Here for you. Nevada Preferred Professionals Southern Nevada PPO Provider Directory PROMINENCE HEALTH PLAN

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1 PROMINENCE HEALTH PLAN Southern Nevada PPO Provider Directory Here for you Additions and changes are made routinely to our provider network. Please call Member Services at to confirm a provider s participation.

2 PLEASE NOTE This booklet does not guarantee that all services or all providers will be covered under your health care plan. You must consult your health care plan description to determine what types of providers and services are covered. Failure to check this may result in your not being reimbursed for certain medical expenses. This is a directory of hospitals, physicians, and other medical providers participating as independent contractors for Preferred Health Care Network through (NPP). This list is subject to change. Every effort has been made to obtain and print the correct information in this directory. Preferred Health Care Network will not bear any responsibility for inadvertent errors or omissions. Providers listed in this directory may practice in association with groups in which everyone may not be a PPO Provider. Therefore, prior to receiving services, please verify with the provider and/or Preferred Health Care Network that he/she is a participating provider. For additional information or provider questions, call Preferred Health Care Network at: (775) or (800)

3 Prominence Health Plan Centers of Excellence Program For specialized care not available in Prominence Health Plan primary coverage areas A Center of Excellence (COE) is a healthcare facility or practitioner that provides highly specialized care to members with certain health conditions, while meeting Prominence Health Plan s high standards for quality and value. COE partner facilities must demonstrate rigorous quality control measures, positive patient outcomes and cost-efficient healthcare delivery. Things you need to know before accessing a COE If you have questions, please call Member Services at or Members must be pre-approved to use a designated COE facility or practitioner. Designated COE providers may be located out of Prominence Health Plan s primary service area, members may be eligible for travel benefits of up to $3,000 per trip*. Members are required to use COE facilities approved for specific medical conditions or surgical procedures; a non-coe facility may be pre-approved by Prominence Health Plan s Medical Management Department if a COE facility is unable to provide the required services. Use of a non-coe facility for designated conditions will result in benefits being paid at the out-ofnetwork level and a much higher member expense unless the use of a non-coe facility has been pre-approved by Prominence Health Plan s Health Services Department. * Includes lodging/meals at $200 per day, up to a maximum of $2,000 per trip. Airfare/rental car or personal vehicle mileage at $1,000 maximum per trip. $10,000 annual limit on all eligible travel expenses. Reno Las Vegas Elko Cancer Care Huntsman Cancer Institute, Salt Lake City, UT Southern California Gamma Knife Center at San Antonio Community Hospital, Upland, CA Cardiology University of Utah Health Care, Salt Lake City, UT Neurology & Rehabilitation Barrows Neurological Institute, Phoenix, AZ University of Utah Health Care, Salt Lake City, UT Organ or Tissue Transplants Tethys Transplant Network, which includes University of Utah Medical Center, Salt Lake City Orthopedics University of Utah Health Care, Salt Lake City, UT Pediatrics Intermountain Primary Children s Hospital, Salt Lake City, UT FNL_25SEPT2014

4 Health Choice (PPO) Free Standing Radiology Centers Southern Nevada Facility Address City Zip Telephone Henderson Desert Radiologists 2811 W. Horizon Ridge Pkwy. Henderson Pueblo Medical Imaging 6301 Mountain Vista St. Henderson Steinberg Diagnostic Medical Imaging 4 Sunset Way Ste. D Henderson Steinberg Diagnostic Medical Imaging 2850 Siena Heights Dr. Henderson West Valley Imaging 2611 W. Horizon Ridge Pkwy. Henderson Las Vegas Axiom Imaging of Las Vegas 6460 Medical Center St. #150 Las Vegas Desert Radiologists 2020 Palomino Ln. #100 Las Vegas Desert Radiologists 7200 Cathedral Rock Dr. #150 Las Vegas Desert Radiologists 3920 S. Eastern Ave. #100 Las Vegas Desert Vascular Institute (Vascular studies) 3920 S. Eastern Ave. #100-C Las Vegas Diagnostic Imaging of Southern Nevada 3560 E. Flamingo Rd. #100 Las Vegas Open Sided MRI of Las Vegas 630 S. Rancho Dr. Ste. G Las Vegas Pueblo Medical Imaging 9499 W. Charleston Blvd. #100 Las Vegas Pueblo Medical Imaging 6460 Medical Center St. #150 Las Vegas Pueblo Medical Imaging 8551 S. Lake Mead Blvd. #150 Las Vegas Pueblo Medical Imaging 2628 W. Charleston Blvd. Las Vegas Pueblo Medical Imaging 630 S. Rancho Dr. Ste. G Las Vegas For additional information, please visit our website at REV SEPT 2014

5 Facility Address City Zip Telephone Las Vegas Sonora Medical Imaging 7455 W. Washington Ave. #120 Las Vegas Steinberg Diagnostic Medical Imaging 9070 W. Post Rd. Las Vegas Steinberg Diagnostic Medical Imaging 2767 N. Tenaya Way Las Vegas Steinberg Diagnostic Medical Imaging 6925 N. Durango Dr. Las Vegas Steinberg Diagnostic Medical Imaging 2950 S. Maryland Pkwy. Las Vegas The Imaging Center 4880 S. Wynn Rd. Las Vegas West Valley Imaging 3025 S. Rainbow Blvd. Las Vegas For additional information, please visit our website at REV SEPT 2014

6 Health Choice (PPO) Urgent Care Locations Southern Nevada Urgent care centers are available for unforeseen injury or illness and when prompt care is needed to prevent serious deterioration of a member s health. If your primary care practitioner (PCP) is unavailable or it is after hours, use the urgent care clinics. Lacerations, colds, flu, and earaches are examples of when to seek services at an urgent care center. Please be aware that some locations close for lunch and on holidays. *Please call to confirm hours. Boulder City Facility Address City Zip Telephone Hours* Advanced Urgent Care & Nitelight Peds Henderson Children s Urgent Care & Pediatric Clinic 999 Adams Blvd. #102 Boulder City W. Sunset Rd. #A Henderson Mon Fri 8am 9pm Sat Sun 9am 4pm Mon Fri 9am 7pm Sat 10am 4pm Sun 11am 4pm Concentra Urgent Care 149 N. Gibson Rd. #H Henderson Mon Fri 8am 5pm HealthCare Partners Med Group 595 W. Lake Mead Pkwy. Henderson Mon Fri 7am 8pm Sat Sun 8am 4pm Legacy Urgent Care 105 N. Pecos Rd. #111 Henderson Please call for hours St. Rose Walk-in Care Jeffreys St. #100 Henderson Sunset Quick Care 525 Marks St. Henderson Las Vegas Advanced Urgent Care & Nitelight Peds 9975 S. Eastern Ave. #110 Las Vegas Mon Fri 8am 9pm Sat Sun 8am 4pm Mon Fri 8am 7:30pm Sat Sun 8am 4pm Mon Fri 8am 9pm Sat Sun 9am 4pm Concentra Urgent Care 3900 Paradise Rd. #V Las Vegas Mon Fri 8am 5pm Concentra Urgent Care 5850 S. Polaris Rd. #100 Las Vegas hours a day/ 7 days a week Enterprise Quick Care 1700 Wheeler Peak St. Las Vegas Days a week, 8am 6pm First Medical of Southern Nevada HealthCare Partners Med Group HealthCare Partners Med Group 3343 S. Eastern Ave. Las Vegas Mon Fri 9am 5:30pm Sat Sun 9am 2:30pm 4880 S. Wynn Rd. Las Vegas hours a day/ 7 days a week 9499 W. Charleston Blvd. #150 Las Vegas Mon Fri 7am 8pm Sat Sun 8am 4pm For additional information, please visit our website at REV SEPT 2014

