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Dear Member:
This directory of the Pan American Allergy Society is divided into the following categories:
Alphabetical listing by State Name: P.A.A.S. members, including affiliate members, in the U.S.
Foreign Members: P.A.A.S. members who are M.D.’s and D.O.’s living outside the U.S. (Listed on the last three pages of directory)
Member physicians practice allergy using the diagnostic methods listed on the inside cover of this directory. Although such a list can never be totally accurate, we have endeavored to provide current information and hope it will prove helpful in referring patients for continued care. For accurate referrals, keep us informed of changes in testing methods as well as changes in addresses and telephone numbers.
FOR MEMBERSHIP INFORMATION, please contact the Pan American Allergy Society office.
Howard J. Lang, D.O. Secretary/Treasurer
Pan American Allergy Society 1317 Wooded Knoll
San Antonio, TX 78258
210-495-9853 ● 210-495-9852 Fax
Email: [email protected]
3
Website: www.paas.org
KEY TO DIRECTORY LISTING
1. STATE & ABBREVIATION 2. CITY 3. MEMBER NAME 4. LOCAL TELEPHONE 5. FAX NUMBER
6. E-MAIL ADDRESS 7. MAILING ADDRESS 8. ZIP CODE 9. MEDICAL SPECIALTY 10. TESTING METHODS
MEDICAL SPECIALTIES A Allergy D Dermatology EM Environmental Medicine EN Ear, Nose & Throat FP Family Practice FPS Facial Plastic Surgery GP General Practice GPM General Preventive Medicine HNS Head-Neck Surgery IG Immunology IM Internal Medicine NTR Nutrition OBG Obstetrics/Gynecology OPH Ophthalmology OT Otology OTO Otolaryngology P Psychiatry PD Pediatrics PDA Pediatric Allergy PATH Pathology PULM Pulmonology RHI Rhinology RHU Rheumatology SURG Surgery
4
DIAGNOSTIC METHOD ABBREVIATIONS id intradermal sl sublingual pid provocative intradermal psl provocative sublingual ed elimination diet rd rotary diet chal challenge chem chemical pfc provocative food challenge ELISA Enzyme Linked Immuno Sorbent Assay FAST Fluorescent Allergo Sorbent Test MQT Modified Quantitative Testing MULTI-TEST Multiple Allergen Simultaneous Testing PIFT Provocative Intradermal Food Test RAST Radio Allergo Sorbent Test RIA Radio Immuno Assay SET Serial Endpoint Titration SPT Skin Prick Test THABEST Third Heir Biotin Enzyme System Test
MemberDirectory_20190709_United States
State_Province Alabama
Last McLeod
First F.
Middle Anthony
Degree MD
Phone (256) 329‐1114
Fax 256‐329‐3339
Address 3368 Hwy. 280, #G‐15
Address2
City Alexander City
ZIP_Postal Code 35010
Country_Region USA
Testing_Methods
Specialty OTO
State_Province Alabama
Last Miller
First Melanie
Middle M
Degree MD
Phone 205‐655‐2110
Fax 205‐655‐7020
Address 159 Main St.
Address2
City Trussville
ZIP_Postal Code 35173
Country_Region USA
Testing_Methods id; pn
Specialty FP
Wednesday, July 10, 2019 Page 1 of 154
State_Province Alabama
Last Morgan
First Alice
Middle H.
Degree MD
Phone 205‐933‐9236
Fax
Address 833 St. Vincent's Dr.
Address2 Bldg. 3, #402
City Birmingham
ZIP_Postal Code 35205
Country_Region USA
Testing_Methods id; ELISA; pn; ed; RAST
Specialty OTO
State_Province Alabama
Last Hill
First Loretta
Middle P.
Degree LPN
Phone 205‐980‐2091
Fax 205‐980‐2196
Address Alabama Nasal & Sinus Ctr.
Address2 7191 Cahaba Valley Rd., #301
City Birmingham
ZIP_Postal Code 35242
Country_Region USA
Testing_Methods id; pid; pnsl; in vitro; ed
Specialty OTO
Wednesday, July 10, 2019 Page 2 of 154
State_Province Alabama
Last Boyd
First Edwyn
Middle L
Degree MD
Phone 205‐733‐9595
Fax 205‐733‐9599
Address 2116 Data Park
Address2
City Hoover
ZIP_Postal Code 35244
Country_Region USA
Testing_Methods id; ed; oral chall; ImmunoCap
Specialty ENT
State_Province Alabama
Last Sciacca
First Robert
Middle J
Degree MD
Phone 205‐985‐7393
Fax 205‐987‐1332
Address 4501 Southlake Pkwy, #200
Address2
City Birmingham
ZIP_Postal Code 35244
Country_Region USA
Testing_Methods id; pid; RAST; MQT; IDT; ed; oral chall
Specialty OTO
Wednesday, July 10, 2019 Page 3 of 154
State_Province Alabama
Last Shotts, Jr.
First James
Middle E.
Degree MD
Phone 205‐758‐9041
Fax 205‐759‐5259
Address 1300 McFarland Blvd. NE, #150
Address2
City Tuscaloosa
ZIP_Postal Code 35406
Country_Region USA
Testing_Methods id; RAST; ed; oral chall
Specialty OTO; A
State_Province Alabama
Last Pearson
First Nicole
Middle
Degree
Phone 205‐758‐9041
Fax
Address c/o James E. Shotts, MD
Address2 1300 McFarland Blvd. NE, #150
City Tuscaloosa
ZIP_Postal Code 35406
Country_Region USA
Testing_Methods
Specialty
Wednesday, July 10, 2019 Page 4 of 154
State_Province Alabama
Last Humphrey
First Kelli
Middle
Degree
Phone 286‐571‐8450
Fax
Address c/o James Masdon MD
Address2 602 Corley Ave.
City Boaz
ZIP_Postal Code 35956
Country_Region USA
Testing_Methods SET; RAST
Specialty
State_Province Alabama
Last Masdon
First James
Middle
Degree MD
Phone 256‐571‐8450
Fax 256‐840‐4584
Address 602 Corley Avenue
Address2
City Boaz
ZIP_Postal Code 35957
Country_Region USA
Testing_Methods id; RAST
Specialty ENT
Wednesday, July 10, 2019 Page 5 of 154
State_Province Alabama
Last Chapman
First Alan
Middle Craig
Degree MD
Phone 334‐272‐8644
Fax
Address 1773 Platt Place
Address2
City Montgomery
ZIP_Postal Code 36117
Country_Region USA
Testing_Methods
Specialty
State_Province Alabama
Last Allen
First Teresa
Middle
Degree DO
Phone 334‐273‐0904
Fax 334‐273‐0905
Address 7047 Halcyon Park Drive
Address2
City Montgomery
ZIP_Postal Code 36117
Country_Region USA
Testing_Methods
Specialty IM
Wednesday, July 10, 2019 Page 6 of 154
State_Province
Last
First
Middle
Degree
Phone
Fax
Address
Alabama
Brock
Larry
D
MD
Address2
City Mobile
ZIP_Postal Code
Country_Region
Testing_Methods
Specialty
36608
USA
Retired
A; OTO
State_Province Alaska
Last Harmon
First Jason
Middle
Degree ND
Phone 907‐770‐6700
Fax 907‐770‐6707
Address 915 W. Northern Lights Blvd.
Address2
City Anchorage
ZIP_Postal Code 99503
Country_Region USA
Testing_Methods id; pnid; pnsl; ed
Specialty Allergy
Wednesday, July 10, 2019 Page 7 of 154
State_Province
Last
First
Middle
Degree
Phone
Arizona
Mohr
Rhonda
B.
NCMA
623‐512‐4379
Fax
Address c/o Daniel Charous, MD
Address2 13555 W. McDowell Rd., #209
City Goodyear
ZIP_Postal Code 85395
Country_Region USA
Testing_Methods pnsl
Specialty
State_Province Arizona
Last Vaughan
First Oladiji
Middle
Degree MD
Phone 602‐734‐5509
Fax 877‐281‐3385
Address 270 E. Hunt Hwy., #18
Address2
City San Tan Valley
ZIP_Postal Code 85143
Country_Region USA
Testing_Methods id; pn; pid; ed
Specialty PD
Wednesday, July 10, 2019 Page 8 of 154
State_Province Arizona
Last Nwosu
First Chikwendu (Chris)
Middle
Degree MD
Phone 917‐474‐0025
Fax
Address 3846 E. Lafayette Ave.
Address2
City Gilbert
ZIP_Postal Code 85298
Country_Region USA
Testing_Methods None listed
Specialty
State_Province Arizona
Last Thorson
First Yvette
Middle
Degree PA‐C
Phone
Fax
Address 27527 N. 171st Dr.
Address2
City Surprise
ZIP_Postal Code 85387
Country_Region USA
Testing_Methods pid; psl
Specialty
Wednesday, July 10, 2019 Page 9 of 154
State_Province Arizona
Last Charous
First Daniel
Middle
Degree MD
Phone 623‐512‐4199
Fax
Address Arizona Desert ENT
Address2 13555 W. McDowell Rd., #209
City Goodyear
ZIP_Postal Code 85395
Country_Region USA
Testing_Methods None listed
Specialty
State_Province Arizona
Last White
First Amy
Middle
Degree BSN
Phone 623‐512‐4199
Fax
Address c/o Daniel Charous, MD
Address2 13555 W. McDowell Rd., #209
City Goodyear
ZIP_Postal Code 85395
Country_Region USA
Testing_Methods pnsl
Specialty
Wednesday, July 10, 2019 Page 10 of 154
State_Province Arizona
Last Morris
First Mercedes
Middle
Degree FNP
Phone 623‐512‐4199
Fax
Address Arizona Desert ENT
Address2 13555 W. McDowell Rd., #209
City Goodyear
ZIP_Postal Code 85395
Country_Region USA
Testing_Methods pnsl
Specialty
State_Province Arkansas
Last Walker
First Randy
Middle D
Degree MD
Phone 870‐584‐3000
Fax 870‐584‐3003
Address P.O. Box 740
Address2
City DeQueen
ZIP_Postal Code 71832
Country_Region USA
Testing_Methods id; psl; pn; pnsl; edl; ed
Specialty FP; A
Wednesday, July 10, 2019 Page 11 of 154
State_Province Arkansas
Last Dowdy
First Stacy
Middle R.
Degree RN
Phone
Fax
Address c/o Howard Memorial Hospital
Address2 130 Medical Circle
City Nashville
ZIP_Postal Code 71852
Country_Region USA
Testing_Methods
Specialty
State_Province Arkansas
Last Oxner
First Troy
Middle W.
Degree DO
Phone 501‐767‐1144
Fax 501‐767‐4455
Address 2605 Albert Pike
Address2
City Hot Springs
ZIP_Postal Code 71913
Country_Region USA
Testing_Methods id; pid; psl; RAST; pn; sl; ed; oral chall
Specialty
Wednesday, July 10, 2019 Page 12 of 154
State_Province Arkansas
Last Hashmi
First Salman
Middle F.
Degree MD
Phone 501‐803‐9990
Fax 501‐803‐9991
Address Maumelle Medical Center
Address2 501 Millwood Ct., #E
City Maumelle
ZIP_Postal Code 72113
Country_Region USA
Testing_Methods id
Specialty FP
State_Province
Last
First
Middle
Degree
Phone
Arkansas
Hedges
Harold
H
MD
Fax
Address
Address2
City Roland
ZIP_Postal Code
Country_Region
Testing_Methods
Specialty
72135
USA
Retired
FP
Wednesday, July 10, 2019 Page 13 of 154
State_Province Arkansas
Last Stanley
First Kelly
Middle
Degree PharmD
Phone 501‐305‐4108
Fax
Address 2413 West Beebe‐Capps Expy.
Address2
City Searcy
ZIP_Postal Code 72143
Country_Region USA
Testing_Methods sl
Specialty Pharm
State_Province Arkansas
Last Pope
First Mark
Middle J.
Degree MD
Phone 870‐942‐1301
Fax 870‐942‐1305
Address 651 Heritage Dr.
Address2
City Sheridan
ZIP_Postal Code 72150
Country_Region USA
Testing_Methods
Specialty
Wednesday, July 10, 2019 Page 14 of 154
State_Province Arkansas
Last Staten
First Karan
Middle
Degree MS, RD, LD
Phone 501‐680‐6452
Fax
Address 5012 Stonewall Rd.
Address2
City Little Rock
ZIP_Postal Code 72207
Country_Region USA
Testing_Methods ed; oral chall
Specialty
State_Province Arkansas
Last Kennedy
First Robert
Middle B
Degree MD
Phone 501‐219‐1929
Fax 501‐219‐0021
Address Chenal Family Practice
Address2 11215 Hermitage Rd., #103
City Little Rock
ZIP_Postal Code 72211
Country_Region USA
Testing_Methods MQT
Specialty FP
Wednesday, July 10, 2019 Page 15 of 154
State_Province
Last
First
Middle
Degree
Phone
Fax
Address
Arkansas
McGrew
Robert
N
MD
Address2
City Little Rock
ZIP_Postal Code
Country_Region
Testing_Methods
Specialty
72212
USA
Retired
OTO; A
State_Province Arkansas
Last Hendrix
First Lisa
Middle M
Degree MD
Phone 870‐236‐3388
Fax 870‐236‐2656
Address 2709 W. Kingshighway, #8
Address2
City Paragould
ZIP_Postal Code 72450
Country_Region USA
Testing_Methods prick
Specialty A; Wellness
Wednesday, July 10, 2019 Page 16 of 154
State_Province California
Last Tran
First Jessica
Middle
Degree ND
Phone 949‐551‐8751
Fax
Address 14795 Jeffrey Road, #101
Address2
City Irvine
ZIP_Postal Code 92618
Country_Region USA
Testing_Methods id; pid; psl; pdpn; pnsl; ed; oral chall
Specialty
State_Province California
Last Lares
First Sandra
Middle
Degree LVN
Phone 818‐203‐8778
Fax
Address 5323 Colodny Dr., Unit 101
Address2
City Agoura Hills
ZIP_Postal Code 93101
Country_Region USA
Testing_Methods
Specialty
Wednesday, July 10, 2019 Page 17 of 154
State_Province California
Last Seltzer
First Christine
Middle
Degree RN
Phone 805‐688‐7079
Fax
Address 1337 Highland Rd.
