Professional Documents
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Provider Directory
Medical Mutual carefully selects the healthcare providers to include in our network. All hospitals,
medical facilities and providers in our network must meet strict credentialing and licensing
requirements. We regularly evaluate primary care practitioners and specialists from more than 25
medical specialties to make sure our network provides the care you need in a reasonable distance.
Medical Mutual’s network of providers is not based on specific cost, quality, safety or member
experience data. However, this information about our providers is very important to us. As a Medical
Mutual member, you have a choice when it comes to your medical care. To help you make healthcare
decisions, members with access may find additional tools with quality, patient satisfaction and cost
data on My Health Plan.
A hospital-based provider who is not in network can charge you more than what we pay and you
could be billed for the difference (up to the entire cost of the service). This is called balance billing.
Whenever possible, please contact your provider(s) before making an appointment. Verify the
provider participates in your plan’s network, and, if applicable, is accepting new patients.
Page 1 of 32
Always seek care for a life-threatening emergency at the hospital nearest to you, regardless of the
network status of the hospital or its hospital-based providers. In emergency situations, we will pay
your plan's highest level of benefits on the allowed-amount for services provided. This may still result
in balance billing.
To get the most up-to-date information about SuperMed PPO’s network providers in your area,
you can visit
https://providersearch.medmutual.com or call our
Customer Care Center at (800) 362-4700.
Customer Care specialists are available to speak with you during the following times:
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Table of Contents
Provider Directory
Page 3 of 32
Primary Care Physicians (102) Board Certified Accepting New Patients
Will be leaving the network on the date specified
David T Defrance, MD
Family Medicine Clyde 43410 2265 Hayes Avenue
Doctor Fremont, OH 43420
(419) 332-2616
Bellevue 44811 Rugen M Alda, MD Gender: Male
112 Independence Way Ste
110 Jonathan F Diller, MD
Marcia E Braun, MD Clyde, OH 43410 1479 North River Road
1255 W Main St (419) 483-9000 Fremont, OH 43420
#A Gender: Male (419) 332-9978
Bellevue, OH 44811 Recognitions: Medical Gender: Male
(419) 483-7240 Home (CPC+)
Jennifer Greenslade
Gender: Female Dennis G Furlong, DO Hohman, MD
David C Girvin, DO 455 W McPherson Hwy 1479 North River Road
290 Progress Dr #B Fremont, OH 43420
#D Clyde, OH 43410 (419) 355-9440
Bellevue, OH 44811 (419) 547-8555 Gender: Female
(419) 483-4722 Gender: Male Recognitions: Medical
Gender: Male Home (CPC+)
Charles P House Sr, DO
Recognitions: Medical
Penny L Mullins, MD
Home
700 W Maple St 2221 Hayes Ave
Douglas M Hoy, MD #B Fremont, OH 43420
1400 W Main St Clyde, OH 43410 (419) 334-8943
#A (419) 547-0584 Gender: Female
Bellevue, OH 44811 Gender: Male
James R Richard, MD
(419) 484-5949
1220 East State Street
Gender: Male Fremont 43420
Fremont, OH 43420
Samuel Ross, MD (419) 355-8186
1255 W Main St Gender: Male
Kriti Arora, MD
#B Languages: Spanish
2221 Hayes Ave
Bellevue, OH 44811 Fremont, OH 43420 Betty K Rumschlag, DO
(419) 484-5915 (419) 334-8943
Gender: Male Gender: Female 2221 Hayes Ave
Samuel Ross, MD Fremont, OH 43420
Mary F Bower, MD
1400 W Main St (419) 334-8943
1479 North River Road
#A Gender: Female
Fremont, OH 43420
Bellevue, OH 44811 Recognitions: Medical
(419) 355-9440
(419) 484-5940 Home
Gender: Female
Gender: Male
Page 4 of 32
Mary B Wonderly, MD Lisa J Aichholz, FNP Matthew Baessler, NP
1479 North River Road 402 West McPherson 1479 North River Road
Fremont, OH 43420 Highway Fremont, OH 43420
(419) 332-3560 Clyde, OH 43410 (419) 355-9440
Gender: Female (419) 547-0340 Gender: Male
Gender: Female
Elizabeth A Gabel, FNP
Woodville 43469 Dawn R Bova, FNP 1479 North River Road
402 West McPherson Fremont, OH 43420
Highway (419) 332-3560
Heather A Haynes, MD Clyde, OH 43410 Gender: Female
104 East Main Street (419) 547-0340 Recognitions: Medical
Woodville, OH 43469 Gender: Female Home (CPC+)
(567) 482-4112
Gender: Female Stephanie J Breault, CNP Cynthia L Keiser, FNP
605 3rd Ave
Family Nurse 1470 West McPherson #E BLDG B
Practitioner Highway Fremont, OH 43420
Clyde, OH 43410 (567) 280-9121
(419) 547-0700 Gender: Female
Bellevue 44811
Gender: Female
Jason W Lalone, CNP
Mary S Kuns, NP 605 3rd Avenue
Lisa J Aichholz, FNP 455 West McPherson Fremont, OH 43420
1400 W Main St Unit Front Highway (419) 559-2790
Bellevue, OH 44811 Clyde, OH 43410 Gender: Male
