419-732-6300<br />
Okuleys Pharmacy<br />
102 S Main St<br />
Continental, OH 45831-9151<br />
419-596-3898<br />
Clyde<br />
Discount Drug Mart<br />
1062 W Mcpherson Highway<br />
Greens Pharmacy Inc<br />
200 Madison St<br />
Port Clinton, OH 43452<br />
419-732-3151<br />
Kroger Pharmacy*<br />
2028 E Harbor Rd<br />
Port Clinton, OH 43452<br />
419-732-6452<br />
Rite Aid Pharmacy 03179*<br />
1626 E Perry St<br />
Port Clinton, OH 43452-1332<br />
419-734-5583<br />
Glandorf<br />
Tuckers Pharmacy*<br />
105 Dr Thatye Drive<br />
Glandorf, OH 45848<br />
419-538-7120<br />
Kalida<br />
Millers Pharmacy and Gifts LLC<br />
101 S Broad St<br />
Kalida, OH 45853-9999<br />
419-532-3489<br />
Clyde, OH 43410-1002<br />
419-547-4000<br />
Rite Aid Pharmacy 03230*<br />
710 N Main St<br />
Clyde, OH 43410-1647<br />
419-547-7991<br />
Fremont<br />
CVS Pharmacy+<br />
600 E State St<br />
Fremont, OH 43420<br />
419-332-1505<br />
Wal-Mart Pharmacy<br />
2826 E Harbor Road<br />
Port Clinton, OH 43452<br />
419-732-3866<br />
Leipsic<br />
Scarbrough Pharmacy<br />
138 E Main St<br />
Leipsic, OH 45856-1051<br />
Grund Drug Company<br />
227 S Front St<br />
Fremont, OH 43420-3060<br />
419-332-5585<br />
Paulding County<br />
419-943-2561<br />
Ottawa<br />
Kmart Pharmacy3784+<br />
1825 N State Route 19<br />
Fremont, OH 43420<br />
Antwerp<br />
419-334-3900<br />
Rite Aid Pharmacy 02350*<br />
Antwerp Pharmacy* 305 W Main St Kroger Pharmacy*<br />
109 S Main St Ottawa, OH 45875-1725 1316 Oak Harbor Rd<br />
Antwerp, OH 45813-0246 419-523-6030 Fremont, OH 43420<br />
419-258-2068<br />
419-332-9187<br />
2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan Page 91<br />
*<strong>Provider</strong>s identified with an *asterisk support electronic prescribing.<br />
+<strong>Provider</strong>s identified with a + offer extended day supplies of some medications.
Pharmacies Section 2 – List of Plan <strong>Provider</strong>s<br />
Retail cont.<br />
Rite Aid Pharmacy 02320*<br />
113 N Countyline St<br />
Wal-Mart Pharmacy<br />
301 Town Center Blvd<br />
Sandusky County cont. Fostoria, OH 44830-1766 Van Wert, OH 45891<br />
Fremont cont.<br />
419-435-7716 419-238-5928<br />
Rite Aid Pharmacy 03058*<br />
Tiffin Williams County<br />
2020 W State St<br />
Fremont, OH 43420-1019<br />
419-332-2186<br />
Walgreens #12159+<br />
1900 W State St<br />
Fremont, OH 43420-1638<br />
419-355-9760<br />
Wal-Mart Pharmacy<br />
2052 State Route 53<br />
Fremont, OH 43420<br />
419-334-8410<br />
Gibsonburg<br />
CVS Pharmacy+<br />
733 W Market St<br />
Tiffin, OH 44883-2520<br />
419-455-9104<br />
Kroger Pharmacy*<br />
790 W Market St<br />
Tiffin, OH 44883<br />
419-447-8304<br />
Medicine Shoppe+<br />
465 W Perry St<br />
Tiffin, OH 44883<br />
419-447-0282<br />
Bryan<br />
CVS Pharmacy+<br />
341 W High St<br />
Bryan, OH 43506<br />
419-636-5021<br />
Ringers Drug Store<br />
125 S Main St<br />
Bryan, OH 43506-1786<br />
419-636-1355<br />
Rite Aid Pharmacy 02347<br />
1221 W High St<br />
Bryan, OH 43506-1543<br />
Gibsonburg Pharmacy*<br />
241 W Madison St<br />
Gibsonburg, OH 43431-1319<br />
419-637-7441<br />
Rite Aid Pharmacy 03191*<br />
530 W Market St<br />
Tiffin, OH 44883-2610<br />
419-443-0189<br />
419-636-6142<br />
Walgreens #10579+<br />
403 S Main St<br />
Bryan, OH 43506-2164<br />
Wal-Mart Pharmacy<br />
419-636-0613<br />
Woodville<br />
Pills N Packages*<br />
100 E Main St<br />
Woodville, OH 43469<br />
419-849-2781<br />
Seneca County<br />
2801 W State Route 18<br />
Tiffin, OH 44883<br />
419-447-9177<br />
Zellner Pharmacy*<br />
240 W Market St<br />
Tiffin, OH 44883<br />
419-447-0077<br />
Wal-Mart Pharmacy<br />
1215 S Main<br />
Bryan, OH 43506<br />
419-636-9153<br />
Montpelier<br />
Pamida Pharmacy<br />
Fostoria Van Wert County<br />
1625 E Main St<br />
Montpelier, OH 43543-0000<br />
Fostoria Community Hospital Van Wert 419-485-3570<br />
501 Van Buren St 101<br />
Fostoria, OH 44830<br />
CVS Pharmacy+ Rings Pharmacy Inc*<br />
419-435-6560<br />
703 W Ervin St 221 W Main St<br />
Van Wert, OH 45891 Montpelier, OH 43543-1099<br />
Great Scot 70 Pharmacy 419-238-2483 419-485-5115<br />
560 Plaza Dr<br />
Fostoria, OH 44830<br />
419-435-4028<br />
Kroger Pharmacy<br />
126 W High St<br />
Fostoria, OH 44830<br />
419-435-4190<br />
P and R Home IV Service+<br />
16937 Defiance Trl Rd<br />
Van Wert, OH 45891-8619<br />
419-587-3349<br />
West Unity<br />
Klinger Pharmacy<br />
102 W Jackson St<br />
West Unity, OH 43570<br />
419-924-2444<br />
Page 92 2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan<br />
*<strong>Provider</strong>s identified with an *asterisk support electronic prescribing.<br />
+<strong>Provider</strong>s identified with a + offer extended day supplies of some medications.
Section 2 – List of Plan <strong>Provider</strong>s<br />
Retail cont.<br />
Kroger Pharmacy* Sycamore<br />
Pharmacies<br />
Wood County<br />
27386 Carronade Drive<br />
Perrysburg, OH 43551 Fillmore Pharmacy*<br />
Bowling Green<br />
419-874-7014 119 S Sycamore Ave<br />
Sycamore, OH 44882-0107<br />
Jaks Public Pharmacy<br />
970 W Wooster<br />
Bowling Green, OH 43402<br />
419-352-6423<br />
Kroger Pharmacy*<br />
1094 Main St<br />
Bowling Green, OH 43402<br />
Rite Aid Pharmacy 02326*<br />
1175 Louisiana Ave<br />
Perrysburg, OH 43551-2527<br />
419-874-3587<br />
Walgreens #9409*+<br />
10003 Fremont Pike<br />
Perrysburg, OH 43551<br />
419-872-8240<br />
419-927-2691<br />
Upper Sandusky<br />
Discount Drug Mart<br />
1155 E Wyandot Ave<br />
Upper Sandusky, OH 43351-9630<br />
419-294-5900<br />
419-353-5116<br />
Koehler Drug*<br />
Wal-Mart Pharmacy 136 N Sandusky Ave<br />
Rite Aid Pharmacy 07728* 10392 Fremont Pike Upper Sandusky, OH 43351<br />
722 740 S Main St Perrysburg, OH 43551 419-294-1916<br />
Bowling Green, OH 43402-3830 419-874-0571<br />
419-354-3911<br />
Rite Aid Pharmacy 02360*<br />
Walt Churchill’s Market & 429 W Church St<br />
Walgreens #10868+ Pharmacy* Upper Sandusky, OH 43351-1038<br />
1013 N Main St 26625 N Dixie Hwy 419-294-3469<br />
Bowling Green, OH 43402-1302 Perrysburg, OH 43551<br />
419-352-1645 419-872-6904 Wal-Mart Pharmacy<br />
Wal-Mart Pharmacy<br />
131 W Gypsy Lane<br />
Bowling Green, OH 43402<br />
419-352-3396<br />
Rossford<br />
Giant Eagle Pharmacy 6535+<br />
9880 Olde US 20<br />
1855 E Wyandot Ave<br />
Upper Sandusky, OH 43351<br />
419-294-3721<br />
North Baltimore<br />
Rossford, OH 43460<br />
419-874-4684<br />
Scarbrough Pharmacy Rite Aid Pharmacy 06678<br />
127 N Main St 801 Dixie Highway<br />
North Baltimore, OH 45872 Rossford, OH 43460<br />
419-257-2221 419-666-1583<br />
Northwood Target Pharmacy*<br />
9666 Old US 20<br />
Rite Aid Pharmacy 06677 Rossford, OH 43460<br />
2674 Woodville Road 419-872-9126<br />
Northwood, OH 43619-1446<br />
419-693-1310 Wyandot County<br />
Perrysburg<br />
Drug Store Of Perrysburg*<br />
580 Craig Dr Ste 2<br />
Perrysburg, OH 43551-1772<br />
419-873-0900<br />
Carey<br />
Harrys Pharmacy<br />
101 E Findlay St<br />
Carey, OH 43316-1247<br />
419-396-7977<br />
2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan Page 93<br />
*<strong>Provider</strong>s identified with an *asterisk support electronic prescribing.<br />
+<strong>Provider</strong>s identified with a + offer extended day supplies of some medications.