Address2
City Santa Ynez
ZIP_Postal Code 93460
Country_Region USA
Testing_Methods
Specialty None listed
State_Province
Last
First
Middle
Degree
Phone
California
MacLean
Robert
G
MD
Fax
Address
Address2
City Los Gatos
ZIP_Postal Code 95030
Country_Region USA
Testing_Methods Retired
Specialty A; OTO
Wednesday, July 10, 2019 Page 18 of 154
State_Province California
Last Trevino
First Richard
Middle J
Degree MD
Phone 408‐926‐5300
Fax 408‐926‐5395
Address 175 N. Jackson Ave., #200
Address2
City San Jose
ZIP_Postal Code 95116
Country_Region USA
Testing_Methods id; pid; ed; RAST
Specialty OTO; A
State_Province California
Last Lombardo
First Christopher
Middle
Degree MD
Phone 707‐995‐4518
Fax
Address 15230 Lakeshore Dr.
Address2
City Clearlake
ZIP_Postal Code 95422
Country_Region USA
Testing_Methods pid
Specialty OTO
Wednesday, July 10, 2019 Page 19 of 154
State_Province Colorado
Last Fillerup
First Selvoy
Middle M.
Degree MD
Phone 720‐219‐2680
Fax
Address 8215 South Emerson Way
Address2
City Littleton
ZIP_Postal Code 80122
Country_Region USA
Testing_Methods ipid; psl; skin prick; ed
Specialty OTO
State_Province Colorado
Last Schindel
First Michael
Middle
Degree MD
Phone 303‐936‐0022
Fax 303‐936‐5262
Address 7444 W. Alaska Dr. #200
Address2
City Lakewood
ZIP_Postal Code 80226
Country_Region USA
Testing_Methods pnid; pnsl; in vitro
Specialty FP
Wednesday, July 10, 2019 Page 20 of 154
State_Province Colorado
Last Smith
First Neil
Middle
Degree PA‐C
Phone 720‐352‐3137
Fax
Address 1712 Daily Drive
Address2
City Erie
ZIP_Postal Code 80516
Country_Region USA
Testing_Methods id; ELISA; ed
Specialty None listed
State_Province Colorado
Last Brown
First Larry
Middle
Degree AT
Phone 970‐221‐2357
Fax
Address Alpine Allergy Clinic
Address2 1124 E. Elizabeth St., #E101
City Fort Collins
ZIP_Postal Code 80521
Country_Region USA
Testing_Methods id; MQT
Specialty None listed
Wednesday, July 10, 2019 Page 21 of 154
State_Province Colorado
Last Bender
First John
Middle L.
Degree MD
Phone (970) 482‐0213
Fax
Address 4674 Snow Mesa Dr., #140
Address2
City Ft. Collins
ZIP_Postal Code 80528
Country_Region USA
Testing_Methods
Specialty
State_Province Colorado
Last Lowther
First Kelly
Middle
Degree MD
Phone 970‐482‐0213
Fax
Address Miramont Family Medicine
Address2 4674 Snow Mesa Dr., #140
City Fort Collins
ZIP_Postal Code 80528
Country_Region USA
Testing_Methods None listed
Specialty None listed
Wednesday, July 10, 2019 Page 22 of 154
State_Province Connecticut
Last Amara
First Matthew
Middle
Degree DO
Phone 203‐740‐4455
Fax 203‐740‐4477
Address 31 Old Route 7, #3
Address2
City Brookfield
ZIP_Postal Code 06804
Country_Region USA
Testing_Methods
Specialty
State_Province Florida
Last Hole
First Susan
Middle
Degree DO
Phone 386‐423‐1888
Fax 386‐423‐2030
Address 346 N. Ridgewood Ave. #A
Address2
City Edgewater
ZIP_Postal Code 32132
Country_Region USA
Testing_Methods id; pn; ed; oral chall; rd
Specialty FP; A
Wednesday, July 10, 2019 Page 23 of 154
State_Province Florida
Last Foster
First Paul
Middle K
Degree MD
Phone 305‐558‐3724
Fax 305‐532‐3040
Address 8181 NW 154th St., #200
Address2
City Miami Lakes
ZIP_Postal Code 33016
Country_Region USA
Testing_Methods None listed
Specialty ENT
State_Province Florida
Last Stefanik
First Thomas
Middle J
Degree MD
Phone
Fax
Address
Address2
City Marco Island
ZIP_Postal Code 34145
Country_Region USA
Testing_Methods Retired
Specialty ENT; A
Wednesday, July 10, 2019 Page 24 of 154
State_Province Georgia
Last Odusina
First Bolanji
Middle
Degree MD
Phone 678‐442‐0205
Fax
Address 1155 Lawrenceville Suwanne Rd.
Address2
City Lawrenceville
ZIP_Postal Code 30043
Country_Region USA
Testing_Methods None listed
Specialty None listed
State_Province Georgia
Last Mafoueka‐Nguena
First Victorine
Middle
Degree MD
Phone 678‐380‐8433
Fax 678‐380‐8437
Address 3664 Club Drive, #201
Address2
City Lawrenceville
ZIP_Postal Code 30044
Country_Region USA
Testing_Methods id; pid; ed
Specialty IM
Wednesday, July 10, 2019 Page 25 of 154
State_Province Georgia
Last Sesay
First Minkailu
Middle
Degree MD
Phone 678‐205‐2035
Fax 770‐685‐6848
Address 2227 Idlewood Rd.
Address2
City Tucker
ZIP_Postal Code 30084
Country_Region USA
Testing_Methods id; ImmunoCap
Specialty FP
State_Province Georgia
Last Warner
First Dawn
Middle
Degree CMT, CME
Phone 770‐564‐1399
Fax
Address c/o Lisa C. Robbins, MD
Address2 1324 Rockbridge Rd.
City Stone Mountain
ZIP_Postal Code 30087
Country_Region USA
Testing_Methods
Specialty
Wednesday, July 10, 2019 Page 26 of 154
State_Province Georgia
Last Robbins
First Lisa
Middle C.
Degree MD
Phone 770‐564‐1399
Fax
Address 1324 Rockbridge Rd.
Address2
City Stone Mountain
ZIP_Postal Code 30087
Country_Region USA
Testing_Methods
Specialty None listed
State_Province Idaho
Last Morris
First Joshua
Middle J.
Degree MD
Phone 208‐827‐6567
Fax
Address 5031 Cavendish Hwy.
Address2
City Lenore
ZIP_Postal Code 83541
Country_Region USA
Testing_Methods LDA
Specialty FP
Wednesday, July 10, 2019 Page 27 of 154
State_Province Idaho
Last Graves
First Vanessa
Middle
Degree MD
Phone 208‐772‐0785
Fax
Address 8181 Cornerstone Dr.
Address2
City Hayden
ZIP_Postal Code 83835
Country_Region USA
Testing_Methods id; pid; psl; in vitro; MQT
Specialty FP
State_Province Illinois
Last Usman
First Anjum
Middle
Degree MD
Phone
Fax
Address True Health Medical Center
Address2 603 E Diehl Rd., #315
City Naperville
ZIP_Postal Code 60563
Country_Region USA
Testing_Methods None listed
Specialty
Wednesday, July 10, 2019 Page 28 of 154
State_Province Illinois
Last Jerabek
First Jason
Middle B.
Degree DO
Phone 217‐281‐0024
Fax 217‐345‐7146
Address 506 W. Lincoln Ave.
Address2 #A and #B
City Charleston
ZIP_Postal Code 61920
Country_Region USA
Testing_Methods ed; RAST
Specialty
State_Province Illinois
Last Degironne
First Alana
Middle
Degree RN
Phone 217‐259‐1603
Fax
Address 5165 Lake Rd.
Address2
City Mattoon
ZIP_Postal Code 61938‐8719
Country_Region USA
Testing_Methods pid; psl; prick
Specialty
Wednesday, July 10, 2019 Page 29 of 154
State_Province Indiana
Last Hyde
First Gregory
Middle E.
Degree MD, PhD
Phone 936‐585‐0555
Fax
Address 12890 Old Meridian St., #440
Address2
City Carmel
ZIP_Postal Code 46032
Country_Region USA
Testing_Methods pd; IgE; SLIT; pn; pnsl; ed; oral chall
Specialty OTO
State_Province Indiana
Last Beach
First Jeffrey
Middle
Degree MD
Phone 317‐844‐5656
Fax 317‐575‐3795
Address 12065 Old Meridian St.
Address2 #205
City Carmel
ZIP_Postal Code 46032
Country_Region USA
Testing_Methods RAST; MQT; SCIT; SLIT
Specialty OTO
Wednesday, July 10, 2019 Page 30 of 154
State_Province Indiana
Last Gutt
First Jason
Middle J
Degree MD
Phone 317‐882‐4288
Fax 317‐881‐4177
Address Otolaryngology Associates
Address2 9002 N. Meridian St., #222
City Indianapolis
ZIP_Postal Code 46260
Country_Region USA
Testing_Methods id; ed; SCIT; SLIT
Specialty OTO; HD&NECK
State_Province Indiana
Last Waters
First Steven
Middle M
Degree MD, PhD
Phone 765‐965‐1977
Fax 765‐965‐1311
Address 1913 Chester Road
Address2
City Richmond
ZIP_Postal Code 47374
Country_Region USA
Testing_Methods id; pid; pn; ed; oral chall
Specialty OTO
Wednesday, July 10, 2019 Page 31 of 154
State_Province Indiana
Last Sanders
First Scott
Middle
Degree MD, PhD
Phone 765‐807‐7100
Fax 765‐807‐7101
Address 3721 Rome Dr., #A
Address2
City Lafayette
ZIP_Postal Code 47905
Country_Region USA
Testing_Methods in vitro; psl; ed
Specialty Neurology
State_Province Kansas
Last Puckett
First Amanda
Middle
Degree CMA
Phone 913‐764‐2737
Fax
Address c/o Bruce Zimmerman, MD
Address2 20375 W. 151st St., #106
City Olathe
ZIP_Postal Code 66061
Country_Region USA
Testing_Methods
Specialty
Wednesday, July 10, 2019 Page 32 of 154
State_Province Kansas
Last Harwick
First Christi
Middle
Degree MA
Phone 913‐957‐0615
Fax
Address 8137 Perry St., #56
Address2
City Overland Park
ZIP_Postal Code 66204
Country_Region USA
Testing_Methods
Specialty
State_Province Kansas
Last Whitaker
First Kimberly
Middle
Degree ASN
Phone 620‐421‐0002
Fax
Address Dixit Pediatrics
Address2 1902 S. US Hwy. 59, #5
City Parsons
ZIP_Postal Code 67357
Country_Region USA
Testing_Methods pid; psl
Specialty
Wednesday, July 10, 2019 Page 33 of 154
State_Province Kansas
Last Hess
First Katrina
Middle
Degree MD
Phone 785‐628‐7495
Fax 785‐628‐3262
Address 2201 Canterbury Drive
Address2
City Hays
ZIP_Postal Code 67601
Country_Region USA
Testing_Methods ed
Specialty FP
State_Province Kentucky
Last McDaniel
First Alan
Middle
Degree MD
Phone 502‐294‐9053
Fax 502‐883‐4990
Address 2807 Newburg Rd.
Address2
City Louisville
ZIP_Postal Code 40205
Country_Region USA
Testing_Methods Ige; IgG; oral chall; endo bal nut
Specialty OTO
Wednesday, July 10, 2019 Page 34 of 154
State_Province
Last
First
Middle
Degree
Phone
Kentucky
Richmond
Roland
W
MD
Fax
Address
Address2
City Louisville
ZIP_Postal Code
Country_Region
Testing_Methods
40205
USA
Retired
Specialty
State_Province Kentucky
Last Womack
First Glenn
Middle R
Degree MD
Phone 606‐849‐2323
Fax 606‐849‐2025
Address 732 Elizaville Rd.
Address2 P.O. Box 344
City Flemingsburg
ZIP_Postal Code 41041
Country_Region USA
Testing_Methods pid; psl
Specialty FP
Wednesday, July 10, 2019 Page 35 of 154
State_Province Kentucky
Last Haley
First Joann
Middle
Degree
Phone
AT
Fax
Address
Address2
City Jamestown
ZIP_Postal Code
Country_Region
Testing_Methods
42629
USA
Specialty
State_Province
Last
First
Middle
Degree
Phone
Fax
Address
Louisiana
Montgomery
A.