(419) 483-4040 (419) 547-8555
Gender: Female Gender: Female Whitney Lockwood, FNP
1479 North River Road
Dawn R Bova, FNP Kimberly Navratil, CNS Fremont, OH 43420
1400 W Main St Unit Front 112 Independence Way Ste (419) 355-9440
Bellevue, OH 44811 110 Gender: Female
(419) 483-4040 Clyde, OH 43410
Gender: Female (419) 483-9000 Rebecca A Nelson, CNP
Gender: Female 1479 North River Road
Pamela Cramer, CNP Fremont, OH 43420
Recognitions: Medical
1265 W Main St (419) 355-9440
Home (CPC+)
#A Gender: Female
Bellevue, OH 44811 Roberta Slauterbeck, CNP Recognitions: Medical
(419) 483-1991 Home (CPC+)
Gender: Female 1470 West McPherson
Highway Rachel Ragle, CNP
Clyde, OH 43410 715 South Taft Avenue
Clyde 43410
(419) 547-0700 Fremont, OH 43420
Gender: Female (419) 332-7321
Gender: Female
Fremont 43420
Page 5 of 32
Kendra Schlachter, CNP John J Hiestand, MD
2265 Hayes Avenue Clyde 43410 712 S Taft Ave
Fremont, OH 43420 Fremont, OH 43420
(419) 332-2616 (419) 332-7321
Gender: Female Daniel B Berry II, MD Gender: Male
112 Independence Way Ste
Judith A Schuessler, FNP 110 Emile Klada, MD
Clyde, OH 43410 1920 Glen Springs Drive
605 3rd Avenue (419) 483-9000 Fremont, OH 43420
Fremont, OH 43420 Gender: Male (419) 333-6436
(419) 355-8070 Recognitions: Medical Gender: Male
Gender: Female Home (CPC+) Languages: Arabic
Page 6 of 32
Blair E Mayfield, CNP Benjamin E Ball, DO
1400 W Main St Fremont 43420 1255 W Main St
#G BLDG 1 #A
Bellevue, OH 44811 Bellevue, OH 44811
(419) 483-4122 Iracema Arevalo, MD (419) 483-7240
Gender: Female 715 South Taft Avenue Gender: Male
Fremont, OH 43420
Ashley B McGrain, CNP (419) 334-6679 Marcia E Braun, MD
1400 W Main St Gender: Female 1255 W Main St
#G BLDG 1 Languages: Spanish, #A
Bellevue, OH 44811 French Bellevue, OH 44811
(419) 483-4122 (419) 483-7240
Gender: Female Aarti Chelliah, MD Gender: Female
2276 West State Street
Fremont, OH 43420 Kathryn A Falter, CNP
Pediatrician (419) 334-9137 1400 W Main St
Gender: Female #G BLDG 1
Bellevue 44811 Bellevue, OH 44811
Abigail C Chudzinski, DO (419) 483-4122
Gender: Female
Aml S Kelada, MD 715 South Taft Avenue
1400 W Main St Fremont, OH 43420 David C Girvin, DO
#G BLDG 1 (419) 334-6679 290 Progress Dr
Bellevue, OH 44811 Gender: Female #D
(419) 483-4122 Bellevue, OH 44811
John J Hiestand, MD (419) 483-4722
Gender: Female
712 S Taft Ave Gender: Male
Languages: Arabic
Fremont, OH 43420 Recognitions: Medical
Karen K Lasalle, MD (419) 332-7321 Home
1400 W Main St Gender: Male
#G BLDG 1 Douglas M Hoy, MD
Clara Schermerhorn, MD 1400 W Main St
Bellevue, OH 44811
(419) 483-4122 #A
2539 Hayes Avenue Bellevue, OH 44811
Gender: Female
Fremont, OH 43420 (419) 484-5949
Elizabeth Olds, MD (419) 334-9716 Gender: Male
1400 W Main St Gender: Female
#G BLDG 1 Aml S Kelada, MD
Bellevue, OH 44811 Primary Care 1400 W Main St
(419) 483-4122 Physician (PCP) #G BLDG 1
Gender: Female Bellevue, OH 44811
(419) 483-4122
Evalyn F Sisson, CNP Bellevue 44811
Gender: Female
1400 W Main St Languages: Arabic
#G BLDG 1
Bellevue, OH 44811
(419) 483-4122
Gender: Female
Page 7 of 32
Karen K Lasalle, MD Nathan P Samsa, DO David L Hykes Jr, DO
1400 W Main St 1255 W Main St 1470 W McPherson Hwy
#G BLDG 1 #B Ste B
Bellevue, OH 44811 Bellevue, OH 44811 Clyde, OH 43410
(419) 483-4122 (419) 484-5940 (419) 547-0700
Gender: Female Gender: Male Gender: Male
Page 8 of 32
Mary F Bower, MD Jennifer Greenslade Betty K Rumschlag, DO
1479 North River Road Hohman, MD 2221 Hayes Ave
Fremont, OH 43420 1479 North River Road Fremont, OH 43420
(419) 355-9440 Fremont, OH 43420 (419) 334-8943
Gender: Female (419) 355-9440 Gender: Female
Gender: Female Recognitions: Medical
Aarti Chelliah, MD Recognitions: Medical Home
2276 West State Street Home (CPC+)
Fremont, OH 43420 Clara Schermerhorn, MD
(419) 334-9137 John J Hiestand, MD
Gender: Female 712 S Taft Ave 2539 Hayes Avenue
Fremont, OH 43420 Fremont, OH 43420
Abigail C Chudzinski, DO (419) 332-7321 (419) 334-9716
Gender: Male Gender: Female
715 South Taft Avenue
Fremont, OH 43420 Emile Klada, MD Charles L Valone, DO
(419) 334-6679 1920 Glen Springs Drive 1223 Oak Harbor Road
Gender: Female Fremont, OH 43420 Fremont, OH 43420
(419) 333-6436 (419) 334-7191
David T Defrance, MD Gender: Male Gender: Male
2265 Hayes Avenue Languages: Arabic
Fremont, OH 43420 Mary B Wonderly, MD
(419) 332-2616 Penny L Mullins, MD 1479 North River Road
Gender: Male 2221 Hayes Ave Fremont, OH 43420
Fremont, OH 43420 (419) 332-3560
Jonathan F Diller, MD (419) 334-8943 Gender: Female
1479 North River Road Gender: Female
Fremont, OH 43420
(419) 332-9978 James R Richard, MD Woodville 43469
Gender: Male 1220 East State Street
Fremont, OH 43420
(419) 355-8186 Heather A Haynes, MD
Gender: Male 104 East Main Street
Languages: Spanish Woodville, OH 43469