Index<br />
A<br />
Andrabi, Imran A. MD.... 7<br />
Andrus, Robert F.<br />
Avram, Tiberiu S.<br />
MD .......................... 25<br />
Becker, Jennifer<br />
DDS......................... 60<br />
Abdelbaki, Zoheir DDS......................... 52 Azouz, Samer MD........ 15 Beckman, Richard<br />
MD .......................... 15<br />
Abdelhamed,<br />
Anigbogu, Joseph M.<br />
MD .......................... 39 B<br />
DDS......................... 59<br />
Beeks, David MD......... 33<br />
Abdelhamed I. MD... 22<br />
Abdul-Latif, Abrar<br />
DDS......................... 47<br />
Abdul-Latif, Abrar<br />
DDS......................... 52<br />
Accu Radiology Inc...... 69<br />
Aderman, Andrew<br />
DDS......................... 50<br />
Adil, Jahangir MD.......... 7<br />
Advanced Medical<br />
Imaging................... 69<br />
Aggarwal, Manu B.<br />
MD ............................ 5<br />
Aggarwal, Manu B.<br />
MD ............................ 6<br />
Aggarwal, Manu B.<br />
MD ............................ 7<br />
Aggarwal, Manu B.<br />
MD ............................ 8<br />
Ahmed, Adnan DDS..... 49<br />
Ahmed, Adnan DDS..... 50<br />
Ahmed, Adnan DDS..... 62<br />
Ahmed, Irfan MD ......... 75<br />
Aichholz, Lisa J. NP....... 9<br />
Al-Habaj, Firas DDS..... 47<br />
Al-Habaj, Firas DDS..... 52<br />
Alexis Industrial<br />
Medical Center........ 70<br />
Alliance Healthcare<br />
Svcs Inc .................. 69<br />
Aloi, David OD ............. 29<br />
Aloi, David OD ............. 30<br />
Aloi, David OD ............. 31<br />
Amborski, Andrew<br />
DDS......................... 47<br />
Amborski, Andrew<br />
DDS......................... 50<br />
Amborski, Andrew<br />
DDS......................... 51<br />
Amborski, Andrew<br />
DDS......................... 52<br />
Amborski, Andrew<br />
DDS......................... 61<br />
American Home<br />
Patient..................... 65<br />
Americare Health<br />
Services LLC ........... 66<br />
Amerson, Alyson<br />
DDS......................... 46<br />
Amin, Jayna DDS ........ 62<br />
Anigbogu, Nkolit MD.... 21<br />
Anike, Paul N. MD ....... 13<br />
Anike, Paul N. MD ....... 14<br />
Anike, Paul N. MD ....... 15<br />
Anouti, Ahmad A.<br />
MD .......................... 23<br />
Antwerp Pharmacy ...... 91<br />
Aona Iii, Francis MD ...... 9<br />
Aouthmany, Moustafa<br />
M. MD..................... 22<br />
Aouthmany, Moustafa<br />
M. MD..................... 23<br />
APDS Health<br />
Supplies .................. 65<br />
Apria Healthcare Inc,<br />
Apria Number Two<br />
Inc........................... 63<br />
Arabpour, Mehran<br />
MD .......................... 13<br />
Arabpour, Mehran<br />
MD .......................... 14<br />
Arabpour, Mehran<br />
MD .......................... 15<br />
Arbogast, Marion V.<br />
DDS......................... 49<br />
Arings Compound<br />
Corner Pharmacy..... 88<br />
Armstrong, Anthony<br />
MD .......................... 25<br />
Armstrong, Earl DDS ... 52<br />
Arnold Pharmacy Inc ... 90<br />
Arora, Chander MD...... 21<br />
Arquette, Nancy A.<br />
MD .......................... 26<br />
Arthur, Stephen J<br />
DDS......................... 47<br />
Asbrock-Suvag, Paige<br />
DDS......................... 59<br />
Ashworth, Jeannie L.<br />
MD .......................... 40<br />
Aspen Urgent Care ...... 70<br />
Assaly, Ragheb A.<br />
MD .......................... 39<br />
Auck, Shawn E. MD .... 18<br />
Audiology Associates... 63<br />
Auglaize County Health<br />
Department ............. 69<br />
Augustine, Donna J.<br />
CNM........................ 16<br />
Autumn Court .............. 74<br />
B & K Home Medical<br />
Services Inc. ........... 66<br />
Back, Billy MD............. 10<br />
Baig, Mirza M. MD ...... 43<br />
Bailey, Brenda DDS ..... 52<br />
Baker, Robert L. MD.... 23<br />
Balaa, Anas MD........... 22<br />
Baldauf, Frank M. MD ... 5<br />
Baldwin, Tanya R. MD ... 7<br />
Balusu, Pratap MD ...... 21<br />
Bamdad, A Pierre P.<br />
MD .......................... 15<br />
Bamdad, A. P. MD....... 13<br />
Bamdad, A. P. MD....... 14<br />
Banerjee, Sunita MD ... 11<br />
Bansal, Narendra K.<br />
MD .......................... 43<br />
Bansal, Narendra K.<br />
MD .......................... 44<br />
Barabash, Theresa M.<br />
CNP......................... 17<br />
Barnes, Kimberley<br />
OD........................... 30<br />
Barricklow, Amy M<br />
DDS......................... 47<br />
Barricklow, Amy M<br />
DDS......................... 52<br />
Barton, Fredrick J.<br />
MD .......................... 41<br />
Bass, Nancy E. MD...... 26<br />
Bassetts Pharmacy...... 91<br />
Bates, Natalie L. MD ... 17<br />
Bathini, Ramaswamy<br />
MD .......................... 14<br />
Battula, Venkat R.<br />
MD .......................... 13<br />
Battula, Venkat R.<br />
MD .......................... 14<br />
Battula, Venkat R.<br />
MD .......................... 15<br />
Bauer, Brendan W.<br />
MD .......................... 24<br />
Bauldauf, Frank M.<br />
MD ............................ 5<br />
Baxter, Stephanie<br />
OD........................... 30<br />
Bazeley, Stephen P.<br />
MD ............................ 7<br />
Beard, Julie C. MD ........ 5<br />
Beeks, David MD......... 34<br />
Beitelschees, Ted<br />
DDS......................... 52<br />
Beitler, Claude DDS..... 62<br />
Belanger, Stephen<br />
OD........................... 30<br />
Bell, D Wayne MD ......... 9<br />
Bell, Daniel DDS.......... 52<br />
Bell, Lawrence D.<br />
MD .......................... 32<br />
Bell, Ronald H. MD...... 31<br />
Benedict, Mark George<br />
DDS......................... 52<br />
Benedict, Steven MD... 24<br />
Benjamin-Swonger,<br />
Mary K. MD............. 37<br />
Benjamin-Swonger,<br />
Mary K. MD............. 38<br />
Berger, Mark OD ......... 28<br />
Bertka, Kenneth R.<br />
MD ............................ 7<br />
Bertollini, Matthew P.<br />
MD .......................... 18<br />
Best, Kimberli DDS...... 49<br />
Bhalani, Vaishali K.<br />
MD .......................... 26<br />
Bhatia, Raj K. MD........ 15<br />
Bhatti, Sabina DDS...... 52<br />
Bhavsar, Dhananjay V.<br />
MD .......................... 10<br />
Bidlack, Mark OD ........ 30<br />
Biniker, Meghan L.<br />
DDS......................... 52<br />
Bish, Beth A. CNP........ 16<br />
Biswas, Haridas MD .... 15<br />
Blad, Denise E. MD ....... 6<br />
Blais, Francis X. DO....... 5<br />
Blakely Care Center of<br />
Bowling Green......... 73<br />
Blanchard Valley<br />
Regional Health<br />
Center ..................... 71<br />
Blanchard Valley<br />
Regional Health<br />
Center Findlay ......... 71<br />
Blood, Jeffery P. DO.... 12<br />
Bloxson, Michele L.<br />
DDS......................... 52<br />
Bodkin, Kevin S. DO ...... 8<br />
Page 94 2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan
Index<br />
Boedigheimer, John Brinkman, Cynthia L. Campbell, Jennifer C. Choksey, Alap I<br />
DDS......................... 61 CNP......................... 17 MD .......................... 26 DMD........................ 53<br />
Boisette, Pascal DDS... 52 Brittain, Spenser OD.... 29 Canal Pharmacy .......... 85 Choksey, Alap I<br />
Boltz, Karyn DDS......... 52 Brittain, Spenser OD.... 30 Capone, Richard R. DMD........................ 61<br />
Booker, Nicholas Broderick, George T. MD .......................... 19 Chung, Maurice K.<br />
DDS......................... 47 MD .......................... 14 Cardiovascular MD .......................... 24<br />
Booker, Nicholas Brodie, Kyle OD ........... 31 Diagnostics Group ... 63 Chung, Maurice K.<br />
DDS......................... 50 Bronko, Robert DDS .... 53 Carey Nursing MD .......................... 25<br />
Booker, Nicholas Brookview Health Care Center ..................... 74 Ciccero, Kimberly S.<br />
DDS......................... 51 Center ..................... 73 Caring Solutions Inc. ... 66 MD .......................... 37<br />
Booker, Nicholas Brown, Desrene K. Carr, Daniel J. MD....... 18 Cifuentes, Douglas I.<br />
DDS......................... 52 MD .......................... 24 Carr, Richard DDS ....... 59 DO........................... 11<br />
Booker, Nicholas Brown, Desrene K. Carrico, Virgil MD .......... 9 Cifuentes, Douglas I.<br />
DDS......................... 61 MD .......................... 26 Carrigan, Catherine G. DO........................... 12<br />
Booker, Nicholas J. Brown, Frank MD .......... 9 MD .......................... 10 Clark, Paul MD ............ 44<br />
DDS......................... 52 Brown, Jennifer L. Cashen, Constance P. Clark, Stephen E.<br />
Bortel, Beau G. MD ..... 38 MD ............................ 9 MD .......................... 41 MD .......................... 28<br />
Bosserman, Jan Brown, Linda M. Cashen, Constance P. Clarke, John J. MD ..... 38<br />
DDS......................... 48 CNP......................... 16 MD .......................... 42 Clemens, Kenneth<br />
Bosserman, Jan Brown, Lori L. CNP...... 16 Centa, Joseph E. DDS......................... 46<br />
DDS......................... 53 Bruhl, Kimberly A. MD .......................... 42 Click, Patrick W. MD ... 18<br />
Bostelman, Rachel CNP......................... 17 Center For Medication Cline, William DDS ...... 46<br />
OD........................... 29 Brunelle, Charles W. Management ........... 87 Coates, John T. DO ..... 10<br />
Boudouris-Powers, MD .......................... 20 Central Park West Cobb, Michael W.<br />
Angela CNP ............. 17 Brunk, Gary DDS ......... 46 Rehab Center .......... 68 DDS......................... 53<br />
Boulos, Joseph DDS.... 51 Bruns, Michael DDS .... 60 Certified Orthotic & Cochran, George<br />
Boulos, Joseph DDS.... 53 Brunswick, Amy OD .... 29 Prosthetic Inc. ......... 67 DDS......................... 50<br />
Boulos, Joseph DDS.... 61 Bryant, G A. MD .......... 23 Chahal, Bhupinder Cockley, Mark MD....... 11<br />
Bowersock, Jason D. Bryant, K Lance MD .... 41 MD .......................... 75 Colavincenzo,<br />
MD .......................... 41 Bryant, Roger DDS ...... 49 Chanamolu, Raymond DDS......... 61<br />
Bowersock, Jason D. Bryant, Roger DDS ...... 53 Sreenivasa R. MD.... 39 Cole, Shirley D. CNM... 16<br />
MD .......................... 42 Buch, Hector A. MD..... 21 Chanamolu, Coleman, Gary B.<br />
Bowman, Douglas Bullard, David MD ....... 31 Sreenivasa R. MD.... 40 MD .......................... 35<br />
DDS......................... 53 Bullinger, Todd R. Chen, Wendy Y. MD .... 21 Community Health<br />
Bowman, Douglas MD .......................... 18 Cheney, Jr., Richard Professionals........... 66<br />
DDS......................... 60 Burdine, Jim MD ......... 43 OD........................... 28 Community Hospital of<br />
Boyle Jr, Emmett T. Burrow, Craig DDS ...... 48 Cherry, Rick OD........... 29 Williams County -<br />
MD .......................... 44 Burrow, Craig DDS ...... 53 Cherry, Rick OD........... 30 Montpelier............... 72<br />
Bradford, Dorothy Burton, G. Mark MD .... 22 Chief Pharmacy and Community Hospitals<br />
MD .......................... 11 Butler, Candilee MD .... 42 Wellness Center ...... 86 of Williams County -<br />
Bradley, Alan B. MD .... 24 Butler, Paul DDS.......... 62 Chinavare, Brian MD ... 27 Bryan ...................... 72<br />
Brar, Gagandeep MD... 22 Byrne, Paul A. MD....... 22 Chodisetty, Community Market<br />
Brar, Gagandeep MD... 23<br />
Braun, Theodore M. C<br />
