RHODE ISLAND WORKERS COMPENSATION COURT AND MEDICAL ADVISORY BOARD APPROVED LIST OF IMPARTIAL MEDICAL EXAMINERS HEALTH CARE REVIEW TEAM PARTICIPANTS
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1 RHODE ISLAND WORKERS COMPENSATION COURT AND MEDICAL ADVISORY BOARD APPROVED LIST OF IMPARTIAL MEDICAL EXAMINERS HEALTH CARE REVIEW TEAM PARTICIPANTS CONTRACTUAL AGREEMENT ORGANIZATION ALLERGY AND CLINICAL IMMUNOLOGY Robert Joseph Settipane, M.D. 95 Pitman Street Providence, RI (401)
2 CARDIOLOGY Joseph R. Gaeta, M.D. 235 Plain Street Providence, RI (401)
3 CHIROPRACTIC David J. Bruno, D.C Mineral Spring Avenue North Providence, RI (401) Andrew Crellin, D.C. 328 Cowesett Avenue West Warwick, RI (401) Stephen M. Estner, D.C Reservoir Avenue Cranston, RI (401) Stephen E. Frye, D.C Post Road East Greenwich, RI (401) Christopher J. Gould, D.C. 466 Putnam Pike Smithfield, RI (401) Guy R. Grinsell, D.C. 600 Central Avenue Pawtucket, RI (401) Richard F. Jardon, D.C. 328 Cowesett Avenue #8 West Warwick, RI (401)
4 Stephen J. Keenan, D.C. 700 Reservoir Avenue Cranston, RI (401) Dennis Lanni, D. C. 667 Academy Avenue Providence, RI (401) Robert A. L Europa, D.C Cranston Street Cranston, RI (401) Gregg-Allen Medeiros, D.C Elmwood Avenue Mailing Address: Providence, RI On file at MAB office. (401) (401) FAX Elizabeth Molin, D.C. 132 Old River Road, Suite 200 Lincoln, RI (401) Donald Murphy, D.C. 600 Pawtucket Avenue Pawtucket, RI (401)
5 David J. Siciliano, D.C. 110 High Street Westerly, RI (401) Jeffrey Smith, D.C Post Road North Kingstown, RI (401) Ronald Tyszkowski, D.C. 935 Jefferson Boulevard (401) Amy Westrick, D.C. 511 Broadway Providence, RI (401) Michael Zola, D.C Cranston Street Cranston, RI (401)
6 DENTISTRY Rafael Cardenas, D.M.D 420 Waterman Avenue East Providence, RI (401) John Carroccia, D.D.S 136 Phenix Avenue Cranston, RI (401) Candida Castillo, D.M.D 2148 Mineral Spring Avenue North Providence, RI (401) Francis A. Connor, Jr., D.D.S Oral Surgery Associates 123 School Street Pawt., RI (401) Mail to: Attn: Leslie 1370 South County Trail, East Greenwich, RI (401) Thomas DePetrillo, D.M.D 425 Angell Street Providence, RI (401) Kenneth Rudman, D.M.D 2789 Post Road (401)
7 DERMATOLOGY Michael A. Bharier, M.D. 750 Reservoir Avenue Cranston, RI (401)
8 GASTROENTEROLOGY Eric Newton, M.D. University Gastroenterology 33 Staniford Street Providence, RI (401)
9 GENERAL SURGERY Gerald Marsocci, M.D. 725 Reservoir Avenue #202 Cranston, RI (401)
10 INFECTIOUS DISEASES Erna Kojic, M.D. The Miriam Hospital Infectious Diseases 164 Summit Avenue Providence, RI Frederic Silverblatt, M.D. Mailing Address: 3461 South County Trail, Suite 301 On file in MAB office. East Greenwich, RI (401)
11 INTERNAL MEDICINE Joseph Grande, D.O. Pilgrim Park Physicians 1243 Post Road Warwick, RI OFC: (401) ANS. SERV.: (401)