(567) 482-4112
Gender: Female
Page 9 of 32
Specialists (343) Board Certified Accepting New Patients
Will be leaving the network on the date specified
Page 10 of 32
Laura Anglim, CNP Briana L Rauch, FNP
410 Birchard Avenue 715 South Taft Avenue Allergist -
Fremont, OH 43420 Fremont, OH 43420 Immunologist
(419) 334-3869 (419) 332-7321
Gender: Female Gender: Female Fremont 43420
Page 11 of 32
Ehab A Eltahawy, MD Mark G Issa, DO Megan L Bair, CNM
1355 W Main St 715 S Taft Ave 1922 Glen Springs Dr
#D #195 Fremont, OH 43420
Bellevue, OH 44811 Fremont, OH 43420 (419) 333-2798
(419) 483-2229 (419) 333-9533 Gender: Female
Gender: Male Gender: Male
Tracy L Bartson, CNM
George V Moukarbel, MD John R Letcher, MD 1920 Glen Springs Drive
715 S Taft Ave Fremont, OH 43420
1355 W Main St #195 (419) 333-2798
#D Fremont, OH 43420 Gender: Female
Bellevue, OH 44811 (419) 333-9533
(419) 483-2229 Gender: Male Valerie L Floro, CNM
Gender: Male 1479 North River Road
Mark Richards, MD Fremont, OH 43420
Laura A Murphy, MD 715 S Taft Ave (419) 355-9440
1355 W Main St #195 Gender: Female
#D Fremont, OH 43420
Bellevue, OH 44811 (419) 333-9533 Kathleen S Fries, CNM
(419) 483-2229 Gender: Male 1922 Glen Springs Dr
Gender: Female Fremont, OH 43420
(419) 333-2798
Robert J Steele, MD Certified Nurse Gender: Female
1400 West Main Street Midwife
Bellevue, OH 44811 Antoynae Lockett, CNM
(419) 484-1022 Clyde 43410 1922 Glen Springs Dr
Gender: Male Fremont, OH 43420
(419) 332-2798
Kathleen S Fries, CNM Gender: Female
Fremont 43420
1076 W McPherson Hwy
Chelsea M Riley, CNM
#1
1922 Glen Springs Dr
Clyde, OH 43410
James F Bingle, MD Fremont, OH 43420
(567) 855-2015
715 S Taft Ave (419) 332-2798
Gender: Female
#195 Gender: Female
Fremont, OH 43420 Antoynae Lockett, CNM
(419) 333-9533 Susan R Sommer, CNM
1076 W McPherson Hwy
Gender: Male 1922 Glen Springs Dr
#1
Fremont, OH 43420
Clyde, OH 43410
Robert D Grande, MD (419) 333-2798
(567) 855-2015
715 S Taft Ave Gender: Female
Gender: Female
#195
Fremont, OH 43420 Angela J Wells, CNM
(419) 333-9533 Fremont 43420 1922 Glen Springs Dr
Gender: Male Fremont, OH 43420
Recognitions: (419) 332-2798
Heart/Stroke Recognition Gender: Female
Program (HSRP)
Page 12 of 32
Mark Richards, MD Hilary H Timmis, MD
Chiropractor 715 S Taft Ave 112 Independence Way Ste
#195 130
Clyde 43410 Fremont, OH 43420 Clyde, OH 43410
(419) 333-9533 (419) 483-4488
Gender: Male Gender: Male
Gregg S Griffin, DC
819 North Main Street
Clinical Genetics Fremont 43420
Clyde, OH 43410
(419) 547-7787
Gender: Male Clyde 43410
James M Williams, MD
595 Bartson Road
Fremont 43420 Aditi S Parikh, MD Fremont, OH 43420
1470 W McPherson Hwy (567) 201-2890
Ste A Gender: Male
David J Darr, DC Clyde, OH 43410
1110 E State St (419) 557-7480 Family Medicine
#A Gender: Female
Fremont, OH 43420
Doctor
(419) 334-2671
Gender: Male Dermatologist Bellevue 44811
Page 13 of 32
Samuel Ross, MD Kriti Arora, MD Betty K Rumschlag, DO
1255 W Main St 2221 Hayes Ave
#B Fremont, OH 43420 2221 Hayes Ave
Bellevue, OH 44811 (419) 334-8943 Fremont, OH 43420
(419) 484-5915 Gender: Female (419) 334-8943
Gender: Male Gender: Female
Mary F Bower, MD Recognitions: Medical
Samuel Ross, MD 1479 North River Road Home
1400 W Main St Fremont, OH 43420
#A (419) 355-9440 Mary B Wonderly, MD
Bellevue, OH 44811 Gender: Female 1479 North River Road
(419) 484-5940 Fremont, OH 43420
Gender: Male David T Defrance, MD (419) 332-3560
2265 Hayes Avenue Gender: Female
Fremont, OH 43420
Clyde 43410 (419) 332-2616
Gender: Male Woodville 43469
Page 14 of 32
Kendra Schlachter, CNP
Clyde 43410 Fremont 43420 2265 Hayes Avenue
Fremont, OH 43420
(419) 332-2616
Lisa J Aichholz, FNP Matthew Baessler, NP Gender: Female
402 West McPherson 1479 North River Road
Highway Fremont, OH 43420 Judith A Schuessler, FNP
Clyde, OH 43410 (419) 355-9440
(419) 547-0340 Gender: Male 605 3rd Avenue
Gender: Female Fremont, OH 43420
Elizabeth A Gabel, FNP (419) 355-8070
Dawn R Bova, FNP 1479 North River Road Gender: Female
402 West McPherson Fremont, OH 43420
Highway (419) 332-3560 Stephanie Tiell, FNP
Clyde, OH 43410 Gender: Female 710 Cleveland Ave
(419) 547-0340 Recognitions: Medical Fremont, OH 43420
Gender: Female Home (CPC+) (419) 334-6619
Gender: Female
Stephanie J Breault, CNP Cynthia L Keiser, FNP
605 3rd Ave Luann Wolf, FNP
1470 West McPherson #E BLDG B 1479 North River Road
Highway Fremont, OH 43420 Fremont, OH 43420
Clyde, OH 43410 (567) 280-9121 (419) 355-9440
(419) 547-0700 Gender: Female Gender: Female
Gender: Female Recognitions: Medical
Jason W Lalone, CNP Home (CPC+)
Mary S Kuns, NP 605 3rd Avenue
455 West McPherson Fremont, OH 43420
Highway (419) 559-2790 Gastroenterologist
Clyde, OH 43410 Gender: Male
(419) 547-8555 Clyde 43410
Gender: Female Whitney Lockwood, FNP