Subrahmanyam<br />
MD .......................... 24<br />
310 Pharmacy......... 86<br />
Community Memorial<br />
MD .......................... 42<br />
Bremyer, John MD ...... 38<br />
Brenek, Judy A. CNP... 16<br />
Brent, Jessica MD ....... 37<br />
Bricker, William S.<br />
DDS......................... 60<br />
Briel, Mark A. MD........ 25<br />
Briggs, Lloyd C. MD .... 32<br />
Briggs, Lloyd C. MD .... 33<br />
Briggs, Lloyd C. MD .... 34<br />
Briggs, Lloyd C. MD .... 35<br />
Calderon, Eduardo T.<br />
MD .......................... 24<br />
Calderon, Eduardo T.<br />
MD .......................... 41<br />
Cameron, Donald I.<br />
MD .......................... 24<br />
Camino-Gaztambide,<br />
Richard F. MD ......... 23<br />
Camino-Gaztambide,<br />
Richard F. MD ......... 39<br />
Choi, William DDS ....... 47<br />
Choi, William DDS ....... 50<br />
Choi, William DDS ....... 51<br />
Choi, William DDS ....... 53<br />
Choi, William DDS ....... 61<br />
Choksey, Alap I<br />
DMD........................ 47<br />
Choksey, Alap I<br />
DMD........................ 50<br />
Choksey, Alap I<br />
DMD........................ 51<br />
Hospital................... 71<br />
Community Pharmacy<br />
Partners................... 88<br />
Comprehensive<br />
Rehabilitation Group<br />
Inc........................... 68<br />
Connelly, Daniel<br />
DDS......................... 53<br />
Consolo, Joel W. MD... 38<br />
Continued Care Inc...... 66<br />
Convoy Care Center..... 74<br />
2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan Page 95
Index<br />
Cooper, Mark DO......... 10 Damschroder, Richard Diller, Jonathan F. El Gamal, Hesham H.<br />
Cooperative Health L. MD...................... 24 MD ............................ 9 MD .......................... 40<br />
Partners................... 63 Daniels, Kettlie MD...... 75 Dimitri’s Shoe Service, Elhady, Hatem S.<br />
Copeland, Steven C. Darr, Joseph A. MD..... 18 LLC dba Red Wing MD .......................... 11<br />
MD .......................... 33 Das, Kalyan K. MD ...... 21 Shoes & Repair ....... 64 Ellerbrock, Matthew P.<br />
Copeland, Steven C. Dasari, Grace R. MD.... 36 Discount Drug Mart ..... 82 MD .......................... 18<br />
MD .......................... 35 Dasher, Kurt OD .......... 29 Discount Drug Mart ..... 84 Ellinger, Richard<br />
Corman, Scott MD....... 20 Dasher, Kurt OD .......... 30 Discount Drug Mart ..... 91 DDS......................... 62<br />
Cornerstone Davar, Kapil DDS......... 48 Discount Drug Mart ..... 93 Ellinger, Richard W.<br />
Rehabilitation, Ltd ... 67 Davidson, James J. Divine Home Health DDS......................... 32<br />
Cornerstone MD .......................... 33 Care of Ohio, LLC.... 66 Ellis, Wilfred J. MD...... 21<br />
Rehabilitation, Ltd ... 68 Davidson, James J. Dohar, Amanda DDS ... 53 Emmert Jr, Gregor K.<br />
Cornerstone MD .......................... 35 Dozier, James C. MD .......................... 43<br />
Rehabilitation, Ltd ... 70 Davis, William DDS...... 53 MD .......................... 23 Erie Drug..................... 88<br />
Cosentino, Bruno Dbouk, Tarek MD ........ 26 Dozier, Thomas C. Eriksen, David MD....... 27<br />
DDS......................... 62 DCA Of Delaware DO........................... 10 Espinoza, Nicholas G.<br />
Cox, Marcus F. MD...... 41 County..................... 63 Dr. Roberts & DO............................. 7<br />
Cragel, Micheal D. DCA of Toledo, LLC ..... 63 Associates Inc. ........ 63 Evans, Darrell K. MD ... 41<br />
MD .......................... 38 De La Serna, Manuel Drake, Jennifer A. Eye Surgery Center of<br />
Crawford County L. MD...................... 44 MD .......................... 23 Western Ohio........... 63<br />
General Health<br />
District .................... 65<br />
Debeukelaer, Martin<br />
M. MD..................... 23<br />
Drake, Laurence<br />
DDS......................... 54 F<br />
Credico, John MD........ 25<br />
Crestline Nursing Care<br />
Center ..................... 73<br />
Cridersville Nursing<br />
Home ...................... 73<br />
Croci, John M. MD ........ 7<br />
Croom, Olivia DDS....... 53<br />
Cunningham, Frank E.<br />
MD ............................ 5<br />
Curry, Robert I. MD ....... 5<br />
CVS Pharmacy............. 78<br />
CVS Pharmacy............. 79<br />
CVS Pharmacy............. 82<br />
CVS Pharmacy............. 83<br />
CVS Pharmacy............. 85<br />
CVS Pharmacy............. 86<br />
CVS Pharmacy............. 87<br />
CVS Pharmacy............. 90<br />
CVS Pharmacy............. 91<br />
CVS Pharmacy............. 92<br />
Czerniak, Lauren<br />
DDS......................... 48<br />
Czerniak, Lauren<br />
DDS......................... 53<br />
D<br />
Daboul, Nazar Y. MD... 11<br />
Daiber, Robert R. MD .... 7<br />
Dalagiannis,<br />
Athanasios T. MD.... 36<br />
Damschroder Jr,<br />
Richard L. MD ......... 17<br />
Decarvalho, Carlos<br />
MD .......................... 24<br />
Defiance Clinic<br />
Pharmacy ................ 86<br />
Defiance County<br />
General Health<br />
District .................... 65<br />
Defiance Hearing Aid<br />
Center, Inc .............. 63<br />
Defiance Rehab<br />
Services .................. 68<br />
Defrance, David T.<br />
MD ............................ 9<br />
Degere, Michael W.<br />
MD .......................... 38<br />
Delphos Discount<br />
Drugs ...................... 78<br />
Delphos Discount<br />
Drugs ...................... 85<br />
Delta Physical<br />
Therapy................... 68<br />
Demaria, James<br />
DDS......................... 53<br />
Demos, Heather OD..... 30<br />
Derick, Robert J. MD... 27<br />
Desai, Ajitkumar MD ... 44<br />
Deshmukh, Murlidhar<br />
R. MD...................... 11<br />
Desilvio, Mark MD....... 39<br />
Deucher, Robert F.<br />
DDS......................... 53<br />
Dewey, Courtney OD ... 30<br />
Drake, Laurence<br />
DDS......................... 60<br />
Drake, Ryan S. MD...... 23<br />
Drug Store Of<br />
Perrysburg............... 93<br />
Drummond, Brenda L.<br />
NP ............................. 9<br />
Dudenhoefer, Eric J.<br />
MD .......................... 28<br />
Dumas, Nickalis J.<br />
MD .......................... 18<br />
Dunne, Cindy A. MD.... 18<br />
Duraline Medical<br />
Products, Inc. .......... 64<br />
Durham, Samuel MD... 15<br />
Durham, Samuel MD... 43<br />
Duvendack, David<br />
OD........................... 29<br />
Duvendack, David<br />
OD........................... 30<br />
Dycman, Robert<br />
DDS......................... 54<br />
Dysinger, Nancy<br />
DDS......................... 49<br />
E<br />
Eastway, Robert J.<br />
MD .......................... 15<br />
Eaton, Jeanine DDS..... 48<br />
Eaton, Jeanine DDS..... 54<br />
Ebert, Lisa A. CNP....... 17<br />
Edgar, Philip A. MD ....... 9<br />
Fabrizio, Dominic A.<br />
MD .......................... 18<br />
Fairchild, Darlene S.<br />
MD ............................ 8<br />
Fairview Skilled<br />
Nursing and<br />
Rehabilitation<br />
Center ..................... 73<br />
Farooq, Shabana MD..... 7<br />
Farooq, Shabana MD..... 8<br />
Fayad, Ramy A. MD..... 23<br />
Fazio, Corey R. MD...... 26<br />
Feinauer, Ken OD ........ 29<br />
Feinauer, Ken OD ........ 30<br />
Felix, Charles G. MD...... 6<br />
Felton, John C. DDS .... 61<br />
Fernandes, Karl MD..... 39<br />
Fernandes, Karl MD..... 40<br />
Ferrini, Victor F. MD .... 41<br />
Fifer, Ruby DDS........... 48<br />
Fifer, Ruby DDS........... 54<br />
Fillmore Pharmacy....... 93<br />
Fintel, Bonnie S.<br />
CNM........................ 16<br />
Fishbaugh, Jr, Michael<br />
OD........................... 28<br />
Fisher, Eric B. MD ....... 21<br />
Fleagle, Jeffrey DDS.... 47<br />
Flenner, Tim J. MD...... 36<br />
Fletcher, Richard<br />
DDS......................... 61<br />
Page 96 2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan
Index<br />
Flower Hospital Gaynier, Chrstine R. Grewal, Rimple DDS.... 54 Hasan, Irshad I. MD....... 7<br />
Outpatient Phcy....... 88 MD ............................ 5 Grieser, Richard MD ...... 6 Hasan, Irshad I. MD..... 10<br />
Fofung, Sema MD ....... 25 Gbur, Carolyn MD........ 14 Griffin, Beau J. MD...... 18 Hasan, Samina MD........ 8<br />
Ford, Frances J. Gbur, Charles J. MD.... 14 Grund Drug Haselhuhn, Gregory<br />
CNP......................... 17 Geisler, Catherine Company................. 91 MD .......................... 43<br />
Forgac, Gregory PHD... 75 DDS......................... 47 Guernsey, Thomas Hashemi, Amir A.<br />
Foster, Shad A. MD ..... 18 Geisler, Catherine DDS......................... 60 MD .......................... 31<br />
Fostoria Community DDS......................... 50 Guibord, Roberta J. Hashemi, Amir A.<br />
Hospital................... 92 Geisler, Catherine DO............................. 7 MD .......................... 32<br />
Fotouhi, Farzin MD ...... 15 DDS......................... 51 Guibord, Roberta J. Hashemi, Amir DDS..... 47<br />
Fotouhi, Farzin MD ...... 43 Geisler, Catherine DO............................. 8 Hashemi, Amir DDS..... 50<br />
Foulk, David W. MD..... 25 DDS......................... 54 Guibord, Roberta J. Hashemi, Amir DDS..... 51<br />
Foulk, David W. MD..... 26 Geisler, Catherine DO........................... 10 Hashemi, Amir DDS..... 55<br />
Foundation Park Care DDS......................... 61 Gunda, Rajeswari Hashmi, Fayyaz H.<br />
Center ..................... 73 Genoa Healthcare ........ 84 MD .......................... 21 MD .......................... 43<br />
Fout, Larry MD .............. 5 Genoa Healthcare ........ 88 Gupta, Kul MD............. 75 Hashmi, Fayyaz H.<br />
Fox, Dwight DMD ........ 54 Gensolin, Dexter MD...... 7 Gupta, Usha MD .......... 22 MD .......................... 44<br />
Fraser, Jane K. CNP .... 17<br />
Frederick, Scott A.<br />
George, Susan DDS..... 48<br />
George, Susan DDS..... 54 H<br />
Hashmi, Raza MD........ 14<br />
Hashmi, Raza MD........ 15<br />
MD .......................... 11<br />
Frey, Loreen DDS ........ 61<br />
Fritz, Kevin MD............ 43<br />
Frogameni, Deborah<br />
Lee DDS.................. 54<br />
Froning, Geoffrey<br />
DDS......................... 59<br />
Fulks, David DDS ........ 46<br />
Fulton County Health<br />
Center ..................... 71<br />
Fulton, Debra DDS....... 54<br />
Fumich, Frank E.<br />
MD .......................... 32<br />
Fumich, Frank E.<br />
MD .......................... 33<br />
Fumich, Frank E.<br />
MD .......................... 34<br />
Fuqua, Charles DDS .... 49<br />
Fuqua, Charles DDS .... 50<br />
Fuqua, Charles DDS .... 62<br />
Furlong, Dennis G. DO... 9<br />
G<br />
Gad, Mohammad A.<br />
MD .......................... 11<br />
Galani, Jayantilal D.<br />
MD .......................... 11<br />
Galion City Health<br />
Department ............. 65<br />
Galvan, Juan DDS ....... 54<br />
Ganesan, Mahamuni<br />
MD .......................... 12<br />
Gant, Pamela DDS....... 54<br />
Gaspar, Allen L. MD .... 11<br />
Gaston, Paul DDS ........ 59<br />
Gerity, Thomas DDS .... 46<br />
Giant Eagle Pharmacy<br />
6535 ....................... 83<br />
Giant Eagle Pharmacy<br />
6535 ....................... 93<br />
Giant Eagle Pharmacy<br />
6536 ....................... 80<br />
Giant Eagle Pharmacy<br />
6536 ....................... 88<br />
Gibsonburg<br />
Pharmacy ................ 92<br />
Gill, Kimberly DDS....... 54<br />
Gill, Robert MD.............. 5<br />