12 NEUROLOGY Keith R. Brecher, M.D. 227 Centerville Road (401) Specialty: Pain Management/Neurologic Oncology IME Restrictions: None Richard Cervone, M.D. Garden City Neurology, Ltd. 900 Reservoir Avenue Cranston, RI (401) Specialty: General IME Restrictions: None William Golini, M.D. 400 Bald Hill Road, Suite 501 (401) Norman M. Gordon, M.D. 450 Veterans Memorial Pkwy. Bldg. #11 East Providence, RI (401) (will take thoracic cases) Specialty: General IME Restrictions: None Gary L Europa, M.D. 227 Centerville Road (401) Specialty: IME Restrictions: Headache & EMG None Mary L. Lussier, M.D. 250 Wampanoag Trail #204 East Providence, RI (401) Specialty: No one under 18 years old. IME Restrictions: No one under 18 years old. 12
13 Thomas Morgan, M.D. 54 Jefferson Boulevard Warwick, RI (401) Specialty: General IME Restrictions: None Sayed M. Sayeed, M.D. 400 Warren Avenue East Prov., RI (401) (will take thoracic cases) Specialty: General IME Restrictions: None Vladislav Zayas, M.D. Neurology 227 Centerville Road (401) (will take thoracic cases) Specialty: General IME Restrictions: None 13
14 NEUROSURGERY Sumit Das, M.D Atwood Avenue # 200 Johnston, RI (401) also: 3461 South County Trail Suite 302 East Greenwich, RI also: 2138 Mendon Road Cumberland, RI Surgical Specialty: General IME Restrictions: None Maria Guglielmo, M.D. West Bay Orthopedics 120 Centerville Road, Suite 5 (401) Fax: (401) Surgical Specialty: IME Restrictions: Charles Kanaly, M.D. The Neurosurgery Center of Southern New England 277 Pleasant Street, Suite 302 Fall River, MA (508) (508) (fax) 14
15 Michael Olin, M.D. 63 Eddie Dowling Highway North Smithfield, RI (401) Surgical Specialty: General IME Restrictions: None Stephen Saris, M.D. One Davol Square, Suite 302 Providence, RI (401) Surgical Specialty: General IME Restrictions: None 15
16 OCCUPATIONAL MEDICINE Susan Green, M.D., M.P.H. 850 Aquidneck Avenue, Suite A-9 Middletown, RI (401) Randall Updegrove, M.D South County Trail, Suite 510 East Greenwich, RI (401)
17 OPHTHALMOLOGY Robert L. Bahr, M.D. 150 East Manning Street Providence, RI (401) Richard Bryan, M.D Atwood Avenue Johnston, RI (no phone available at this time) Joseph L. Dowling, Jr., M.D. 150 East Manning Street Providence, RI (401) Kendall A. Gibbs, M.D. 24 Bosworth Street Barrington, RI (401) Robert J. Hofmann, M.D. Rhode Island Eye Institute 150 East Manning Street Providence, RI (401) Michael E. Migliori, M.D. One Hoppin Street, #202 Providence, RI (401) HAS ARRANGEMENT WITH LIFESPAN Elliot M. Perlman, M.D. 150 East Manning Street Providence, RI (401) William F. Varr, III, M.D. Kent Ophthalmology, Inc. 220 Tollgate Road (401)
18 ORTHOPEDIC SURGERY Roy Aaron, M.D. Orthopedic Surgery University Orthopedics 100 Butler Drive Providence, RI (401) Edward Akelman, M.D. University Orthopedics, Inc. 2 Dudley Street #200 Providence, RI (401) and 1512 Surgical Specialty: HANDS IME Restrictions: HANDS ONLY J. Winslow Alford, M.D. West Bay Orthopedics 120 Centerville Road AND 41 Sanderson Road, Suite 105 Smithfield, RI (401) (Make appointments via Warwick telephone number) (Will not see present or prior patients of Dr. Mirrer) Scott Allen, M.D. West Bay Orthopaedics and Neurosurgery 120 Centerville Road AND 41 Sanderson Road, Suite 105 Smithfield, RI (401) Surgical Specialty: UPPER EXTREMITIES IME Restrictions: UPPER EXTREMITIES 18