1479 North River Road
Kimberly Navratil, CNS Fremont, OH 43420 Martin H Beerman, MD
112 Independence Way Ste (419) 355-9440 1470 W McPherson Hwy
110 Gender: Female Ste B
Clyde, OH 43410 Clyde, OH 43410
(419) 483-9000 Rebecca A Nelson, CNP
(419) 627-0207
Gender: Female 1479 North River Road
Gender: Male
Recognitions: Medical Fremont, OH 43420
Home (CPC+) (419) 355-9440 David L Hykes Jr, DO
Gender: Female 1470 W McPherson Hwy
Roberta Slauterbeck, CNP Recognitions: Medical Ste B
Home (CPC+) Clyde, OH 43410
1470 West McPherson (419) 547-0700
Highway Rachel Ragle, CNP
Gender: Male
Clyde, OH 43410 715 South Taft Avenue
(419) 547-0700 Fremont, OH 43420
Gender: Female (419) 332-7321
Gender: Female
Page 15 of 32
Iracema Arevalo, MD
General Surgeon Gynecologic 715 South Taft Avenue
Oncologist Fremont, OH 43420
Bellevue 44811 (419) 334-6679
Fremont 43420 Gender: Female
Languages: Spanish,
Michael R Nill, MD French
1265 W Main St Adam C Walter, MD
#A 2390 Enterprise Dr Internal Medicine
Bellevue, OH 44811 Fremont, OH 43420
(419) 668-0680
Doctor
(419) 559-2700
Gender: Male Gender: Male
Bellevue 44811
Fremont 43420 Hematologist
Benjamin E Ball, DO
Clyde 43410 1255 W Main St
Joseph E Centa, MD #A
2281 Hayes Avenue Bellevue, OH 44811
Fremont, OH 43420 Alfred Vargas, MD (419) 483-7240
(419) 355-8488 509 W McPherson Hwy Gender: Male
Gender: Male #A
Clyde, OH 43410 Nathan P Samsa, DO
Michael E Grillis, DO
(419) 547-9500 1255 W Main St
2281 Hayes Avenue
Gender: Male #B
Fremont, OH 43420
Bellevue, OH 44811
(419) 355-8488
(419) 484-5940
Gender: Male Fremont 43420
Gender: Male
Languages: Greek
Ralph W Peters, MD Chang Xia, MD Clyde 43410
1908 Glen Springs Dr 2390 Enterprise Dr
Fremont, OH 43420 Fremont, OH 43420
(419) 332-4778 (419) 559-2700 Daniel B Berry II, MD
Gender: Male Gender: Female 112 Independence Way Ste
110
Richard M Wiecek, MD Clyde, OH 43410
2281 Hayes Avenue Infectious Disease
(419) 483-9000
Fremont, OH 43420 Doctor Gender: Male
(419) 355-8488 Recognitions: Medical
Gender: Male Fremont 43420 Home (CPC+)
Richard M Wiecek, MD David L Hykes Jr, DO
1479 N River Rd 1470 W McPherson Hwy
#120 Ste B
Fremont, OH 43420 Clyde, OH 43410
(419) 559-2814 (419) 547-0700
Gender: Male Gender: Male
Page 16 of 32
Abdul Qadir, MD Charles L Valone, DO Lynne Gilbert, LISW
1470 W McPherson Hwy 1223 Oak Harbor Road 290 Progress Dr
Ste B Fremont, OH 43420 #B
Clyde, OH 43410 (419) 334-7191 Bellevue, OH 44811
(419) 627-8403 Gender: Male (419) 483-6516
Gender: Male Gender: Female
Page 17 of 32
Stephen C Evans, LISW Carol Oehler, LISW
710 Cleveland Ave 710 Cleveland Ave Licensed Professional
Fremont, OH 43420 Fremont, OH 43420 Clinical Counselor
(419) 334-2011 (419) 334-6619
Gender: Male Gender: Female Bellevue 44811
Page 18 of 32
Erica Bennett, LPCC Jan S Kucera, LPCC Sharon Walk, LPCC
112 Independence Way Ste 512 East State Street 512 East State Street
160 Fremont, OH 43420 Fremont, OH 43420
Clyde, OH 43410 (419) 334-3431 (419) 334-3431
(419) 502-3534 Gender: Male Gender: Female
Gender: Female Languages: Spanish
Clarissa Y Matthews, PCC
Teresa M Howell, LPCC
112 Independence Way Ste 710 Cleveland Ave Woodville 43469
160 Fremont, OH 43420
Clyde, OH 43410 (419) 334-6619
(419) 502-3534 Gender: Female Nichole L Nitschke, LPCC
Gender: Female
Nichole L Nitschke, LPCC 421 West Main Street
Woodville, OH 43469
Fremont 43420 308 Jackson St (419) 849-2414
Fremont, OH 43420 Gender: Female
(419) 552-4374
Kristine M Bowden, LPCC Gender: Female Nephrologist
710 Cleveland Ave Melvin W Proctor, LPCC
Fremont, OH 43420 675 Bartson Road Clyde 43410
(419) 334-6619 Fremont, OH 43420
Gender: Female (419) 332-5524
Gender: Male Abdul Qadir, MD
Jamie M Fall, LPCC 1470 W McPherson Hwy
710 Cleveland Ave Elizabeth L Ruh, LPCC Ste B
Fremont, OH 43420 512 East State Street Clyde, OH 43410
(419) 334-6619 Fremont, OH 43420 (419) 627-8403
Gender: Female (419) 334-3431 Gender: Male
Gender: Female
Tally W Gallogly, LPCC
710 Cleveland Ave Mark Seymour, LPCC Neurological Surgeon
Fremont, OH 43420 710 Cleveland Ave
(419) 334-6619 Fremont, OH 43420 Bellevue 44811
Gender: Male (419) 334-6619
Gender: Male
Melinda Koskela, PCC Azedine Medhkour, MD
308 Jackson St Terence R Somerville,
Fremont, OH 43420 PCC 1400 West Main Street
(419) 635-5695 710 Cleveland Ave Bellevue, OH 44811
Gender: Female Fremont, OH 43420 (419) 484-1022
(419) 334-6619 Gender: Male
Joanne Kosta, LPCC Gender: Male Languages: French, Arabic
200 S Arch St
Fremont, OH 43420 Jeffrey W Vogel, LPCC
(419) 680-3000 710 Cleveland Ave
Gender: Female Fremont, OH 43420
(419) 334-6619
Gender: Male
Page 19 of 32
Andrea R Frye Moore, MD
Nuclear Cardiology Occupational
1005 West McPherson Therapist
Bellevue 44811 Highway
Clyde, OH 43410 Clyde 43410
(419) 547-4285
