HomeMy WebLinkAboutMINUTES - 10162012 - C.107RECOMMENDATION(S):
Approve the list of providers recommended by the Contra Costa Health Plan's Medical Director on August 8 and
August 29, 2012, and by the Health Services Director, as required by the State Departments of Health Care Services
and Managed Health Care, and the Centers for Medicare and Medicaid Services.
FISCAL IMPACT:
None.
BACKGROUND:
The National Committee on Quality Assurance (NCQA) has requested evidence of Board of Supervisors approval
for each CCHP provider be contained within the provider’s credentials file.
The recommendations were made by CCHP’s Medical Director.
CONSEQUENCE OF NEGATIVE ACTION:
If this action is not approved, Contra Costa Health Plan's Providers would not be appropriately credentialed and not
be in compliance with the NCQA.
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
Action of Board On: 10/16/2012 APPROVED AS RECOMMENDED OTHER
Clerks Notes:
VOTE OF SUPERVISORS
AYE:John Gioia, District I
Supervisor
Candace Andersen, District II
Supervisor
Mary N. Piepho, District III
Supervisor
Karen Mitchoff, District IV
Supervisor
ABSENT:Federal D. Glover, District V
Supervisor
Contact: Patricia Tanquary, 313-6004
I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the
Board of Supervisors on the date shown.
ATTESTED: October 16, 2012
David Twa, County Administrator and Clerk of the Board of Supervisors
By: Carrie Del Bonta, Deputy
cc: Tasha Scott, Demetria Gary, L. Maria Perez
C.107
To:Board of Supervisors
From:William Walker, M.D., Health Services
Date:October 16, 2012
Contra
Costa
County
Subject:Approve New and Recredentialing Providers and New Organizational Provider in Contra Costa Health Plan’s
Community Provider Network
CHILDREN'S IMPACT STATEMENT:
Not applicable.
ATTACHMENTS
G:\NON CONTRACTS\~3151908.doc
Definitions: A=Active C=Courtesy Aff=Affiliate P/A=provisional Active P/C=Provisional Courtesy
A. New Medical Staff Members
Usa Aroonlap, MD Psychiatry/Psychology
Ronald Cavanagh, MD Psychiatry/Psychology
Rose Cohen, MD Internal Medicine
Nancy Ebbert, MD Psychiatry/Psychology
Vasanta Giri, MD Psychiatry/Psychology
Katharine Goheen, MD Family Medicine
Arun Haridas, MD Psychiatry/Psychology
Jerry Kubena, MD Psychiatry/Psychology
Daniel May, MD Psychiatry/Psychology
Ellen Morrissey, MD Internal Medicine
Michelle Robello, MD Family Medicine
Neil Sachs, MD Psychiatry/Psychology
Eric Schultz, MD Psychiatry/Psychology
Kristen Setliff, DO Family Medicine
Daniel Sobel, MD Emergency Medicine
Jennifer Stanger, MD Family Medicine
Holly Stewart, MD Psychiatry/Psychology
Sophia Wang, MD Psychiatry/Psychology
Christina Wong, MD Ob/Gyn - Family Medicine
B. New Staff Affiliation
Sheryl Herron, NP Family Medicine
C. Family Medicine 2nd Year Resident
Jessica Hamilton, MD
D. Request for Diagnostic Imaging Privileges – Virtual Radiologic Providers
Jannell Diaz-Horsley, MD
Michelle Goni, MD
Vincent Lombardi, MD
Todd Lovelace, MD
Vivek Masson, MD
Kevin McDonnell, MD
Donald Nicell, MD
Alison Robinette, MD
E. 12-Month Provisional Status – Request to extend for an additional 3-12 Month
Gilbert Newman, PhD Psychiatry/Psychology
Blair Thedinger, MD Internal Medicine
Temre Uzuncan, Psy.D Psychiatry/Psychology
MEC – September 2012 Page 2 of 3
F. Advance to Non-Provisional
Lawrence Boly, MD Internal Medicine A
Tara Collins, MD Psychiatry/Psychology A
Stephen Crane, MD Emergency Medicine C
Kulmeet Dang, DO Emergency Medicine C
David Dempsey, MD Emergency Medicine C
Elliott Dushkin, DDS Dental C
Bridget Dyer, MD Emergency Medicine C
Cathy Huang, MD Pediatrics A
Rebecca Lee, MD Family Medicine A
Jacqueline Park, MD Internal Medicine C
Tara Vijayan, MD Internal Medicine A
Tully Wiedman, MD Emergency Medicine C
G. Biennial Reappointments
Richard Baldwin, MD Psychiatry/Psychology C
Kevin Bergman, MD Emergency Medicine A
Alok Bose, MD Pediatrics C
Gerard Bland, MD Emergency Medicine A
Donna Brogan, DDS Dental A
Joseph Chavez Carey, MD Family Medicine A
May Chiu, MD Internal Medicine C
Mario Curzi, MD Internal Medicine C
Arthur D’Harlingue, MD Pediatrics C
Kristine Girard, MD Psychiatry/Psychology A
Jee Guss, MD Psychiatry/Psychology A
Fredric Huie, MD Family Medicine C
Francine Jolton, MD Pediatrics A
Daniel Lively, MD Internal Medicine A
Dayna Parish, MD Pediatrics A
Alfeo Reminajes, MD Psychiatry/Psychology A
Rohit Sharma, MD Internal Medicine C
Andrea Sandler, MD Family Medicine A
Gerald Schaffer, MD Internal Medicine A
Blair Thedinger, MD Internal Medicine P/A
Chiu Tung, MD Anesthesia A
Jon Williamson, DDS Dental C
Mark Vukalcic, MD Anesthesia A
Jose Yasul, MD Family Medicine A
H. Biennial Renewal of Privileges – Virtual Radiologic Providers
Brian Burgoyne, MD
Shannon Calhoun, DO
Valerie Eckard, MD
Shwan Kim, MD
Ian Matsuura, MD
MEC – September 2012 Page 3 of 3
Paul Sarai, MD
James Tagle, MD
Conrad Wittram, MD
Igor Zaytsev, MD
I. Voluntary Resignations
Burt Auerbach, MD Surgery
Harold Cottman, MD Psychiatry/Psychology
Jatinder Dhillon, MD Surgery
Murray Eiland, MD Psychiatry//Psychology
Gary Freedman, MD Psychiatry/Psychology
Bradley Glenn, MD Diagnostic Imaging
Anna Glezer, MD Psychiatry/Psychology
Karl Harnish, DO Psychiatry/Psychology
Erica Hansen, MD Family Medicine
Jasleen Kukreja, MD Internal Medicine
Deirdre Pepper, NP Psychiatry/Psychology
Ann Wexler, MD Internal Medicine
Sally Zimmerman, DDS Dental
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