19 Michel Arcand, M.D Atwood Avenue, Suite 140 Johnston, RI (401) ext. 341 (Kristen) Gregory J. Austin, M.D. 725 Reservoir Avenue Cranston, RI (401) Surgical Specialty: HANDS IME Restrictions: HANDS Michael J. Belanger, M.D Atwood Avenue, Suite 140 Johnston, RI (401) ext. 341 (Kristen) Steven Blazar, M.D. 588 Pawtucket Avenue Pawtucket, RI (401) Surgical Specialty: SPINE IME Restrictions: NO HANDS Christopher Born, M.D. Two Dudley Street, MOC 200 Providence, RI (401) Surgical Specialty: TRAUMA IME Restrictions: NO HANDS AND NO NECK AND NO SPINE Michael Bradley, M.D. One High Street Wakefield, RI (401) Surgical Specialty: ORTHOPEDICS IME Restrictions: NO BACKS AND NO NECKS AND NO ELBOWS 19
20 William F. Brennan, M.D. 120 Centerville Road AND 41 Sanderson Road, Suite 105 Smithfield, RI (401) (Make appointments via Warwick telephone number) (Will not see present or prior patients of Dr. Mirrer) No IME s until further notice A. Robert Buonanno, M.D Atwood Avenue, Suite 140 Johnston, RI (401) ext. 341 (Kristen) William Buonanno, M.D. 35 Sockanosset Crossroad Cranston, RI FLUENT IN SPANISH (401) Surgical Specialty: KNEES David Burns, D.O. One High Street Wakefield, RI (401) IME Restrictions: NO BACKS 20
21 Kenneth Catallozzi, M.D Mendon Road, Suite 302 Cumberland, RI (401) Christopher Chihlas, M.D. Mailing: South Coast Physicians Group, LLC Orthopedic Surgery Attn: Erica Troino 479 Swansea Mall Drive Swansea, MA SEES PATIENTS AT: South Coast Physicians Group, LLC Orthopedic Surgery 1076 North Main Street Providence, RI Phone: Fax: Surgical Specialty: FEET AND ANKLES IME Restrictions: FEET AND ANKLES ONLY David J. Cicerchia, M.D. 588 Pawtucket Avenue Pawtucket, RI (401) Surgical Specialty: BACKS IME Restrictions: BACKS ONLY Mark Coppes, M.D. One High Street Wakefield, RI (401) IME Restrictions: NO BACK AND NO NECKS 21
22 John K. Czerwein, M.D Atwood Avenue, Suite 140 Johnston, RI (401) ext. 341 (Kristen) Surgical Specialty: SPINE IME Restrictions: SPINE ONLY Manuel F. DaSilva, M.D. ALL MAILINGS: 1405 South County Trail #510 East Greenwich, RI (401) ALSO: Two Dudley Street, Suite 370, Providence, RI Surgical Specialty: SHOULDERS TO FINGERS IME Restrictions: SHOULDERS TO FINGERS ONLY Anthony DeLuise, M.D. Foundry Orthopedics & Sports Medicine 285 Promenade Street Providence, RI (401) Surgical Specialty: ONLY SHOULDERS TO FINGERS NO BACKS IME Restrictions: ONLY SHOULDERS TO FINGERS NO BACKS Carl DiRobbio, M.D. OFFICE: 2138 Mendon Road, Suite 302 Cumberland, RI (401) MAIL: Orthopedic Associates 725 Reservoir Avenue, Suite 101 Cranston, RI (401) ext. 151(Michelle) Geret DuBois, M.D. Pawtucket Memorial Hospital Mailing: Geret DuBois, M.D. 89 Pond Street Pawtucket Mem. Hospital Pawtucket, RI Brewster Street (401) Pawtucket, RI
23 Paul Fadale, M.D., University Orthopedics, Inc. Two Dudley Street - Second Floor Providence, RI ALL MAIL GOES TO DUDLEY STREET LOCATION (401) and 1405 South County Trail East Greenwich, RI ALSO Butler Campus 100 Butler Drive, Providence, RI Surgical Specialty: KNEES AND SHOULDERS ONLY IME Restrictions: KNEES AND SHOULDERS ONLY Joseph Fitzgerald, M.D. One High Street Wakefield, RI (401) Robert Fortuna, M.D. OFFICE AND MAILING ADDRESS: 2138 Mendon Road, Suite 302 Cumberland, RI (401) ALSO: Orthopedic Associates 725 Reservoir Avenue, #101 Cranston, RI John A. Froehlich, M.D. University Orthopedics, Inc. Two Dudley Street Suite 200 Providence, RI (401) Surgical Specialty: KNEES, SHOULDERS, AND HIPS IME Restrictions: KNEES, SHOULDERS, AND HIPS ONLY 23