Laura A Murphy, MD Gender: Female
1355 W Main St Courtney Blackston,
#D OTRL
Fremont 43420
Bellevue, OH 44811 112 Independence Way Ste
(419) 483-2229 170
Gender: Female Clyde, OH 43410
Stanley H Carr, MD
1922 Glen Springs Dr (567) 855-2807
Obstetrics - Fremont, OH 43420 Gender: Female
Gynecologist (419) 333-2798 Keri Brown, OTRL
Gender: Male 112 Independence Way Ste
Bellevue 44811 170
Lisa A Davis, MD
Clyde, OH 43410
1922 Glen Springs Dr
(419) 547-2810
Corey Fazio, DO Fremont, OH 43420
Gender: Female
102 Commerce Park Dr Ste (419) 333-2798
C Gender: Female Jessica L Cray, OTRL
Bellevue, OH 44811 112 Independence Way Ste
Helen O'connell, MD
(419) 483-2494 170
2221 Hayes Ave
Gender: Male Clyde, OH 43410
Fremont, OH 43420
(567) 855-2807
Gregory Karasik, MD (419) 334-3869
Gender: Female
102 Commerce Park Dr Ste Gender: Female
C Helen O'connell, MD Fremont 43420
Bellevue, OH 44811 715 South Taft Avenue
(419) 483-2494 Fremont, OH 43420
Gender: Male (419) 334-3869 Keri Brown, OTRL
Gender: Female 629 Bartson Rd
Clyde 43410 #B
Helen O'connell, MD
Fremont, OH 43420
605 3rd Ave Ste F
(419) 559-2810
Lisa A Davis, MD Fremont, OH 43420
Gender: Female
1076 W McPherson Hwy (419) 334-3869
#1 Gender: Female Jessica L Cray, OTRL
Clyde, OH 43410 629 Bartson Rd
Brian J Printy, MD
(567) 855-2015 #B
1479 North River Road
Gender: Female Fremont, OH 43420
Fremont, OH 43420
(419) 559-2810
(419) 355-9440
Gender: Female
Gender: Male
Page 20 of 32
Therese M Fumich, OTRL
Ophthalmologist Fremont 43420
629 Bartson Rd
#B Fremont 43420
Fremont, OH 43420 David J Aloi, OD
(419) 559-2810 2052 Ohio 53
Gender: Female Susan E Smith, MD Fremont, OH 43420
2311 Hayes Avenue (419) 334-7353
Fremont, OH 43420 Gender: Male
Oncologist
(419) 334-8121
Gregory J Derodes, OD
Gender: Female
Clyde 43410 2311 Hayes Ave
#B
Optometrist Fremont, OH 43420
Timothy J Adamowicz II, (419) 334-8121
DO Bellevue 44811 Gender: Male
509 W McPherson Hwy
Amy F Drossman, OD
#A
Jenneth M Collins, OD 126 South Front Street
Clyde, OH 43410
111 Progress Drive Fremont, OH 43420
(419) 547-9500
Bellevue, OH 44811 (419) 334-9779
Gender: Male
(419) 484-8181 Gender: Female
Alfred Vargas, MD Gender: Female Patricia C Heilman, OD
509 W McPherson Hwy
Mark A Motley, OD 126 South Front Street
#A
1355 W Main St Fremont, OH 43420
Clyde, OH 43410
#A (419) 334-9779
(419) 547-9500
Bellevue, OH 44811 Gender: Female
Gender: Male
(419) 483-7685 Jason R Kolodziejczyk,
Gender: Male OD
Fremont 43420
Mark D Pifer, OD 2311 Hayes Ave
1355 W Main St #B
Divya G Vijendra, MD #A Fremont, OH 43420
2390 Enterprise Dr Bellevue, OH 44811 (419) 334-8121
Fremont, OH 43420 (419) 483-7685 Gender: Male
(419) 559-2700 Gender: Male
Gender: Female Thomas W Meade, OD
Languages: Hindi 1114 East State Street
Clyde 43410 Fremont, OH 43420
Chang Xia, MD (419) 334-2646
2390 Enterprise Dr Gender: Male
Fremont, OH 43420 Heather Demos, OD
(419) 559-2700 1074 West McPherson Stacy P Rellinger, OD
Gender: Female Highway 2311 Hayes Ave
Clyde, OH 43410 #B
(419) 547-9126 Fremont, OH 43420
Gender: Female (419) 334-8121
Gender: Female
Page 21 of 32
Tammy L Ruch, OD George C Stepanic, DO
126 South Front Street 112 Independence Way Ste Pain Management
Fremont, OH 43420 150 Doctor
(419) 334-9779 Clyde, OH 43410
Gender: Female (419) 547-2810 Bellevue 44811
Gender: Male
Alexzandra A Rudinoff,
OD Vimal S Kumar, MD
2311 Hayes Ave Fremont 43420
1400 W Main St
#B #C BLDG 1
Fremont, OH 43420 Bellevue, OH 44811
(419) 334-8121 John M Bondra, DO
629 Bartson Road (419) 484-5903
Gender: Female Gender: Male
Fremont, OH 43420
(419) 355-9800 Languages: Hindi
James M Walker, OD
126 South Front Street Gender: Male
Fremont, OH 43420 Clyde 43410
(419) 334-9779 Bruce E Heck, MD
Gender: Male 605 3rd Avenue
Fremont, OH 43420 Thomas P Felter, MD
(419) 559-2790 1470 W McPherson Hwy
Woodville 43469 Gender: Male Ste A
Clyde, OH 43410
Darin Nye, MD
(419) 547-0700
Dennis R Laub, OD 605 3rd Avenue
Gender: Male
107 South Walnut Street Fremont, OH 43420
Woodville, OH 43469 (419) 559-2790
(419) 849-3811 Gender: Male Fremont 43420
Gender: Male
Robert B Steiner, MD
605 3rd Avenue William E Hogan Jr, MD
Orthopedic Surgeon Fremont, OH 43420
(419) 559-2790 715 S Taft Ave
Clyde 43410 Gender: Male Fremont, OH 43420
(419) 334-6639
Douglas J Steiner, DO
Gender: Male
John M Bondra, DO 605 3rd Avenue
112 Independence Way Ste Fremont, OH 43420
150 (419) 559-2790 Pediatric Allergy -
Clyde, OH 43410 Gender: Male Immunology
(419) 547-2810
Michael R Tremains, MD Fremont 43420
Gender: Male
James A Huddleston, DO 605 3rd Avenue
Fremont, OH 43420
112 Independence Way Ste (419) 559-2790
150 Gender: Male
Clyde, OH 43410
(419) 547-2810
Gender: Male
Page 22 of 32
Ghassan S Safadi, MD Kathryn A Falter, CNP Elizabeth Olds, MD
605 3rd Ave 1400 W Main St 1400 W Main St