Gill, Satwant MD ......... 75<br />
Gillies, Douglas OD...... 29<br />
Gillies, Douglas OD...... 30<br />
Glamm, Gregg DDS ..... 62<br />
Good, Maryellen D.<br />
CNP......................... 16<br />
Gooden, Kellee R.<br />
CNP......................... 16<br />
Gormley, Anne DDS..... 54<br />
Gould, Robert E. MD.... 36<br />
Goyal, Vijay K. MD....... 21<br />
Great Scot 70<br />
Pharmacy ................ 92<br />
Green’s Pharmacy ....... 64<br />
Green, Kristina E.<br />
MD .......................... 39<br />
Greenbaum, Mitchell<br />
G. MD...................... 25<br />
Greens Pharmacy<br />
Inc........................... 91<br />
Grego, Gary MD............. 7<br />
Greve, Diana L. CNP.... 16<br />
Grewal, Rimple DDS.... 48<br />
Hafeez, Nazima S. MD .. 7<br />
Hafeez, Nazima S.<br />
MD ............................ 8<br />
Hagerman, Kimberly L.<br />
MD ............................ 9<br />
Haggerty, James<br />
DDS......................... 54<br />
Halters Jr., Larry A.<br />
MD .......................... 18<br />
Halters Jr., Larry A.<br />
MD .......................... 19<br />
Haman, Steven P.<br />
MD .......................... 32<br />
Haman, Steven P.<br />
MD .......................... 33<br />
Haman, Steven P.<br />
MD .......................... 34<br />
Hamann, Robert<br />
DDS......................... 54<br />
Hamilton, Ernest<br />
DDS......................... 59<br />
Hancock County<br />
Health Department .. 65<br />
Hanna, John T. MD ....... 5<br />
Hardin Memorial<br />
Hospital................... 71<br />
Harding Pointe............. 73<br />
Harrison, Kurt D. MD ... 26<br />
Harrys Pharmacy......... 93<br />
Harshfield, Melinda S.<br />
CNP......................... 16<br />
Hart, Gregory DDS....... 48<br />
Hart, Gregory DDS....... 60<br />
Hartnett, Daniel DDS ... 48<br />
Hartnett, Daniel DDS ... 55<br />
Havens, Philip E. MD... 33<br />
Havens, Philip E. MD... 35<br />
Hawkeys Pharmacy ..... 91<br />
Haynes, Heather A.<br />
MD ............................ 9<br />
Health Care Solutions<br />
at Home, Inc ........... 64<br />
Healtherapy Partners<br />
Inc........................... 68<br />
Heartland Healthcare<br />
Services .................. 80<br />
Heartland Healthcare<br />
Services .................. 84<br />
Heartland Rehab<br />
Services .................. 68<br />
Heartland Rehab<br />
Services .................. 69<br />
Heater, Bruce S.<br />
DDS......................... 48<br />
Heatherdowns<br />
Rehabilitation and<br />
Residential .............. 73<br />
Hecht, Brian MD.......... 33<br />
Hecht, Brian MD.......... 35<br />
Heck, Bruce E. MD...... 35<br />
Hedges, Wesley W.<br />
MD .......................... 26<br />
Heintzelman, Emily<br />
DDS......................... 49<br />
Heizelman, Robert J.<br />
MD ............................ 7<br />
Heizelman, Robert J.<br />
MD .......................... 10<br />
Henry County<br />
Hospital................... 71<br />
Hensen, Eric L. MD ..... 35<br />
2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan Page 97
Index<br />
Heritage Health Care Hostetter, Robin E. Jennings, Richard F. Karatsordis, Stavros<br />
Services .................. 66 MD .......................... 39 MD .......................... 37 DO........................... 11<br />
Herkimer, Carl P. House, Charles P. DO.... 9 Jennings, Richard F. Karcher, Darrin OD ...... 30<br />
MD .......................... 34 Houston, Thomas M. MD .......................... 38 Kastner, Michael<br />
Herman, Parmie A. MD .......................... 34 Jhamb, Sunita DMD .... 55 DDS......................... 48<br />
MD ............................ 5 Hoyng, Robert DDS...... 60 Jitan, Raed A. MD ....... 13 Kastner, Michael<br />
Herring, Daniel A. DO .... 9 Hubbell, Susan L. Jitan, Raed A. MD ....... 15 DDS......................... 55<br />
Herrington, Sandra J. MD .......................... 36 Johnson, Duane P. Kato, Julius A. MD ...... 13<br />
MD .......................... 40 Hudson, Wayne R. DO............................. 6 Katragadda, Srinivas<br />
Hicks, Carol J. MD ........ 6 MD .......................... 41 Johnson, Larry W. MD .......................... 40<br />
Hicks, Gregory OD....... 30 Hughes, Drake E. MD ............................ 8 Kauffman, Amy E.<br />
Hicksville Pharmacy & MD .......................... 19 Johnson, Peter MD...... 26 CNP......................... 17<br />
Home Medical ......... 64 Hughes, William MD.... 31 Johnsonbaugh, Monica Kaufman, Susan M.<br />
Hicksville Pharmacy<br />
and Home Medical .. 86 I<br />
OD........................... 29<br />
Johnsonbaugh, Monica<br />
DO............................. 5<br />
Kaup Pharmacy ........... 64<br />
Hiestand, John J. MD.... 9<br />
Hill, Nathan A. MD....... 36<br />
Hill, Robert OD ............ 31<br />
Hixenbaugh, Todd J.<br />
MD .......................... 41<br />
Hixenbaugh, Todd J.<br />
MD .......................... 42<br />
Hnatiuk, Mark MD ....... 35<br />
Ho-A-Lim, Fred G.<br />
MD .......................... 11<br />
Hoeflinger, Michael J.<br />
MD .......................... 34<br />
Hoelzle, Mark R. MD ..... 9<br />
Hoffner, Austin DDS .... 48<br />
Hoffner, Austin DDS .... 55<br />
Hogan, William E.<br />
MD .......................... 35<br />
Holdship, Matthew K.<br />
MD .......................... 31<br />
Holdship, Matthew K.<br />
MD .......................... 32<br />
Holgate Care Center .... 73<br />
Holiday Park Physical<br />
Rehabilitation .......... 68<br />
Holiday Park Physical<br />
Rehabilitation .......... 69<br />
Holleran, Neal E. MD ... 11<br />
Holman, Amy DDS....... 55<br />
Holman, Terry L. MD ... 18<br />
Horman, Deron L. MD ... 5<br />
Horrigan, Elizabeth A.<br />
MD ............................ 9<br />
Horrigan, Terrence J.<br />
MD .......................... 25<br />
Horvath, William L.<br />
MD .......................... 21<br />
Hosey, Daniel J. MD.... 18<br />
Hostetter, Robin E.<br />
MD .......................... 23<br />
Iboaya, Iyabo A. MD ...... 6<br />
Iboaya, Iyabo A. MD .... 19<br />
ICP Inc......................... 84<br />
IGA Community<br />
Markets Pharmacy .. 91<br />
Imaging Center............ 69<br />
Imam, Syed A. MD ...... 21<br />
Imler, David L. MD ...... 23<br />
Indurti, Sreekanth<br />
MD .......................... 75<br />
Ingalls, Connie S. MD.... 5<br />
Institute for<br />
Orthopaedic<br />
Surgery ................... 71<br />
Issa, Ramon A. MD........ 6<br />
Issa, Ramon A. MD........ 9<br />
J<br />
Jabaly, Georges T.<br />
MD ............................ 6<br />
Jabaly, Georges T.<br />
MD ............................ 8<br />
Jackson, David MD ..... 25<br />
Jacob, Hany J. MD...... 39<br />
Jacob, Hany J. MD...... 40<br />
Jacobs, Cheryl A.<br />
CNP......................... 17<br />
Jacobs, Edward C.<br />
MD .......................... 43<br />
Jaks Public<br />
Pharmacy ................ 93<br />
Jamal, Raheel MD....... 39<br />
Jamal, Raheel MD....... 40<br />
James Pharmacy Inc ... 88<br />
Jean-Pierre, Claudel D.<br />
MD .......................... 22<br />
Jeffers, Cheryl L. NP ... 10<br />
Jennings, Mylo<br />
LICSW ..................... 75<br />
OD........................... 30<br />
Jones, Angela MD ....... 25<br />
Jones, Christopher<br />
DDS......................... 48<br />
Jones, Christopher<br />
DDS......................... 55<br />
Jones, David E. MD..... 38<br />
Jordan, Miguel A.<br />
MD .......................... 25<br />
Jose, Mathew M. MD .... 5<br />
Joseph, Jolene LISW ... 75<br />
Journay, Rick DDS ...... 60<br />
Justus, Kathy J. CNP... 17<br />
K<br />
Kadiyala, Sai L. DDS ... 55<br />
Kaftan, George R.<br />
DO........................... 19<br />
Kagy, David DDS......... 60<br />
Kahler Pharmacy ......... 88<br />
Kahn, James L. MD..... 24<br />
Kahn, James L. MD..... 25<br />
Kail, Janet R. MD ........ 37<br />
Kail, Janet R. MD ........ 38<br />
Kaiser, Heather S.<br />
MD .......................... 40<br />
Kaiser, Heather S.<br />
MD .......................... 41<br />
Kakarla, Rajendra<br />
MD .......................... 13<br />
Kale, Lawrence A.<br />
MD .......................... 36<br />
Kamp, Kenton MD ......... 6<br />
Kanaan, Tarif A. MD .... 14<br />
Kanama, Enas MD....... 19<br />
Kaplansky, Bryan<br />
MD .......................... 36<br />
Karasik, Gregory MD ... 26<br />
Kaup Pharmacy ........... 90<br />
Kazmi, Alamdar MD..... 75<br />
Keighley, Robert D.<br />
MD .......................... 41<br />
Keller, Brenda S.<br />
CNP......................... 16<br />
Keller, Brenda S.<br />
CNP......................... 17<br />
Kelly, Victoria MD ........ 75<br />
Kemmler, James E.<br />
MD .......................... 34<br />
Kenney, Garrett D.<br />
DDS......................... 55<br />
Kenton Hardin Health<br />
Department ............. 65<br />
Kenton Nursing and<br />
Rehabilitation<br />
Center ..................... 73<br />
Kern Medical Inc dba<br />
Dasco Home<br />
Medical Equipment.. 66<br />
Kestranek, John<br />
DDS......................... 55<br />
Khalil, Abbas M. MD.... 20<br />
Khan, Tufal MD............ 75<br />
Kidney Services of<br />
West Central Ohio ... 63<br />
Kim, Seung DDS.......... 55<br />
Kin Zaciewski,<br />
Samantha R. DDS ... 55<br />
Kindig, Marilyn J.<br />
MD .......................... 24<br />
Kirk, Daniel W. MD...... 37<br />
Kirk, Daniel W. MD...... 38<br />
Kirschner, Eric S.<br />
MD .......................... 22<br />
Kirschner, Eric S.<br />
MD .......................... 40<br />
Kirschner, Eric S.<br />
MD .......................... 43<br />
Page 98 2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan
Index<br />
Klass Apothecary dba Koehler Drug ............... 93 Kuhns, J R. MD ........... 13 Liberty Nursing Center<br />
Tuckers Pharmacy... 64 Kooistra, Michael MD .... 6 Kuhns, J R. MD ........... 15 of Fremont .............. 74<br />
Klass, Mandy A. MD...... 8 Kopylowicz, Janina Kuk, Lawerence J. Liberty Nursing Center<br />
Klassen, Alexis DDS .... 47 DDS......................... 59 DO............................. 6 of Toledo ................. 73<br />
Klassen, Alexis DDS .... 50 Korman, Sheldon Kumpf Ii, Aurthur L. Liberty West Nursing<br />
Klassen, Alexis DDS .... 51 DDS......................... 55 MD .......................... 36 Center of Toledo...... 73<br />
Klassen, Alexis DDS .... 55 Kose, Robert MD ......... 39 Kupper, Thomas E. Lieberman, Richard M.<br />
Klassen, Alexis DDS .... 61 Kose, Robert MD ......... 40 MD .......................... 14 DDS......................... 62<br />
Klein, Peter F. MD ....... 42<br />
Kline Snyder, Nancy<br />
Kosinski, Daniel MD .... 14<br />
Kostrzewski, Maria L<br />
Lima Brace and Limb<br />
Inc........................... 67<br />
DMD........................ 60<br />
Kline-Snyder, Nancy<br />
DDS......................... 60<br />
Klinger Pharmacy ........ 92<br />
Kmart<br />
Pharmacy3302 ........ 80<br />
Kmart<br />
Pharmacy3302 ........ 88<br />
Kmart<br />
Pharmacy3557 ........ 78<br />
Kmart<br />
Pharmacy3557 ........ 86<br />
Kmart<br />
Pharmacy3784 ........ 82<br />
Kmart<br />
Pharmacy3784 ........ 91<br />
Kmart<br />
Pharmacy4168 ........ 80<br />
Kmart<br />
Pharmacy4168 ........ 88<br />
Kmart<br />
Pharmacy4209 ........ 80<br />
Kmart<br />
Pharmacy4209 ........ 88<br />
Kmart<br />
Pharmacy4276 ........ 80<br />
Kmart<br />
Pharmacy4276 ........ 88<br />
Kmart<br />
Pharmacy7532 ........ 78<br />
Kmart<br />
Pharmacy7532 ........ 85<br />
Kmart<br />