7 Facility Address City Zip Telephone Hours* Las Vegas (continued) Las Vegas Immediate Care 2901 N. Tenaya Way, #210 Las Vegas Nellis Quick Care 61 N. Nellis Blvd. Las Vegas Peccole Ranch Quick Care 9320 W. Sahara Ave. Las Vegas Rancho Quick Care 4331 N. Rancho Dr. Las Vegas Spring Valley Quick Care 4180 S. Rainbow Blvd. #810 Las Vegas Summerlin Quick Care 2031 N. Buffalo Dr. Las Vegas Mon Fri 9am 6pm Sat 9am 2pm Mon Fri 8am 7:30pm Sat Sun 8am 4pm Mon Fri 8am 7:30pm Sat Sun 8am 4pm Mon Fri 8am 7:30pm Sat Sun 8am 4pm Mon Fri 8am 7:30pm Sat Sun 9am 4pm Mon Fri 8am 7:30pm Sat Sun 8am 4pm University Urgent Care 2628 W. Charleston Blvd. Las Vegas Mon Fri 9am 5:30pm North Las Vegas Concentra Urgent Care 151 W. Brooks Ave. #A-F North Las Vegas Mon Fri 8am 5pm For additional information, please visit our website at REV SEPT 2014

8 TABLE OF CONTENTS FACILITIES ACUTE HOSPITAL... LONG TERM CARE FACILITY... PSYCHIATRIC HOSPITAL... REHABILITATION FACILITIES... SKILLED NURSING FACILITY URGENT CARE FACILITIES URGENT CARE FACILITIES... 4 ADVANCED NURSE PRAC... 9 ALLERGY / IMMUNOLOGY...15 AMBULANCE...16 AMBULATORY SURGICAL CENTERS...17 ANESTHESIOLOGY...17 ANESTHESIOLOGY CRNA...19 AUDIOLOGY CARDIOLOGY...20 CHIROPRACTIC...30 COUNSELING - MARRIAGE FAMILY...36 COUNSELING- ALL TYPES...37 DERMATOLOGY...38 DIALYSIS CENTER...40 DURABLE MEDICAL EQUIPMENT...41 EAR/NOSE/THROAT/OTOLARYNGOLOGY...43 EMERGENCY MEDICINE...45 ENDOCRINOLOGY...46 ENDOCRINOLOGY REPRODUCTIVE...46 FAMILY PRACTICE...47 FAMILY PRACTICE OTHER...63 GASTROENTEROLOGY...63 GENERAL PRACTITIONER...66 GERIATRIC MEDICINE...68 GYNECOLOGY...68 HAND SURGERY...69 HEMATOLOGY/ONCOLOGY...69 HOME HEALTH SERVICES...70 HOME HEALTH SERVICES IV...70 HOSPICES HOSPITALIST...71 INFECTIOUS DISEASES...72 INTERNAL MEDICINE...72 LABORATORY...89 MATERNAL & FETAL MED PERINATOL...92 MEDICAL GENETICS...93 NEONATOLOGY...93 NEPHROLOGY...93 NEUROLOGY...97 NUCLEAR MEDICINE...99 NURSE PRACTITIONER OBSTETRICS / GYNECOLOGY OCCUPATIONAL THERAPY ONCOLOGY ONCOLOGY GYNECOLOGY

9 ONCOLOGY HEMATOLOGY OPHTHALMOLOGY OPTOMETRY ORIENTAL MEDICINE ORTHOPEDICS PAIN MANAGEMENT PATHOLOGY PEDIATRIC NEUROLOGY PEDIATRICS - ACUTE CARE PEDIATRICS - CARDIOLOGY PEDIATRICS - CRITICAL CARE PEDIATRICS - ENDOCRINOLOGY PEDIATRICS - GASTROENTEROLOGY PEDIATRICS - INTENSIVE CARE PEDIATRICS - NEPHROLOGY PEDIATRICS - NEUROLOGY PEDIATRICS - OTHER PEDIATRICS - PULMONARY PEDIATRICS - RHEUMATOLOGY PEDIATRICS - SURGERY PEDIATRICS - UROLOGY PEDIATRICS PEDIATRICS-HEMATOLOGY/ONCOLOGY PEDIATRICS-INFECTIOUS DISEASE PEDITRICS INTENSIVIST PHYSICAL MEDICINE & REHAB PHYSICAL THERAPY & REHAB PHYSICIAN ASSISTANT PODIATRY PREVENTIVE MEDICINE PROSTHETIC DEVICES PSYCHIATRY MD PSYCHOLOGY - (PHD) PSYCHOLOGY DOCTOR PULMONOLOGY RADIATION ONCOLOGY RADIOLOGY REGISTERED DIETICIAN REHABILITATION FACILITIES RHEUMATOLOGY SLEEP DISORDERS SOCIAL WORKER SPEECH LANGUAGE PATHOLOGISTS SPEECH THERAPY SPORTS MEDICINE SURGERY - CARDIO & THORACIC SURGERY - COLON & RECTAL SURGERY - CRITICAL CARE SURGERY - GENERAL & THORACIC SURGERY - GENERAL & VASCULAR SURGERY - GENERAL SURGERY - NEUROLOGICAL SURGERY - ORAL/MAXILLOFACIAL SURGERY - ORTHOPEDIC SURGERY - PLASTIC SURGERY SURGICAL CENTER UROLOGY

10 FACILITIES ACUTE HOSPITAL BOULDER CITY, NV BOULDER CITY HOSPITAL 901 ADAMS BLVD BOULDER CITY, NV CALIENTE, NV GROVER C DILS MEDICAL CENTER 700 N SPRING ST CALIENTE, NV ST ROSE DOMINICAN DE LIMA CAMPUS 102 E LAKE MEAD DR ST ROSE DOMINICAN SIENA CAMPUS 3001 ST ROSE PKWY CENTENNIAL HILLS HOSP MEDICAL CTR 6900 N DURANGO DESERT SPRINGS HOSPITAL 2075 E FLAMINGO RD MOUNTAIN VIEW HOSPITAL 3100 N TENAYA WAY SOUTHERN HILLS HOSPITAL MEDICAL CTR 9300 W SUNSET SPRING VALLEY HOSPITAL MEDICAL CTR 5400 S RAINBOW BLVD ST ROSE DOMINICAN SAN MARTIN CAMPUS 8280 W WARM SPRINGS RD SUMMERLIN HOSPITAL MEDICAL CENTER 657 N TOWN CTR DR SUNRISE HOSPITAL MEDICAL CENTER 3186 MARYLAND PKWY UNIVERSITY MEDICAL CENTER 1800 W CHARLESTON BLVD VALLEY HOSPITAL MEDICAL CENTER 620 SHADOW LN MESA VIEW REGIONAL HOSPITAL 1299 BERTHA HOWE AVE NORTH NORTH VISTA HOSPITAL 1409 E LAKE MEAD BLVD NORTH DESERT VIEW REGIONAL MEDICAL CENTER 360 S LOLA LANE TONOPAH, NV NYE REGIONAL MEDICAL CENTER 825 S MAIN ST TONOPAH, NV WESTERN ARIZONA REG MEDICAL CENTER 2735 SILVERCREEK RD Page 1 of 263 Providers on this list are active as of : 01/08/2015

11 FACILITIES ACUTE HOSPITAL KINGMAN, AZ KINGMAN REGIONAL MEDICAL CENTER 3269 STOCKTON HILL RD KINGMAN, AZ MOHAVE VALLEY, AZ VALLEY VIEW MEDICAL CENTER 5330 S HWY 95 MOHAVE VALLEY, AZ NEEDLES, CA COLORADO RIVER MEDICAL CENTER 1401 BAILEY ST NEEDLES, CA LONG TERM CARE FACILITY KINDRED HOSP AT ST ROSE DE LIMA 102 E LAKE MEAD PKWY 3RD FL HORIZON SPECIALTY HOSPITAL 640 DESERT LN HORIZON SPECIALTY HOSPITAL 8550 S EASTERN AVE KINDRED HOSPITAL LAS VEGAS 2250 E FLAMINGO RD KINDRED HOSPITAL LAS VEGAS 5110 W SAHARA AVE PSYCHIATRIC HOSPITAL SEVEN HILLS BEHAVIORAL INSTITUTE 3021 W HORIZON RIDGE PKWY LAS VEGAS RECOVERY CENTER 3371 N BUFFALO DR MONTEVISTA HOSPITAL 5900 W ROCHELLE AVE RED ROCK BEHAVIORAL HOSPITAL 5975 W TWAIN AVE SPRING MOUNTAIN SAHARA 5460 W SAHARA AVE SPRING MOUNTAIN TREATMENT CENTER 7000 W SPRING MOUNTAIN REHABILITATION FACILITIES HEALTHSOUTH REHAB HOSPITAL HEND JEFFREYS ST CAREMERIDIAN 7690 CARMEN BLVD HEALTHSOUTH DESERT CANYON REHAB 9175 WEST OQUENDO RD HEALTHSOUTH REHAB HOSPITAL - LV 1250 S VALLEY VIEW BLVD Page 2 of 263 Providers on this list are active as of : 01/08/2015

