State Medical Board of Ohio 30 E. Broad Street, 3rd Floor, Columbus, OH Richard A. Whitehouse, Esq. (614)
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1 State Medical Board of Ohio 30 E. Broad Street, 3rd Floor, Columbus, OH Richard A. Whitehouse, Esq. (614) Executive Director med.ohio.gov STATE MEDICAL BOARD OF OHIO ASSIGNED COMMITTEES March 14, 2012 Please Note: Items listed on Committee agendas may also be discussed during the Reports of Assigned Committees on the Board s Agenda ALSO, Additions or deletions to this agenda may become necessary after publication. Please check the agenda appearing on the Board s website for the most current version. AD HOC COMMITTEE ON MAINTENANCE OF LICENSURE 8:30 A.M. Conference Room #336 I.) Maintenance of Licensure Pilot Project EXECUTIVE COMMITTEE 9:30 A.M. Conference Room #336 I.) Minutes Review II.) FSMB Annual Meeting 2012 III.) Proposed Statement on Corporate Practice of Medicine IV.) Proposed Statement on Anesthesiologist Assistant Rule V.) Report on Investigator Firearm Training VI.) Fiscal Report VII.) Administrative Report
2 GROUP 1-10:30 a.m. Conference Room # 336 I.) Minutes Review II.) Licensure Issues a.) Licensure Update b.) Licensure Application Reviews i.) Hale Erosy, M.D. ii.) Nabil A. Manneh, M.D. III.) Legislative Updates GROUP 2-10:30 a.m. Conference Room # 345 I.) Minutes Review II.) Proposed Amendments to Rule , OAC III.) Revision to Proposed Rule , OAC IV.) Physician Assistant Matters a.) Approval of Urgent Care Setting b.) Formulary Review i.) Request to Review/Add Schedule II Medications ii.) Request to Add Xarelto to Formulary iii.) Request to Add BOTOX to Formulary c.) Review of Special Services Applications i.) ii.) Ohio Pain & Rehab Specialists Trigger Point Injections Intramuscular Injections BOTOX Injections for Migraine Barrett & Geiss Dermatology Excision of Simple Lesions
3 State Medical Board of Ohio 30 E. Broad Street, 3rd Floor, Columbus, OH Richard A. Whitehouse, Esq. (614) Executive Director med.ohio.gov PHYSICIAN S ASSISTANT POLICY COMMITTEE James A. Rhodes State Office Tower Room 336, 3 rd Floor 30 E. Broad St., Columbus, Ohio March 13, :30 p.m. I. Review minutes of January 10, 2012 meeting II. Formulary review a) Facts and comparison review 1/11-6/11 b) Request to review/add schedule II medications c) Request to add Xarelto to formulary d) Request to add BOTOX to formulary III. Review of special services applications a) Ohio Pain & Rehab Specialists 1. Trigger point injections 2. Intramuscular injections 3. BOTOX injections for migraine b) Barrett & Geiss Dermatology 1. excision of simple lesions
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5 State Medical Board of Ohio 30 E. Broad Street, 3rd Floor, Columbus, OH Richard A. Whitehouse, Esq. (614) Executive Director med.ohio.gov James A. Rhodes State Office Tower Administrative Hearing Room 30 E. Broad St., Columbus, OH 43215, 3 rd Floor March 14, :00 p.m. NOTE: Additions to this agenda may become necessary. Please check the agenda appearing on the Board s website for the most current version. I. ROLL CALL II. MINUTES REVIEW February 8, 2011 III. IV. EXECUTIVE SESSION APPLICANTS FOR LICENSURE a.) Physician Applicants for Licensure b.) P.A. Applicants c.) Limited Practitioners d.) Acupuncturists e.) Anesthesiologist Assistants f.) Radiologist Assistants g.) Limited Branch Schools V. REPORTS AND RECOMMENDATIONS a.) Laila Ibrahim Gomaa, M.D. (Dayton, OH) b.) Mark Owen Henson, M.D. (Leesburg, OH) c.) Justin Matthew Rodebaugh, M.D. (Solon, OH) d.) Amy R. Weidman, M.D. (Broadview Heights, OH) VI. PROPOSED FINDINGS AND PROPOSED ORDERS a.) Jordon James Scuralli, L.M.T. (Sylvania, OH) 1
6 March 14, :00 p.m. (Continued) VII. VIII. IX. FINDINGS, ORDERS, AND JOURNAL ENTRIES a.) Robert Tyson Grossmann, M.D. (Dayton, OH) b.) Mark Thomas Johnson, M.D. (Fenton, MI) c.) Paikky Lee, M.D. (Cincinnati, OH) d.) Kamal Bhailal Patel, M.D. (Columbus, NJ) e.) Cleveland Institute of Medical Massage (Middleburg Heights, OH) CITATIONS, PROPOSED DENIALS, ORDERS OF SUMMARY SUSPENSION & NOTICES OF IMMEDIATE SUSPENSION RATIFICATION OF SETTLEMENT AGREEMENTS X. REINSTATEMENT REQUESTS a.) Josh U. Hill, P.A. (Fort Mitchell, KY) b.) Dominic J. Maga, D.O. (Dayton, OH) XI. PROBATIONARY APPEARANCES Philip L. Creps, D.O. (Saginaw, MI) Dr. Creps is appearing before the Board pursuant to his request for release from the terms of the Board s Order of March 14, Richard Graham Day, M.D. (Senecaville, OH) Dr. Day is appearing before the Board pursuant to his request for release from the terms of his March 14, 2007 Consent Agreement. Adam Patrick Hall, D.O. (Powell, OH) Dr. Hall is appearing before the Board pursuant to his request for release from the terms of his March 14, 2007 Consent Agreement.