Denbo
MD
Address2
City Lafayette
ZIP_Postal Code
Country_Region
Testing_Methods
Specialty
70503
USA
Retired
OTO; A
Wednesday, July 10, 2019 Page 36 of 154
State_Province Louisiana
Last Proctor
First Joe
Middle
Degree MD
Phone 337‐364‐0408
Fax 337‐365‐7601
Address 520 N. Lewis St., #204
Address2
City New Iberia
ZIP_Postal Code 70563
Country_Region USA
Testing_Methods in vitro
Specialty FP
State_Province Louisiana
Last Gonzales
First Jose
Middle
Degree MD
Phone 337‐625‐0341
Fax 888‐972‐8910
Address 2509 Maplewood Drive
Address2
City Sulphur
ZIP_Postal Code 70663
Country_Region USA
Testing_Methods id; pid; psl
Specialty FP
Wednesday, July 10, 2019 Page 37 of 154
State_Province Louisiana
Last Pearson
First Melissa
Middle
Degree LPN
Phone 318‐226‐9441
Fax
Address ENT Center
Address2 2121 Line Avenue
City Shreveport
ZIP_Postal Code 71104
Country_Region USA
Testing_Methods id; MQT
Specialty
State_Province Maryland
Last Hasslinger
First Brian
Middle J
Degree MD
Phone 240‐964‐4851
Fax 240‐964‐4849
Address 625 Kent Avenue, #206
Address2
City Cumberland
ZIP_Postal Code 21502
Country_Region USA
Testing_Methods id; pid; psl; RAST; pnid; pnsl; ed; oral chall
Specialty ENT; A
Wednesday, July 10, 2019 Page 38 of 154
State_Province Massachusetts
Last Hernandez
First Jennifer
Middle
Degree CCMA
Phone 774‐261‐8682
Fax
Address Meadowbrook Medical Group
Address2 354 W. Boylston St., #228
City West Boylston
ZIP_Postal Code 01583
Country_Region USA
Testing_Methods None listed
Specialty
State_Province Massachusetts
Last LaCava
First N.
Middle Thomas
Degree MD
Phone 508‐854‐1380
Fax 508‐854‐0446
Address 360 West Boylston St.
Address2
City W. Boylston
ZIP_Postal Code 01583
Country_Region USA
Testing_Methods pid; pnid; ed
Specialty Env. Med; PED
Wednesday, July 10, 2019 Page 39 of 154
State_Province Massachusetts
Last Maduakor
First Emmanuel
Middle
Degree MD
Phone 774‐261‐8682
Fax
Address 19 Navajo Rd.
Address2
City Worcester
ZIP_Postal Code 01606
Country_Region USA
Testing_Methods
Specialty IM
State_Province Michigan
Last Zettelmaier
First John
Middle L
Degree MD
Phone
Fax
Address
Address2
City Chelsea
ZIP_Postal Code 48118
Country_Region USA
Testing_Methods Retired
Specialty FP; A
Wednesday, July 10, 2019 Page 40 of 154
State_Province Michigan
Last Colton
First Kenneth
Middle
Degree DO
Phone 734‐522‐7000
Fax 734‐522‐7012
Address 400 N. Wayne Rd.
Address2
City Westland
ZIP_Postal Code 48185
Country_Region USA
Testing_Methods id;pn;ed
Specialty FP
State_Province Michigan
Last Dandamudi
First Rajesh
Middle
Degree MD
Phone 989‐893‐5541
Fax 989‐893‐5543
Address 714 S. Trumbull
Address2
City Bay City
ZIP_Postal Code 48708
Country_Region USA
Testing_Methods id; RAST
Specialty IM
Wednesday, July 10, 2019 Page 41 of 154
State_Province Mississippi
Last Kirk
First Kecia
Middle
Degree MD
Phone 662‐236‐4675
Fax 662‐281‐0819
Address 1397 Belk Blvd.
Address2
City Oxford
ZIP_Postal Code 38655
Country_Region USA
Testing_Methods RAST; MULTITEST; ed
Specialty
State_Province Mississippi
Last Browning
First Robert
Middle G
Degree MD
Phone 662‐289‐9155
Fax 662‐289‐7752
Address 530 Veterans Memorial Dr.
Address2
City Kosciusko
ZIP_Postal Code 39090
Country_Region USA
Testing_Methods RAST
Specialty FP
Wednesday, July 10, 2019 Page 42 of 154
State_Province Mississippi
Last Okorie
First Ikechukwu
Middle
Degree MD
Phone 601‐544‐7012
Fax 601‐544‐7013
Address 107 Ralph Rawls Rd.
Address2
City Hattiesburg
ZIP_Postal Code 39402
Country_Region USA
Testing_Methods id; pid
Specialty FP
State_Province Mississippi
Last Bazzone
First Victor
Middle T.
Degree MD
Phone 228‐604‐4546
Fax
Address 10051‐B Lorraine Rd.
Address2
City Gulfport
ZIP_Postal Code 39501
Country_Region USA
Testing_Methods
Specialty N; BHRT
Wednesday, July 10, 2019 Page 43 of 154
State_Province Missouri
Last Salter
First Christine
Middle
Degree MD, DC
Phone 314‐395‐9777
Fax
Address 12401 Olive Blvd., Ste. 204
Address2
City Creve Coeur
ZIP_Postal Code 63141
Country_Region USA
Testing_Methods None listed
Specialty
State_Province Missouri
Last Cockerell
First Charles
Middle F
Degree MD
Phone 816‐228‐4770
Fax 816‐228‐1156
Address 205 West R.D. Mize Rd.
Address2 #304
City Blue Springs
ZIP_Postal Code 64014
Country_Region USA
Testing_Methods id; pid; pn; ed; oral chall
Specialty PD; A
Wednesday, July 10, 2019 Page 44 of 154
State_Province Missouri
Last Aberle
First Kathryn
Middle
Degree MD
Phone 630‐229‐3616
Fax
Address 3340 NE Ralph Powell Rd., Ste. B
Address2
City Lees Summit
ZIP_Postal Code 64064
Country_Region USA
Testing_Methods
Specialty
State_Province
Last
First
Middle
Degree
Phone
Fax
Address
Missouri
Thomas
Thomas
C
MD
Address2
City Liberty
ZIP_Postal Code
Country_Region
Testing_Methods
Specialty
64068
USA
Retired
FP; A
Wednesday, July 10, 2019 Page 45 of 154
State_Province Missouri
Last Devins
First Sidney
Middle S.
Degree MD
Phone (816) 524‐5522
Fax 816‐524‐4798
Address 290 NE Tudor Road
Address2
City Lees Summit
ZIP_Postal Code 64086
Country_Region USA
Testing_Methods id; RAST
Specialty PULM; Sleep; Crit. Care
State_Province Missouri
Last Fitzpatrick
First Amelia
Middle
Degree MD, PhD
Phone 816‐524‐5522
Fax 816‐524‐4798
Address Metropolitan Pulmonary
Address2 290 NE Tudor Road
City Lees Summit
ZIP_Postal Code 64086‐5696
Country_Region USA
Testing_Methods id; RAST
Specialty PULM; Crit. Care
Wednesday, July 10, 2019 Page 46 of 154
State_Province Missouri
Last Hechler
First Mark
Middle L
Degree DO
Phone 660‐747‐5444
Fax 660‐747‐5481
Address 706 Burkarth Rd.
Address2
City Warrensburg
ZIP_Postal Code 64093
Country_Region USA
Testing_Methods id; RAST; pnsl; ed; multi prick
Specialty OTO; Facial Plastics
State_Province Missouri
Last McInerney
First Maureen
Middle
Degree
Phone
RN, BSN
Fax
Address
Address2
City Kansas City
ZIP_Postal Code 64145
Country_Region USA
Testing_Methods MQT; IDT; SLIT; ed; rotation diet; ELISA
Specialty
Wednesday, July 10, 2019 Page 47 of 154
State_Province Missouri
Last McDonald
First Robert
Middle J
Degree MD
Phone 573‐659‐5570
Fax 573‐659‐4570
Address 3725 W. Truman Blvd., #200
Address2
City Jefferson City
ZIP_Postal Code 65109
Country_Region USA
Testing_Methods id
Specialty OTO; A
State_Province Missouri
Last Denninghoff
First James
Middle
Degree MD
Phone 573‐815‐0662
Fax 573‐443‐1162
Address 1701 E. Broadway #304
Address2
City Columbia
ZIP_Postal Code 65201
Country_Region USA
Testing_Methods id; prick
Specialty ENT; A
Wednesday, July 10, 2019 Page 48 of 154
State_Province Missouri
Last Seabaugh
First Janice
Middle L.
Degree MD
Phone 573‐815‐9062
Fax 573‐441‐0404
Address 3315 Berrywood Dr., Ste. 207
Address2
City Columbia
ZIP_Postal Code 65201
Country_Region USA
Testing_Methods id; mod. RAST
Specialty OTO
State_Province Missouri
Last Brown
First Matthew
Middle A.
Degree MD
Phone 417‐260‐4510
Fax
Address 16989 Sunset Drive
Address2
City Houston
ZIP_Postal Code 65483
Country_Region USA
Testing_Methods
Specialty
Wednesday, July 10, 2019 Page 49 of 154
State_Province Montana
Last Hoechst
First Julie
Middle
Degree RN, BSN
Phone 406‐495‐3697
Fax
Address St. Peters Hospital
Address2 2475 E. Broadway St.
City Helena
ZIP_Postal Code 59601
Country_Region USA
Testing_Methods id; RAST
Specialty
State_Province Montana
Last Rogers
First Neal
Middle L
Degree MD
Phone 406‐723‐6526
Fax 406‐782‐9712
Address 202 S. Montana St.
Address2
City Butte
ZIP_Postal Code 59701
Country_Region USA
Testing_Methods id; pid; psl; RAST; pn; pnsl; ed; oral chall
Specialty ENT; A
Wednesday, July 10, 2019 Page 50 of 154
State_Province Montana
Last Bailey
First Dawn
Middle
Degree LPN
Phone 406‐541‐3277
Fax
Address Rocky Mountain ENT
Address2 700 W. Kent Ave.
City Missoula
ZIP_Postal Code 59801
Country_Region USA
Testing_Methods id; RAST; ed
Specialty ENT; A
State_Province Nebraska
Last Smith
First Charles
Middle E
Degree MD
Phone 402‐426‐4611
Fax 402‐426‐4542
Address 810 N. 22nd
Address2
City Blair
ZIP_Postal Code 68008
Country_Region USA
Testing_Methods id; pn; ImmunoCap; ed
Specialty FP
Wednesday, July 10, 2019 Page 51 of 154
State_Province Nebraska
Last Shelton
First Lindsay
Middle
Degree RN, BSN
Phone 402‐533‐3718
Fax
Address 1287 Deerfield Blvd.
Address2
City Blair
ZIP_Postal Code 68008
Country_Region USA
Testing_Methods ed
Specialty
State_Province Nebraska
Last Ingram
First William
Middle A
Degree MD
Phone 402‐991‐1975
Fax 402‐991‐1974
Address 18015 Oak St., #B
Address2
City Omaha
ZIP_Postal Code 68130
Country_Region USA
Testing_Methods id; in vitro; SLIT; SCIT; pn; ed; oral chall; IgE
Specialty OTO; A
Wednesday, July 10, 2019 Page 52 of 154
State_Province Nebraska
Last Tuttle
First Amber
Middle M
Degree LPN
Phone 402‐778‐5250
Fax
Address ENT Consultants
Address2 2727 S. 144th St., #250
City Omaha
ZIP_Postal Code 68144
Country_Region USA
Testing_Methods None listed
Specialty
State_Province Nebraska
Last Heywood
First Barbara
Middle
Degree MD
Phone 402‐559‐7005
Fax 402‐559‐8288
Address 981225 Nebraska Med. Ctr.
Address2
City Omaha
ZIP_Postal Code 68198‐1225
Country_Region USA
Testing_Methods id; RAST; pnid; ed
Specialty OTO
Wednesday, July 10, 2019 Page 53 of 154
State_Province Nebraska
Last Brennan
First Angela
Middle
Degree MD
Phone 308‐754‐5447
Fax 308‐754‐2307
Address Howard County Medical Ctr.
Address2 1113 Sherman St.
City St. Paul
ZIP_Postal Code 68873
Country_Region USA
Testing_Methods None listed
Specialty FP
State_Province Nebraska
Last Hemje
First Mackenzie
Middle
Degree MD
Phone 402‐463‐2423
Fax 402‐463‐9698
Address 1021 W. 14th St.
Address2
City Hastings
ZIP_Postal Code 68901
Country_Region USA
Testing_Methods
Specialty FP
Wednesday, July 10, 2019 Page 54 of 154
State_Province Nebraska
Last Guthrie
First Sharisse
Middle
Degree
Phone 308‐995‐3345
Fax
Address Family Medical Specialists
Address2 516 West 14th Ave. #100
City Holdrege
ZIP_Postal Code 68949
Country_Region USA
Testing_Methods pid; MultiTest
Specialty
State_Province Nebraska
Last Nuss
First Kathy
Middle
Degree RN
Phone 402‐773‐4566
Fax
Address 503 W. Ash St.
Address2
City Sutton
ZIP_Postal Code 68979
Country_Region USA
Testing_Methods id; pid; psl
Specialty
Wednesday, July 10, 2019 Page 55 of 154
State_Province Nebraska
Last Deaver
First Lennie
Middle
Degree MD
Phone 308‐697‐3317
Fax 308‐697‐4912
Address 1305 West Hwy. 6 & 34
Address2
City Cambridge
ZIP_Postal Code 69022
Country_Region USA
Testing_Methods ed
Specialty FP
State_Province Nevada
Last Hamid
First Zahid
Middle
Degree MD
Phone 702‐655‐1400
Fax 702‐655‐1417
Address 2600 S. Rainbow Blvd., #108
Address2
City Las Vegas
ZIP_Postal Code 89146
Country_Region USA
Testing_Methods id
Specialty IM
Wednesday, July 10, 2019 Page 56 of 154
State_Province New Jersey
Last Quinzi‐White
First Nicole
Middle
Degree NP
Phone 908‐352‐6700
Fax
Address c/o Diego Saporta, MD
Address2 470 North Avenue
City Elizabeth
ZIP_Postal Code 07208
Country_Region USA
Testing_Methods
Specialty
State_Province New Jersey
Last Saporta
First Diego
Middle
Degree MD
Phone 908‐352‐6700
Fax 908‐352‐6734
Address 470 North Avenue
Address2
City Elizabeth
ZIP_Postal Code 07208
Country_Region USA
Testing_Methods pd; pn; ed
Specialty ENT; A
Wednesday, July 10, 2019 Page 57 of 154
State_Province New Jersey
Last Thomsen
First Kathleen
Middle M
Degree MD
Phone 609‐818‐9700
Fax
Address 252 W. Delaware Ave.