12 FACILITIES REHABILITATION FACILITIES NEVADA COMM ENRICHMENT PROGRAM 6375 W CHARLESTON BLVD STE L200WC SKILLED NURSING FACILITY CLEARVIEW HEALTH & REHABILITATION 1180 E LAKE MEAD DR DELMAR GARDENS OF GREEN VALLEY 100 DELMAR GARDENS DR TLC CARE CENTER 1500 W WARM SPRINGS RD HARMON MEDICAL & REHAB CENTER 2170 E HARMON AVE SOUTHERN NV MEDICAL & REHAB CENTER 2945 CASA VEGAS ST NORTH COLLEGE PARK REHAB CENTER 2856 E CHEYENNE AVE NORTH N LAS VEGAS CARE CENTER 3215 E CHEYENNE AVE NORTH Page 3 of 263 Providers on this list are active as of : 01/08/2015

13 URGENT CARE FACILITIES URGENT CARE FACILITIES BOULDER CITY, NV ADVANCED UC/NIGHTLIGHT PEDS 999 ADAMS BLVD #102 BOULDER CITY, NV JORGENSON, CRAIG M MD 999 ADAMS BLVD #102 BOULDER CITY, NV KARAJOHN, NICKOLAS S MD 999 ADAMS BLVD #102 BOULDER CITY, NV CHILDRENS URG CARE PED CLINIC 1600 W SUNSET RD STE A SURPURE, JAGANNATH S MD 1600 W SUNSET RD STE A CONCENTRA URGENT CARE 149 N GIBSON RD STE H ANAND, SUSHIL P MD 149 N GIBSON RD STE H BETZ, JOHN E MD 149 N GIBSON RD STE H CARULLO, FAUZIA MD 149 N GIBSON RD STE H CASZATT, CEYLON T DO 149 N GIBSON RD STE H DALUGA, JOSEPHINE M MD 149 N GIBSON RD STE H DAVIS, ROBERT M MD 149 N GIBSON RD STE H DRUMM, LARRY E DO 149 N GIBSON RD STE H DY, MELINDA M DO 149 N GIBSON RD STE H ERWIN, ROBERT C DO 149 N GIBSON RD STE H FIHN, GREG E DO 149 N GIBSON RD STE H GAETKE, MARK J MD 149 N GIBSON RD STE H GREY, JEFFERSON PA 149 N GIBSON RD STE H HUNWICK III, BERNARD B MD 149 N GIBSON RD STE H JOSEPH, MARIAMMA PAC 149 N GIBSON RD STE H KARAGIOZIS, MICHAEL DO 149 N GIBSON RD STE H KAYANI, FAROOQ A MD 149 N GIBSON RD STE H KELLEY, ASHLEY V MD 149 N GIBSON RD STE H KLINGBERG, THEA M DO 149 N GIBSON RD STE H KUBAL, VANEETA V MD 149 N GIBSON RD STE H LEAKS, JOAN S MD 149 N GIBSON RD STE H LEWIS, ROBERT D MD 149 N GIBSON RD STE H MEYER, MIKEL R DO 149 N GIBSON RD STE H PANICARI, MICHAEL R MD 149 N GIBSON RD STE H ROSS, TROY W MD 149 N GIBSON RD STE H SARAZEN, ROBERT MD 149 N GIBSON RD STE H SCHWARTZ, ALLEN M DO 149 N GIBSON RD STE H SHANG, THOMAS MD 149 N GIBSON RD STE H VALERA, AMIT DO 149 N GIBSON RD STE H WANG, ALLEN Y MD 149 N GIBSON RD STE H GENESIS MEDICAL GROUP 100 N GREEN VALLEY PKWY # SINGH, M PAUL MD 100 N GREEN VALLEY PKWY # HEALTHCARE PARTNERS MEDICAL GROUP 595 W LAKE MEAD PKWY KALRA, RAKESH K MD 595 W LAKE MEAD PKWY LEGACY URGENT CARE 105 N PECOS RD # SCHLAACK, MICHAEL F MD 105 N PECOS RD # ST ROSE WALK IN CARE JEFFREYS ST # KYLE, WILLIAM S MD JEFFREYS ST # UC EXTRA NV S EASTERN AVE STE A ANTHONY, JAMES M DO S EASTERN AVE STE A BOESIGER, JAMES A PAC S EASTERN AVE STE A GARCIA JR, TONY R PAC S EASTERN AVE STE A HANKS, TYRONE DO S EASTERN AVE STE A MILLER, CINDY MD S EASTERN AVE STE A OUMA, JOSEPH MD S EASTERN AVE STE A ROSCETTI, JAMES L MD S EASTERN AVE STE A SHANG, THOMAS MD S EASTERN AVE STE A WITT, MARK W DO S EASTERN AVE STE A UC EXTRA NV 2269 N GREEN VALLEY PKWY ANTHONY, JAMES M DO 2269 N GREEN VALLEY PKWY BOESIGER, JAMES A PAC 2269 N GREEN VALLEY PKWY Page 4 of 263 Providers on this list are active as of : 01/08/2015

14 URGENT CARE FACILITIES URGENT CARE FACILITIES UC EXTRA NV 2269 N GREEN VALLEY PKWY GARCIA JR, TONY R PAC 2269 N GREEN VALLEY PKWY HANKS, TYRONE DO 2269 N GREEN VALLEY PKWY MILLER, CINDY MD 2269 N GREEN VALLEY PKWY OUMA, JOSEPH MD 2269 N GREEN VALLEY PKWY ROSCETTI, JAMES L MD 2269 N GREEN VALLEY PKWY SHANG, THOMAS MD 2269 N GREEN VALLEY PKWY WITT, MARK W DO 2269 N GREEN VALLEY PKWY UNIVERSITY URGENT CARE 2465 W HORIZON RIDGE PKWY # PATEL, ANIL M MD 2465 W HORIZON RIDGE PKWY # ADVANCED UC/NIGHTLIGHT PEDS 9975 S EASTERN AVE # GREGORY, DON E MD 9975 S EASTERN AVE # JORGENSON, CRAIG M MD 9975 S EASTERN AVE # KARAJOHN, NICKOLAS S MD 9975 S EASTERN AVE # CHILDRENS URG CARE PED CLINIC 1700 N BUFFALO DR # SURPURE, JAGANNATH S MD 1700 N BUFFALO DR # CHILDRENS URG CARE PED CLINIC 3424 N BUFFALO DR SURPURE, JAGANNATH S MD 3424 N BUFFALO DR CONCENTRA URGENT CARE 3900 PARADISE RD STE V ANAND, SUSHIL P MD 3900 PARADISE RD STE V BETZ, JOHN E MD 3900 PARADISE RD STE V CARULLO, FAUZIA MD 3900 PARADISE RD STE V CASZATT, CEYLON T DO 3900 PARADISE RD STE V DALUGA, JOSEPHINE M MD 3900 PARADISE RD STE V DAVIS, ROBERT M MD 3900 PARADISE RD STE V DRUMM, LARRY E DO 3900 PARADISE RD STE V DY, MELINDA M DO 3900 PARADISE RD STE V ERWIN, ROBERT C DO 3900 PARADISE RD STE V ESTRADA, EDMUNDO C MD 3900 PARADISE RD STE V FIHN, GREG E DO 3900 PARADISE RD STE V GAETKE, MARK J MD 3900 PARADISE RD STE V GREY, JEFFERSON PA 3900 PARADISE RD STE V KARAGIOZIS, MICHAEL DO 3900 PARADISE RD STE V KAYANI, FAROOQ A MD 3900 PARADISE RD STE V KELLEY, ASHLEY V MD 3900 PARADISE RD STE V KLINGBERG, THEA M DO 3900 PARADISE RD STE V KUBAL, VANEETA V MD 3900 PARADISE RD STE V LEAKS, JOAN S MD 3900 PARADISE RD STE V LEWIS, ROBERT D MD 3900 PARADISE RD STE V MEYER, MIKEL R DO 3900 PARADISE RD STE V PANICARI, MICHAEL R MD 3900 PARADISE RD STE V ROSS, TROY W MD 3900 PARADISE RD STE V SARAZEN, ROBERT MD 3900 PARADISE RD STE V SCHWARTZ, ALLEN M DO 3900 PARADISE RD STE V SHANG, THOMAS MD 3900 PARADISE RD STE V VALERA, AMIT DO 3900 PARADISE RD STE V WANG, ALLEN Y MD 3900 PARADISE RD STE V CONCENTRA URGENT CARE 5850 S POLARIS RD # ANAND, SUSHIL P MD 5850 S POLARIS RD # BETZ, JOHN E MD 5850 S POLARIS RD # BOULTON, WAYNE PAC 5850 S POLARIS RD # CARULLO, FAUZIA MD 5850 S POLARIS RD # CASZATT, CEYLON T DO 5850 S POLARIS RD #100 DALUGA, JOSEPHINE M MD 5850 S POLARIS RD #100 DELACRUZ, RAYMUND PAC 5850 S POLARIS RD # DRUMM, LARRY E DO 5850 S POLARIS RD #100 DY, MELINDA M DO 5850 S POLARIS RD #100 Page 5 of 263 Providers on this list are active as of : 01/08/2015