7 March 14, :00 p.m. (Continued) XI. PROBATIONARY APPEARANCES (con t) Ronald Carl Hetman, D.P.M. (Centerville, OH) Dr. Hetman is appearing before the Board pursuant to his request for release from the terms of his March 14, 2007 Consent Agreement. Kyle Elliot Hoogendoorn, D.P.M. (Keller, TX) Dr. Hoogendoorn is appearing before the Board pursuant to his request for release from the terms of his March 12, 2009 Consent Agreement. Scott Brian Lindsay, D.P.M. (Pepper Pike, OH) Dr. Lindsay is appearing before the Board pursuant to his request for release from the terms of the Board s Order of April 8, Zuhayr T. Madhun, M.D. (Broadview Heights, OH) Dr. Madhun is appearing before the Board pursuant to his request for release from the terms of the Board s Order of August 12, Jason R. Molder, L.M.T. (Streetsboro, OH) Mr. Molder is appearing before the Board pursuant to his request for release from the terms of the Board s Order of October 8, John P. Moore, III, M.D. (Bellbrook, OH) Dr. Moore is appearing before the Board pursuant to his request for release from the terms of the Board s Order of May 14, Phillip Thiele North, M.D. (Columbus, OH) Dr. North is appearing before the Board pursuant to his request for release from the terms of his March 14, 2007 Consent Agreement.
8 March 14, :00 p.m. (Continued) XI. PROBATIONARY APPEARANCES (con t) Michael J. O Brien, D.O. (Uniontown, OH) Dr. O Brien is appearing before the Board pursuant to his request for release from the terms of the Board s Order of September 11, Jeffrey E. Shook, D.P.M. (Logan, WV) Dr. Shook is appearing before the Board pursuant to his request for release from the terms of his March 12, 2009 Consent Agreement. Duncan S. Stearns, M.D. (Pepper Pike, OH) Dr. Sterns is appearing before the Board pursuant to his request for release from the terms of his December 9, 2009 Consent Agreement. Paul Henry Goodman, D.O. (Erie, PA) Dr. Goodman is making his initial appearance before the Board pursuant to the terms of his December 14, 2011 Consent Agreement. Michael Joseph Harper, M.D. (Grove City, OH) Dr. Harper is making his initial appearance before the Board pursuant to the terms of his December 14, 2011 Consent Agreement. Brian D. Hesler, M.D. (Roselle, IL) Dr. Hesler is making his initial appearance before the Board pursuant to the terms of his December 14, 2011 Consent Agreement. Myron Lyle Shank, M.D. (Lima, OH) Dr. Shank is making his initial appearance before the Board pursuant to the terms of the Board s Order of December 14, 2011.