Pharmacy7736 ........ 79<br />
Kmart<br />
Pharmacy7736 ........ 87<br />
Knapke, Gene OD........ 29<br />
Knerr, Joel D. MD.......... 9<br />
Knierim, Gerald R<br />
DDS......................... 55<br />
Knippen, Laurie A.<br />
CNP......................... 16<br />
Knippen, Laurie A.<br />
CNP......................... 17<br />
MD .......................... 75<br />
Kott, Raymond S.<br />
MD .......................... 18<br />
Kottapalli, Venkata S.<br />
MD .......................... 19<br />
Kottapalli, Venkata S.<br />
MD .......................... 20<br />
Kretzer, Christy L.<br />
CNP......................... 16<br />
Kroger Pharmacy......... 83<br />
Kroger Pharmacy......... 92<br />
Kroger Pharmacy......... 78<br />
Kroger Pharmacy......... 79<br />
Kroger Pharmacy......... 80<br />
Kroger Pharmacy......... 81<br />
Kroger Pharmacy......... 82<br />
Kroger Pharmacy......... 83<br />
Kroger Pharmacy......... 86<br />
Kroger Pharmacy......... 87<br />
Kroger Pharmacy......... 88<br />
Kroger Pharmacy......... 89<br />
Kroger Pharmacy......... 90<br />
Kroger Pharmacy......... 91<br />
Kroger Pharmacy......... 92<br />
Kroger Pharmacy......... 93<br />
Kroger Phramacy......... 79<br />
Kroger Phramacy......... 86<br />
Krouse, Michael D.<br />
MD .......................... 19<br />
Kruse, Frederick<br />
DDS......................... 48<br />
Kruse, Frederick<br />
DDS......................... 55<br />
Kuchipudi, Sarat B.<br />
MD .......................... 24<br />
Kuchipudi, Sarat B.<br />
MD .......................... 25<br />
Kuchipudi, Vijaya L.<br />
MD ............................ 5<br />
Kuebeck, Edelbert J.<br />
MD ............................ 9<br />
Kuehner, Aric A.<br />
DDS......................... 55<br />
Kuhlman, Kurt A.<br />
Lagrange Sav-Mor<br />
Drugs ...................... 64<br />
Lagrange Savmor<br />
Drugs ...................... 81<br />
Lagrange Savmor<br />
Drugs ...................... 84<br />
Lagrange Savmor<br />
Drugs ...................... 89<br />
Lai, Mei Chiew MD...... 36<br />
Lake, Norma J. CNP.... 17<br />
Lakshmipathy,<br />
Narendranath MD.... 36<br />
Lalor, Peter F. MD ....... 43<br />
Lamp, Abby A. CNM.... 16<br />
Lane, Kevin M. DDS .... 55<br />
Lantzy, Steven DDS..... 47<br />
Lantzy, Steven DDS..... 50<br />
Lantzy, Steven DDS..... 51<br />
Lantzy, Steven DDS..... 56<br />
Lantzy, Steven DDS..... 61<br />
Larger, Karla OD.......... 29<br />
Larue, Jason DDS ....... 56<br />
Laub, Dennis OD ......... 30<br />
Lautzenheiser, Thomas<br />
E. MD...................... 20<br />
Leahy, William J. MD .... 5<br />
Lechlak, Jerome<br />
DDS......................... 48<br />
Lechlak, Jerome<br />
DDS......................... 56<br />
Lee, Andrew J. MD ..... 10<br />
Lee, Hungchih MD....... 35<br />
Lee, Richard J. MD ..... 31<br />
Lee, Sharon K. CNP..... 16<br />
Leggat, Ian T. MD ....... 26<br />
Leifer, Mark H. MD...... 19<br />
Leifer, Mark H. MD...... 20<br />
Lempert, Kenneth<br />
MD .......................... 23<br />
Lenghel, Carmen<br />
DDS......................... 56<br />
Lenhart, Peter MD ....... 11<br />
Lewis, Kathryn DDS .... 48<br />
Lima Memorial<br />
Hospital................... 71<br />
Limbird, Robert OD...... 29<br />
Lin, Daniel MD ............ 27<br />
Lin, David MD ............. 32<br />
Linares, Claudio MD .... 25<br />
Lincare Inc .................. 63<br />
Lincare Inc .................. 64<br />
Lindo, Daphne LISW.... 75<br />
Little, Eugene R. MD ... 37<br />
Little, Eugene R. MD ... 38<br />
Lofquist, Christopher<br />
A. MD...................... 18<br />
Lombardo, Angel<br />
LISW........................ 75<br />
Losey, Thomas MD........ 7<br />
Lucchese, Christopher<br />
F. MD...................... 41<br />
Lucente, Shannon R.<br />
MD .......................... 26<br />
Luke Prosthetic &<br />
Orthotic Lab ............ 67<br />
Lutz, Travis DDS.......... 59<br />
Lynn, Jeffrey A. MD..... 37<br />
Lyons, Paul DDS.......... 46<br />
M<br />
MacDonald, Leland<br />
DDS......................... 48<br />
MacDonald, Leland<br />
DDS......................... 56<br />
Machanda, Sean D.<br />
MD ............................ 9<br />
Mack, Michael DMD.... 56<br />
Magee, Ronald R.<br />
MD .......................... 44<br />
Magee, Ronald R.<br />
MD .......................... 45<br />
Mahaffey, Donna OD ... 30<br />
Mahajan, Vijay K.<br />
MD .......................... 40<br />
Mahmood, Khalid<br />
MD .......................... 24<br />
Knotts, Frank MD ........ 42 MD .......................... 36<br />
2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan Page 99
Index<br />
Maley, Matthew McDonel, Karla J. Milcrest Nursing Mousa, Emad Y. MD.... 26<br />
DDS......................... 50 NP ........................... 12 Center ..................... 74 Mowery, Sarah DDS.... 60<br />
Maley, Matthew McEwan, Jack MD ...... 31 Mill Creek Nursing and Mrozinski, Jodi DDS .... 56<br />
DDS......................... 56 McGee, Scott W. MD... 22 Rehabilitation .......... 73 Mubashir, Eisha MD .... 41<br />
Mani, Adarsh DDS ....... 61 McLaughlin, Larry Miller, Brian K. MD........ 7 Mucci, Francisco<br />
Mantel Home Health DDS......................... 51 Miller, Dennis OD ........ 30 DDS......................... 47<br />
Center Inc. .............. 65 McMaster, Anna M. Miller, Eric C. MD........ 37 Mucci, Francisco<br />
Marion General MD ............................ 7 Miller, Eric C. MD........ 38 DDS......................... 50<br />
Hospital................... 71 McMath, Jeffrey A. Miller, Gary DDS.......... 46 Mucci, Francisco<br />
Marion Pointe .............. 74 MD .......................... 33 Miller, Laverne L. MD.... 6 DDS......................... 51<br />
Markwood, Richard B. McMath, Jeffrey A. Miller, Ronald C. MD ... 12 Mucci, Francisco<br />
MD .......................... 26 MD .......................... 34 Millers Pharmacy and DDS......................... 57<br />
Markwood, Richard B. McNamara, Bonnie L. Gifts LLC ................. 91 Mucci, Francisco<br />
MD .......................... 27 MD ............................ 5 Mills, Stephen D. DO... 11 DDS......................... 61<br />
Marra, Joseph OD ....... 30 McNamara, Mary Mishr, Suman K. MD... 19 Mueller, Corie R.<br />
Marsh, Scott E. MD ..... 37 MD .......................... 21 Misson, Joseph R. CNP......................... 16<br />
Marshall, Lora R. DO..... 6 McPhail, Jeffrey T. MD .......................... 32 Mueller, Mark T. MD ..... 5<br />
Martin, Jay W. MD ...... 19 CNP......................... 16 Misson, Joseph R. Muha, Michael J.<br />
Martin, William MD...... 27 McVeigh, Adam DDS ... 59 MD .......................... 33 MD .......................... 32<br />
Martin, William MD...... 28 Medi-Lab Inc. .............. 67 Misson, Joseph R. Muha, Michael J.<br />
Martinez, Bernardo D. Medicine Shoppe......... 92 MD .......................... 34 MD .......................... 33<br />
MD .......................... 44 Medina, Rhonda J. Misson, Joseph R. Muha, Michael J.<br />
Martz, Michael D. DO .... 5 MD .......................... 24 MD .......................... 35 MD .......................... 34<br />
Mason, Emily R. Mehelas, Thomas J. Mitchell Medical Muha, Michael J.<br />
CNP......................... 17 MD .......................... 27 Equipment Inc ......... 64 MD .......................... 35<br />
Masood, Naghmana Mehelas, Thomas J. Mitchem Walter, Muler, Jeffrey MD ....... 21<br />
MD ............................ 9 MD .......................... 28 Christina M. MD ...... 11 Mullendore, Andrew<br />
Mattin, Stephen DDS... 48 Mehta, Manisha MD .... 37 Mitsos, Angelo MD ...... 37 MD .......................... 31<br />
Mattin, Stephen DDS... 56 Mehta, Manisha MD .... 38 Mobility Rehab Mumaw, Valerie A.<br />
Mattison, Timothy J. Meluch, Ralph DDS ..... 49 Specialists Inc ......... 68 NP ............................. 5<br />
MD .......................... 11 Meluch, Ralph DDS ..... 56 Moeller, James DDS.... 56 Murtagh, Daniel S.<br />
Mauric, John M. DO ...... 9 Melvin, Staci V. NP........ 5 Mohr, Jacob DDS ........ 46 MD .......................... 43<br />
Mauric, Kelli K. CNP .... 17 Meme, Philip DDS ....... 49 Monroe Pharmacy Murtagh, Daniel S.<br />
Maxim Health Care Memorial Hospital ....... 71 Inc........................... 89 MD .......................... 44<br />
Services .................. 66 Mercer County Health Monroe, Melvin MD....... 5 Murtiff, Harry E. DO....... 6<br />
McCabe, Patrick Department ............. 65 Monroe, Todd L. MD.... 13 Murtiff, Harry E. DO..... 10<br />
DDS......................... 56 Mercy Hospital Of Moodley, Jay MD ........ 26 Musgrave, Joan DDS... 62<br />
McCabe, Patrick Defiance LLC........... 71 Moore, Janet L. CNP ... 17 Music, Ronald E. MD..... 6<br />
DDS......................... 61 Mercy Hospital of Moore, Michael Mutchler, Bruce A<br />
McCashen, Kyle OD..... 31 Tiffin........................ 72 DMD........................ 62 DDS......................... 48<br />
McClarren, Rebecca L. Mercy St Vincent Moore, Robert W. Myers, Mary A. MD ..... 36<br />
MD ............................ 6 Children’s Hospital .. 71 MD .......................... 33 Myers, Mary Ann<br />
McClarren, Rebecca L. Meyer, Jennifer DDS ... 56 Moore, Robert W. MD .......................... 36<br />
MD ............................ 8 Michaels, Matthew MD .......................... 35<br />
McCormick, Randall P. MD .......................... 36 Morek, Aubrey DDS..... 56 N<br />
MD .......................... 11 Michalak, Rachael Morelli Greenbaum, Naderer, Marc A. MD .... 9<br />
McDonald, Mark G. DDS......................... 48 Marie M. MD........... 25 Nadler, Sergio DMD..... 57<br />
MD .......................... 32 Michalak, Rachael Morning View Pointe.... 74 Nagy, Attila DDS.......... 47<br />
McDonald, Mark G. DDS......................... 56 Morris, Heidi A. DO........ 9 Nagy, Michelle DDS..... 47<br />
MD .......................... 33 Michelakis, Joseph Morris, Susan MD ......... 5 Namay, Robert DDS .... 47<br />
McDonald, Mark G. DDS......................... 48 Morrison, Lorene M. Namay, Robert DDS .... 51<br />
MD .......................... 34 Mid American Imaging MD .......................... 18 Namay, Robert DDS .... 57<br />
McDonald, Mark G. Inc........................... 69 Moser, Norman O. National Rehab Inc ...... 65<br />
MD .......................... 35 Mikesell, Philip DDS .... 46 MD .......................... 23<br />
Mosley, Monica DDS ... 56<br />
Page 100 2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan
Index<br />
Navarre, Robert J. Novakovic, Rachel L. Omnicare Pharmacy Of Park, Kyle K. MD ......... 10<br />
MD .......................... 43 MD .......................... 42 Northwest Ohio ....... 84 Parodi, Jose E. MD...... 42<br />
Navarre, Robert J.<br />
MD .......................... 44 O<br />
Orbit Medical Inc......... 64<br />
Orchard Villa................ 73<br />
Parranto, Greg B. MD .... 5<br />
Parranto, Gregory B.<br />
Nazemi, Bettina I.<br />
MD .......................... 41<br />
Nazemi, Bettina I.<br />
MD .......................... 42<br />
Negrich, Ronald J.<br />
MD .......................... 13<br />
Nehls, Maryann DDS ... 57<br />
Neidich, Robert L.<br />
MD .......................... 19<br />
Neidich, Robert L.<br />
MD .......................... 20<br />
Nelson, Lois A. MD...... 13<br />
Neville, Robert G.<br />
MD .......................... 28<br />
Ngo, Taiwo DDS .......... 57<br />