15 URGENT CARE FACILITIES URGENT CARE FACILITIES CONCENTRA URGENT CARE 5850 S POLARIS RD #100 ERWIN, ROBERT C DO 5850 S POLARIS RD #100 ESTRADA, EDMUNDO C MD 5850 S POLARIS RD #100 FIHN, GREG E DO 5850 S POLARIS RD #100 GAETKE, MARK J MD 5850 S POLARIS RD #100 GREY, JEFFERSON PA 5850 S POLARIS RD #100 HAWKINS, YOLANDA MD 5850 S POLARIS RD # HOVERSTEN, GREGORY B DO 5850 S POLARIS RD # JOFFE, MICHEL MD 5850 S POLARIS RD # KARAGIOZIS, MICHAEL DO 5850 S POLARIS RD # KAYANI, FAROOQ A MD 5850 S POLARIS RD #100 KELLEY, ASHLEY V MD 5850 S POLARIS RD #100 KLINGBERG, THEA M DO 5850 S POLARIS RD #100 KUBAL, VANEETA V MD 5850 S POLARIS RD #100 LEWIS, ROBERT D MD 5850 S POLARIS RD #100 MEYER, MIKEL R DO 5850 S POLARIS RD #100 OUMA, JOSEPH MD 5850 S POLARIS RD # PANICARI, MICHAEL R MD 5850 S POLARIS RD #100 PRINCER, MARIA T MD 5850 S POLARIS RD # PUNSALANG, JANE Y MD 5850 S POLARIS RD # REARDON, MATTHEW J MD 5850 S POLARIS RD # ROSS, TROY W MD 5850 S POLARIS RD #100 SARAN, PRAVEEN MD 5850 S POLARIS RD # SARAZEN, ROBERT MD 5850 S POLARIS RD #100 SCHWARTZ, ALLEN M DO 5850 S POLARIS RD #100 SHANG, THOMAS MD 5850 S POLARIS RD #100 VALERA, AMIT DO 5850 S POLARIS RD # WANG, ALLEN Y MD 5850 S POLARIS RD # FIRST MED OF SOUTHERN NEVADA 3343 S EASTERN AVE QUISUMBING, MARIA E MD 3343 S EASTERN AVE HEALTHCARE PARTNERS MEDICAL GROUP 4880 S WYNN RD BERJIS, REZA R MD 4880 S WYNN RD KALRA, RAKESH K MD 4880 S WYNN RD HEALTHCARE PARTNERS MEDICAL GROUP 9499 W CHARLESTON BLVD # CHEN, RICHARD W MD 9499 W CHARLESTON BLVD # SHIN, KWANG C MD 9499 W CHARLESTON BLVD # LAS VEGAS IMMEDIATE CARE 2901 N TENAYA WAY # CARULLO, RALPH L MD 2901 N TENAYA WAY # NELLIS QUICK CARE 61 N NELLIS BLVD DALUGA, JOSEPHINE M MD 61 N NELLIS BLVD LEE, TONY H MD 61 N NELLIS BLVD UC EXTRA NV 4075 S DURANGO DR # ANTHONY, JAMES M DO 4075 S DURANGO DR # BOESIGER, JAMES A PAC 4075 S DURANGO DR # GARCIA JR, TONY R PAC 4075 S DURANGO DR # HANKS, TYRONE DO 4075 S DURANGO DR # MILLER, CINDY MD 4075 S DURANGO DR # OUMA, JOSEPH MD 4075 S DURANGO DR # ROSCETTI, JAMES L MD 4075 S DURANGO DR # SHANG, THOMAS MD 4075 S DURANGO DR # WITT, MARK W DO 4075 S DURANGO DR # UC EXTRA NV 4575 W CHARLESTON BLVD STE A ANTHONY, JAMES M DO 4575 W CHARLESTON BLVD STE A BOESIGER, JAMES A PAC 4575 W CHARLESTON BLVD STE A GARCIA JR, TONY R PAC 4575 W CHARLESTON BLVD STE A HANKS, TYRONE DO 4575 W CHARLESTON BLVD STE A MILLER, CINDY MD 4575 W CHARLESTON BLVD STE A OUMA, JOSEPH MD 4575 W CHARLESTON BLVD STE A Page 6 of 263 Providers on this list are active as of : 01/08/2015

16 URGENT CARE FACILITIES URGENT CARE FACILITIES UC EXTRA NV 4575 W CHARLESTON BLVD STE A ROSCETTI, JAMES L MD 4575 W CHARLESTON BLVD STE A SHANG, THOMAS MD 4575 W CHARLESTON BLVD STE A WITT, MARK W DO 4575 W CHARLESTON BLVD STE A UC EXTRA NV 4900 W CRAIG RD STE B1-B ANTHONY, JAMES M DO 4900 W CRAIG RD STE B1-B BOESIGER, JAMES A PAC 4900 W CRAIG RD STE B1-B GARCIA JR, TONY R PAC 4900 W CRAIG RD STE B1-B HANKS, TYRONE DO 4900 W CRAIG RD STE B1-B MILLER, CINDY MD 4900 W CRAIG RD STE B1-B OUMA, JOSEPH MD 4900 W CRAIG RD STE B1-B ROSCETTI, JAMES L MD 4900 W CRAIG RD STE B1-B SHANG, THOMAS MD 4900 W CRAIG RD STE B1-B WITT, MARK W DO 4900 W CRAIG RD STE B1-B UC EXTRA NV 6125 W TROPICANA AVE STE A ANTHONY, JAMES M DO 6125 W TROPICANA AVE STE A BOESIGER, JAMES A PAC 6125 W TROPICANA AVE STE A GARCIA JR, TONY R PAC 6125 W TROPICANA AVE STE A HANKS, TYRONE DO 6125 W TROPICANA AVE STE A MILLER, CINDY MD 6125 W TROPICANA AVE STE A OUMA, JOSEPH MD 6125 W TROPICANA AVE STE A ROSCETTI, JAMES L MD 6125 W TROPICANA AVE STE A SHANG, THOMAS MD 6125 W TROPICANA AVE STE A WITT, MARK W DO 6125 W TROPICANA AVE STE A UC EXTRA NV 8300 W CHEYENNE # ANTHONY, JAMES M DO 8300 W CHEYENNE # BOESIGER, JAMES A PAC 8300 W CHEYENNE # GARCIA JR, TONY R PAC 8300 W CHEYENNE # HANKS, TYRONE DO 8300 W CHEYENNE # MILLER, CINDY MD 8300 W CHEYENNE # OUMA, JOSEPH MD 8300 W CHEYENNE # ROSCETTI, JAMES L MD 8300 W CHEYENNE # SHANG, THOMAS MD 8300 W CHEYENNE # WITT, MARK W DO 8300 W CHEYENNE # UMC ENTERPRISE HEALTHCARE 1700 WHEELER PEAK ST MCHUGH, PAUL M DO 1700 WHEELER PEAK ST UNIVERSITY URGENT CARE 2628 W CHARLESTON BLVD PATEL, ANIL M MD 2628 W CHARLESTON BLVD NORTH CONCENTRA URGENT CARE 151 W BROOKS AVE NORTH ANAND, SUSHIL P MD 151 W BROOKS AVE NORTH BETZ, JOHN E MD 151 W BROOKS AVE NORTH CARULLO, FAUZIA MD 151 W BROOKS AVE NORTH CASZATT, CEYLON T DO 151 W BROOKS AVE NORTH DALUGA, JOSEPHINE M MD 151 W BROOKS AVE NORTH DAVIS, ROBERT M MD 151 W BROOKS AVE NORTH DRUMM, LARRY E DO 151 W BROOKS AVE NORTH DY, MELINDA M DO 151 W BROOKS AVE NORTH ERWIN, ROBERT C DO 151 W BROOKS AVE NORTH ESTRADA, EDMUNDO C MD 151 W BROOKS AVE NORTH FIHN, GREG E DO 151 W BROOKS AVE NORTH GAETKE, MARK J MD 151 W BROOKS AVE NORTH GREY, JEFFERSON PA 151 W BROOKS AVE NORTH KARAGIOZIS, MICHAEL DO 151 W BROOKS AVE NORTH KAYANI, FAROOQ A MD 151 W BROOKS AVE NORTH KELLEY, ASHLEY V MD 151 W BROOKS AVE NORTH KLINGBERG, THEA M DO 151 W BROOKS AVE NORTH KUBAL, VANEETA V MD 151 W BROOKS AVE NORTH Page 7 of 263 Providers on this list are active as of : 01/08/2015

