INTEGRA COMMUNITY CARE NETWORK, LLC Managers, Officers and Committee Members
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1 CURRENT AS OF NTEGRA COMMUNTY CARE NETWORK, LLC Managers, Officers and Committee Members Board of Managers DV. AND ADDRESS Azam, Munawar M. (MD) Adult Health Associates, nc South County Trail, Ste. 215 East Greenwich, R Telephone: azammd@aol.com Furey, Christopher M. (MD) 215 Toll Gate Road, Ste. 104 Warwick, R Telephone: CFurey@KentR.org Lancellotti, Guy (MD) Kent Surgical Associates, nc. 227 Centerville Road Warwick, R Telephone: GLancellotti@KentR.org Rosenberg, Mark (MD) Family Health & Sports Medicine, LLC 725 Reservoir Avenue, Suite 102 Cranston, R Telephone: mrosenberg@ripcpc.com Fanale, Jim (MD) Telephone: JFanale@carene.org Mansourati, Fadi (MD) 966 Mineral Spring Avenue North Providence, R Telephone: Diaz, Joseph A. (MD) Memorial Hospital of Rhode sland Department of Medicine 111 Brewster Street Pawtucket, R Telephone: JoDiaz@carene.org PCP SPECALST CLASS VOTE PCP-community Provider to PCP-CNE employed Provider to Specialist (Surgery) Provider to PCP-community Provider to Corporate to PCP-community Provider to PCP-CNE employed Provider to Page 1
2 DV. AND ADDRESS Kwetkowski, Brian (DO) 37 Auburn Avenue Johnston, R Telephone: O Brien, James (MD) 101 Dudley Street Telephone: x JOBrien@WHR.org Powrie, Ray (MD) 101 Dudley Street Telephone: x RPowrie@carene.org Murphy, John B. (Esq.) Morneau & Murphy 38 North Court Street Providence, R Telephone: jbmurphy@mmlawprov.com Arcand, Denise M. (MD) Arcand Family Practice 1079 Main Street West Warwick, R Telephone: DArcand@KentR.org Cambio, Joseph C. (MD) 207 Quaker Lane, Ste. 100 West Warwick, R Telephone: jcambio101@cox.net Dacey, Michael J. (MD) 455 Toll Gate Road Warwick, R Telephone: x MJDacey@KentR.org Puerini, Albert J. (MD) Family Health & Sports Medicine, LLC 725 Reservoir Avenue, Ste. 102 Cranston, R Telephone: rpuerini@ripcpc.com Shea, Lisa (MD) Butler Hospital 345 Blackstone Blvd., Center House, Rm. 245 Providence, R Telephone: LShea@Butler.org PCP SPECALST CLASS VOTE PCP-community Provider to Specialist (OB/GYN) Provider to Corporate to Medicare Beneficiary to PCP-CNE employed Provider to Specialist (Urology) Provider to Corporate to PCP-community Provider to Specialist (Psychiatry) Provider to Page 2
3 DV. AND ADDRESS Barratt, Paul F. (MD) 100 Kenyon Street Wakefield, R Telephone: Noah Benedict Polaris Medical Management, nc New London Avenue Cranston, R Telephone: x105 nbenedict@polarismedical.com President and CEO, CNE (Dennis Keefe) Telephone: DKeefe@carene.org Executive Director, ntegra (Domenic Delmonico) Telephone: x DDelmonico@carene.org Chief Financial Officer, CNE (Joe annoni) Telephone: x Jannoni@carene.org Chief Executive Officer, SCH (Lou Giancola) 100 Kenyon Street Wakefield, R Telephone: lgiancola@schospital.com CNE COO (Sandy Coletta) Telephone: SColetta@carene.org PCP SPECALST CLASS VOTE Provider to PCP Admin. Ex Officio No Ex Officio No Ex Officio No Ex Officio No GUEST No Officers AND ADDRESS OFFCE Dennis Keefe Albert J. Puerini, MD Chief Financial Officer, CNE (Joe annoni) Chairperson to Vice-Chairperson and Chairperson-Elect Treasurer First Term: to Current Term: to Page 3
4 AND ADDRESS OFFCE Kimberly Peery Telephone: x Domenic Delmonico Secretary First Term: to (Acting Secretary) Current Term: to Executive Director to (Acting Executive Director) First Term: to Current Term: to Page 4
5 Medical Directors AND ADDRESS James Fanale, MD Providence, Rhode sland Albert J. Puerini, MD POSTON Medical Director Medical Director, Community Primary Care Finance and Funds Flow Committee Joseph annoni (Chair) (ex officio member) Herbert Brennan, MD (Vice-Chair) to Herman Ayvazian, MD to Paul F. Barratt, MD to Tom Breen to Walter Dias to Peter Graves, MD to Michael Hayden, MD to John Solomon, MD to EX OFFCO Domenic Delmonico James Fanale, MD Governance Oversight and Nominating Committee Lisa Shea, MD (Chair) to Munawar M. Azam, MD (Vice-Chair) to Ahmad Al-Raqqad, MD to Joseph Diaz, MD to Dale Klatzer, PhD to Page 5
6 T and Data Governance Committee Noah Benedict (Chair) to Suma Gaddam (Vice-Chair) to Jean Amaral to Kristine Cuniff, DO to Marco Ferretti, MD to Bill Florio to Jonathan Gates, MD to Scott Gendron to Chris Logan to Robert Mencunas to David McPeak to Erin Pelletier to Deborah Roberts, MD to Andrew Rosa to Medical Management, Quality and Pharmacy Committee Raymond Powrie, MD (Chair) to Robert Janett, MD (Vice-Chair) to David Ashley, MD to Herman Ayvazyan, MD to Shirley Carter to Patricia Ellis to James Fanale, MD to Andrea Galgay to Jonathan Gates, MD to Mike Hayden, MD to Tara Higgins to Noubar Kessimian, MD to Fadi Mansourati, MD to Keith Rafal, MD to Page 6
7 Mark Rosenberg, MD to Joseph Spinale, MD to James Sullivan, MD to Network Management Committee Albert J. Puerini (Chair) to Domenic Delmonico (Vice-Chair (ex officio member) Jean Amaral to David Ashley, MD to Jeffrey Borkan, MD to Joseph Cambio, MD to Gail Costa to Viren D Sa, MD to Michael Dacey, MD to David Francis to Christopher Furey, MD to Andrea Galgay to Martin Kerzer, DO to Guy Lancellotti, MD to Pierre Manzo, MD to EX OFFCO James Fanale, MD Page 7
8 RESGNATONS: DV. AND ADDRESS Puneet Sud, MD (Vice-Chair) Finance and Funds Flow Committee Eric Berthiaume, MD University Gastroenterology 1407 South County Trail, Bldg. 4, Ste. 410 East Greenwich, R Telephone: eberthiaume@gmail.com Eric Berthiaume, MD See above for contact information Nevola, Chad P. (MD) 120 Dudley Street, Ste. 105 Telephone: Drchad97@aol.com Martin Papazian, MD, Governance Oversight and Nominating Committee Sandra Coletta, Medical Management and Pharmacy Committee Janett, Robert (MD) Telephone: rjanett@macpa.com PCP SPECALST CLASS POSTON to G Provider to G to PCPcommunity Provider to to to Corporate to Vice-Chair Manager Secretary Manager None None Manager Page 8
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