24 William F. Garrahan, M.D. 215 Tollgate Road, Suite 206 (401) Ext. 29 Jonathan A. Gastel, M.D. 588 Pawtucket Avenue Pawtucket, RI (401) Ext Surgical Specialty: KNEES AND SHOULDERS IME Restrictions: KNEES AND SHOULDERS ONLY Jack Goldstein, M.D. 588 Pawtucket Avenue Pawtucket, RI (401) Surgical Specialty: SHOULDERS, HIPS, KNEES IME Restrictions: SHOULDERS, HIPS, KNEES Vaughn G. Gooding, Jr., M.D West Bay Orthopedic Associates, Inc. 120 Centerville Road AND 41 Sanderson Road, Suite 105 Smithfield, RI (401) (Make appointments via Warwick telephone number) (Will not see present or prior patients of Dr. Mirrer) Steven N. Graff, M.D. 588 Pawtucket Avenue Pawtucket, RI (401) Surgical Specialty: HANDS IME Restrictions: HANDS ONLY 24
25 Andrew Green, M.D. University Orthopedics, Inc. Two Dudley Street #200 Providence, RI (401) Also: 1405 South County Trail East Greenwich, RI (Mailings all go to Dudley St.) Surgical Specialty: SHOULDERS AND ELBOWS IME Restrictions: SHOULDERS AND ELBOWS ONLY Roman Hayda, M.D. Two Dudley Street #200 Providence, RI (401) Surgical Specialty: TRAUMA IME Restrictions: NO BACKS AND NO HANDS Howard S. Hirsch, M.D. 588 Pawtucket Avenue Pawtucket, RI (401) Surgical Specialty: HIPS, KNEES, AND SHOULDERS IME Restrictions: NO HANDS TO SHOULDERS Leonard Hubbard, M.D. RI Hand and Orthopedic Center 1150 Reservoir Avenue, Suite 301 Cranston, RI (401)
26 Danny Humbyrd, M.D. 120 Centerville Road (401) Joseph A. Izzi, Jr., M.D Smith Street North Providence, RI (401) Surgical Specialty: HANDS AND SHOULDERS Julia Katarincic, M.D. Two Dudley Street #200 Providence, RI (401) Surgical Specialty: HANDS AND UPPER EXTREMITY IME Restrictions: HANDS AND UPPER EXTREMITY ONLY Jerald W. Katz, M.D. Coastal Orthopedic Institute 235 Hanover Street Fall River, MA (508) Surgical Specialty: IME Restrictions: 26
27 Norman A. Kornwitz, M.D. 120 Centerville Road AND 41 Sanderson Road, Suite 105 Smithfield, RI (401) (Make appointments via Warwick telephone number) (Will not see present or prior patients of Dr. Mirrer) Joseph Lifrak, M.D. Mailing: South Coast Physicians Group, LLC Orthopedic Surgery Attn: Erica Troino 479 Swansea Mall Drive Swansea, MA SEES PATIENTS AT: South Coast Physicians Group, LLC Orthopedic Surgery 1076 North Main Street Providence, RI Phone: Fax: Surgical Specialty: KNEES AND SHOULDERS IME Restrictions: KNEES AND SHOULDERS ONLY A. Louis Mariorenzi, M.D. 725 Reservoir Avenue #101 Cranston, RI (401) Louis J. Mariorenzi, M.D. 725 Reservoir Avenue #101 Cranston, RI (401)
28 Michael P. Mariorenzi, M.D. Orthopedic Surgery/Sports Medicine 725 Reservoir Avenue #101 Cranston, RI (401) Surgical Specialty: SPORTS MEDICINE Anthony Mechrefe, M.D. 120 Centerville Road (401) Sidney Migliori, M.D. 725 Reservoir Avenue #101 Cranston, RI (401) Franklin Everett Mirrer, M.D. 215 Tollgate Road, Suite 206 (401) Surgical Specialty: KNEES AND SHOULDERS IME Restrictions: KNEES AND SHOULDERS ONLY Keith Monchik, M.D. Foundry Orthopedics & Sports Medicine 285 Promenade Street Providence, RI (401) Surgical Specialty: NO BACKS IME Restrictions: NO BACKS 28