17 URGENT CARE FACILITIES URGENT CARE FACILITIES NORTH CONCENTRA URGENT CARE 151 W BROOKS AVE NORTH LEAKS, JOAN S MD 151 W BROOKS AVE NORTH LEWIS, ROBERT D MD 151 W BROOKS AVE NORTH MEYER, MIKEL R DO 151 W BROOKS AVE NORTH PANICARI, MICHAEL R MD 151 W BROOKS AVE NORTH ROSS, TROY W MD 151 W BROOKS AVE NORTH SARAZEN, ROBERT MD 151 W BROOKS AVE NORTH SCHWARTZ, ALLEN M DO 151 W BROOKS AVE NORTH SHANG, THOMAS MD 151 W BROOKS AVE NORTH VALERA, AMIT DO 151 W BROOKS AVE NORTH WANG, ALLEN Y MD 151 W BROOKS AVE NORTH UC EXTRA NV 2202 W CRAIG RD NORTH ANTHONY, JAMES M DO 2202 W CRAIG RD NORTH BOESIGER, JAMES A PAC 2202 W CRAIG RD NORTH GARCIA JR, TONY R PAC 2202 W CRAIG RD NORTH HANKS, TYRONE DO 2202 W CRAIG RD NORTH MILLER, CINDY MD 2202 W CRAIG RD NORTH OUMA, JOSEPH MD 2202 W CRAIG RD NORTH ROSCETTI, JAMES L MD 2202 W CRAIG RD NORTH SHANG, THOMAS MD 2202 W CRAIG RD NORTH WITT, MARK W DO 2202 W CRAIG RD NORTH UC EXTRA NV 3020 W ANN RD NORTH ANTHONY, JAMES M DO 3020 W ANN RD NORTH BOESIGER, JAMES A PAC 3020 W ANN RD NORTH GARCIA JR, TONY R PAC 3020 W ANN RD NORTH HANKS, TYRONE DO 3020 W ANN RD NORTH MILLER, CINDY MD 3020 W ANN RD NORTH OUMA, JOSEPH MD 3020 W ANN RD NORTH ROSCETTI, JAMES L MD 3020 W ANN RD NORTH SHANG, THOMAS MD 3020 W ANN RD NORTH WITT, MARK W DO 3020 W ANN RD NORTH HEALTHCARE PARTNERS MEDICAL GROUP 1501 E CALVADA BLVD SHIRAISHI, RANDOLPH M MD 1501 E CALVADA BLVD Page 8 of 263 Providers on this list are active as of : 01/08/2015

18 ADVANCED NURSE PRAC BEATTY, NV NEVADA HEALTH CENTERS 250 S IRVING ST BEATTY, NV MCGINNIS, DIANE APN 250 S IRVING ST BEATTY, NV CANCER & BLOOD SPECIALISTS NV 2460 W HORIZON RIDGE PKWY TOSTE, CHARINA APN 2460 W HORIZON RIDGE PKWY COMPLETE FAMILY CARE CENTER, LLC 600 WHITNEY RANCH RD STE B CADAVAL, STACEY M APN 600 WHITNEY RANCH RD STE B DIAGNOSTIC CENTER OF MEDICINE 6301 MOUNTAIN VISTA ST # BELLER, PEGGY L APN 6301 MOUNTAIN VISTA ST # BRYAN, AMY A APN 6301 MOUNTAIN VISTA ST # FAMILY DOCTORS OF GREEN VALLEY 291 N PECOS RD COOPER, APRIL H APN 291 N PECOS RD HEALTHCARE PARTNERS MEDICAL GROUP 129 W LAKE MEAD PKWY # KHILNANI, GABRIELA APN 129 W LAKE MEAD PKWY # HEALTHCARE PARTNERS MEDICAL GROUP 2843 ST ROSE PKWY # WALKER, THERESA APN 2843 ST ROSE PKWY # HEALTHCARE PARTNERS MEDICAL GROUP 595 W LAKE MEAD PKWY CHURCH, REBECCA T APN 595 W LAKE MEAD PKWY HEALTHCARE PARTNERS MEDICAL GROUP 600 N WHITNEY RANCH DR #B WALKER, THERESA APN 600 N WHITNEY RANCH DR #B KANTOR NEPHROLOGY CONSULTANTS 2850 W HORIZON RIDGE PKWY # EDANO, LOTIS G APN 2850 W HORIZON RIDGE PKWY # LINDA WOODSON DERMATOLOGY 305 N PECOS RD STE F KIMBLE, ERIKA N APN 305 N PECOS RD STE F LV PAIN INSTITUTE & MEDICAL CENTER 2705 W HORIZON RIDGE PKWY # BORROMEO, ESTRELLA T APN 2705 W HORIZON RIDGE PKWY # FAMY, DANTE F APN 2705 W HORIZON RIDGE PKWY # MALUNDA NONATO, DARLYN APN 2705 W HORIZON RIDGE PKWY # RUSSELL, TWYLA APN 2705 W HORIZON RIDGE PKWY # WHITE, KIMBERLY APN 2705 W HORIZON RIDGE PKWY # NEPHROLOGY & ENDOCRINE ASSOC 100 GREEN VALLEY PKWY # CAMPOS, KIRA APN 100 GREEN VALLEY PKWY # JUSAYAN, ROSE L APN 100 GREEN VALLEY PKWY # REYES, MARILOU APN 100 GREEN VALLEY PKWY # NEPHROLOGY & ENDOCRINE ASSOC 2510 WIGWAM PKWY # CAMPOS, KIRA APN 2510 WIGWAM PKWY # NEUROLOGY CENTER OF LAS VEGAS 2430 W HORIZON RIDGE PKWY DIAO, MARIA Z APN 2430 W HORIZON RIDGE PKWY NEUROLOGY CENTER OF LAS VEGAS 9029 S PECOS RD # SHROFF, SAVNEET G APN 9029 S PECOS RD # REDDY, GAUTHAM G 2401 HORIZON RIDGE PKWY # MICHLIN, LAURIE A APN 2401 HORIZON RIDGE PKWY # WELLHEALTH MEDICAL GROUP, PC 880 SEVEN HILLS DR #140 BROWN, MARSHA A APN 880 SEVEN HILLS DR #140 CARNEY, PATRICIA L APN 880 SEVEN HILLS DR #140 FROESE, SHARON W APN 880 SEVEN HILLS DR #140 HANNA-MANFULL, CHARLENE APN 880 SEVEN HILLS DR #140 NAVA, CHRISTINA M APN 880 SEVEN HILLS DR #140 Page 9 of 263 Providers on this list are active as of : 01/08/2015