Address2
City Pennington
ZIP_Postal Code 08534
Country_Region USA
Testing_Methods None listed
Specialty
State_Province New Mexico
Last Alexander
First Ian
Middle J.
Degree MD
Phone 505‐994‐9435
Fax 505‐896‐9789
Address 3791 Southern Blvd., #100
Address2
City Rio Rancho
ZIP_Postal Code 87124
Country_Region USA
Testing_Methods pid; pnid; pnsl
Specialty ENT
Wednesday, July 10, 2019 Page 58 of 154
State_Province New Mexico
Last Thomason
First Thomas
Middle B.
Degree MD
Phone
Fax
Address 1620 Hospital Drive
Address2
City Santa Fe
ZIP_Postal Code 87505
Country_Region USA
Testing_Methods id
Specialty ENT
State_Province New Mexico
Last Addy
First Nii Tetteh
Middle T
Degree DO
Phone 575‐887‐8925
Fax 575‐887‐8935
Address 615 W. Mermod St.
Address2
City Carlsbad
ZIP_Postal Code 88220‐4912
Country_Region USA
Testing_Methods id; in vitro
Specialty FP
Wednesday, July 10, 2019 Page 59 of 154
State_Province New Mexico
Last Hurt
First Allen
Middle
Degree MD
Phone 575‐392‐2040
Fax 575‐392‐6752
Address 2410 N. Fowler St., #B
Address2
City Hobbs
ZIP_Postal Code 88240
Country_Region USA
Testing_Methods id; pid; pn; ed
Specialty FP
State_Province New Mexico
Last Taylor
First Carol
Middle Lee
Degree DNP
Phone 575‐391‐0442
Fax 575‐391‐0443
Address 4008 N. Grimes, #245
Address2
City Hobbs
ZIP_Postal Code 88240
Country_Region USA
Testing_Methods id; RAST; pn; sl; ed
Specialty FP
Wednesday, July 10, 2019 Page 60 of 154
State_Province New York
Last Smith
First Noel
Middle
Degree MD
Phone 917‐565‐5210
Fax
Address 325 Broadway, #204
Address2
City New York
ZIP_Postal Code 10007
Country_Region USA
Testing_Methods None listed
Specialty
State_Province New York
Last Stec
First Halina
Middle
Degree MD
Phone 914‐589‐7969
Fax
Address 619 Bronx River Road
Address2
City Yonkers
ZIP_Postal Code 10704
Country_Region USA
Testing_Methods None listed
Specialty FP
Wednesday, July 10, 2019 Page 61 of 154
State_Province New York
Last Ostrovsky
First Igor
Middle
Degree MD, PhD
Phone 718‐934‐1920
Fax 718‐934‐2078
Address 3120 Brighton 5 St., #1C
Address2
City Brooklyn
ZIP_Postal Code 11235
Country_Region USA
Testing_Methods id; pid; psl; IgE; pn; slpn; ed; oral chall
Specialty Pain Mgmt.; A; ALCAT
State_Province New York
Last Crisostomo
First Euginio
Middle S.
Degree MD
Phone 718‐631‐8006
Fax 718‐225‐0174
Address 54‐44 Little Neck Pkwy.
Address2
City Little Neck
ZIP_Postal Code 11362
Country_Region USA
Testing_Methods id; pn; idpn; pnsl
Specialty IM
Wednesday, July 10, 2019 Page 62 of 154
State_Province New York
Last Setzen
First Gavin
Middle
Degree MD
Phone 518‐701‐2000
Fax 518‐701‐2020
Address Albany ENT & Allergy Serv.
Address2 400 Patroon Creek Blvd., #205
City Albany
ZIP_Postal Code 12206‐1058
Country_Region USA
Testing_Methods pid; psl; ed
Specialty OTO; A
State_Province New York
Last O'Connell
First Milton
Middle
Degree RPA‐C
Phone 518‐589‐6178
Fax
Address Esopus Medical
Address2 2255 Platte Clove Rd.
City Elka Park
ZIP_Postal Code 12427
Country_Region USA
Testing_Methods pid; psl; in vitro
Specialty
Wednesday, July 10, 2019 Page 63 of 154
State_Province North Carolina
Last Quinn
First Robert
Middle Patel
Degree MD
Phone 704‐782‐6673
Fax 704‐782‐0995
Address 25 Lake Concord Rd. NE
Address2
City Concord
ZIP_Postal Code 28025
Country_Region USA
Testing_Methods id; RAST
Specialty OTO; Sleep Med
State_Province North Carolina
Last Bell
First Joseph
Middle
Degree MD
Phone 910‐521‐0201
Fax 910‐521‐0773
Address Pembroke Pediatrics
Address2 P.O. Box 1118
City Pembroke
ZIP_Postal Code 28372
Country_Region USA
Testing_Methods None listed
Specialty PD
Wednesday, July 10, 2019 Page 64 of 154
State_Province Ohio
Last McCollough
First Britney
Middle
Degree RN, MSN, NP‐C
Phone 740‐393‐5223
Fax
Address c/o Dr. Christopher Hetrick
Address2 1451 Yauger Rd., #1B
City Mount Vernon
ZIP_Postal Code 43050
Country_Region USA
Testing_Methods id; RAST; ed
Specialty
State_Province Ohio
Last VanWert
First Barbara
Middle
Degree BA, CMA
Phone 614‐538‐2424
Fax
Address Ohio ENT
Address2 974 Bethel Rd., #A
City Columbus
ZIP_Postal Code 43214
Country_Region USA
Testing_Methods id
Specialty ENT
Wednesday, July 10, 2019 Page 65 of 154
State_Province Ohio
Last Blair
First Kimberly
Middle
Degree RMA
Phone 614‐538‐2424
Fax
Address Ohio ENT
Address2 974 Bethel Rd., #A
City Columbus
ZIP_Postal Code 43214
Country_Region USA
Testing_Methods id
Specialty ENT
State_Province Ohio
Last Ferenbaugh
First Amy
Middle
Degree CNP
Phone 740‐398‐8413
Fax
Address 389 N. Ridge Heights Dr.
Address2
City Howard
ZIP_Postal Code 43628
Country_Region USA
Testing_Methods
Specialty
Wednesday, July 10, 2019 Page 66 of 154
State_Province Ohio
Last Thomas
First Marc
Middle A
Degree RN
Phone 740‐704‐4685
Fax 800‐276‐1438
Address Allergy Information Serv.
Address2 627 Timber Run Road
City Zanesville
ZIP_Postal Code 43701
Country_Region USA
Testing_Methods id; pid; psl; RAST; MQT; pn; pnsl; ed; oral chall
Specialty ENT; EN. MED.
State_Province Ohio
Last Kanagy
First David
Middle A.
Degree MD
Phone 330‐596‐6520
Fax 330‐596‐6525
Address 270 East State St., #245
Address2
City Alliance
ZIP_Postal Code 44601
Country_Region USA
Testing_Methods id; pid; psl; pn; pnsl; ed
Specialty ENT; A; IM
Wednesday, July 10, 2019 Page 67 of 154
State_Province
Last
First
Middle
Degree
Phone
Ohio
Daskalov
Stoyan
P
MD
Fax
Address
Address2
City Alliance
ZIP_Postal Code 44601
Country_Region USA
Testing_Methods Retired
Specialty OTO; A
State_Province Ohio
Last Shivers
First R.
Middle Mark
Degree MD
Phone 330‐823‐3856
Fax 330‐829‐6688
Address 149 E. Simpson St.
Address2
City Alliance
ZIP_Postal Code 44601
Country_Region USA
Testing_Methods id
Specialty FP
Wednesday, July 10, 2019 Page 68 of 154
State_Province Ohio
Last Ridge
First Jennifer
Middle
Degree MD
Phone 513‐424‐7231
Fax 513‐424‐1770
Address 210 North Breiel Blvd.
Address2
City Middletown
ZIP_Postal Code 45042
Country_Region USA
Testing_Methods id; pid; pn; ed
Specialty D
State_Province Ohio
Last Lawwill
First Joyce
Middle
Degree RN
Phone 513‐424‐7231
Fax 513‐424‐1770
Address c/o Jennifer Ridge, MD
Address2 210 North Breiel Blvd.
City Middletown
ZIP_Postal Code 45042
Country_Region USA
Testing_Methods id; pid; pn; ed
Specialty A; Surgery
Wednesday, July 10, 2019 Page 69 of 154
State_Province Ohio
Last Bowlin
First Julia
Middle
Degree MD
Phone 937‐547‐2321
Fax
Address 5735 Meeker Rd.
Address2
City Greenville
ZIP_Postal Code 45331
Country_Region USA
Testing_Methods
Specialty
State_Province Ohio
Last Gillen, III
First John
Middle B
Degree MD
Phone 937‐325‐8796
Fax 937‐325‐6698
Address 435 S. Burnett Rd.
Address2
City Springfield
ZIP_Postal Code 45505
Country_Region USA
Testing_Methods id; pid; psl; in vitro; ed
Specialty OTO
Wednesday, July 10, 2019 Page 70 of 154
State_Province Oklahoma
Last McGath
First John
Middle H
Degree MD
Phone 580‐252‐0100
Fax 580‐252‐0106
Address 1401 Duncan Regional Loop
Address2
City Duncan
ZIP_Postal Code 73533
Country_Region USA
Testing_Methods id; RAST/ICAP; pnsl; ed
Specialty OTO‐HNS
State_Province Oklahoma
Last Jones
First Karen "Shawn"
Middle
Degree CST
Phone 580‐237‐7700
Fax
Address c/o Edward L. Barnes, MD
Address2 3201 N. Van Buren, #500
City Enid
ZIP_Postal Code 73703
Country_Region USA
Testing_Methods ed
Specialty
Wednesday, July 10, 2019 Page 71 of 154
State_Province Oklahoma
Last Holland, Jr.
First Charles
Middle D
Degree MD
Phone 918‐333‐0474
Fax 918‐333‐5125
Address Holland & Robertson ENT
Address2 205 SE Howard Ave.
City Bartlesville
ZIP_Postal Code 74006
Country_Region USA
Testing_Methods id; RAST; ed; oral chall
Specialty OTO
State_Province Oklahoma
Last Bull
First Mindi
Middle
Degree DO
Phone 918‐944‐9150
Fax
Address St. John ENT
Address2 800 W. Poise Circle, #320
City Broken Arrow
ZIP_Postal Code 74012
Country_Region USA
Testing_Methods None listed
Specialty
Wednesday, July 10, 2019 Page 72 of 154
State_Province Oklahoma
Last Hoover
First Shauna
Middle
Degree LPN
Phone 918‐994‐9150
Fax
Address c/o Mindi Bull, DO
Address2 800 W. Boise Circle, #320
City Broken Arrow
ZIP_Postal Code 74012
Country_Region USA
Testing_Methods
Specialty
State_Province Oklahoma
Last Guy
First Ronald
Middle M.
Degree MD
Phone 918‐994‐9150
Fax
Address 2161 Forest Blvd.
Address2
City Tulsa
ZIP_Postal Code 74114
Country_Region USA
Testing_Methods id
Specialty ENT
Wednesday, July 10, 2019 Page 73 of 154
State_Province Oklahoma
Last Allen
First Richard
Middle D
Degree DO
Phone 918‐786‐7200
Fax 918‐786‐7212
Address 900 E. 13 St., #201
Address2
City Grove
ZIP_Postal Code 74344
Country_Region USA
Testing_Methods id; RAST; ed
Specialty OTO
State_Province Oklahoma
Last McIntosh
First Brad
Middle A
Degree MD
Phone 918‐682‐1425
Fax 918‐682‐0615
Address 3316 West Okmulgee
Address2
City Muskogee
ZIP_Postal Code 74401
Country_Region USA
Testing_Methods id; RAST
Specialty FP; A
Wednesday, July 10, 2019 Page 74 of 154
State_Province Oklahoma
Last Koehn
First Laura
Middle
Degree
Phone
MD
Fax
Address
Address2
City Tahlequah
ZIP_Postal Code
Country_Region
Testing_Methods
Specialty
74464
USA
Retired
A
State_Province Oklahoma
Last Vest
First Charles
Middle R.
Degree MD
Phone 580‐925‐8800
Fax 580‐925‐8851
Address Central OK Family Med. Ctr.
Address2 527 W. 3rd Street
City Konawa
ZIP_Postal Code 74849
Country_Region USA
Testing_Methods id; RAST
Specialty ENT
Wednesday, July 10, 2019 Page 75 of 154
State_Province Oregon
Last Menk Otto
First Laurie
Middle
Degree ND
Phone 503‐232‐3215
Fax
Address 936 SE Ankeny St.
Address2
City Portland
ZIP_Postal Code 97214
Country_Region USA
Testing_Methods id; RAST; sl; ed
Specialty Naturopathy
State_Province Pennsylvania
Last Tarnopolsky
First Rafael
Middle
Degree
Phone
Fax
Address
MD
Address2
City Pittsburgh
ZIP_Postal Code
Country_Region
Testing_Methods
Specialty
15217
USA
Retired
OTO; A
Wednesday, July 10, 2019 Page 76 of 154
State_Province Pennsylvania
Last Magan
First Sharon
Middle J.
Degree Ph.D., NP
Phone 412‐360‐1444
Fax
Address 14 Niagara Rd.
Address2
City Pittsburgh
ZIP_Postal Code 15221
Country_Region USA
Testing_Methods ed
Specialty
State_Province Pennsylvania
Last Morris
First Olivia
Middle
Degree CHPNA, CNA
Phone 724‐639‐9702
Fax
Address 280 Fourt St.