9 State Medical Board of Ohio 30 E. Broad Street, 3rd Floor, Columbus, OH Richard A. Whitehouse, Esq. (614) Executive Director med.ohio.gov JAMES A. RHODES STATE OFFICE TOWER ADMINISTRATIVE HEARING ROOM 30 E. BROAD ST., COLUMBUS, OH 43215, 3 rd Floor March 15, :00 a.m. I. ROLL CALL CONSENT II. PROBATIONARY REPORTS a.) David B. Axelson, M.D. (Pickerington, OH) b.) Michael R. Baum, M.D. (Barnesville, OH) c.) Andrew J. Beistel, D.O. (Canfield, OH) d.) Paul Lewis Blanchard, M.D. (Trenton, OH) e.) Celeste D. Brewer-Edwards, P.A. (Cleveland, OH) f.) Kory D. Brownlee, D.P.M. (Delaware, OH) g.) Samuel Francis Cornicelli, Jr., M.D. (Warren, OH) h.) William B. Cullen, M.D. (Wadsworth, OH) i.) Ericka L. Davis P.A. (Kettering, OH) j.) Franklin D. DeMint, D.O. (Kingston, OH) k.) Mark E. DiLuciano, M.D. (Akron, OH) l.) Kelly Kaye Elenniss, L.M.T. (Fairview Park, OH) m.) Mary Jo Foote, P.A. (Martin s Ferry, OH) n.) Thomas A. Gibbs, D.O. (Alliance, OH) o.) Christine M. Graham, L.M.T. (Westerville, OH) p.) Brian F. Griffin, M.D. (Hilliard, OH) q.) Carey K. Gross, D.O. (Pembroke Pines, FL) r.) Timothy Ross Halstead, P.A. (Sandusky, OH) s.) William Clark Harlan, D.O. (Nelsonville, OH) t.) Nilesh B. Jobalia, M.D. (Cincinnati, OH) u.) Matthew D. Kellems, M.D. (Shaker Heights, OH) v.) Krzysztof J. Kubicki, M.D. (Chester, WV) w.) Brian Francis Lane, M.D. (Evans, GA) x.) William G. Martin, M.D. (Ottawa Lake, MI) y.) Imran Raza Naqvi, M.D. (Cincinnati, OH)
10 March 15, :00 a.m. (Continued) II. PROBATIONARY REPORTS (con t) z.) Matthew Proctor Noyes, M.D. (Dayton, OH) aa.) Karen M. Orlosky, M.T. (Broomfield, CO) bb.) Kurt J. Palazzo, M.D. (Marietta, OH) cc.) William Popovich, M.D. (Medina, OH) dd.) Bud E. Quintana, D.O. (North Lawrence, OH) ee.) Lawrence Gene Ratcliff, M.D. (Farmersville, OH) ff.) Paul D. Reikowski, Jr., L.M.T. (Canton, OH) gg.) Richard J. Ryan, M.D. (Cincinnati, OH) hh.) Dan Ryu, M.D. (Brook Park, OH) ii.) Denise J. Signs, M.D. (Wooster, OH) jj.) Joseph P. Sitarik, D.O. (East Liverpool, OH) kk.) Arthur H. Smith, M.D. (Austintown, OH) ll.) Rick D. St. Onge, M.D. (Columbus, OH) mm.) Rodney E. Stone, M.D. (Dayton, OH) nn.) Stephen A. Straubing, M.D. (Cincinnati, OH) oo.) Aladdin Zafar Syed, M.D. (Presto, PA) pp.) Gregory M. Thomas, M.D. (Toledo, OH) qq.) Randall G. Whitlock, Jr., P.A. (West Chester, OH) rr.) Carmen L. Woolums, P.A. (Florence, KY) III. PROBATIONARY REQUESTS (* recommendation differs from request) a.) Franklin H. Baker, P.A. (Cincinnati, OH) b.) Thomas M. Bender, A.A. (North Royalton, OH) c.) Paul P. Chu, M.D. (Springfield, OH) d.) Allison C. Grauer, M.D. (Columbus, OH) e.) Elizabeth J. (Martin) Gross, P.A. (Columbus, OH) f.) Marjorie M. Haas, M.D. (Lebanon, OH) g.) Timothy J. Heyd, M.D. (Kettering, OH) h.) Howard C. Larky, D.O. (Columbus, OH) i.) Mark C. Leeson, M.D. (Akron, OH) j.) Carol E. Lewis, M.D. (Cleveland, OH) k.) Aiyappan Menon, M.D. (Solon, OH) l.) Leonard G. Quallich, Jr., M.D. (Hinckley, OH) m.) Stephen A. Schemenauer, P.A. (Marietta, OH) n.) Adil Y. Yamour, M.D. (Mt. Sterling, OH) o.) Dawn M. Zacharias, M.D. (Strongsville, OH)
11 March 15, :00 a.m. (Continued) NON-CONSENT IV. ADMINISTRATIVE REPORT V. REPORTS BY ASSIGNED COMMITTEES Ad Hoc Committee on Maintenance of Licensure Executive Committee FSMB Annual Meeting 2012 Proposed Statement on Corporate Practice of Medicine Proposed Statement on Anesthesiologist Assistant Rule Report on Investigator Firearm Training Fiscal Report Group 1 Licensure Update Licensure Application Reviews a.) Hale Erosy, M.D. b.) Nabil A. Manneh, M.D. Legislative Updates
12 March 15, :00 a.m. (Continued) Group 2 Proposed Amendments to Rule , OAC Revision to Proposed Rule , OAC Physician Assistant Matters a.) Approval of Urgent Care Setting b.) Formulary Review i. Request to Review/Add Schedule II Medications ii. Request to Add Xarelto to Formulary iii. Request to Add BOTOX to Formulary c.) Review of Special Services Applications i. Ohio Pain & Rehab Specialists Trigger Point Injections Intramuscular Injections BOTOX Injections for Migraine ii. Barrett & Geiss Dermatology Excision of Simple Lesions
State Medical Board of Ohio 30 E. Broad Street, 3rd Floor, Columbus, OH 43215-6127 (614) 466-3934 med.ohio.gov
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