Niaz, Reema DDS........ 48<br />
Niaz, Reema DDS........ 57<br />
Nicholson, Craig A.<br />
MD .......................... 43<br />
Nielsen-Haak, Laurie<br />
A. MD...................... 37<br />
Nielsen-Haak, Laurie<br />
A. MD...................... 38<br />
Nieman, James M.<br />
MD .......................... 32<br />
Nieman, James M.<br />
MD .......................... 34<br />
Niemeyer, Alison G.<br />
MD .......................... 37<br />
Niesen, Jennifer F.<br />
MD .......................... 24<br />
Noftz Ii, Jeffrey B. MD... 9<br />
Northwest Ohio<br />
Hearing Clinic.......... 63<br />
Northwest Ohio<br />
Orthopedics &<br />
Sports Medicine<br />
Inc........................... 67<br />
Northwest Ohio<br />
Orthopedics &<br />
Sports Medicine<br />
Inc........................... 68<br />
Northwest Ohio Urgent<br />
Care ........................ 70<br />
Northwest Physical<br />
Therapy Inc. ............ 68<br />
Northwest Physical<br />
Therapy Inc. ............ 69<br />
Norwalk, Keith DDS..... 60<br />
Noureldin, Suhila A.<br />
MD .......................... 26<br />
O’Donnell, Philip MD ... 27<br />
O’Neil-Johnson, Julia<br />
DDS......................... 49<br />
O’Neil-Johnson, Julia<br />
DDS......................... 57<br />
O’Neill, Brian DDS ....... 57<br />
O’Neill, Brian DDS ....... 61<br />
O’Neill, James A.<br />
MD .......................... 32<br />
O’Neill, James A.<br />
MD .......................... 33<br />
O’Neill, James A.<br />
MD .......................... 34<br />
O’Neill, Jamie DDS...... 50<br />
Oak Grove Center ........ 73<br />
Oaks, Jay F. MD.......... 44<br />
Obayuwana, Alphonsus<br />
O. MD...................... 25<br />
Odeh, Neiman T. DO ..... 8<br />
Odeh, Neiman T. MD... 19<br />
Odyssey Healthcare Of<br />
Toledo ..................... 67<br />
OE Meyer Company..... 64<br />
Ogborne, Michael<br />
DDS......................... 62<br />
Ohio Therapeutic<br />
Health Services<br />
Inc........................... 68<br />
Ohio Vestibular and<br />
Balance Services..... 68<br />
Okuley, Gary MD ........... 5<br />
Okuley, Roger J.<br />
DDS......................... 61<br />
Okuleys Pharmacy....... 91<br />
Okuleys Pharmacy &<br />
Home Medical Of<br />
Wause ..................... 86<br />
Okuleys Pharmacy and<br />
Home Medical Inc ... 86<br />
Olentangy Woods<br />
Nursing and<br />
Rehabilitation .......... 73<br />
Ollom, Chad DDS......... 46<br />
Olnhausen, Thomas<br />
OD........................... 31<br />
Omnicare Home Health<br />
Agency LLC ............. 66<br />
Omnicare Pharmacy Of<br />
Northwest Ohio ....... 83<br />
Oregon Urgent Care..... 70<br />
Orlop, Stanley J. DO.... 11<br />
Orlop, Stanley J. DO.... 12<br />
Orthotic & Prosthetic<br />
Center Inc ............... 67<br />
Osborn, Claire L. DO...... 6<br />
Osenga, Adam S.<br />
MD .......................... 19<br />
Osting, Ralph G. MD.... 37<br />
Ott, Thomas E. MD........ 8<br />
Ottawa County Health<br />
Department ............. 65<br />
Ottawa County Health<br />
Department ............. 66<br />
Oweis, Thomas D.<br />
MD .......................... 42<br />
Owen, Mychelle A.<br />
MD .......................... 25<br />
Owen, Mychelle A.<br />
MD .......................... 26<br />
Owens, Matthew T.<br />
MD .......................... 36<br />
Owusu, Osei T. MD ..... 21<br />
Owusu, Osei T. MD ..... 22<br />
P<br />
P & R Home IV<br />
Service, Inc. ............ 65<br />
P and R Home IV<br />
Service.................... 92<br />
Pack Pharmacy............ 85<br />
Pajka, John T. MD....... 27<br />
Pajka, John T. MD....... 28<br />
Palakodeti, Anupama<br />
DMD........................ 49<br />
Palakodeti, Anupama<br />
DMD........................ 57<br />
Palmer, William A.<br />
DDS......................... 50<br />
Pamida Pharmacy........ 79<br />
Pamida Pharmacy........ 83<br />
Pamida Pharmacy........ 86<br />
Pamida Pharmacy........ 92<br />
Pangulur, Sudhakar N.<br />
MD .......................... 20<br />
Parekh, Mahendra C.<br />
MD .......................... 20<br />
Park View Nursing<br />
Center ..................... 74<br />
Park, Chris C. MD........ 12<br />
MD .......................... 19<br />
Parsell, Rod DDS ......... 50<br />
Patel, Arun MD............ 34<br />
Patel, Arun MD............ 35<br />
Patel, Krishan DDS ...... 50<br />
Patel, Krishan DDS ...... 57<br />
Patel, Madhusudan F.<br />
MD ............................ 8<br />
Patel, Samir M. MD..... 32<br />
Patel, Samir M. MD..... 33<br />
Patel, Samir M. MD..... 34<br />
Patel, Samir M. MD..... 35<br />
Pathology Labs, Inc. .... 67<br />
Pathology Labs, Inc. .... 68<br />
Patterson, James J.<br />
MD .......................... 32<br />
Patterson, James J.<br />
MD .......................... 33<br />
Patterson, James J.<br />
MD .......................... 34<br />
Patterson, James J.<br />
MD .......................... 35<br />
Patton, Joe DDS .......... 57<br />
Paulding County Health<br />
Department ............. 65<br />
PDI Fremont ................ 69<br />
PDI Toledo LLC............ 69<br />
Peak Physical Therapy,<br />
LLC ......................... 69<br />
Pecherski, Gail DDS..... 51<br />
Pecherski, Gail DDS..... 57<br />
Pecherski, Gail DDS..... 61<br />
Peiffer, Nicholas OD .... 29<br />
Peiffer, Nicholas OD .... 30<br />
Pelok, David DDS ........ 47<br />
Pensiero, Christopher<br />
A. MD...................... 38<br />
Perni, Sriram C. MD .... 22<br />
Peron, Salvador MD..... 44<br />
Perona, Philip S. MD ... 13<br />
Perona, Philip S. MD ... 15<br />
Peters, Ralph W. MD ... 42<br />
Peters, Randy OD ........ 31<br />
Peterson, Duane G.<br />
MD ............................ 8<br />
Peyton, Joseph S. DO.... 7<br />
Pham, Sang DMD........ 62<br />
Pharmacy Counter<br />
LLC ......................... 88<br />
Pharmacy Counter<br />
LLC ......................... 89<br />
2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan Page 101
Index<br />
Phibbs, Garth D. MD.... 25 Pun, Ming Hong Regency Hospital of Rite Aid Pharmacy<br />
Phillips Jr, Dexter DDS......................... 59 Toledo ..................... 71 02313 ..................... 79<br />
DO........................... 10 Putnam County Health Rehman, Syed M. Rite Aid Pharmacy<br />
Physicians Choice Department ............. 65 MD .......................... 13 02313 ..................... 87<br />
Hospital Fremont ..... 72 Putnam county Reichardt, Jeffrey A. Rite Aid Pharmacy<br />
Physio Source Physical Homecare................ 66 CNP......................... 16 02314 ..................... 81<br />
Therapy................... 69 Putnam County Reichert, James A. Rite Aid Pharmacy<br />
Pierzchala, Georgina Homecare and MD .......................... 41 02314 ..................... 89<br />
MD .......................... 18 Hospice ................... 67 Reilly, Peter MD........... 20 Rite Aid Pharmacy<br />
Pietro, Stephan DDS.... 57 Puttagunta, Ranga Reineck, J Thomas 02316 ..................... 81<br />
Pills In Packages ......... 84 MD .......................... 10 DDS......................... 60 Rite Aid Pharmacy<br />
Pills N Packages.......... 64<br />
Pills N Packages.......... 90 Q<br />
Renick, Michele<br />
DMD........................ 49<br />
02316 ..................... 89<br />
Rite Aid Pharmacy<br />
Pills N Packages.......... 92<br />
Pineda, Joy H. MD ........ 7<br />
Piper, Kristin DDS........ 46<br />
Pipoly, Daniel MD........ 39<br />
Pipoly, Daniel MD........ 40<br />
Quality Primary Care<br />
dba Fast Track<br />
Urgent Care............. 69<br />
Quinter, Paul L. MD..... 41<br />
Renick, Michele<br />
DMD........................ 58<br />
Rethman, Heather A.<br />
CNP......................... 16<br />
Rhee, Gil J. MD........... 26<br />
02317 ..................... 81<br />
Rite Aid Pharmacy<br />
02317 ..................... 89<br />
Rite Aid Pharmacy<br />
02318 ..................... 81<br />
Pittman, Brad MD........ 31<br />
Pizza, Eric A. MD......... 43<br />
Pizza, Eric A. MD......... 44<br />
Planned Parenthood of<br />
Northwest Ohio ....... 65<br />
Pohl, Ronald 1. MD ..... 15<br />
Pohl, Ronald 1. MD ..... 43<br />
Pohl, Ronald L. MD...... 15<br />
Pohl, Ronald L. MD...... 43<br />
Pohlod-Miller, Susan<br />
A. MD...................... 25<br />
Pohlod-Miller, Susan<br />
A. MD...................... 26<br />
Powell, David D. MD ... 20<br />
Power, Kenneth H.<br />
MD ............................ 9<br />
Prathipati, Sangeeta<br />
DDS......................... 49<br />
Prathipati, Sangeeta<br />
DDS......................... 57<br />
Prescription<br />
Solutions ................. 87<br />
Primary Care Nursing<br />
Services,Inc............. 66<br />
Progressive Therapy<br />
Alternatives Inc ....... 68<br />
Progressive Therapy<br />
Alternatives Inc ....... 69<br />
Prohab Physical<br />
Therapy................... 69<br />
Promedica Home<br />
Infusion Pharmacy... 84<br />
Promedica Home<br />
Infusion Pharmacy... 89<br />
Pudupakkam,<br />
Ramachandra K.<br />
R<br />
Raabe, Thomas M.<br />
MD .......................... 33<br />
Radin, Stanley J<br />
DDS......................... 49<br />
Radin, Stanley J<br />
DDS......................... 58<br />
Raimonde, Anthony J.<br />
MD .......................... 42<br />
Rajjoub, Hassan MD .... 13<br />
Rajjoub, Hassan MD .... 14<br />
Rameneni, Anuradha<br />
MD .......................... 10<br />
Rameneni, Anuradha<br />
MD .......................... 21<br />
Ramsey, Richard<br />
DDS......................... 46<br />
Rashid, Michael G.<br />
MD .......................... 44<br />
Rasor, Travis E. DO ....... 7<br />
Rays Pharmacy and<br />
Wellness Center ...... 85<br />
Read, Elizabeth MD ..... 26<br />
Recker, Earl DDS......... 60<br />
Recob, Holly R. DO........ 6<br />
Reddy, Sudesh S.<br />
MD .......................... 11<br />
Redwing Shoes &<br />
Repair ..................... 64<br />
Reed, Stephen MD ...... 27<br />
Reed, Stephen MD ...... 28<br />
Reed, Stephen Y.<br />
MD .......................... 27<br />
Reed, Stephen Y.<br />
MD .......................... 28<br />
Riaz, Hamid MD ............ 8<br />
Riaz, Hamid Q. MD........ 7<br />
Riaz, Hamid Q. MD........ 8<br />
Rice, Susan MD........... 36<br />
Richmond, Tara OD ..... 31<br />
Ridge, James OD ........ 31<br />
Ridgewood Manor ....... 73<br />
Riley Creek<br />
Pharmacy ................ 91<br />
Rinesmith, Scott E.<br />
MD .......................... 19<br />
Rinesmith, Scott E.<br />
MD .......................... 20<br />
Ringers Drug Store...... 84<br />
Ringers Drug Store...... 92<br />
Rings Pharmacy Inc..... 92<br />
Risolvato, Erik DDS...... 46<br />
Rite Aid Pharmacy<br />
01092 ..................... 81<br />
Rite Aid Pharmacy<br />
01092 ..................... 89<br />
Rite Aid Pharmacy<br />
01198 ..................... 78<br />
Rite Aid Pharmacy<br />
01198 ..................... 86<br />
Rite Aid Pharmacy<br />
01217 ..................... 81<br />
Rite Aid Pharmacy<br />
01217 ..................... 89<br />
Rite Aid Pharmacy<br />
02309 ..................... 81<br />
Rite Aid Pharmacy<br />
02309 ..................... 89<br />
Rite Aid Pharmacy<br />
02310 ..................... 81<br />
Rite Aid Pharmacy<br />
Rite Aid Pharmacy<br />
02318 ..................... 89<br />
Rite Aid Pharmacy<br />
02319 ..................... 78<br />
Rite Aid Pharmacy<br />
02319 ..................... 85<br />
Rite Aid Pharmacy<br />
02320 ..................... 83<br />
Rite Aid Pharmacy<br />
02320 ..................... 92<br />