Address2
City Saltsburg
ZIP_Postal Code 15681
Country_Region USA
Testing_Methods pid; psl; RAST
Specialty
Wednesday, July 10, 2019 Page 77 of 154
State_Province Pennsylvania
Last Roth
First Valeri
Middle
Degree DO
Phone 724‐220‐4606
Fax 724‐981‐3874
Address 2213 Shenango Valley Fwy., Ste. 1A
Address2
City Hermitage
ZIP_Postal Code 16148
Country_Region USA
Testing_Methods MQT; pn; ed
Specialty ENT; A
State_Province Pennsylvania
Last Martz
First Lynn
Middle
Degree RN
Phone 570‐387‐4368
Fax 570‐387‐6223
Address Northeast ENT
Address2 6850 Lows Rd., #320
City Bloomsburg
ZIP_Postal Code 17815
Country_Region USA
Testing_Methods SLIT; SCIT; pid; psl; RAST; MQT
Specialty A
Wednesday, July 10, 2019 Page 78 of 154
State_Province Pennsylvania
Last Bonnet
First Philip
Middle L
Degree MD
Phone 215‐321‐8321
Fax 215‐321‐9837
Address 1086 Taylorsville Rd.
Address2
City Washington Crossing
ZIP_Postal Code 18977
Country_Region USA
Testing_Methods id; pid; psl; pn; ed; oral chall
Specialty Orthomolecular Psy; Homopathy; A
State_Province South Carolina
Last Alam
First Tauqueer
Middle
Degree MD
Phone 864‐885‐0058
Fax 864‐885‐0098
Address 109 Carter Park Dr., #A
Address2
City Seneca
ZIP_Postal Code 29678
Country_Region USA
Testing_Methods id; MultiTest; prick; ed
Specialty IM
Wednesday, July 10, 2019 Page 79 of 154
State_Province Tennessee
Last Haase
First David
Middle H
Degree MD
Phone 931‐648‐9595
Fax 931‐648‐9567
Address 556 Fire Station Road
Address2
City Clarksville
ZIP_Postal Code 37043
Country_Region USA
Testing_Methods id; psl; ed
Specialty FP
State_Province Tennessee
Last Syner
First Clifford
Middle M.
Degree PA‐C
Phone 931‐220‐0808
Fax
Address 1536 Gratton Rd.
Address2
City Clarksville
ZIP_Postal Code 37043
Country_Region USA
Testing_Methods
Specialty
Wednesday, July 10, 2019 Page 80 of 154
State_Province Tennessee
Last Hydrick
First Jack
Middle
Degree BSN, MSN
Phone 615‐556‐9120
Fax
Address Barfield Clinic
Address2 2910 S. Church St., #B
City Murfreesboro
ZIP_Postal Code 37127
Country_Region USA
Testing_Methods MultiTest II; ed
Specialty
State_Province Tennessee
Last Shah
First Nalin
Middle
Degree MD
Phone 423‐247‐1122
Fax 423‐247‐3856
Address 1516 Bridgewater Lane
Address2
City Kingsport
ZIP_Postal Code 37664
Country_Region USA
Testing_Methods pnid; pnsl; in vitro; ed
Specialty A
Wednesday, July 10, 2019 Page 81 of 154
State_Province Tennessee
Last Busch
First Forrest
Middle Kenton
Degree DO
Phone 731‐286‐4300
Fax 731‐286‐8008
Address 1950 Cook St.
Address2 #As PMB 363
City Dyersburg
ZIP_Postal Code 38024
Country_Region USA
Testing_Methods id; ed; RAST
Specialty FP; D
State_Province Tennessee
Last Moore, III
First Olyn
Middle Fred
Degree MD
Phone 731‐285‐5244
Fax 731‐285‐8970
Address 503 Tickle St.
Address2
City Dyersburg
ZIP_Postal Code 38024
Country_Region USA
Testing_Methods id; RAST
Specialty Gen. Surg.
Wednesday, July 10, 2019 Page 82 of 154
State_Province Texas
Last Reihsen
First Julie
Middle L.
Degree MD
Phone 972‐248‐2020
Fax
Address 16901 Dallas Pkwy., #208
Address2
City Addison
ZIP_Postal Code 75001
Country_Region USA
Testing_Methods
Specialty
State_Province Texas
Last Salvatore
First Michelle
Middle
Degree
Phone 972‐394‐8844
Fax
Address Family Med Assoc. of Texas
Address2 4333 N. Josey Lane, #302
City Carrollton
ZIP_Postal Code 75010
Country_Region USA
Testing_Methods RAST
Specialty None listed
Wednesday, July 10, 2019 Page 83 of 154
State_Province Texas
Last Davis
First Hong
Middle
Degree MD
Phone 972‐867‐5888
Fax 972‐867‐4888
Address 6300 Stonewood Dr. #202
Address2
City Plano
ZIP_Postal Code 75024
Country_Region USA
Testing_Methods ed; pn
Specialty FP
State_Province Texas
Last Willaby
First Wendy
Middle
Degree LVN
Phone 972‐596‐4005
Fax
Address c/o Collin County ENT
Address2 8380 Warren Pkwy, #504
City Frisco
ZIP_Postal Code 75034
Country_Region USA
Testing_Methods id; pid; psl; RAST; ed
Specialty None listed
Wednesday, July 10, 2019 Page 84 of 154
State_Province Texas
Last Fleming
First Irene
Middle Paula
Degree RN
Phone 972‐596‐4005
Fax
Address Collin County ENT
Address2 8380 Warren Pkwy., #504
City Frisco
ZIP_Postal Code 75034
Country_Region USA
Testing_Methods id
Specialty None listed
State_Province Texas
Last Elmore
First Stephanie
Middle
Degree MD
Phone 972‐594‐1111
Fax 972‐518‐1867
Address 1701 W. Walnut Hill Lane, #200
Address2
City Irving
ZIP_Postal Code 75038
Country_Region USA
Testing_Methods id; pid; psl; pn; pnsl; ed
Specialty FP
Wednesday, July 10, 2019 Page 85 of 154
State_Province Texas
Last Seifert
First John
Middle
Degree MD
Phone 214‐221‐7117
Fax 972‐271‐2135
Address P.O. Box 472308
Address2
City Garland
ZIP_Postal Code 75047‐2308
Country_Region USA
Testing_Methods Semi‐retired
Specialty OTO; A
State_Province Texas
Last Siddiqi
First Adila
Middle
Degree DO
Phone 972‐647‐0550
Fax 972‐647‐1010
Address 2771 Sherman St.
Address2
City Grand Prairie
ZIP_Postal Code 75051
Country_Region USA
Testing_Methods id
Specialty FP
Wednesday, July 10, 2019 Page 86 of 154
State_Province Texas
Last Ukegbu
First Ibidunni
Middle
Degree MD
Phone 817‐366‐4604
Fax
Address 2851 S. Serrano
Address2
City Grand Prairie
ZIP_Postal Code 75054
Country_Region USA
Testing_Methods
Specialty
State_Province Texas
Last Johnson
First Alfred
Middle R.
Degree DO
Phone 972‐479‐0400
Fax 972‐479‐9435
Address Johnson Medical Associates
Address2 997 Hampshire Lane
City Richardson
ZIP_Postal Code 75080
Country_Region USA
Testing_Methods id; pid; RAST; pn; pnsl; ed
Specialty A; IM; ENV. MED
Wednesday, July 10, 2019 Page 87 of 154
State_Province Texas
Last Owens
First Patti
Middle S.
Degree AT
Phone 972‐781‐1462
Fax
Address Owens Ear Center
Address2 6509 W. Plano Pkwy.
City Plano
ZIP_Postal Code 75093
Country_Region USA
Testing_Methods id; sl; oral chall
Specialty
State_Province Texas
Last Brashear
First Benjamin
Middle R.
Degree MD
Phone 972‐932‐8555
Fax 972‐932‐2141
Address 2801 Millenium #B
Address2
City Kaufman
ZIP_Postal Code 75142
Country_Region USA
Testing_Methods
Specialty FP
Wednesday, July 10, 2019 Page 88 of 154
State_Province Texas
Last Tate
First Karen
Middle
Degree LVN
Phone 468‐800‐9800
Fax
Address ENT Spec. of Waxahachie
Address2 2460 N. I35 E., #270
City Waxahachie
ZIP_Postal Code 75165
Country_Region USA
Testing_Methods id; RAST; psl; ed; pid
Specialty
State_Province Texas
Last Newton
First Michelle
Middle A.
Degree RN, APRN‐BC
Phone 214‐699‐1647
Fax
Address 3814 Clover Hill Lane
Address2
City Carrollton
ZIP_Postal Code 75182
Country_Region USA
Testing_Methods ed
Specialty
Wednesday, July 10, 2019 Page 89 of 154
State_Province Texas
Last Oas
First Virginia
Middle
Degree Off. Mgr.
Phone 214‐699‐1647
Fax
Address 3814 Clover Hill Lane
Address2
City Carrollton
ZIP_Postal Code 75182
Country_Region USA
Testing_Methods ed
Specialty
State_Province Texas
Last Benavides
First Michael
Middle A.
Degree DO
Phone 972‐682‐5757
Fax 972‐682‐6611
Address 1350 N. Buckner Blvd., #101
Address2
City Dallas
ZIP_Postal Code 75218
Country_Region USA
Testing_Methods skin testing
Specialty FP
Wednesday, July 10, 2019 Page 90 of 154
State_Province
Last
First
Middle
Degree
Phone
Fax
Address
Texas
Jaeckle
Richard
G
MD
Address2
City
ZIP_Postal Code
Country_Region
Testing_Methods
Specialty
Dallas
75231‐4417
USA
Retired
PSY; A
State_Province
Last
First
Middle
Degree
Phone
Fax
Address
Texas
Livingstone
David
K
MD
Address2
City Dallas
ZIP_Postal Code 75231‐7340
Country_Region USA
Testing_Methods
Specialty FP
Wednesday, July 10, 2019 Page 91 of 154
Retired
State_Province Texas
Last Balbuena, Jr.
First Luis
Middle
Degree MD
Phone 903‐927‐6880
Fax 903‐927‐6884
Address 703 S. Washington
Address2
City Marshall
ZIP_Postal Code 75670
Country_Region USA
Testing_Methods id; pnid; pnsl
Specialty OTO
State_Province Texas
Last Mettetal
First C.
Middle Ted
Degree MD
Phone 903‐676‐3200
Fax 903‐676‐3277
Address Lakeland Medical Assoc.
Address2 117 Medical Circle
City Athens
ZIP_Postal Code 75751
Country_Region USA
Testing_Methods id; RAST; ed
Specialty None listed
Wednesday, July 10, 2019 Page 92 of 154
State_Province Texas
Last Woodall
First Bruce
Middle D.
Degree MD
Phone 903‐676‐3200
Fax
Address 117 Medical Circle
Address2
City Athens
ZIP_Postal Code 75751
Country_Region USA
Testing_Methods
Specialty
State_Province Texas
Last Jennings
First Norman
Middle L.
Degree MD
Phone 903‐676‐3200
Fax 903‐676‐3277
Address 117 Medical Circle
Address2
City Athens
ZIP_Postal Code 75751
Country_Region USA
Testing_Methods IDT; pnid; pnsl; ed
Specialty
Wednesday, July 10, 2019 Page 93 of 154
State_Province Texas
Last Holcomb
First Timothy
Middle
Degree DO
Phone 817‐673‐8970
Fax
Address 11236 Marsh Wren Circle
Address2
City Flint
ZIP_Postal Code 75762
Country_Region USA
Testing_Methods
Specialty
State_Province Texas
Last Humphreys
First Brian
Middle F
Degree MD
Phone 936‐699‐3141
Fax 936‐699‐3145
Address 121 Gaslight Medical Pkwy., #100
Address2
City Lufkin
ZIP_Postal Code 75904
Country_Region USA
Testing_Methods id; pid; psl; ed
Specialty ENT; A
Wednesday, July 10, 2019 Page 94 of 154
State_Province Texas
Last Coffman
First Dennis
Middle W.
Degree MD
Phone
Fax
Address
Address2
City Nacogdoches
ZIP_Postal Code 75965
Country_Region USA
Testing_Methods Retired
Specialty FP
State_Province Texas
Last Pena, Jr
First Rene
Middle M
Degree MD
Phone 817‐261‐9191
Fax 817‐784‐8301
Address 409 Central Park Drive
Address2
City Arlington
ZIP_Postal Code 76014
Country_Region USA
Testing_Methods id; pid; psl; RAST; pn; ed
Specialty ENT
Wednesday, July 10, 2019 Page 95 of 154
State_Province Texas
Last Gibbs
First Dana
Middle
Degree MD
Phone 817‐261‐9191
Fax 817‐784‐6880
Address 409 Central Park Drive
Address2
City Arlington
ZIP_Postal Code 76014‐2069
Country_Region USA
Testing_Methods id; pid; RAST; pn; ed
Specialty OTO; A
State_Province Texas
Last Rizkalla
First Sherif
Middle
Degree DO
Phone 817‐358‐5800
Fax 817‐283‐7686
Address 1305 Airport Fwy., #220
Address2
City Bedford
ZIP_Postal Code 76021
Country_Region USA
Testing_Methods id; pid; psl; ed
Specialty IM
Wednesday, July 10, 2019 Page 96 of 154
State_Province Texas
Last Kaner
First David
Middle B.