#E BLDG B #G BLDG 1 #G BLDG 1
Fremont, OH 43420 Bellevue, OH 44811 Bellevue, OH 44811
(419) 333-4000 (419) 483-4122 (419) 483-4122
Gender: Male Gender: Female Gender: Female
Languages: Arabic
Christine N Mayer, NP Evalyn F Sisson, CNP
1400 W Main St 1400 W Main St
Pediatric #G BLDG 1 #G BLDG 1
Gastroenterologist Bellevue, OH 44811 Bellevue, OH 44811
(419) 483-4122 (419) 483-4122
Fremont 43420 Gender: Female Gender: Female
Page 23 of 32
Clara Schermerhorn, MD Kyle J Spriggs, PT
Fremont 43420 629 Bartson Rd
2539 Hayes Avenue #B
Fremont, OH 43420 Fremont, OH 43420
(419) 334-9716 Jeremy T Blackston, PT (419) 559-2810
Gender: Female 629 Bartson Rd Gender: Male
#B
Fremont, OH 43420
Physical Therapist (419) 559-2810 Woodville 43469
Gender: Male
Clyde 43410
Nichole L Dauch-Redding, Jonathan P Hegemier, PT
PT
Kelly Donaldson, PT 629 Bartson Rd 108 E Main St
112 Independence Way Ste #B #B
170 Fremont, OH 43420 Woodville, OH 43469
Clyde, OH 43410 (419) 559-2810 (419) 849-2900
(567) 855-2807 Gender: Female Gender: Male
Gender: Female
Pamela J Evans, PT
629 Bartson Rd Physician Assistant
Matthew Gundlach, PT
112 Independence Way Ste #B
170 Fremont, OH 43420 Bellevue 44811
Clyde, OH 43410 (419) 559-2810
(567) 855-2807 Gender: Female
Gender: Male Kimberly L Cullen, PAC
Tara Haley, PT 102 Commerce Park Dr Ste
Tara Haley, PT 629 Bartson Rd D
112 Indepence Way Ste 170 #B Bellevue, OH 44811
Clyde, OH 43410 Fremont, OH 43420 (419) 484-5430
(567) 855-2807 (419) 559-2810 Gender: Female
Gender: Female Gender: Female
Kimberly L Cullen, PAC
Joan E Harding, PT Thomas J Hallett II, PT 102 Commerce Park Dr Ste
123 West Buckeye Street 1211 Oak Harbor Road E
Clyde, OH 43410 Fremont, OH 43420 Bellevue, OH 44811
(419) 547-6651 (419) 333-1001 (419) 484-5430
Gender: Female Gender: Male Gender: Female
Page 24 of 32
Karen M Hemmer, PA Alyssa Kromer, PA Coleman O Clougherty,
112 Independence Way Ste 1479 North River Road DPM
160 Fremont, OH 43420 102 Commerce Park Dr Ste
Clyde, OH 43410 (419) 355-9440 D
(419) 502-3534 Gender: Female Bellevue, OH 44811
Gender: Female (419) 484-8543
Recognitions: Medical Angela Lowe, PAC Gender: Male
Home (CPC+) 712 S Taft Ave
Fremont, OH 43420 Peter D Highlander, DPM
Matthew Meyer, PA (419) 332-7321
112 Independence Way Ste Gender: Female 102 Commerce Park Dr Ste
150 D
Clyde, OH 43410 Courtney Moyer, PA Bellevue, OH 44811
(419) 547-2810 2390 Enterprise Dr (419) 484-5430
Gender: Male Fremont, OH 43420 Gender: Male
(419) 559-2700
Gender: Female Christopher A Pensiero,
Fremont 43420 DPM
Matthew S Nienberg, PAC 1400 W Main St Ste B Bldg
1
Marla D Carlisle, PA 715 S Taft Ave Bellevue, OH 44811
595 Bartson Road Fremont, OH 43420 (419) 483-2329
Fremont, OH 43420 (419) 334-6639 Gender: Male
(567) 201-2836 Gender: Male
Gender: Female
Thomas Stein, PA Fremont 43420
Usman Cheema, PAC 2221 Hayes Ave
2221 Hayes Ave Fremont, OH 43420
Fremont, OH 43420 (419) 334-8943 Jessica W Clarke, DPM
(419) 334-3869 Gender: Male 1900 Hayes Avenue
Gender: Male Fremont, OH 43420
Thomas Stein, PA (419) 332-8105
Ashley E Deitering, PA 675 Bartson Rd Gender: Female
605 3rd Ave #12
#E BLDG B Fremont, OH 43420 Steven A Rusher, DPM
Fremont, OH 43420 (419) 334-3866 1900 Hayes Avenue
(419) 333-4000 Gender: Male Fremont, OH 43420
Gender: Female (419) 332-8105
Megan N Verhoff, PAC Gender: Male
Sara Denning, PAC 715 S Taft Ave
605 3rd Ave Fremont, OH 43420
#E BLDG B (419) 334-6639
Primary Care
Fremont, OH 43420 Gender: Female Physician (PCP)
(419) 333-4000
Gender: Female Bellevue 44811
Podiatrist
Bellevue 44811
Page 25 of 32
Benjamin E Ball, DO Karen K Lasalle, MD Nathan P Samsa, DO
1255 W Main St 1400 W Main St 1255 W Main St
#A #G BLDG 1 #B
Bellevue, OH 44811 Bellevue, OH 44811 Bellevue, OH 44811
(419) 483-7240 (419) 483-4122 (419) 484-5940
Gender: Male Gender: Female Gender: Male
Page 26 of 32
David L Hykes Jr, DO Mary F Bower, MD Emile Klada, MD
1470 W McPherson Hwy 1479 North River Road 1920 Glen Springs Drive
Ste B Fremont, OH 43420 Fremont, OH 43420
Clyde, OH 43410 (419) 355-9440 (419) 333-6436
(419) 547-0700 Gender: Female Gender: Male
Gender: Male Languages: Arabic
Aarti Chelliah, MD
Abdul Qadir, MD 2276 West State Street Penny L Mullins, MD
1470 W McPherson Hwy Fremont, OH 43420 2221 Hayes Ave
Ste B (419) 334-9137 Fremont, OH 43420
Clyde, OH 43410 Gender: Female (419) 334-8943
(419) 627-8403 Gender: Female
Gender: Male Abigail C Chudzinski, DO
James R Richard, MD
Alfred Vargas, MD 715 South Taft Avenue 1220 East State Street
509 W McPherson Hwy Fremont, OH 43420 Fremont, OH 43420
#A (419) 334-6679 (419) 355-8186
Clyde, OH 43410 Gender: Female Gender: Male
(419) 547-9500 Languages: Spanish
Gender: Male David T Defrance, MD
2265 Hayes Avenue Betty K Rumschlag, DO