Rite Aid Pharmacy<br />
02321 ..................... 81<br />
Rite Aid Pharmacy<br />
02321 ..................... 89<br />
Rite Aid Pharmacy<br />
02326 ..................... 83<br />
Rite Aid Pharmacy<br />
02326 ..................... 93<br />
Rite Aid Pharmacy<br />
02331 ..................... 81<br />
Rite Aid Pharmacy<br />
02331 ..................... 89<br />
Rite Aid Pharmacy<br />
02339 ..................... 81<br />
Rite Aid Pharmacy<br />
02339 ..................... 89<br />
Rite Aid Pharmacy<br />
02340 ..................... 81<br />
Rite Aid Pharmacy<br />
02340 ..................... 89<br />
Rite Aid Pharmacy<br />
02341 ..................... 80<br />
Rite Aid Pharmacy<br />
02341 ..................... 88<br />
Rite Aid Pharmacy<br />
02343 ..................... 80<br />
MD .......................... 13 02310 ..................... 89<br />
Page 102 2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan
Index<br />
Rite Aid Pharmacy Rite Aid Pharmacy Rite Aid Pharmacy Rodriguez, Jose R.<br />
02343 ..................... 87 02367 ..................... 78 06677 ..................... 93 MD .......................... 43<br />
Rite Aid Pharmacy Rite Aid Pharmacy Rite Aid Pharmacy Rohrer, David M. MD..... 8<br />
02346 ..................... 81 02367 ..................... 85 06678 ..................... 83 Rohrs, Rita MD.............. 6<br />
Rite Aid Pharmacy Rite Aid Pharmacy Rite Aid Pharmacy Rosol, Stanley J. MD... 42<br />
02346 ..................... 89 02372 ..................... 82 06678 ..................... 93 Rosol, Stanley MD ....... 42<br />
Rite Aid Pharmacy Rite Aid Pharmacy Rite Aid Pharmacy Ross, Johnathon S.<br />
02347 ..................... 83 02372 ..................... 91 06679 ..................... 80 MD .......................... 11<br />
Rite Aid Pharmacy Rite Aid Pharmacy Rite Aid Pharmacy Rossi, Susan J. MD..... 35<br />
02347 ..................... 92 02373 ..................... 82 06679 ..................... 88 Rovner, Marc S. MD.... 39<br />
Rite Aid Pharmacy Rite Aid Pharmacy Rite Aid Pharmacy Rovner, Marc S. MD.... 40<br />
02348 ..................... 79 02373 ..................... 90 06680 ..................... 81 Roy, Vicki MD.............. 11<br />
Rite Aid Pharmacy Rite Aid Pharmacy Rite Aid Pharmacy Ruiz, Jamey MD .......... 39<br />
02348 ..................... 86 02566 ..................... 82 06680 ..................... 89 Ruiz, Jamey MD .......... 40<br />
Rite Aid Pharmacy Rite Aid Pharmacy Rite Aid Pharmacy Rump, Anthony G.<br />
02350 ..................... 82 02566 ..................... 91 06681 ..................... 80 MD .......................... 17<br />
Rite Aid Pharmacy Rite Aid Pharmacy Rite Aid Pharmacy Rump, Anthony G.<br />
02350 ..................... 91 02583 ..................... 79 06681 ..................... 88 MD .......................... 18<br />
Rite Aid Pharmacy Rite Aid Pharmacy Rite Aid Pharmacy Rumph, Christina K.<br />
02351 ..................... 78 02583 ..................... 86 06682 ..................... 81 CNM........................ 16<br />
Rite Aid Pharmacy Rite Aid Pharmacy Rite Aid Pharmacy Rusin, Joseph J. MD ... 34<br />
02351 ..................... 85 02637 ..................... 81 06682 ..................... 89 Russell, Corey B.<br />
Rite Aid Pharmacy Rite Aid Pharmacy Rite Aid Pharmacy MD .......................... 38<br />
02352 ..................... 78 02637 ..................... 89 06683 ..................... 81 Ryan Pharmacy and<br />
Rite Aid Pharmacy Rite Aid Pharmacy Rite Aid Pharmacy Orthopedic Supply... 90<br />
02352 ..................... 86 03058 ..................... 82 06683 ..................... 90 Ryan, Charles R. MD ... 24<br />
Rite Aid Pharmacy Rite Aid Pharmacy Rite Aid Pharmacy<br />
02353 ..................... 82 03058 ..................... 92 07728 ..................... 83 S<br />
Rite Aid Pharmacy Rite Aid Pharmacy Rite Aid Pharmacy Saad, Michael W. MD.... 7<br />
02353 ..................... 90 03179 ..................... 82 07728 ..................... 93 Saad, Michael W. MD.... 8<br />
Rite Aid Pharmacy Rite Aid Pharmacy Rite Aid Pharmacy Safadi, Tala DDS ......... 50<br />
02354 ..................... 80 03179 ..................... 91 07817 ..................... 81 Safadi, Tala DDS ......... 62<br />
Rite Aid Pharmacy Rite Aid Pharmacy Rite Aid Pharmacy Saleh, Abdelaziz MD.... 26<br />
02354 ..................... 88 03185 ..................... 78 07817 ..................... 90 Salpietro, Benjamin J.<br />
Rite Aid Pharmacy Rite Aid Pharmacy Rite Aid Pharmacy MD .......................... 34<br />
02355 ..................... 79 03185 ..................... 85 07844 ..................... 79 Salvi, Usha MD............ 76<br />
Rite Aid Pharmacy Rite Aid Pharmacy Rite Aid Pharmacy Sams Pharmacy .......... 78<br />
02355 ..................... 86 03191 ..................... 83 07844 ..................... 87 Sams Pharmacy .......... 80<br />
Rite Aid Pharmacy Rite Aid Pharmacy Rite Aid Pharmacy Sams Pharmacy .......... 85<br />
02359 ..................... 79 03191 ..................... 92 07928 ..................... 78 Sams Pharmacy .......... 87<br />
Rite Aid Pharmacy Rite Aid Pharmacy Rite Aid Pharmacy Sanchez, Rogelio A.<br />
02359 ..................... 87 03230 ..................... 82 07928 ..................... 85 MD ............................ 9<br />
Rite Aid Pharmacy Rite Aid Pharmacy Rite Aid Pharmacy Sandhu, Avneet DDS ... 58<br />
02360 ..................... 84 03230 ..................... 91 07945 ..................... 80 Sandulache, Camelia<br />
Rite Aid Pharmacy Rite Aid Pharmacy Rite Aid Pharmacy DDS......................... 47<br />
02360 ..................... 93 03580 ..................... 78 07945 ..................... 88 Sandulache, Camelia<br />
Rite Aid Pharmacy Rite Aid Pharmacy Rite Aid Pharmacy DDS......................... 51<br />
02363 ..................... 79 03580 ..................... 85 07946 ..................... 80 Sandulache, Camelia<br />
Rite Aid Pharmacy Rite Aid Pharmacy Rite Aid Pharmacy DDS......................... 58<br />
02363 ..................... 87 04736 ..................... 79 07946 ..................... 88 Sandy, John S. MD ....... 8<br />
Rite Aid Pharmacy Rite Aid Pharmacy Roberts, Sr., James C. Sanko, William A.<br />
02364 ..................... 78 04736 ..................... 87 MD .......................... 13 MD .......................... 32<br />
Rite Aid Pharmacy Rite Aid Pharmacy Robinson, Gary DDS.... 50 Sanko, William A.<br />
02364 ..................... 86 06677 ..................... 83 Roca, Pedro MD .......... 26 MD .......................... 34<br />
2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan Page 103
Index<br />
Sarah Jane Living Schwieterman Sigler, Kristi R. MD........ 7 Stallkamp, Vanessa L.<br />
Center ..................... 73 Pharmacy ................ 86 Silk, Jane DDS ............ 58 MD .......................... 24<br />
Satyanarayana, Schwietermans Drug Singh, Shalini S. DO...... 7 Stanciu, Bradley<br />
Shanthi N. MD......... 11 Store Inc ................. 86 Singla, Ramesh K. DDS......................... 50<br />
Saunders, Neil E. Schwietermans Drug MD .......................... 28 Stanciu, Bradley<br />
MD .......................... 38 Store Inc ................. 90 Sipe, Eilynn K. MD....... 42 DDS......................... 62<br />
Sawalha, Laith DMD.... 59 Schwietermans Skiba, Shannon DDS ... 58 Stanko, Joseph DDS.... 59<br />
Sayani, Jairaj N. MD ... 19 Minster Pharmacy ... 85 Sleep Right SG LLC ..... 64 Stanos Jr, Mark<br />
Scarbrough Schwietermans Smaili, Sleiman K. DPM ........................ 37<br />
Pharmacy ................ 87 Pharmacy ................ 86 MD .......................... 24 Stark, Michael E.<br />
Scarbrough Searcy, William R Smaili, Sleiman K. MD .......................... 42<br />
Pharmacy ................ 91 DDS......................... 46 MD .......................... 25 Stausmire, Julie M.<br />
Scarbrough Sears, Christopher D. Smeiles, Rebekkah CNS......................... 17<br />
Pharmacy ................ 93 MD .......................... 12 DDS......................... 58 Steck, Ann M. MD......... 6<br />
SCCI Hospital Lima...... 71 Seetharaman, Patabi Smith, Diane M. Stemen, Michael T.<br />
Schade, Scott P. MD ... 19 MD .......................... 27 CNP......................... 17 DC........................... 18<br />
Schaeferle, Matthew Seibert, Nelson K. Smith, John DDS......... 58 Stengle, John B. MD ... 42<br />
DMD........................ 47 MD .......................... 18 Smith, Leonard K. MD... 6 Stern, Brian DDS ......... 31<br />
Schaeferle, Matthew Seneca County Smith, Lucas J. MD..... 19 Stern, Norman DDS..... 31<br />
DMD........................ 49 General Health Smith, Susan M. Steurnagel, Joseph F.<br />
Schaeferle, Tammi District .................... 65 CNM........................ 16 MD ............................ 6<br />
DDS......................... 47 Seng, John OD ............ 29 Smolowitz, Edwin L. Stierwalt, Howard MD ... 9<br />
Schaeferle, Tammi Sferra, Joseph J. MD .......................... 43 Storm, Robert DDS...... 60<br />
DDS......................... 49 MD .......................... 42 Snipes, Matthew Strobel, Glen PHD........ 75<br />
Scherger, William E. Shaffer Pharmacy DDS......................... 59 Strubing, Kori L.<br />
MD .......................... 24 Inc........................... 90 Sodeman, William A. CNP......................... 16<br />
Schlang, Elliot DDS...... 58 Shah, Shirish M. MD ... 26 MD .......................... 20 Stubblefield, Michael<br />
Schmelzer, Jerald B Shaheen, Adel M. Solace ......................... 64 DDS......................... 58<br />
DDS......................... 59 MD .......................... 13 Solomon, Howard J. Sullivan, Edward<br />
Schmerge, William Shaheen, Adel M. MD .......................... 20 DDS......................... 62<br />
DDS......................... 49 MD .......................... 14 Solomon, Jerrold L. Suresh, Suri R. MD...... 13<br />
Schmerge, William Shahid, Agha MD ........ 76 MD .......................... 18 Surgery Center at<br />
DDS......................... 58 Shariff, Afser MD......... 35 Soni, Renu MD ............ 22 Regency Park, LLC .. 63<br />
Schmidt, Clair DO........ 27 Shaw & Ott Medical .... 64 Spieles, Todd E. MD .... 18 Sutton, Stephen P.<br />
Schmidt, Clair DO........ 28 Shaw, John W. MD ..... 41 Spieles, Zachary J. MD .......................... 43<br />
Schniegenberg, Gary Shehadeh, Nasfat J. MD .......................... 18 Swan Pointe Care<br />
M. MD..................... 32 MD .......................... 21 Spohn, Ernest OD........ 28 Center ..................... 73<br />
Schniegenberg, Gary Sheikh, Tariq I. MD...... 19 SRT Prosthetics & Swanson Orthotic &<br />
M. MD..................... 34 Sheikh, Tariq I. MD...... 20 Orthotics LLC .......... 67 Prosthetic................ 67<br />
Schramm, Melanie A. Shelly, Marion I. DO ...... 5 St Anne Mercy Swanton Healthcare .... 73<br />
DO............................. 8 Shenouda, Mary I. Hospital................... 71 Swanton Sav-Mor<br />
Schroeder, Jan CNP .... 16 MD .......................... 27 St Charles Hospital...... 71 Drugs ...................... 64<br />
Schultz, Robert E. Sheperd, Daniel DDS... 61 St Lukes Hospital ........ 71 Swanton Savmor<br />
MD .......................... 25 Sheppard, Rees W. St Rita’s Medical Pharmacy ................ 79<br />