Degree DO
Phone 817‐358‐5800
Fax
Address Kaner Medical Group
Address2 1305 Airport Blvd., #220
City Bedford
ZIP_Postal Code 76021
Country_Region USA
Testing_Methods
Specialty None listed
State_Province Texas
Last Gambini
First Otto
Middle
Degree
Phone 817‐358‐5800
Fax
Address Healthcare Assoc. of TX
Address2 1305 Airport Blvd., #220
City Bedford
ZIP_Postal Code 76021
Country_Region USA
Testing_Methods MultiTest; prick; ed
Specialty None listed
Wednesday, July 10, 2019 Page 97 of 154
State_Province Texas
Last Shea
First John
Middle P
Degree MD
Phone 817‐551‐1010
Fax 817‐551‐0662
Address 11797 South Freeway, #132
Address2
City Burleson
ZIP_Postal Code 76028
Country_Region USA
Testing_Methods id; RAST; sl; ed; pnsl
Specialty OTO; A
State_Province Texas
Last Krzeminski
First Stephen
Middle G
Degree DO
Phone 817‐573‐6673
Fax 817‐573‐9783
Address 1305 Paluxy Hwy., #A
Address2
City Granbury
ZIP_Postal Code 76048‐2408
Country_Region USA
Testing_Methods id; sl; MQT
Specialty ENT; A; Facial Plastic Surgery
Wednesday, July 10, 2019 Page 98 of 154
State_Province Texas
Last Ferris
First John
Middle S.
Degree MD
Phone 817‐481‐8661
Fax 817‐488‐9792
Address 1604 Lancaster Dr.
Address2
City Grapevine
ZIP_Postal Code 76051
Country_Region USA
Testing_Methods id; pid; psl; RAST; pn; ed; oral chall
Specialty IM
State_Province Texas
Last Lang
First Arthur
Middle E
Degree BA
Phone 817‐577‐0480
Fax 817‐581‐0167
Address 789 Lonesome Dove Trail
Address2
City Hurst
ZIP_Postal Code 76054
Country_Region USA
Testing_Methods id; pid; psl; RAST; pn; pnsl; ed; oral chall; LEAP
Specialty None listed
Wednesday, July 10, 2019 Page 99 of 154
State_Province Texas
Last Lang
First Howard
Middle J
Degree DO
Phone 817‐577‐0480
Fax 817‐581‐0167
Address 789 Lonesome Dove Trail
Address2
City Hurst
ZIP_Postal Code 76054
Country_Region USA
Testing_Methods id; pid; psl; RAST; pn; pnsl; ed; oral chall; LEAP
Specialty FP; A; EM
State_Province Texas
Last Baze
First Christy
Middle
Degree DO
Phone 817‐281‐0402
Fax 817‐281‐6364
Address 1709 Precinct Line Road
Address2
City Hurst
ZIP_Postal Code 76054
Country_Region USA
Testing_Methods in vitro; ed
Specialty FP
Wednesday, July 10, 2019 Page 100 of 154
State_Province Texas
Last Lang
First Derek
Middle H
Degree DO
Phone 817‐577‐0480
Fax 817‐581‐0167
Address 789 Lonesome Dove Trail
Address2
City Hurst
ZIP_Postal Code 76054
Country_Region USA
Testing_Methods id; pid; psl; RAST; pn; pnsl; ed; oral chall; LEAP
Specialty FP
State_Province Texas
Last Icho
First Nanette
Middle
Degree MD
Phone 504‐453‐0873
Fax
Address 2730 Virginia Pkwy., #200
Address2
City McKinney
ZIP_Postal Code 76071
Country_Region USA
Testing_Methods
Specialty
Wednesday, July 10, 2019 Page 101 of 154
State_Province Texas
Last Block
First Mary
Middle Ann
Degree DO
Phone 817‐280‐9933
Fax 817‐280‐9966
Address The Block Center
Address2 5913 Lovell Ave., Ste. A
City Ft. Worth
ZIP_Postal Code 76107‐5069
Country_Region USA
Testing_Methods pid; psl; IgE; IgG; pn; ed; oral chall; LDA
Specialty FP; A
State_Province Texas
Last Watkins
First Jeremy
Middle
Degree MD
Phone 817‐332‐8848
Fax 817‐335‐2670
Address 5751 Edwards Ranch Rd., Ste. 200
Address2
City Ft. Worth
ZIP_Postal Code 76109
Country_Region USA
Testing_Methods id; pnid; pnsl; ed
Specialty ENT
Wednesday, July 10, 2019 Page 102 of 154
State_Province Texas
Last Seymour
First Elizabeth
Middle
Degree MD
Phone 940‐484‐1887
Fax 940‐591‐0458
Address 3303 Colorado Blvd., #A
Address2
City Denton
ZIP_Postal Code 76210
Country_Region USA
Testing_Methods None listed
Specialty FP
State_Province Texas
Last Otto
First Russell
Middle J
Degree MD
Phone 940‐891‐6100
Fax 940‐891‐6110
Address 1209 Bent Oaks Ct. 16
Address2
City Denton
ZIP_Postal Code 76210
Country_Region USA
Testing_Methods Mod. RAST; MQT; ed
Specialty OTO
Wednesday, July 10, 2019 Page 103 of 154
State_Province Texas
Last Carver
First Sharla
Middle
Degree FNP‐C
Phone 940‐627‐7443
Fax
Address c/o Jeff Alling, M.D.
Address2 1001 Eagle Drive
City Decatur
ZIP_Postal Code 76234
Country_Region USA
Testing_Methods id; pid; psl; in vitro; ed
Specialty
State_Province Texas
Last Wadi
First Musa
Middle
Degree MD
Phone 940‐322‐4480
Fax 940‐322‐8420
Address 1208 Brook Ave.
Address2
City Wichita Falls
ZIP_Postal Code 76301
Country_Region USA
Testing_Methods
Specialty None listed
Wednesday, July 10, 2019 Page 104 of 154
State_Province Texas
Last Ebrahim
First Ellaheh
Middle
Degree MD
Phone 940‐337‐6326
Fax
Address 2301 Irving Place
Address2
City Wichita Falls
ZIP_Postal Code 76308
Country_Region USA
Testing_Methods
Specialty FP
State_Province Texas
Last Gambuti
First Mary
Middle
Degree RN, BSN
Phone 940‐689‐2342
Fax 940‐696‐8275
Address Harmony Clinics
Address2 4412 Kell Blvd.
City Wichita Falls
ZIP_Postal Code 76309
Country_Region USA
Testing_Methods id; RAST; Unicap; prick; puncture; MQT; ed
Specialty None listed
Wednesday, July 10, 2019 Page 105 of 154
State_Province Texas
Last Webster
First Dave
Middle
Degree DO
Phone 254‐290‐8887
Fax 254‐690‐6696
Address 5610 E. Central Texas Expy.
Address2 #1
City Killeen
ZIP_Postal Code 76543
Country_Region USA
Testing_Methods id
Specialty
State_Province Texas
Last Walvoord
First Keith
Middle
Degree MD
Phone 325‐224‐5211
Fax 325‐224‐5905
Address 3555 Knickerbocker
Address2
City San Angelo
ZIP_Postal Code 76904
Country_Region USA
Testing_Methods id; idpn; in vitro; pnsl
Specialty ENT; A
Wednesday, July 10, 2019 Page 106 of 154
State_Province Texas
Last Husain
First Shaista
Middle A.
Degree MD
Phone 832‐366‐1477
Fax 832‐366‐1479
Address 1315 St. Joseph Pkwy., #1109
Address2
City Houston
ZIP_Postal Code 77002
Country_Region USA
Testing_Methods id; pn
Specialty OTO‐H&N SURGERY
State_Province Texas
Last Phan
First Hoang‐Anh
Middle
Degree MD
Phone 713‐437‐7114
Fax
Address 13480 Veterans Memorial Dr., Ste. R‐1
Address2
City Houston
ZIP_Postal Code 77014‐1670
Country_Region USA
Testing_Methods
Specialty
Wednesday, July 10, 2019 Page 107 of 154
State_Province Texas
Last McCutcheon
First Conrad
Middle K
Degree MD
Phone 281‐822‐3777
Fax 281‐822‐3776
Address 9055 Katy Fwy., #415
Address2
City Houston
ZIP_Postal Code 77024
Country_Region USA
Testing_Methods id; pid; psl; ed
Specialty OTO
State_Province Texas
Last Mohney
First John
Middle
Degree DO
Phone 713‐626‐0312
Fax
Address 4742 W. Alabama St.
Address2
City Houston
ZIP_Postal Code 77027
Country_Region USA
Testing_Methods
Specialty
Wednesday, July 10, 2019 Page 108 of 154
State_Province Texas
Last Huang
First Charles
Middle
Degree
Phone 713‐936‐1300
Fax
Address 9889 Bellaire Blvd.
Address2 #134
City Houston
ZIP_Postal Code 77036
Country_Region USA
Testing_Methods
Specialty
State_Province Texas
Last Cho
First Sangsoo
Middle
Degree FNP, MS
Phone 713‐269‐1008
Fax
Address 9335 Pearsall Drive
Address2
City Houston
ZIP_Postal Code 77064
Country_Region USA
Testing_Methods
Specialty None listed
Wednesday, July 10, 2019 Page 109 of 154
State_Province Texas
Last Chavda
First Jay
Middle
Degree MD
Phone 713‐774‐2090
Fax 713‐774‐2096
Address Shayona ENT Clinic
Address2 7737 SW Fwy #300
City Houston
ZIP_Postal Code 77064‐1800
Country_Region USA
Testing_Methods id; pid; ed
Specialty ENT‐H/N; A
State_Province Texas
Last Vo
First Vinh
Middle H
Degree NP
Phone 281‐397‐1410
Fax
Address Vitacare Medical Clinic
Address2 2128 Spears Rd., #600
City Houston
ZIP_Postal Code 77067
Country_Region USA
Testing_Methods id
Specialty
Wednesday, July 10, 2019 Page 110 of 154
State_Province Texas
Last Bavishi
First Nilesh
Middle
Degree MD
Phone (713) 541‐0000
Fax
Address 7777 Southwest Fwy #544
Address2
City Houston
ZIP_Postal Code 77074
Country_Region USA
Testing_Methods
Specialty
State_Province Texas
Last Tondera
First Eric
Middle K
Degree DC, NP‐C
Phone 713‐988‐3223
Fax
Address 1201 Dairy Ashford, #118
Address2
City Houston
ZIP_Postal Code 77079
Country_Region USA
Testing_Methods IDT; pnsl; pnid ‐ foods
Specialty
Wednesday, July 10, 2019 Page 111 of 154
State_Province Texas
Last Guerrera, Jr.
First Hector
Middle
Degree MD
Phone 956‐227‐3902
Fax
Address 614 Durley Drive
Address2
City Houston
ZIP_Postal Code 77079
Country_Region USA
Testing_Methods None listed
Specialty EM
State_Province Texas
Last Levy
First Steven
Middle R
Degree MD
Phone 713‐681‐5000
Fax 713‐681‐5002
Address 10375 NW Fwy.
Address2
City Houston
ZIP_Postal Code 77092
Country_Region USA
Testing_Methods id; pn
Specialty PD; A; ASTHMA
Wednesday, July 10, 2019 Page 112 of 154
State_Province Texas
Last Davis
First Dwight
Middle
Degree FNP‐C
Phone 713‐634‐8077
Fax
Address 7813 West St.
Address2
City Houston
ZIP_Postal Code 77093
Country_Region USA
Testing_Methods
Specialty
State_Province Texas
Last Herbert
First Janet
Middle M.
Degree RN, BSN
Phone 713‐826‐8780
Fax
Address 5707 Jason St.
Address2
City Houston
ZIP_Postal Code 77096
Country_Region USA
Testing_Methods
Specialty None listed
Wednesday, July 10, 2019 Page 113 of 154
State_Province Texas
Last Baca
First Esaias
Middle
Degree DC
Phone 281‐748‐1556
Fax
Address Metabolic Restoration Ctr.
Address2 2022 W. Alabama St.
City Houston
ZIP_Postal Code 77098
Country_Region USA
Testing_Methods ed; oral chall
Specialty None listed
State_Province Texas
Last Husain
First Syed
Middle A
Degree MS, PHARM
Phone 832‐457‐7144
Fax
Address 4601 Birch St.
Address2
City Bellaire
ZIP_Postal Code 77401
Country_Region USA
Testing_Methods idt; pn
Specialty Pharmacy
Wednesday, July 10, 2019 Page 114 of 154
State_Province Texas
Last Hotze
First Steven
Middle F
Degree MD
Phone 281‐579‐3600
Fax 281‐579‐3698
Address 20214 Braidwood Dr., Ste. 215
Address2
City Katy
ZIP_Postal Code 77450
Country_Region USA
Testing_Methods id; pid; pn; ed; oral chall
Specialty A; Wellness Medicine
State_Province Texas
Last Parker
First Ronald
Middle L
Degree PA
Phone 281‐579‐3600
Fax 281‐579‐3698
Address 20214 Braidwood Dr., Ste. 215
Address2
City Katy
ZIP_Postal Code 77450
Country_Region USA
Testing_Methods id; pid; pn; ed; oral chall
Specialty A; OTO
Wednesday, July 10, 2019 Page 115 of 154
State_Province Texas
Last Ellsworth
First Donald
Middle P
Degree MD
Phone 281‐579‐3600
Fax 281‐579‐3698
Address 20214 Braidwood Dr., Ste. 215
Address2
City Katy
ZIP_Postal Code 77450
Country_Region USA
Testing_Methods MQT; pnid; pnsl
Specialty Functional Medicine
State_Province Texas
Last Jalal
First Yasmeen
Middle
Degree MD
Phone 281‐265‐1160
Fax 281‐285‐1260
Address 3521 Town Center Blvd. S.
Address2 #B
City Sugar Land
ZIP_Postal Code 77479
Country_Region USA
Testing_Methods pid
Specialty ENT
Wednesday, July 10, 2019 Page 116 of 154
State_Province Texas
Last White
First Dina
Middle
Degree MD
Phone 281‐494‐4900
Fax
Address 16651 SW Fwy, #100
Address2
City Sugar Land
ZIP_Postal Code 77479
Country_Region USA
Testing_Methods id; psl
Specialty
State_Province Texas
Last Alford
First Jeffery
Middle
Degree MD
Phone 281‐494‐4900
Fax 281‐494‐4905
Address 16651 Southwest Fwy.