29 Kenneth Morrissey, M.D Reservoir Avenue Suite 200 Cranston, RI (401) David A. Moss, M.D Atwood Avenue, Suite 140 Johnston, RI (401) ext. 341 (Kristen) Mark Palumbo, M.D. Appointments: 1405 South County Trail, Bldg. 5 East Greenwich, RI Mailings: Two Dudley Street, Third Floor Providence, RI (401) Surgical Specialty: NECKS AND BACKS IME Restrictions: NECKS AND BACKS ONLY Edward Scott Paxton, M.D. Two Dudley Street, Suite 200 Providence, RI (401) Surgical Specialty: SHOULDERS AND ELBOWS IME Restrictions: SHOULDERS AND ELBOWS ONLY Peter A. Pizzarello, Jr., M.D. 868 Admiral Street Providence, RI (401)
30 Matthew Plante, M.D. 285 Promenade Street Providence, RI (401) Surgical Specialty: NO BACKS IME Restrictions: NO BACKS Philip J. Reilly, M.D. 120 Centerville Road (401) AND 41 Sanderson Road, Suite 105 Smithfield, RI IME Restrictions: NO BACKS AND NO NECKS Alexander Robertson, M.D. 100 Butler Drive Providence, RI (401) Surgical Specialty: BACKS IME Restrictions: BACKS ONLY Scott Schmidt, M.D. 235 Plain Street, Suite 203 Providence, RI (401) Robert Shalvoy, M.D. Affinity Orthopedics and Sports Medicine 111 Brewster Street Pawtucket, RI (401) Surgical Specialty: SHOULDERS IME Restrictions: SHOULDERS ONLY 30
31 Ira J. Singer, M.D. 725 Reservoir Avenue #101 Cranston, RI (401) also: 2138 Mendon Road, Suite 302, Cumberland, RI Michael Staebler, M.D. Sports Medicine 345 Valley Road Middletown, RI (401) Surgical Specialty: SHOULDERS AND HIPS AND KNEES IME Restrictions: NO BACKS Richard Terek, M.D. University Orthopedics, Inc. 2 Dudley St. #200 Providence, RI (401) Surgical Specialty: HIPS AND KNEES - RECONSTRUCTION IME Restrictions: HIPS AND KNEES - RECONSTRUCTION (No Meniscus Injuries) Henry Urbaniak, Jr., M.D. 588 Pawtucket Avenue Pawtucket, RI (401) IME Restrictions: NO HANDS 31
32 Eric Walsh, M.D. 588 Pawtucket Avenue Pawtucket, RI (401) Surgical Specialty: Elbows and Down IME Restrictions: Elbows and Down Only Arnold-Peter C. Weiss, M.D. University Orthopedics, Inc. Two Dudley Street #200 Providence, RI (401) Surgical Specialty: Hands, Wrists, Elbows IME Restrictions: Hands, Wrists, Elbows Only Vincent Yakavonis, M.D. 120 Centerville Road (401) Surgical Specialty: General IME Restrictions: NO HANDS 32
33 OTOLARYNGOLOGY William Edward O Connor, Jr., M.D. Otorhinolaryngology 1500 Pontiac Avenue, Suite 104 Cranston, RI (508) x 6231 Martin Papazian, M.D. 333 School Street Pawtucket, RI (401) John Tarro, M.D. 333 School Street Pawtucket, RI (401)
34 PHYSICAL MEDICINE & REHABILITATION PHYSIATRY PAIN MANAGEMENT Todd E. Handel, M.D. 100 Highland Avenue, Suite 102 Providence, RI (401) Fax: Jerrold Rosenberg, M.D Mineral Spring Avenue, Suite 4 North Providence, RI (401) Randall Updegrove, M.D South County Trail, Suite 510 East Greenwich, RI (401)
35 PLASTIC SURGERY Jack R. Bevivino, M.D. 120 Dudley St. #201 Providence, RI NECK & ABOVE & BURNS (401)