John L Yuhas, DO Fremont, OH 43420 2221 Hayes Ave
455 W McPherson Hwy (419) 332-2616 Fremont, OH 43420
#B Gender: Male (419) 334-8943
Clyde, OH 43410 Gender: Female
(419) 547-8555 Jonathan F Diller, MD Recognitions: Medical
Gender: Male 1479 North River Road Home
Languages: German Fremont, OH 43420
(419) 332-9978 Clara Schermerhorn, MD
Gender: Male
Fremont 43420 2539 Hayes Avenue
Jennifer Greenslade Fremont, OH 43420
Hohman, MD (419) 334-9716
Iracema Arevalo, MD 1479 North River Road Gender: Female
715 South Taft Avenue Fremont, OH 43420
Fremont, OH 43420 (419) 355-9440 Charles L Valone, DO
(419) 334-6679 Gender: Female 1223 Oak Harbor Road
Gender: Female Recognitions: Medical Fremont, OH 43420
Languages: Spanish, Home (CPC+) (419) 334-7191
French Gender: Male
John J Hiestand, MD
Kriti Arora, MD 712 S Taft Ave Mary B Wonderly, MD
2221 Hayes Ave Fremont, OH 43420 1479 North River Road
Fremont, OH 43420 (419) 332-7321 Fremont, OH 43420
(419) 334-8943 Gender: Male (419) 332-3560
Gender: Female Gender: Female
Woodville 43469
Page 27 of 32
Heather A Haynes, MD Darlene J Barnes, PhD Youngsook Yoon, MD
104 East Main Street 503 Garrison Street 1355 W Main St
Woodville, OH 43469 Fremont, OH 43420 #D
(567) 482-4112 (419) 334-2200 Bellevue, OH 44811
Gender: Female Gender: Female (419) 484-1022
Gender: Female
Timothy F Wynkoop, PhD Languages: Spanish,
Psychiatrist
Korean
1865 Countryside Drive
Clyde 43410 Fremont, OH 43420
(419) 867-8019 Fremont 43420
Gender: Male
Tracey E Hoelzle, MD
112 Independence Way Ste Ahmad W Abdelwahed,
Green Springs 44836 MD
160
Clyde, OH 43410 1920 Glen Springs Drive
(419) 502-3534 Fremont, OH 43420
William H O Brien, PhD (419) 333-6436
Gender: Female
401 North Broadway Street Gender: Male
Green Springs, OH 44836 Languages: Arabic
Fremont 43420 (419) 372-2974
Gender: Male Shanna M Elston, DO
1920 Glen Springs Drive
Anupam A Jha, MD Fremont, OH 43420
Pulmonary Medicine
675 Bartson Road (419) 333-6436
Fremont, OH 43420 Doctor
Gender: Female
(419) 332-5524
Gender: Male Bellevue 44811 Emile Klada, MD
Languages: Hindi, Marathi 1920 Glen Springs Drive
Fremont, OH 43420
Erika S Manis, MD Jeffrey R Hammersley, (419) 333-6436
1920 Glen Springs Drive MD Gender: Male
Fremont, OH 43420 1355 W Main St Languages: Arabic
(419) 333-6436 #D
Gender: Female Bellevue, OH 44811 Ronald J Wainz, MD
(419) 484-1022 1920 Glen Springs Drive
Ryan J Travis, MD Gender: Male Fremont, OH 43420
710 Cleveland Ave (419) 333-6436
Fremont, OH 43420 Nathan P Samsa, DO Gender: Male
(419) 334-6619 1255 W Main St
Gender: Male #B Kathryn E Williams, MD
Bellevue, OH 44811
(419) 484-5940 1920 Glen Springs Drive
Psychologist
Gender: Male Fremont, OH 43420
(419) 333-6436
Fremont 43420 Mohammad Taleb, MD Gender: Female
1400 West Main Street
Bellevue, OH 44811
(419) 484-1022
Gender: Male
Page 28 of 32
Erika S Manis, MD Donald L Smith Jr, MD
Radiation Oncologist 1920 Glen Springs Drive 290 Progress Dr
Fremont, OH 43420 #C
Fremont 43420 (419) 333-6436 Bellevue, OH 44811
Gender: Female (419) 484-1701
Gender: Male
Changhu N Chen, MD Ronald J Wainz, MD
715 South Taft Avenue 1920 Glen Springs Drive
Fremont, OH 43420 Fremont 43420
Fremont, OH 43420
(419) 559-2700 (419) 333-6436
Gender: Male Gender: Male
Gregor K Emmert Jr, MD
Krishna N Reddy, MD Kathryn E Williams, MD
715 South Taft Avenue 605 3rd Ave
Fremont, OH 43420 1920 Glen Springs Drive #B BLDG A
(419) 559-2700 Fremont, OH 43420 Fremont, OH 43420
Gender: Male (419) 333-6436 (419) 353-1239
Gender: Female Gender: Male
Siddharth A Saraiya, MD
Sarah Perz, MD
Sports Medicine 605 3rd Ave
715 South Taft Avenue
Fremont, OH 43420
Doctor #B BLDG A
(419) 559-2700 Fremont, OH 43420
Gender: Male Fremont 43420 (419) 332-7221
Gender: Female
Sleep Medicine Bruce E Heck, MD Eric A Pizza, MD
605 3rd Avenue 605 3rd Ave
Bellevue 44811 Fremont, OH 43420 #B
(419) 559-2790 Fremont, OH 43420
Gender: Male (419) 332-7221
Jeffrey R Hammersley, Gender: Male
MD
1355 W Main St
Urologist Timothy K Suttle, MD
#D 605 3rd Ave
Bellevue, OH 44811 Bellevue 44811 #B BLDG A
(419) 484-1022 Fremont, OH 43420
Gender: Male (419) 332-7221
Gregory P Cook, MD Gender: Male
290 Progress Dr
Fremont 43420 #C
Bellevue, OH 44811
(419) 484-1701
Gender: Male
Page 29 of 32
Hospitals (2) Board Certified Accepting New Patients
Will be leaving the network on the date specified
Page 30 of 32
Skilled Nursing Facilities (6) Board Certified Accepting New Patients
Will be leaving the network on the date specified
Page 31 of 32
Durable Medical Equipment (12) Board Certified Accepting New Patients
Will be leaving the network on the date specified
Page 32 of 32
Multi-Language Interpreter Services
& Nondiscrimination Notice
This document notifies individuals of how to seek assistance if they speak a language other than English.