Address2 #100
City Sugar Land
ZIP_Postal Code 77479
Country_Region USA
Testing_Methods id; psl; ed
Specialty FP
Wednesday, July 10, 2019 Page 117 of 154
State_Province Texas
Last Sheridan
First David
Middle P
Degree MD
Phone 281‐705‐6690
Fax
Address 3910 Bianca Spring Lane
Address2
City Katy
ZIP_Postal Code 77494
Country_Region USA
Testing_Methods
Specialty A; Wellness Medicine
State_Province Texas
Last Gilani
First Bushra
Middle Sohrab
Degree BA
Phone 281‐968‐9260
Fax
Address Ancillary Healthcare Serv.
Address2 3130 Grants Lake Blvd., #16912
City Sugar Land
ZIP_Postal Code 77496
Country_Region USA
Testing_Methods scratch
Specialty None listed
Wednesday, July 10, 2019 Page 118 of 154
State_Province Texas
Last Gilani
First Sohrab
Middle Adil
Degree MBA, BS
Phone 281‐968‐9260
Fax
Address Ancillary Healthcare Serv.
Address2 3130 Grants Lake Blvd., #16912
City Sugar Land
ZIP_Postal Code 77496
Country_Region USA
Testing_Methods scratch
Specialty None listed
State_Province Texas
Last Sachdev
First Lisa
Middle
Degree DO
Phone 281‐542‐7800
Fax 281‐542‐7731
Address Nova Wellness Center
Address2 400 North Texas Ave., Ste. C
City Webster
ZIP_Postal Code 77598
Country_Region USA
Testing_Methods id; ed
Specialty FP
Wednesday, July 10, 2019 Page 119 of 154
State_Province Texas
Last Duplan
First Don
Middle A.
Degree MD
Phone 409‐722‐5000
Fax 409‐722‐0351
Address 2501 Jimmy Johnson Blvd., Suite 305
Address2
City Port Arthur
ZIP_Postal Code 77640
Country_Region USA
Testing_Methods id; pid; psl; RAST; ed; oral chall
Specialty OTO; A
State_Province Texas
Last Herndon
First M.
Middle Boyd
Degree DO
Phone 409‐729‐6401
Fax 409‐729‐6015
Address 886 Sierra Drive
Address2
City Port Neches
ZIP_Postal Code 77651
Country_Region USA
Testing_Methods id; TOE; idpn; pnsl; ed
Specialty ENT; A
Wednesday, July 10, 2019 Page 120 of 154
State_Province Texas
Last Crossley
First Michael
Middle K.
Degree MD
Phone 409‐783‐2277
Fax 409‐783‐2701
Address 395 N. Main St.
Address2
City Vidor
ZIP_Postal Code 77662
Country_Region USA
Testing_Methods None listed
Specialty ER
State_Province
Last
First
Middle
Degree
Phone
Texas
Shipman
Nolan
D
MD
Fax
Address
Address2
City Bryan
ZIP_Postal Code
Country_Region
Testing_Methods
Specialty
77802
USA
Retired
ENT
Wednesday, July 10, 2019 Page 121 of 154
State_Province
Last
First
Middle
Degree
Phone
Texas
Mabray
C.
Richard
MD
Fax
Address
Address2
City
ZIP_Postal Code
Country_Region
Testing_Methods
Specialty
Victoria
77904‐1651
USA
Retired
OBG; A
State_Province Texas
Last Vieyra
First George
Middle R.
Degree MD
Phone 830‐589‐7731
Fax
Address 3957 Kyle Ranch Rd.
Address2
City Bandera
ZIP_Postal Code 78003
Country_Region USA
Testing_Methods id; pid; RAST
Specialty OTO
Wednesday, July 10, 2019 Page 122 of 154
State_Province Texas
Last Jung
First Mark
Middle
Degree MD
Phone 210‐902‐9484
Fax
Address 101 Elm Springs Dr.
Address2
City Boerne
ZIP_Postal Code 78006
Country_Region USA
Testing_Methods
Specialty
State_Province
Last
First
Middle
Degree
Phone
Texas
Schwarz
R
Marc
MD, PhD
Fax
Address
Address2
City
ZIP_Postal Code
Country_Region
Testing_Methods
Specialty
Boerne
78006‐1719
USA
Retired
FP; A
Wednesday, July 10, 2019 Page 123 of 154
State_Province Texas
Last Sosa
First Jose
Middle I.
Degree MD
Phone 830‐334‐5856
Fax 830‐334‐5760
Address 151 Medical Drive
Address2
City Pearsall
ZIP_Postal Code 78061
Country_Region USA
Testing_Methods None listed
Specialty FP
State_Province Texas
Last Nelson
First Jason
Middle A.
Degree MD
Phone 830‐625‐0305
Fax 830‐625‐2693
Address 774 Landa St.
Address2
City New Braunfels
ZIP_Postal Code 78130
Country_Region USA
Testing_Methods pid; pn; ed
Specialty FP
Wednesday, July 10, 2019 Page 124 of 154
State_Province Texas
Last Gruhlkey
First Jay
Middle L.
Degree MD
Phone 830‐626‐9911
Fax 830‐626‐9922
Address 301 Main Plaza #342
Address2
City New Braunfels
ZIP_Postal Code 78130
Country_Region USA
Testing_Methods id; sl; ed
Specialty FP
State_Province Texas
Last Dubensky
First Jan
Middle
Degree PA‐C
Phone 830‐626‐9911
Fax
Address Lonestar Medical
Address2 952 Gruene Rd., #150
City New Braunfels
ZIP_Postal Code 78130
Country_Region USA
Testing_Methods id; in vitro; ed
Specialty
Wednesday, July 10, 2019 Page 125 of 154
State_Province Texas
Last Tyler
First Michael
Middle E
Degree MD
Phone 210‐491‐9441
Fax 210‐491‐9480
Address 14615 San Pedro Ave., #235
Address2
City San Antonio
ZIP_Postal Code 78232
Country_Region USA
Testing_Methods pid; psl
Specialty FP
State_Province Texas
Last Syms, III
First Charles
Middle A.
Degree MD
Phone 210‐614‐6070
Fax 210‐858‐1184
Address 21 Spurs Lane #100
Address2
City San Antonio
ZIP_Postal Code 78240
Country_Region USA
Testing_Methods pid; psl; ImmunoCap; idpn; pnsl; ed; oral chall
Specialty OTO; NEUROLOGY
Wednesday, July 10, 2019 Page 126 of 154
State_Province Texas
Last Hernandez
First Caroline
Middle
Degree MD
Phone 210‐523‐9933
Fax 210‐647‐0242
Address Westover Hills Clinic
Address2 1911 Rogers Rd.
City San Antonio
ZIP_Postal Code 78251
Country_Region USA
Testing_Methods None listed
Specialty IM
State_Province Texas
Last Rigonan
First Alma
Middle S.
Degree MD
Phone 361‐883‐3683
Fax 361‐653‐0717
Address 2418 Morgan Avenue
Address2
City Corpus Christi
ZIP_Postal Code 78405
Country_Region USA
Testing_Methods id; prick
Specialty PD; A
Wednesday, July 10, 2019 Page 127 of 154
State_Province Texas
Last Almouie
First Muhamad
Middle
Degree MD
Phone 361‐767‐9963
Fax 361‐767‐8477
Address 14041 Northwest Blvd., #1
Address2
City Corpus Christi
ZIP_Postal Code 78410
Country_Region USA
Testing_Methods id; in vitro; scratch; ed; oral chall
Specialty PD
State_Province Texas
Last Oshman
First Joseph
Middle
Degree
Phone
MD
Fax
Address
Address2
City Corpus Christi
ZIP_Postal Code
Country_Region
Testing_Methods
Specialty
78411
USA
Retired
PD; PDA
Wednesday, July 10, 2019 Page 128 of 154
State_Province Texas
Last Moran
First J.
Middle Patrick
Degree MD
Phone 361‐852‐2011
Fax 361‐852‐6211
Address 3401‐C Ocean Drive
Address2
City Corpus Christi
ZIP_Postal Code 78411‐1408
Country_Region USA
Testing_Methods Semi‐retired ‐ id; ed; rd
Specialty OTO; A
State_Province Texas
Last Martinez
First Frank
Middle
Degree MD
Phone 361‐992‐1600
Fax 361‐992‐0176
Address 5920 Saratoga Blvd.
Address2 #320
City Corpus Christi
ZIP_Postal Code 78414
Country_Region USA
Testing_Methods id; pn; ed
Specialty None listed
Wednesday, July 10, 2019 Page 129 of 154
State_Province Texas
Last Montano
First Pedro
Middle
Degree MD
Phone 956‐686‐3375
Fax 956‐686‐1314
Address 1623 Pecan Blvd., #B
Address2
City McAllen
ZIP_Postal Code 78501
Country_Region USA
Testing_Methods
Specialty
State_Province Texas
Last Anderson, Jr.
First C.
Middle Lynn
Degree MD
Phone 956‐982‐1001
Fax 956‐982‐1938
Address 3302 Boca Chica, #109
Address2
City Brownsville
ZIP_Postal Code 78521
Country_Region USA
Testing_Methods id; pn
Specialty FP
Wednesday, July 10, 2019 Page 130 of 154
State_Province Texas
Last Mackie
First Eugene
Middle
Degree MD
Phone 956‐631‐2957
Fax 956‐631‐1983
Address 2401 Cornerstone Blvd.
Address2
City Edinburg
ZIP_Postal Code 78539
Country_Region USA
Testing_Methods
Specialty None listed
State_Province Texas
Last Sanchez
First Mario
Middle
Degree DO
Phone 956‐793‐3114
Fax
Address 106 N. Main St.
Address2
City La Feria
ZIP_Postal Code 78559
Country_Region USA
Testing_Methods psl
Specialty FP
Wednesday, July 10, 2019 Page 131 of 154
State_Province Texas
Last Castrillon
First Augusto
Middle A.
Degree MD
Phone 956‐519‐9333
Fax 956‐519‐9353
Address 1300 S. Bryan Rd. #100
Address2
City Mission
ZIP_Postal Code 78572
Country_Region USA
Testing_Methods pid; prick
Specialty FP
State_Province Texas
Last Escandon
First Jose
Middle A.
Degree MD
Phone 986‐519‐9333
Fax 986‐519‐9353
Address 1300 S. Bryan Rd., #100
Address2
City Mission
ZIP_Postal Code 78572
Country_Region USA
Testing_Methods per intra test
Specialty IM
Wednesday, July 10, 2019 Page 132 of 154
State_Province Texas
Last Peet
First Jason
Middle
Degree MD
Phone 830‐997‐5559
Fax 830‐997‐5558
Address 110 E. Live Oak
Address2
City Fredericksburg
ZIP_Postal Code 78624
Country_Region USA
Testing_Methods id; pid; psl; RAST; pn; pnsl; ed
Specialty FP
State_Province Texas
Last Gilcrease
First Gary
Middle L
Degree MD
Phone 512‐295‐9300
Fax 512‐295‐7300
Address 135 Bunton Creek Rd., #102
Address2
City Kyle
ZIP_Postal Code 78640‐5701
Country_Region USA
Testing_Methods None listed
Specialty FP
Wednesday, July 10, 2019 Page 133 of 154
State_Province Texas
Last Rogers
First Monica
Middle R
Degree FNP
Phone 512‐295‐9300
Fax 512‐295‐7300
Address c/o Gary L. Gilcrease, MD
Address2 135 Bunton Creek Rd., #102
City Kyle
ZIP_Postal Code 78640‐5701
Country_Region USA
Testing_Methods None listed
Specialty None listed
State_Province Texas
Last Wallis
First Jack
Middle W
Degree MD
Phone 512‐754‐7700
Fax 512‐754‐0012
Address 2108 Hunter Rd. #116
Address2
City San Marcos
ZIP_Postal Code 78666
Country_Region USA
Testing_Methods idt; pn; ed
Specialty FP
Wednesday, July 10, 2019 Page 134 of 154
State_Province Texas
Last Lee
First A. Lane
Middle
Degree MD
Phone 512‐396‐7686
Fax 512‐396‐8006
Address San Marcos Family Medicine
Address2 2406 Hunter Road, #106
City San Marcos
ZIP_Postal Code 78666
Country_Region USA
Testing_Methods id; RAST; pnid; pnsl
Specialty FP
State_Province
Last
First
Middle
Degree
Phone
Texas
Cobb, Jr.
Albert
H
MD
Fax
Address
Address2
City San Marcos
ZIP_Postal Code
Country_Region
Testing_Methods
Specialty
78666
USA
Retired
OTO; A
Wednesday, July 10, 2019 Page 135 of 154
State_Province Texas
Last Randolph
First Mark
Middle B
Degree MD
Phone 512‐878‐6330
Fax 512‐878‐6941
Address P.O. Box 1621
Address2
City San Marcos
ZIP_Postal Code 78667
Country_Region USA
Testing_Methods id; pn; ed; oral chall
Specialty FP
State_Province Texas
Last Albertson
First Gary
Middle R
Degree DO
Phone 512‐769‐3282
Fax 512‐462‐1809
Address 4303 Victory Drive
Address2
City Austin
ZIP_Postal Code 78704
Country_Region USA
Testing_Methods ed; cluster therapy; SCIT
Specialty FP
Wednesday, July 10, 2019 Page 136 of 154
State_Province Texas
Last Winegar
First Bradford
Middle C
Degree MD
Phone 512‐454‐0392
Fax 512‐454‐1233
Address 3705 Medical Pkwy #320
Address2
City Austin
ZIP_Postal Code 78705
Country_Region USA
Testing_Methods None listed
Specialty OTO
State_Province Texas
Last Warfield
First Kimberly
Middle
Degree MD
Phone 512‐834‐9999
Fax 512‐834‐9998
Address 11673 Jolleyville Rd.