19 ADVANCED NURSE PRAC YU NEUROLOGY CENTER OF NEVADA 2430 W HORIZON RIDGE PKWY TAN, EVITA K APN 2430 W HORIZON RIDGE PKWY A LAS VEGAS PEDIATRICS 5876 S PECOS RD STE B CRUZ, JESSICA A APN 5876 S PECOS RD STE B ADVANCED SPINE & PAIN CENTER 601 S RANCHO DR STE A CALLANTA, RAFAEL E APN 601 S RANCHO DR STE A AHF 3201 S MARYLAND PKWY MOSES, MARIANNE APN 3201 S MARYLAND PKWY ALIANTE INTEGRATED PHYSICAL MED 2626 S RAINBOW BLVD # TRAVELLER, LAUREN D APN 2626 S RAINBOW BLVD # ALIANTE INTEGRATED PHYSICAL MED 4530 S EASTERN AVE # TRAVELLER, LAUREN D APN 4530 S EASTERN AVE # ALIANTE INTEGRATED PHYSICAL MED 6592 N DECATUR BLVD # TRAVELLER, LAUREN D APN 6592 N DECATUR BLVD # CAMBRIDGE FAMILY HEALTH CENTER 3900 CAMBRIDGE AVE # LEE, AMBER APN 3900 CAMBRIDGE AVE # PHOENIX, JOHN R APN 3900 CAMBRIDGE AVE # CANCER & BLOOD SPECIALISTS NV 3150 N TENAYA # TOSTE, CHARINA APN 3150 N TENAYA # CANCER & BLOOD SPECIALISTS NV 701 SHADOW LANE # TOSTE, CHARINA APN 701 SHADOW LANE # CARDIOVASCULAR SURGERY OF S NV 5320 S RAINBOW BLVD # OLAN-CABRERA, MARICEL APN 5320 S RAINBOW BLVD # CHILDREN'S SPECIALTY CTR OF NV 3121 S MARYLAND PKWY # BAYREDER, ARLENE APN 3121 S MARYLAND PKWY # FEDERIZO, AMBER M APN 3121 S MARYLAND PKWY # CHILDREN'S SPECIALTY CTR OF NV 3121 S MARYLAND PKWY # BAYREDER, ARLENE APN 3121 S MARYLAND PKWY # FEDERIZO, AMBER M APN 3121 S MARYLAND PKWY # CHILDREN'S SPECIALTY CTR OF NV 3121 S MARYLAND PKWY # BAYREDER, ARLENE APN 3121 S MARYLAND PKWY # FEDERIZO, AMBER M APN 3121 S MARYLAND PKWY # CHILDREN'S SPECIALTY CTR OF NV II 3121 S MARYLAND PKWY # BAYREDER, ARLENE APN 3121 S MARYLAND PKWY # CHILDREN'S SPECIALTY CTR OF NV II 3121 S MARYLAND PKWY # BAYREDER, ARLENE APN 3121 S MARYLAND PKWY # CHILDREN'S SPECIALTY CTR OF NV II 3121 S MARYLAND PKWY # BAYREDER, ARLENE APN 3121 S MARYLAND PKWY # COMPREHENSIVE CANCER CENTER OF NV 3196 S MARYLAND PKWY # BAYREDER, ARLENE APN 3196 S MARYLAND PKWY # COMPREHENSIVE CANCER CENTER OF NV 7445 PEAK DR MILES, SHELLEY S APN 7445 PEAK DR DESERT CARDIOVASCULAR CONSULTANTS 5785 S FORT APACHE RD STE A HEDDEN, KATHLEEN S APN 5785 S FORT APACHE RD STE A DESERT PEDIATRICS 7180 CASCADE VALLEY COURT # CORMICAN, AMANDA J APN 7180 CASCADE VALLEY COURT # HESS, DAWN J APN 7180 CASCADE VALLEY COURT # KASTNER-GALVIN, CRISTINE APN 7180 CASCADE VALLEY COURT # Page 10 of 263 Providers on this list are active as of : 01/08/2015

20 ADVANCED NURSE PRAC DIAGNOSTIC CENTER OF MEDICINE 3012 S DURANGO DR # BELLER, PEGGY L APN 3012 S DURANGO DR # BRYAN, AMY A APN 3012 S DURANGO DR # DIAGNOSTIC CENTER OF MEDICINE 5380 S RAINBOW BLVD # BELLER, PEGGY L APN 5380 S RAINBOW BLVD # BRYAN, AMY A APN 5380 S RAINBOW BLVD # FORTE FAMILY PRACTICE 4845 S RAINBOW BLVD # STRAUSS DIPAOLO, BEVERLY D APN 4845 S RAINBOW BLVD # FORTE FAMILY PRACTICE 9010 W CHEYENNE STRAUSS DIPAOLO, BEVERLY D APN 9010 W CHEYENNE GUADALUPE MEDICAL CENTER 1219 E CHARLESTON BLVD BADUA, NILDA APN 1219 E CHARLESTON BLVD CORPUZ, FRANISCO A APN 1219 E CHARLESTON BLVD GUERRERO, MAE APN 1219 E CHARLESTON BLVD HCP CENTENNIAL ONCOLOGY 6850 N DURANGO DR # KING, ROBIN E APN 6850 N DURANGO DR # HCP CENTRAL ONCOLOGY 3006 MARYLAND PKWY # KING, ROBIN E APN 3006 MARYLAND PKWY # HCP SAN MARTIN ONCOLOGY 8285 W ARBY AVE # KING, ROBIN E APN 8285 W ARBY AVE # HCP TENAYA ONCOLOGY 6850 N TENAYA WAY # KING, ROBIN E APN 6850 N TENAYA WAY # HEALTHCARE PARTNERS MEDICAL GROUP 1000 S RAINBOW BLVD STE A AGU, UGOEZI B APN 1000 S RAINBOW BLVD STE A HEALTHCARE PARTNERS MEDICAL GROUP 2035 VILLAGE CTR CIR # LEIFRIED, STACY A APN 2035 VILLAGE CTR CIR # HEALTHCARE PARTNERS MEDICAL GROUP 4275 S BURNHAM AVE # VADOVIC, ROBERT J APN 4275 S BURNHAM AVE # HEALTHCARE PARTNERS MEDICAL GROUP 4275 S BURNHAM AVE # CROSS, ANGELIQUE J APN 4275 S BURNHAM AVE # HEALTHCARE PARTNERS MEDICAL GROUP 4880 S WYNN RD AUSTIN, JENNIFER APN 4880 S WYNN RD CHEN, JUDY H APN 4880 S WYNN RD HEALTHCARE PARTNERS MEDICAL GROUP 4920 LONE MOUNTAIN RD KHILNANI, GABRIELA APN 4920 LONE MOUNTAIN RD HEALTHCARE PARTNERS MEDICAL GROUP 6850 N DURANGO DR # LAUX, KAREN E APN 6850 N DURANGO DR # HEALTHCARE PARTNERS MEDICAL GROUP 9499 W CHARLESTON BLVD # CALIGAGAN, ASBEL T APN 9499 W CHARLESTON BLVD # KASCH, LYNN E APN 9499 W CHARLESTON BLVD # LUSTIG, TABITHA C APN 9499 W CHARLESTON BLVD # POWERS, JENNIFER D APN 9499 W CHARLESTON BLVD # RIOS, ALEJANDRO APN 9499 W CHARLESTON BLVD # KANTOR NEPHROLOGY CONSULTANTS 1750 E DESERT INN RD # EDANO, LOTIS G APN 1750 E DESERT INN RD # KANTOR NEPHROLOGY CONSULTANTS 2420 PROFESSIONAL CT # EDANO, LOTIS G APN 2420 PROFESSIONAL CT # Page 11 of 263 Providers on this list are active as of : 01/08/2015