36 PODIATRY Charles M. Cavicchio, D.P.M. 2 Wake Robin Road, Suite 203 Lincoln, RI (401) James J. Cloutier, D.P.M. 919 Diamond Hill Road Woonsocket, RI (401) Nathalia Doobay, D.P.M. 725 Reservoir Avenue, Suite 101 Cranston, RI (401) Robert E. Gallucci, D.P.M. 400 Bald Hill Road (401) Richard A. Reuter, D.P.M. Bristol County Medical Center Also 1180 Hope Street 49 Seekonk Street Bristol, RI Providence, RI (401) John Volpe, D.P.M Cranston Street Cranston, RI (401)
37 PSYCHIATRY Paul Fulton, D.O. Angell Street Psychiatry 321 Hope Street Providence, RI (401) Inactive until further notice Mailing Address: On file at MAB office. Stuart Gitlow, M.D. Sees Patients: Mailing Address: 32 Mechanic Street On file at MAB office. Woonsocket, RI (401) Maureen Harkavy, D.O. Human Services Consultants, Ltd. 277 Waterman St. Providence, RI Office: (401) (Betty) Srecko Pogacar, M.D. 95Sockanosset Crossroad Suite 107 A Cranston, RI (401)
38 PSYCHOLOGY Jorge Armesto, Ph.D. 845 North Main Street, Suite 6 Providence, RI (401) James E. Kraeger, Ph.D. Clinical Psychologist 28 Pelham Street Newport, RI (401) Paul Malloy, Ph.D. Butler Hospital 345 Blackstone Boulevard Providence, RI (401) Lucille A. Rathier, Ph.D. Clinical Psychologist Miriam Hospital, Behav. Med. Clin. Svcs. 146 West River St., #11A Providence, RI (401) ARRANGEMENT WITH LIFESPAN 38
39 PULMONARY MEDICINE William J. Beliveau, M.D Atwood Avenue, #220 Johnston, RI (401) David Ettensohn, M.D. 73 Beechwood Avenue Pawtucket, RI (401) James Myers, M.D. 450 Veterans Memorial Parkway East Providence, RI (401) Tilak K. Verma, M.D. HAS ARRANGEMENT WITH 175 Nate Whipple Highway #108 UNITED HEALTHCARE Cumberland, RI PART TIME (
40 RADIOLOGY Anthony Bruzzese, M.D. 215 Tollgate Road #110 (401) Kei Doi, M.D. 215 Tollgate Road (401) x 1184 Vincent Frazzini, Jr., M.D. 300 Tollgate Road, Suite 102 (401)
41 RHEUMATOLOGY J. Scott Toder, M.D Atwood Avenue #333 Johnston, RI (401)
42 UROLOGY Harry Iannotti, M.D North Main Street, Suite 200 Providence, RI (401)
43 VASCULAR SURGERY Edward J. Marcaccio, Jr., M.D. Two Dudley Street, Suite 470 Providence, RI (401) Robert Patterson, M.D. 486 Silver Spring Street Providence, RI (401)
44 VOCATIONAL REHABILITATION Edmond Calandra 10 Dorman Drive Sees Patients At: Seekonk, MA Richmond Square Bus. Tech. Park (508) Providence, RI Judith L. Drew, Ph.D. VOC WORKS Mailing: PO Box 7954 Cumberland, RI Office: One Richmond Square, Providence, RI (401) Fax: Christina Hicks Sees patients at: Vocational Rehabilitation Counsellor Westminster Square 20 Brook Haven Drive, #2 10 Dorrance Street, Suite 700 Attleboro, MA Providence, RI (781) Michael LaRaia, M.A. Contracts: GAB Robins Ins. Mailing: PO Box 445, Mashpee, MA Broadspire (401) Sees Patients At: (508) One Richmond Square (508) (Fax) Providence, RI William Massey, M.A. Vocational Rehabilitation Sees Patients At: Mailing: 8 Sweet Fern Trail Peace In Mind Counseling, LLC Saunderstown, RI Pawtucket Avenue (401) Rumford, RI
45 Stephanie Hart Nowell, MA Sees Patients At: Vocational Rehabilitation EDEX 4560 Old Post Road 33 North Road Charlestown, RI Wakefield, RI (401) Albert Sabella, M.S. Vocational Rehabilitation Rehabilitation and Re-Employment 115 Cedar Street Providence, RI (401)
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