Address2 Ste. 205
City Austin
ZIP_Postal Code 78759
Country_Region USA
Testing_Methods id; pn; pnsl; IMMUNOCAP; RAST
Specialty IM; FP
Wednesday, July 10, 2019 Page 137 of 154
State_Province Texas
Last Reichert
First David
Middle
Degree BSPharm, PharmD
Phone 512‐720‐9590
Fax
Address 8417 Eteinne Cove
Address2
City Austin
ZIP_Postal Code 78759
Country_Region USA
Testing_Methods in vitro; scratch
Specialty Pharmacy
State_Province Texas
Last Grossmann
First Alicia
Middle
Degree MD
Phone 512‐568‐3565
Fax 512‐834‐9998
Address 11673 Jollyville Rd., #205
Address2
City Austin
ZIP_Postal Code 78759
Country_Region USA
Testing_Methods None listed
Specialty IM
Wednesday, July 10, 2019 Page 138 of 154
State_Province Texas
Last McClanahan
First Mark
Middle
Degree DO
Phone 806‐288‐7891
Fax 806‐288‐7920
Address 1806 Quincy St.
Address2
City Plainview
ZIP_Postal Code 79072
Country_Region USA
Testing_Methods id; pid; pn; ed
Specialty FP
State_Province Texas
Last Ehle
First Eric
Middle
Degree DO
Phone 806‐355‐3955
Fax 806‐340‐7975
Address 7 Medical Dr.
Address2
City Amarillo
ZIP_Postal Code 79106
Country_Region USA
Testing_Methods None listed
Specialty FP
Wednesday, July 10, 2019 Page 139 of 154
State_Province Texas
Last Hord
First M.
Middle Shane
Degree MD
Phone 806‐637‐0344
Fax 806‐637‐1117
Address 706 E. Felt
Address2
City Brownfield
ZIP_Postal Code 79316
Country_Region USA
Testing_Methods id
Specialty FP
State_Province Texas
Last Hisel
First Christopher
Middle G
Degree MD
Phone 806‐637‐0344
Fax 806‐637‐1117
Address 706 E. Felt
Address2
City Brownfield
ZIP_Postal Code 79316
Country_Region USA
Testing_Methods id
Specialty FP
Wednesday, July 10, 2019 Page 140 of 154
State_Province Texas
Last Roffers, II
First Gene
Middle Michael
Degree DO
Phone 806‐698‐8088
Fax 806‐698‐8588
Address 7008 Indiana Ave., #A
Address2
City Lubbock
ZIP_Postal Code 79413
Country_Region USA
Testing_Methods None listed
Specialty FP
State_Province Texas
Last Franklin
First Rodney
Middle T
Degree MD
Phone 806‐698‐8088
Fax 806‐698‐8588
Address 7008 Indiana Ave., #A
Address2
City Lubbock
ZIP_Postal Code 79413
Country_Region USA
Testing_Methods id; pid
Specialty FP; A
Wednesday, July 10, 2019 Page 141 of 154
State_Province Texas
Last Vermillion
First David
Middle L
Degree MD
Phone 806‐698‐8088
Fax 806‐698‐8588
Address 7008 Indiana Ave., #A
Address2
City Lubbock
ZIP_Postal Code 79413
Country_Region USA
Testing_Methods id; pid
Specialty FP; A
State_Province Texas
Last Villegas
First Mario
Middle Cesar
Degree MD
Phone 915‐383‐1197
Fax
Address 1503 Sioux Drive
Address2
City El Paso
ZIP_Postal Code 79925
Country_Region USA
Testing_Methods None listed
Specialty FP
Wednesday, July 10, 2019 Page 142 of 154
State_Province Utah
Last Heras
First Heidi
Middle A.
Degree MD
Phone 801‐493‐7662
Fax
Address 482 W. 50 North St., #14
Address2
City American Fort
ZIP_Postal Code 84003
Country_Region USA
Testing_Methods id; sl; pn;ed
Specialty OTO
State_Province Utah
Last Anderson
First Marc
Middle
Degree MD
Phone 801‐773‐4840
Fax
Address 2121 N. 1700 W
Address2
City Layton
ZIP_Postal Code 84041
Country_Region USA
Testing_Methods
Specialty
Wednesday, July 10, 2019 Page 143 of 154
State_Province Utah
Last Catten
First Michael
Middle
Degree MD
Phone 435‐722‐6144
Fax 435‐722‐6122
Address 210 W 300 N, #75‐3
Address2
City Roosevelt
ZIP_Postal Code 84066
Country_Region USA
Testing_Methods
Specialty OTO‐HNS
State_Province Vermont
Last Fagelson
First Robert
Middle S
Degree MD
Phone 802‐257‐0557
Fax 802‐257‐5460
Address Vermont ENT Associates
Address2 15 Fairview St.
City Brattleboro
ZIP_Postal Code 05301
Country_Region USA
Testing_Methods id
Specialty OTO; A
Wednesday, July 10, 2019 Page 144 of 154
State_Province Virgin Islands
Last Shapiro
First Adam
Middle
Degree MD
Phone 340‐774‐8881
Fax 340‐774‐1569
Address 9149 Estate Thomas, #308
Address2
City St. Thomas
ZIP_Postal Code 00802
Country_Region USA
Testing_Methods pid; pn; pnsl; ed; oral chall
Specialty OTO
State_Province Virginia
Last Shaw
First Michael
Middle B
Degree DO
Phone
Fax
Address
Address2
City Blacksburg
ZIP_Postal Code
Country_Region
Testing_Methods
Specialty
24060
USA
Retired
ENT
Wednesday, July 10, 2019 Page 145 of 154
State_Province Virginia
Last Potter, Jr.
First James
Middle T.
Degree MD
Phone 276‐219‐7619
Fax
Address 159 Ridgefield Rd.
Address2
City Wise
ZIP_Postal Code 24293
Country_Region USA
Testing_Methods RAST; ed; oral chall
Specialty PED; A
State_Province Washington
Last Kimiai
First Nazanin
Middle
Degree ND
Phone 425‐823‐8818
Fax 425‐823‐8817
Address 11656 98th Ave NE
Address2
City Kirkland
ZIP_Postal Code 98034
Country_Region USA
Testing_Methods
Specialty GP
Wednesday, July 10, 2019 Page 146 of 154
State_Province Washington
Last Buscher
First David
Middle
Degree MD
Phone 425‐284‐1586
Fax 425‐284‐4379
Address 8195 166th Ave. NE, #101
Address2
City Redmond
ZIP_Postal Code 98052
Country_Region USA
Testing_Methods id; pid; psl; pn; ed; oral chall
Specialty EM
State_Province Washington
Last Jungkeit
First Michael
Middle
Degree MD
Phone 360‐697‐1414
Fax 360‐697‐3939
Address 22180 Olympic College Way
Address2 #202
City Pulsbo
ZIP_Postal Code 98370
Country_Region USA
Testing_Methods pid; psl
Specialty OTO
Wednesday, July 10, 2019 Page 147 of 154
State_Province Washington
Last Speidel
First Stephen
Middle D.
Degree MD
Phone 360‐697‐2122
Fax
Address 19586 10th Ave.
Address2
City Poulsbo
ZIP_Postal Code 98370
Country_Region USA
Testing_Methods
Specialty
State_Province Washington
Last Bronoske
First Melissa
Middle
Degree PA‐C
Phone 253‐446‐3233
Fax
Address 11102 Sunrise Blvd. E
Address2 #109
City Puyallup
ZIP_Postal Code 98514
Country_Region USA
Testing_Methods
Specialty
Wednesday, July 10, 2019 Page 148 of 154
State_Province Washington
Last West
First Sheri
Middle
Degree MA
Phone 509‐789‐5735
Fax
Address Columbia Surg. Specialists
Address2 217 W. Cataldo
City Spokane
ZIP_Postal Code 99201
Country_Region USA
Testing_Methods id; RAST
Specialty
State_Province West Virginia
Last Betler
First Lori
Middle L.
Degree PA‐C
Phone 304‐637‐6302
Fax
Address c/o Jenny L. Cross, MD
Address2 911 Gorman Ave., #201
City Elkins
ZIP_Postal Code 26241
Country_Region USA
Testing_Methods id; pid; psl; pn; pnsl; ed; oral chall
Specialty
Wednesday, July 10, 2019 Page 149 of 154
State_Province West Virginia
Last Cross
First Jenny
Middle L
Degree MD
Phone 304‐637‐6302
Fax 304‐637‐6307
Address 911 Gorman Ave., #201
Address2
City Elkins
ZIP_Postal Code 26241
Country_Region USA
Testing_Methods id; pid; psl; in vitro; pn; pnsl; ed; oral chall
Specialty ENT
State_Province West Virginia
Last Gregory
First Crystal
Middle
Degree PA‐C, MS
Phone 304‐637‐6302
Fax
Address c/o Jenny L. Cross, MD
Address2 911 Gorman Ave., #201
City Elkins
ZIP_Postal Code 26241
Country_Region USA
Testing_Methods pn; pid; psl; ed; oral chall
Specialty
Wednesday, July 10, 2019 Page 150 of 154
State_Province West Virginia
Last Knotts
First Tamara
Middle L.
Degree LPNII
Phone 681‐342‐3584
Fax
Address c/o Kevin S. Oxley, M.D.
Address2 527 Medical Park Dr., #501
City Bridgeport
ZIP_Postal Code 26330
Country_Region USA
Testing_Methods id; pid; RAST; histamine; Fluogen; pn; ed
Specialty
State_Province West Virginia
Last Rockhead
First Curt
Middle
Degree LPN
Phone 681‐342‐3579
Fax
Address c/o Keven S. Oxley, MD
Address2 527 Medical Park Dr., #501
City Bridgeport
ZIP_Postal Code 26330
Country_Region USA
Testing_Methods id; pid; RAST; Fluogen; Histamine; idpn; ed
Specialty None listed
Wednesday, July 10, 2019 Page 151 of 154
State_Province West Virginia
Last Burns
First Nina
Middle D
Degree LPN
Phone 304‐642‐3896
Fax
Address 92 Ferguson St.
Address2
City Shinnston
ZIP_Postal Code 26431
Country_Region USA
Testing_Methods id; pid; RAST; his. titration; Fluogen; ed; pn
Specialty
State_Province Wisconsin
Last Toth
First Glenn
Middle A
Degree MD
Phone 262‐547‐3055
Fax 262‐547‐2129
Address 817 N. East Avenue
Address2
City Waukesha
ZIP_Postal Code 53186
Country_Region USA
Testing_Methods id; pid; psl; IgE; IgG; pn; oral chall; ALCAT
Specialty FP
Wednesday, July 10, 2019 Page 152 of 154
State_Province Wisconsin
Last Kroker
First George
Middle F
Degree MD
Phone 608‐782‐2027
Fax 608‐782‐6172
Address Allergy Assoc. of La Crosse
Address2 2727 Midwest Drive
City Onalaska
ZIP_Postal Code 54650‐6758
Country_Region USA
Testing_Methods id; pn; pnsl; ELISA; IgE; ed; oral chall
Specialty A; IM
State_Province Wisconsin
Last DeFatta
First Robert
Middle
Degree MD, PhD
Phone 715‐828‐2368
Fax 715‐839‐7796
Address DeFatta ENT & FP Surgery
Address2 1490 Rivers Edge Trail
City Altoona
ZIP_Postal Code 54720
Country_Region USA
Testing_Methods id; pid; psl; pn; pnsl; ed
Specialty
Wednesday, July 10, 2019 Page 153 of 154
State_Province Wyoming
Last Swift
First Ian
Middle R.
Degree MD
Phone 307‐670‐8290
Fax 307‐670‐8291
Address 407 S. Medical Arts Court, Ste. F
Address2
City Gillette
ZIP_Postal Code 82716
Country_Region USA
Testing_Methods id; pid; psl; pn; RAST
Specialty OTO
Wednesday, July 10, 2019 Page 154 of 154
MemberDirectory_20190709_International
Country_Region Australia
Last Westaway
First Mark
Middle
Degree MD
Phone 011‐46‐143‐242‐8103
Fax
Address 2051 Roghan Rd.
Address2
City Bridgeman Downs
State_Province Queensland
ZIP_Postal Code 4035
Testing_Methods id; pn; idpn; pnsl; ed
Specialty FP
Country_Region Canada
Last Ouedraogo
First Nabassinogo
Middle
Degree MD
Phone 819‐212‐7108
Fax
Address 7345 Rue du Corbeau
Address2
City Laval
State_Province Quebec
ZIP_Postal Code H7A 4G5
Testing_Methods
Specialty
Wednesday, July 10, 2019 Page 1 of 3
Country_Region Canada
Last Obuekwe
First Ifechukwude
Middle C.
Degree MD
Phone 907‐770‐6700
Fax 907‐770‐6707
Address 201 10127 121 Avenue
Address2
City Grand Prairie
State_Province Alberta
ZIP_Postal Code T8V 7V3
Testing_Methods
Specialty
Country_Region Jamaica
Last Griffith
First Anona
Middle
Degree MD
Phone 876‐396‐6240
Fax
Address 17 Princess Alice Dr., #2
Address2 Kingston 7
City Kingston
State_Province
ZIP_Postal Code
Testing_Methods None listed
Specialty PD
Wednesday, July 10, 2019 Page 2 of 3
Country_Region Korea
Last Kim
First Mee Ja
Middle
Degree MD
Phone 02‐444‐4322
Fax 02‐444‐4307
Address Youngmasan No. 5
Address2 Kwang Jin Gu
City Seoul
State_Province
ZIP_Postal Code 133‐220
Testing_Methods id; pid; MAST; pn
Specialty OTO
Country_Region Mexico
Last Suarez
First Jesus
Middle E
Degree MD
Phone 618‐827‐2723
Fax
Address Pereyra 404 OTE
Address2
City Durango
State_Province
ZIP_Postal Code 34000
Testing_Methods id; psl
Specialty None listed
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