Schuster, Timothy G. MD .......................... 12 Center ..................... 75 Swanton Savmor<br />
MD .......................... 44 Shockney, Sara OD ..... 28 St. George Urgent Pharmacy ................ 84<br />
Schwaiger, Deborah A. Shull, Mark DDS.......... 49 Care ........................ 70 Swanton Savmor<br />
CNP......................... 16 Siddiqui, Siraji A. St. James Therapy ...... 69 Pharmacy ................ 86<br />
Schwann, Thomas A. MD .......................... 10 St. Rita’s Hospice ........ 67 Sydlowski, Thomas<br />
MD .......................... 43 Sidiq, Mohammad St. Ritas Medical DDS......................... 58<br />
Schweighart, Robert J. MD .......................... 11 Center ..................... 71 Sydlowski, Thomas<br />
MD .......................... 18 Sidiq, Nazia Y. DO ....... 10 St. Vincent Hospital ..... 71 DDS......................... 61<br />
Schweizer, Michael Sidney Care Center ..... 74 Stallkamp, Eric T. MD ... 5 Sylvania Pharmacy ...... 88<br />
DDS......................... 50 Siebenaler, Jack G. Stallkamp, Scott C.<br />
MD ............................ 7 MD .......................... 24<br />
Page 104 2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan
Index<br />
T<br />
Toledo Hearing and<br />
Speech Center......... 63<br />
Ursachi, Mihai-Liviu<br />
MD .......................... 10<br />
Walcott, Ann Marie<br />
DDS......................... 58<br />
Tam, Christina P. MD .. 27<br />
Tam, Christina P.<br />
Toledo Hearing and<br />
Speech Center......... 67 V<br />
Waldron, Laura J. MD ... 5<br />
Walgreens #10579 ...... 83<br />
MD .......................... 28<br />
Tam, Richard C. MD .... 27<br />
Tam, Richard C. MD .... 28<br />
Tao, Stanley MD .......... 27<br />
Tao, Stanley MD .......... 28<br />
Target Pharmacy ......... 81<br />
Target Pharmacy ......... 84<br />
Target Pharmacy ......... 90<br />
Target Pharmacy ......... 93<br />
Tartaglia, Louis MD ..... 24<br />
Taylor, Darrin M. DC.... 19<br />
Taylor, Russell J.<br />
MD .......................... 43<br />
Taylor, Russell J.<br />
MD .......................... 44<br />
Te, Minda N. MD ......... 22<br />
Terry, Theodore DDS ... 46<br />
Tertel, Nanette DDS..... 49<br />
Tertel, Nanette DDS..... 58<br />
Thaler, Russell DDS..... 62<br />
That Special Woman ... 64<br />
That Special Woman<br />
Inc........................... 64<br />
That Special Woman<br />
Inc........................... 67<br />
Toledo Hearing and<br />
Speech Center......... 70<br />
Toledo Hosp Outpatient<br />
Pharmacy ................ 90<br />
Toledo Hospital............ 71<br />
Toledo Medical<br />
Imaging................... 69<br />
Toma, Vincent MD ....... 35<br />
Tomelin, Thomas<br />
DMD........................ 46<br />
Tracy, Michael MD....... 27<br />
Tracy, Michael MD....... 28<br />
Tran, Kha H. MD............ 6<br />
Traynor, William<br />
DDS......................... 58<br />
Tremains, Michael R.<br />
MD .......................... 33<br />
Tremains, Michael R.<br />
MD .......................... 34<br />
Tri-State Medical<br />
Supply..................... 64<br />
Tripuraneni, Ashok K.<br />
MD .......................... 20<br />
Tripuraneni, Ashok K.<br />
MD .......................... 22<br />
V.N.A. Comprehensive<br />
Services Inc ............ 66<br />
Vadada, Padmini MD ..... 6<br />
Valentine, Philip OD..... 28<br />
Van Wert Health........... 74<br />
Vandehey, Tricia DO ...... 6<br />
Vassalle, Tiffany OD..... 28<br />
Vassalle, Tiffany OD..... 30<br />
Veeranna, Supreeth L.<br />
DDS......................... 58<br />
Vega, Patricia M. MD..... 7<br />
Vega, Patricia M.<br />
MD .......................... 10<br />
Vichinsky, Lewis M.<br />
DPM ........................ 37<br />
Vichinsky, Lewis M.<br />
DPM ........................ 38<br />
Vild, Susan L. NP........... 7<br />
Vilela, Oswaldo MD ..... 25<br />
Village Apothecary....... 84<br />
Village Apothecary....... 87<br />
Village Square Inc. ...... 64<br />
Von Kaenel, Douglas<br />
DDS......................... 31<br />
Walgreens #10579 ...... 92<br />
Walgreens #10611 ...... 81<br />
Walgreens #10611 ...... 90<br />
Walgreens #10868 ...... 83<br />
Walgreens #10868 ...... 93<br />
Walgreens #11914 ...... 78<br />
Walgreens #11914 ...... 85<br />
Walgreens #12159 ...... 82<br />
Walgreens #12159 ...... 92<br />
Walgreens #5319 ........ 81<br />
Walgreens #5319 ........ 90<br />
Walgreens #5323 ........ 81<br />
Walgreens #5323 ........ 90<br />
Walgreens #5324 ........ 81<br />
Walgreens #5324 ........ 90<br />
Walgreens #5906 ........ 80<br />
Walgreens #5906 ........ 88<br />
Walgreens #6168 ........ 81<br />
Walgreens #6168 ........ 90<br />
Walgreens #7441 ........ 78<br />
Walgreens #7441 ........ 85<br />
Walgreens #7683 ........ 79<br />
Walgreens #7683 ........ 87<br />
Walgreens #7684 ........ 78<br />
Walgreens #7684 ........ 85<br />
The Colony Pharmacy,<br />
Inc. dba The<br />
Pharmacy Counter,<br />
Inc........................... 64<br />
The Gardens at<br />
Celina...................... 74<br />
The Gardens at<br />
Paulding .................. 74<br />
The Gardens at St.<br />
Henry ...................... 74<br />
The Pavilion................. 74<br />
Thomas, Lorie A. DO ... 25<br />
Thomas, Thornton C.<br />
MD .......................... 10<br />
Thompson, Joseph B.<br />
MD ............................ 7<br />
Thompson, Joseph B.<br />
MD ............................ 8<br />
Tiruveedula, Chitra<br />
DDS......................... 58<br />
Tita, James DO............ 40<br />
Tita, James DO............ 41<br />
Tolchin, Neal A. MD..... 28<br />
Toledo Childrens<br />
Hospital................... 71<br />
Tucker, Barbara A.<br />
CNS......................... 17<br />
Tuckers Ottawa<br />
Pharmacy ................ 91<br />
Tuckers Pharmacy ....... 64<br />
Tuckers Pharmacy ....... 91<br />
Tumblin, Sheryl L.<br />
CNP......................... 16<br />
U<br />
Ubunama, Innocent N.<br />
DO........................... 45<br />
Uddaraju, Maithry MD ... 8<br />
Ugwanyi, Ebere M.<br />
MD .......................... 15<br />
Ukiwe, Jonah O. MD ... 23<br />
Underwood, Daniel L.<br />
MD ............................ 6<br />
University Center<br />
Imaging................... 69<br />
Uribes, Anthony G.<br />
MD ............................ 6<br />
Uribes, Anthony G.<br />
MD ............................ 9<br />
Uromed, Inc................. 65<br />
W<br />
Wagener, Robbin OD ... 29<br />
Wagener, Robbin OD ... 30<br />
Wagenhauser, Michael<br />
DDS......................... 50<br />
Wagner, Steven M.<br />
MD .......................... 20<br />
Wainstein, Mark A.<br />
MD .......................... 44<br />
Wal-Mart Pharmacy..... 78<br />
Wal-Mart Pharmacy..... 79<br />
Wal-Mart Pharmacy..... 80<br />
Wal-Mart Pharmacy..... 82<br />
Wal-Mart Pharmacy..... 83<br />
Wal-Mart Pharmacy..... 84<br />
Wal-Mart Pharmacy..... 85<br />
Wal-Mart Pharmacy..... 86<br />
Wal-Mart Pharmacy..... 87<br />
Wal-Mart Pharmacy..... 88<br />
Wal-Mart Pharmacy..... 90<br />
Wal-Mart Pharmacy..... 91<br />
Wal-Mart Pharmacy..... 92<br />
Wal-Mart Pharmacy..... 93<br />
Walcott, Ann Marie<br />
DDS......................... 49<br />
Walgreens #9337 ........ 81<br />
Walgreens #9337 ........ 90<br />
Walgreens #9409 ........ 83<br />
Walgreens #9409 ........ 93<br />
Walgreens #9483 ........ 78<br />
Walgreens #9483 ........ 86<br />
Walker, Gregory W.<br />
DO........................... 44<br />
Walsh, Richard P.<br />
MD .......................... 10<br />
Walsh, Thomas F.<br />
MD .......................... 43<br />
Walt Churchill’s<br />
Market &<br />
Pharmacy ................ 93<br />
Walters Pharmacy........ 90<br />
Walters, Veronica J.<br />
CNP......................... 17<br />
Walton, Michael E.<br />
MD ............................ 6<br />
Wang, Zheng DDS ....... 59<br />
Ward, Shawn C.<br />
DPM ........................ 37<br />
Ware, Theodore J.<br />
MD .......................... 11<br />
Wase, Abdul MD.......... 15<br />
2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan Page 105
Index<br />
Washurn, Frank E. Wise, David DDS ......... 59 Zimmerman, Janis E.<br />
DPM ........................ 38 Witt, David DPM .......... 38 MD .......................... 19<br />
Waterford Commons.... 73 Witt, David DPM .......... 39 Zink, Richard DDS....... 49<br />
Wehrmeister, John R. Witt, David J. DPM ...... 38 Zink, Richard DDS....... 59<br />
MD .......................... 11 Witt, Sandra DPM........ 39<br />
Weigand, Frederick T. Wojciechowski,<br />
MD .......................... 41 Edward J. MD ......... 10<br />
Weingates, Joseph A. Wolery, J S. MD .......... 13<br />
MD .......................... 25 Wolfram, Peter DDS..... 49<br />
Weinstein, Daniel Wolfram, Peter DDS..... 60<br />
DDS......................... 58 Wolters, Nancy L. NP..... 8<br />
Weir, Norman R. MD ... 35 Wonderly, Mary MD....... 9<br />
Wenning, Benjamin Wood County<br />
DDS......................... 60 Hospital................... 72<br />
Wentz, Mark A. MD ....... 8 Wood, John OD ........... 31<br />
Wesson, Paul D. DO ...... 6 Wood, Mark A. DO......... 5<br />
West Central Ohio Woodruff, Thomas<br />
Surgery & DDS......................... 60<br />
Endoscopy Center ... 63 Wray, Jocelyn M.<br />
West Central MD .......................... 36<br />
Pharmacy ................ 84 Wright, Amber DDS ..... 59<br />
West-Frieson, Wright, Jonathan D.<br />
Elizabeth LISW ........ 75 MD .......................... 42<br />
Westside Urgent Wyandot County<br />
Care ........................ 70 General Health<br />
Wheeler, Robert A. District .................... 65<br />
MD .......................... 21 Wyandot County Home<br />
White, Benjamin A. Health Agency ......... 67<br />
DO........................... 27<br />
White, Karyn DDS........ 58<br />
Y<br />
White, Patrick W.<br />
MD .......................... 42<br />
Whitehouse<br />
Apothecary.............. 90<br />
Whiting, Shawn DDS ... 58<br />
Yanich, Jason DDS ...... 31<br />
Young, Mark E. MD ....... 8<br />
Young, Wade E. MD..... 35<br />
Yuhas, Jonn DO........... 12<br />
Wieser, Michael J. Z<br />
MD .......................... 32<br />
Wieser, Michael J.<br />
MD .......................... 33<br />
Wieser, Michael J.<br />
MD .......................... 34<br />
Wiley, Todd M. MD........ 8<br />
Wilkinson, Khase A.<br />
DPM ........................ 38<br />
Williams, Amy OD........ 29<br />
Williams, Brent DDS .... 62<br />
Williams, Ronald Leon<br />
MD .......................... 19<br />
Wilson, James C.<br />
DDS......................... 61<br />
Wilson, Jeffrey DPM .... 37<br />
Wilt, Liane OD ............. 29<br />
Winder, John A. MD .... 13<br />
Wine, Douglas OD ....... 29<br />
Wires, Duane OD......... 29<br />
Zaccardelli, William<br />
DPM ........................ 38<br />
Zaciewski, Samantha<br />
DDS......................... 59<br />
Zaciewski, Samantha<br />
DDS......................... 61<br />
Zack, David DO ........... 20<br />
Zadeh, Barry J. MD..... 42<br />
Zafar, Saleem S. MD... 43<br />
Zake, Jerome PHD ...... 76<br />
Zambrano, Nestor P.<br />
MD ............................ 8<br />
Zangara, Peter P.<br />
MD .......................... 24<br />
Zarick, Sarah DDS....... 59<br />
Zelinka, Agnes C.<br />
DC........................... 18<br />
Zellner Pharmacy......... 92<br />
Page 106 2011 <strong>Advantage</strong> by <strong>Buckeye</strong> Community Health Plan
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