21 ADVANCED NURSE PRAC KANTOR NEPHROLOGY CONSULTANTS 2425 N LAMB BLVD # EDANO, LOTIS G APN 2425 N LAMB BLVD # KANTOR NEPHROLOGY CONSULTANTS 2545 S BRUCE ST # EDANO, LOTIS G APN 2545 S BRUCE ST # KANTOR NEPHROLOGY CONSULTANTS 6970 W PATRICK LANE # EDANO, LOTIS G APN 6970 W PATRICK LANE # LINDA WOODSON DERMATOLOGY 2800 N TENAYA WAY # KIMBLE, ERIKA N APN 2800 N TENAYA WAY # LV PAIN INSTITUTE & MEDICAL CENTER 1900 N NELLIS BLVD BORROMEO, ESTRELLA T APN 1900 N NELLIS BLVD FAMY, DANTE F APN 1900 N NELLIS BLVD MOULLIET, KIMBERLY A APN 1900 N NELLIS BLVD RUSSELL, TWYLA APN 1900 N NELLIS BLVD WHITE, KIMBERLY APN 1900 N NELLIS BLVD LV PAIN INSTITUTE & MEDICAL CENTER 3835 S JONES BLVD # BORROMEO, ESTRELLA T APN 3835 S JONES BLVD # FAMY, DANTE F APN 3835 S JONES BLVD # MALUNDA NONATO, DARLYN APN 3835 S JONES BLVD # MOULLIET, KIMBERLY A APN 3835 S JONES BLVD # RUSSELL, TWYLA APN 3835 S JONES BLVD # WHITE, KIMBERLY APN 3835 S JONES BLVD # LV PAIN INSTITUTE & MEDICAL CENTER 7175 N DURANGO FAMY, DANTE F APN 7175 N DURANGO MALUNDA NONATO, DARLYN APN 7175 N DURANGO RUSSELL, TWYLA APN 7175 N DURANGO WHITE, KIMBERLY APN 7175 N DURANGO MEDSCHOOL ASSOCIATES SOUTH 1707 W CHARLESTON BLVD # COLE, MARY ANN APN 1707 W CHARLESTON BLVD # MEDSCHOOL ASSOCIATES SOUTH 1707 W CHARLESTON BLVD # CLARK, ESMERALDA A APN 1707 W CHARLESTON BLVD # MEDSCHOOL ASSOCIATES SOUTH 3006 S MARYLAND PKWY # PATEL, DINA V APN 3006 S MARYLAND PKWY # MILESTONES PEDIATRICS 5120 S PECOS RD VILLAREAL, GILDA A APN 5120 S PECOS RD MOLIN, CLIFFORD J 2481 PROFESSIONAL CT OLSEN, JARVIS D APN 2481 PROFESSIONAL CT MOUNTAIN VIEW PEDIATRICS 2901 N TENAYA WAY # CARDOZA, MELINDA S APN 2901 N TENAYA WAY # NEPHROLOGY & ENDOCRINE ASSOC 500 S RANCHO DR # HUGG, NATHAN APN 500 S RANCHO DR # JUSAYAN, ROSE L APN 500 S RANCHO DR # MENDOZA, LOURDES APN 500 S RANCHO DR # REYES, MARILOU APN 500 S RANCHO DR # NEUROLOGY CENTER OF LAS VEGAS 2440 PROFESSIONAL CT # SHROFF, SAVNEET G APN 2440 PROFESSIONAL CT # NEVADA BRAIN & SPINE CARE 9499 W CHARLESTON BLVD # LEAVITT, KRISTINE R APN 9499 W CHARLESTON BLVD # Page 12 of 263 Providers on this list are active as of : 01/08/2015

22 ADVANCED NURSE PRAC NEVADA HEALTH CENTERS 1799 MT MARIAH DR GRAY II, KIMBERLY F APN 1799 MT MARIAH DR SITAR, CYNTHIA APN 1799 MT MARIAH DR NEVADA ORTHOPEDIC & SPINE 2650 N TENAYA WAY # RECHTZIGEL, DEANNA APN 2650 N TENAYA WAY # NEVADA PEDIATRIC SPECIALISTS 3201 S MARYLAND PKWY # HERBERT, CORY ANN APN 3201 S MARYLAND PKWY # STEPHENSON-DOUGLASS, PAMELA J MSN 3201 S MARYLAND PKWY # NOVERO NEUROLOGY LLC 3150 N TENAYA WAY # FELICIA, ALICIA APN 3150 N TENAYA WAY # ROGELIO MACHUCA, MD FAMILY MEDICINE 100 S JONES BLVD CADAVAL, STACEY M APN 100 S JONES BLVD CHAVEZ, MARIA M APN 100 S JONES BLVD ROGELIO MACHUCA, MD FAMILY MEDICINE 1501 S EASTERN AVE CADAVAL, STACEY M APN 1501 S EASTERN AVE CHAVEZ, MARIA M APN 1501 S EASTERN AVE SAHARA FAMILY PRACTICE 2310 PASEO DEL PRADO STE A MILLER, SALLY K MSN 2310 PASEO DEL PRADO STE A SANS PAIN CLINIC 6850 N DURANGO DR # TEARE, EDWARD R APN 6850 N DURANGO DR # SPARKS FAMILY MEDICINE W TWAIN AVE # PARKER, MAUREEN APN W TWAIN AVE # WELLHEALTH MEDICAL GROUP, PC BANBURRY CROSS DR #460 BROWN, MARSHA A APN BANBURRY CROSS DR #460 CARNEY, PATRICIA L APN BANBURRY CROSS DR #460 FROESE, SHARON W APN BANBURRY CROSS DR #460 HANNA-MANFULL, CHARLENE APN BANBURRY CROSS DR #460 NAVA, CHRISTINA M APN BANBURRY CROSS DR #460 WELLHEALTH MEDICAL GROUP, PC 3150 N TENAYA WAY #300 BROWN, MARSHA A APN 3150 N TENAYA WAY #300 CARNEY, PATRICIA L APN 3150 N TENAYA WAY #300 FROESE, SHARON W APN 3150 N TENAYA WAY #300 HANNA-MANFULL, CHARLENE APN 3150 N TENAYA WAY #300 NAVA, CHRISTINA M APN 3150 N TENAYA WAY #300 WELLHEALTH MEDICAL GROUP, PC 3196 S MARYLAND PKWY #303 BROWN, MARSHA A APN 3196 S MARYLAND PKWY #303 CARNEY, PATRICIA L APN 3196 S MARYLAND PKWY #303 FROESE, SHARON W APN 3196 S MARYLAND PKWY #303 HANNA-MANFULL, CHARLENE APN 3196 S MARYLAND PKWY #303 NAVA, CHRISTINA M APN 3196 S MARYLAND PKWY #303 WELLHEALTH MEDICAL GROUP, PC 5320 S RAINBOW BLVD #182 BROWN, MARSHA A APN 5320 S RAINBOW BLVD #182 CARNEY, PATRICIA L APN 5320 S RAINBOW BLVD #182 FROESE, SHARON W APN 5320 S RAINBOW BLVD #182 HANNA-MANFULL, CHARLENE APN 5320 S RAINBOW BLVD #182 NAVA, CHRISTINA M APN 5320 S RAINBOW BLVD #182 WELLHEALTH MEDICAL GROUP, PC 601 S SMOKE RANCHO DR STE D BROWN, MARSHA A APN 601 S SMOKE RANCHO DR STE D CARNEY, PATRICIA L APN 601 S SMOKE RANCHO DR STE D FROESE, SHARON W APN 601 S SMOKE RANCHO DR STE D HANNA-MANFULL, CHARLENE APN 601 S SMOKE RANCHO DR STE D NAVA, CHRISTINA M APN 601 S SMOKE RANCHO DR STE D Page 13 of 263 Providers on this list are active as of : 01/08/2015