Spanish Oromo
ATENCIÓN: Si habla español, tiene a su disposición XIYYEEFFANNAA: Afaan dubbattu Oroomiffa,
servicios gratuitos de asistencia lingüística. Llame al tajaajila gargaarsa afaanii, kanfaltiidhaan ala, ni
1-800-382-5729 (TTY: 711). argama. Bilbilaa 1-800-382-5729 (TTY: 711).
Chinese Korean
注意:如果您使用繁體中文,您可以免費獲得語言援助服 주의: 한국어를 사용하시는 경우, 언어 지원 서비스를
務。請致電 1-800-382-5729 (TTY: 711)。 무료로 이용하실 수 있습니다. 1-800-382-5729 (TTY:
711)번으로 전화해 주십시오.
German
ACHTUNG: Wenn Sie Deutsch sprechen, stehen Italian
Ihnen kostenlos sprachliche Hilfsdienstleistungen zur ATTENZIONE: In caso la lingua parlata sia l’italiano,
Verfügung. Rufnummer: 1-800-382-5729 (TTY: 711). sono disponibili servizi di assistenza linguistica gratuiti.
Chiamare il numero 1-800-382-5729 (TTY: 711).
Arabic
فإنخدماتالمساعدةاللغویةتتوافرلك،إذاكنتتتحدثاذكراللغة:ملحوظة Japanese
.(711 رقم ھاتف الصم والبكم1-800-382-5729 اتصل برقم.) بالمجان 注意事項:日本語を話される場合、無料の言語支援を
ご利用いただけます。1-800-382-5729 (TTY: 711) ま
Pennsylvania Dutch
で、お電話にてご連絡ください。
Wann du Deitsch schwetzscht, kannscht du mitaus Koschte
ebber gricke, ass dihr helft mit die englisch Schprooch. Ruf Dutch
selli Nummer uff: Call 1-800-382-5729 (TTY: 711). AANDACHT: Als u nederlands spreekt, kunt u gratis
gebruikmaken van de taalkundige diensten. Bel
Russian
1-800-382-5729 (TTY: 711).
ВНИМАНИЕ: Если вы говорите на русском языке,
то вам доступны бесплатные услуги перевода. Ukrainian
Звоните 1-800-382-5729 (телетайп: 711). УВАГА! Якщо ви розмовляєте українською мовою, ви
можете звернутися до безкоштовної служби мовної
French
підтримки. Телефонуйте за номером 1-800-382-5729
ATTENTION: Si vous parlez français, des services (телетайп: 711).
d’aide linguistique vous sont proposés gratuitement.
Appelez le 1-800-382-5729 (ATS: 711). Romanian
ATENT,IE: Dacă vorbit,i limba română, vă stau la
Vietnamese
dispozit,ie servicii de asistent,ă lingvistică, gratuit.
CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ Sunat,i la 1-800-382-5729 (TTY: 711).
miễn phí dành cho bạn. Gọi số 1-800-382-5729 (TTY: 711).
Tagalog
Navajo
PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari
Díí baa akó nínízin: Díí saad bee yáníłti’ go Diné kang gumamit ng mga serbisyo ng tulong sa wika nang
Bizaad, saad bee áká’ánída’áwo’dę΄ ę΄’, t’áá jiik’eh, éí walang bayad. Tumawag sa 1-800-382-5729 (TTY: 711).
ná hólǫ́, kojį’ hódíílnih 1-800-382-5729 (TTY: 711).
Z8188-MCA R11/16
QUESTIONS ABOUT YOUR BENEFITS OR OTHER INQUIRIES ABOUT YOUR HEALTH INSURANCE
SHOULD BE DIRECTED TO MEDICAL MUTUAL’S CUSTOMER CARE DEPARTMENT AT 1-800-382-5729.
Nondiscrimination Notice
Medical Mutual of Ohio complies with applicable federal civil rights laws and does not discriminate on the
basis of race, color, national origin, age, disability or sex in its operation of health programs and activities.
Medical Mutual does not exclude people or treat them differently because of race, color, national origin, age,
disability or sex in its operation of health programs and activities.
n Medical Mutual provides free aids and services to people with disabilities to communicate effectively with
us, such as qualified sign language interpreters, and written information in other formats (large print, audio,
accessible electronic formats, etc.).
n Medical Mutual provides free language services to people whose primary language is not English, such as
qualified interpreters and information written in other languages.
If you need these services or if you believe Medical Mutual failed to provide these services or discriminated
in another way on the basis of race, color, national origin, age, disability or sex, with respect to your health
care benefits or services, you can submit a written complaint to the person listed below. Please include
as much detail as possible in your written complaint to allow us to effectively research and respond.
You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights.
Electronically through the Office for Civil Rights Complaint Portal available at:
n
ocrportal.hhs.gov/ocr/portal/lobby.jsf
n By mail at:
U.S. Department of Health and Human Services
200 Independence Avenue, SW Room 509F
HHH Building
Washington, DC 20201-0004
n By phone at:
(800) 368-1019 (TDD: (800) 537-7697)
Complaint forms are available at:
n
hhs.gov/ocr/office/file/index.html
Products marketed by Medical Mutual may be underwritten by one of its subsidiaries, such as Medical Health Insuring
Corporation of Ohio or Consumers Life Insurance Company.