23 ADVANCED NURSE PRAC WELLHEALTH MEDICAL GROUP, PC 6850 N DURANGO DR #310 BROWN, MARSHA A APN 6850 N DURANGO DR #310 CARNEY, PATRICIA L APN 6850 N DURANGO DR #310 FROESE, SHARON W APN 6850 N DURANGO DR #310 HANNA-MANFULL, CHARLENE APN 6850 N DURANGO DR #310 NAVA, CHRISTINA M APN 6850 N DURANGO DR #310 WELLHEALTH MEDICAL GROUP, PC 6990 SMOKE RANCH RD BROWN, MARSHA A APN 6990 SMOKE RANCH RD CARNEY, PATRICIA L APN 6990 SMOKE RANCH RD FROESE, SHARON W APN 6990 SMOKE RANCH RD HANNA-MANFULL, CHARLENE APN 6990 SMOKE RANCH RD NAVA, CHRISTINA M APN 6990 SMOKE RANCH RD WELLHEALTH MEDICAL GROUP, PC 9260 W SUNSET RD #100 BROWN, MARSHA A APN 9260 W SUNSET RD #100 CARNEY, PATRICIA L APN 9260 W SUNSET RD #100 FROESE, SHARON W APN 9260 W SUNSET RD #100 HANNA-MANFULL, CHARLENE APN 9260 W SUNSET RD #100 NAVA, CHRISTINA M APN 9260 W SUNSET RD #100 WELLHEALTH MEDICAL GROUP, PC 9260 W SUNSET RD #200 CARNEY, PATRICIA L APN 9260 W SUNSET RD #200 FROESE, SHARON W APN 9260 W SUNSET RD #200 WELLHEALTH MEDICAL GROUP, PC 9280 W SUNSET RD # BROWN, MARSHA A APN 9280 W SUNSET RD # CARNEY, PATRICIA L APN 9280 W SUNSET RD #210 FROESE, SHARON W APN 9280 W SUNSET RD # HANNA-MANFULL, CHARLENE APN 9280 W SUNSET RD # NAVA, CHRISTINA M APN 9280 W SUNSET RD # YU NEUROLOGY CENTER OF NEVADA 2501 W CHARLESTON BLVD TAN, EVITA K APN 2501 W CHARLESTON BLVD HEALTHCARE PARTNERS MEDICAL GROUP 210 N SANDHILL BLVD SCIACCA, JOSEPHINE A APN 210 N SANDHILL BLVD MESA VIEW MEDICAL GROUP 1301 BERTHA HOWE AVE # PENICK, BRIDGET APN 1301 BERTHA HOWE AVE # NORTH AHF 1815 E LAKE MEAD BLVD #113 NORTH MOSES, MARIANNE APN 1815 E LAKE MEAD BLVD #113 NORTH DIGESTIVE ASSOCIATES LLP 2031 MC DANIEL ST #210 NORTH VO, DAISY APN 2031 MC DANIEL ST #210 NORTH GUADALUPE MEDICAL CENTER 1820 E LAKE MEAD BLVD STE M NORTH BADUA, NILDA APN 1820 E LAKE MEAD BLVD STE M NORTH MAMA MIA PEDIATRICS LLC 2315 E CHEYENNE AVE #100 NORTH CENDANA, CHRISTINE M APN 2315 E CHEYENNE AVE #100 NORTH NEVADA HEALTH CENTERS 1312 E TONOPAH NORTH PHOENIX, JOHN R APN 1312 E TONOPAH NORTH HEALTHCARE PARTNERS MEDICAL GROUP 1280 E CALVADA BLVD AGATON, JAYSON P APN 1280 E CALVADA BLVD Page 14 of 263 Providers on this list are active as of : 01/08/2015

24 ADVANCED NURSE PRAC HEALTHCARE PARTNERS MEDICAL GROUP 1430 E CALVADA BLVD # PETRAS, MARIA H APN 1430 E CALVADA BLVD # HEALTHCARE PARTNERS MEDICAL GROUP 1501 E CALVADA BLVD GATICALES, JOSE ROBERT K APN 1501 E CALVADA BLVD PLAZA, IDA B APN 1501 E CALVADA BLVD NEPHROLOGY & ENDOCRINE ASSOC 360 S LOLA LANE STE B CAMPOS, KIRA APN 360 S LOLA LANE STE B JUSAYAN, ROSE L APN 360 S LOLA LANE STE B REYES, MARILOU APN 360 S LOLA LANE STE B TONOPAH, NV COMMUNITY HEALTH NURSING CLINIC #1 FRANKE AVE TONOPAH, NV ENNIS, BETH L APN #1 FRANKE AVE TONOPAH, NV BULLHEAD CITY CLINIC CORP 2500 CANYON RD BLDG B # RUMPLE, MELISSA APN 2500 CANYON RD BLDG B # BULLHEAD CITY CLINIC CORP 3735 HWY FORD, KIM C APN 3735 HWY LITTLEFIELD, AZ CANYONLANDS COMMUNITY H C 3272 E RIO VIRGIN RD LITTLEFIELD, AZ JOHNSON, KAREN M APN 3272 E RIO VIRGIN RD LITTLEFIELD, AZ ALLERGY / IMMUNOLOGY ALLERGY PARTNERS OF NEVADA 2485 W HORIZON RIDGE PKWY # MCKNIGHT, ANDREW S MD 2485 W HORIZON RIDGE PKWY # MELA, SUZANNE MD 2485 W HORIZON RIDGE PKWY # LAS VEGAS SKIN & CANCER CLINICS 880 SEVEN HILLS DR # HERMAN, FREDERICK MD 880 SEVEN HILLS DR # PULMONARY ASSOCIATES 4 SUNSET WAY STE A CHRISTENSEN, JIM MD 4 SUNSET WAY STE A ALLERGY & ASTHMA CENTER 2625 BOX CANYON DR KATZ, JOEL L MD 2625 BOX CANYON DR COHEN, VICTOR E 4445 S EASTERN AVE STE A COHEN, VICTOR E MD 4445 S EASTERN AVE STE A JORAM S SEGGEV CHTD 3150 N TENAYA WAY # SEGGEV, JORAM S MD 3150 N TENAYA WAY # JORAM S SEGGEV CHTD 3196 S MARYLAND PKWY # SEGGEV, JORAM S MD 3196 S MARYLAND PKWY # JORAM S SEGGEV CHTD 7500 W LAKE MEAD BLVD # SEGGEV, JORAM S MD 7500 W LAKE MEAD BLVD # LAS VEGAS SKIN & CANCER CLINICS 1250 S BUFFALO # HERMAN, FREDERICK MD 1250 S BUFFALO # LAS VEGAS SKIN & CANCER CLINICS 4488 S PECOS RD HERMAN, FREDERICK MD 4488 S PECOS RD LAS VEGAS SKIN & CANCER CLINICS 630 S RANCHO DR STE E HERMAN, FREDERICK MD 630 S RANCHO DR STE E LAS VEGAS SKIN & CANCER CLINICS 6850 N DURANGO # HERMAN, FREDERICK MD 6850 N DURANGO # Page 15 of 263 Providers on this list are active as of : 01/08/2015

25 ALLERGY / IMMUNOLOGY LAS VEGAS SKIN & CANCER CLINICS 8205 WARM SPRINGS RD # HERMAN, FREDERICK MD 8205 WARM SPRINGS RD # MEDSCHOOL ASSOCIATES SOUTH 3006 S MARYLAND PKWY # HOGAN, MARY B MD 3006 S MARYLAND PKWY # WILSON, NEVIN W MD 3006 S MARYLAND PKWY # PULMONARY ASSOCIATES 7200 CATHEDRAL ROCK DR # CHRISTENSEN, JIM MD 7200 CATHEDRAL ROCK DR # TOTTORI ALLERGY & ASTHMA ASSOC 4000 E CHARLESTON BLVD # TOTTORI, DAVID MD 4000 E CHARLESTON BLVD # TOTTORI ALLERGY & ASTHMA ASSOC 9020 W CHEYENNE TOTTORI, DAVID MD 9020 W CHEYENNE LAS VEGAS SKIN & CANCER CLINICS 2080 E CALVADA BLVD # HERMAN, FREDERICK MD 2080 E CALVADA BLVD # AMBULANCE CALIENTE, NV LINCOLN AMBULANCE HWY 93 N CALIENTE, NV MEADOW VLY AMBULANCE HWY 93 N CALIENTE, NV AMERICAN MEDICAL RESPONSE 1200 S MARTIN LUTHER KING BLVD LIFE GUARD INTERNATIONAL, INC 145 E RENO AVE STE E NORTH MEDIC WEST AMBULANCE LAS VEGAS 9 W DELHI NORTH BULLHEAD FIRE DEPT AMBULANCE 1260 HANCOCK RD COTTONWOOD, AZ VVMC GUARDIAN AIR 269 S CANDY LANE COTTONWOOD, AZ EAST FLAGSTAFF, AZ GUARDIAN AIR 6639 S PIPER LANE STE B1 EAST FLAGSTAFF, AZ FORT MOHAVE, AZ FORT MOJAVE MESA FIRE DEPT 2230 JOY LANE FORT MOHAVE, AZ KINGMAN, AZ GUARDIAN AIR 7010 FLIGHTLINE DR KINGMAN, AZ MOHAVE VALLEY, AZ MOHAVE VALLEY FD AMBULANCE SVC 1451 WILLOW DR MOHAVE VALLEY, AZ Page 16 of 263 Providers on this list are active as of : 01/08/2015

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