Post on 03-Oct-2021
ABME Public Agenda January 16, 2019 1
SUPPLEMENTAL PUBLIC AGENDA ALABAMA STATE BOARD OF MEDICAL EXAMINERS
JANUARY 16, 2019
I MINUTES PUBLIC MINUTES OF DECEMBER 12, 2018 II ENDORSEMENT Name Medical School Endorsement
1 Ali Said Al-Beshri King Faisal University, Dammam USMLE
2 Jennifer Lynne Anderson UASOM Birmingham USMLE
3 Kristine Emaline Andrade University of Southern California Keck SOM USMLE/CA
4 Olufolakemi Olaiya Awe Indiana University School of Medicine Indianapolis USMLE
5 * Alphonso Brenell Benton University of Southern California Keck SOM USMLE/CA
6 Gary Michael Bernard LSU Medical Center In Shreveport USMLE
7 Gary Leonard Bernstein Emory University School of Medicine NBME/GA
8 Bradley Michael Blappert Saba University School of Medicine USMLE/LA
9 Wilfredo Blasini Perez University of Puerto Rico School of Medicine USMLE/FL
10 Kyle David Bliton Medical College of Georgia School of Medicine USMLE
11 Sarah Beth Breaux LSU School of Medicine New Orleans USMLE
12 Elena Victoria Bryant Morehouse School Of Medicine USMLE
13 Andrew Carey Buie UASOM Birmingham USMLE
14 Joel Alan Butler Jr. University of Mississippi School of Medicine USMLE
15 Carter Louis Capra American University of The Caribbean USMLE/MS
16 * Matthew Stephen Carle UASOM Birmingham USMLE
17 Maurice Gerard Chen Saba University School of Medicine USMLE/OH
18 Jennifer Ming-Yee Chin Tulane University School of Medicine USMLE
19 Haley Routh Clark University of Mississippi School of Medicine USMLE/TX
20 Jonathan Patrick Coll Wright State University School of Medicine USMLE/OH
21 * John Orvil Collins U of Texas Southwestern Medical Center at Dallas FLEX/AR
22 Ryan Jonathan Cone Augusta University USMLE
23 Matthew Douglas Culling Ross University USMLE/MN
24 Michael Cullen Cunningham University of Mississippi School of Medicine USMLE/MS
25 Anjali Jaba Das Rutgers New Jersey Medical School USMLE
26 * Myrtle Ann Delgado Tulane University School of Medicine USMLE/LA
27 Noah DeLone FL International U Herbert Wertheim COM USMLE/NY
28 Christian Robert Deutsch Medical College of Georgia School of Medicine USMLE/KY
29 * Roy Adam Ferraiuolo University of Florida College of Medicine USMLE/FL
ABME Public Agenda January 16, 2019 2
30 Ryan Anthony Frederiksen Saint Georges U Northeastern OH Univ COM USMLE/CA
31 Jose Nahun Galeas Soriano Universidad Nacional Autonoma De Honduras USMLE
32 Kyle Harrison Gennaro UASOM Birmingham USMLE
33 Aimee Soyun Paik German University of California San Diego SOM USMLE/CA
34 Zachary Aaron Glaser Vanderbilt University School of Medicine USMLE
35 Michael Lynn Gunter II University of South Alabama College of Medicine USMLE
36 John Patrick Guste LSU Medical Center In Shreveport USMLE/LA
37 Amr Habbach University of Damascus USMLE
38 Larissa Eileen Harkacz Tulane University School of Medicine USMLE
39 David Marshall Harris UASOM Birmingham USMLE
40 Jacob Kevin Hawkins Florida State University College of Medicine USMLE
41 Rodney Lemuel Holladay University of Tennessee Memphis COM FLEX/TN
42 Matthew Michael Hollie Medical College of Georgia School of Medicine USMLE
43 Robin Ifeoma Iriele Case Western Reserve University SOM USMLE
44 Adam Patrick Jacobs UASOM Birmingham USMLE
45 Joseph Arnell Jones UASOM Birmingham USMLE
46 Kenneth Wayne Jones Jr. Mercer University School of Medicine NBME/GA
47 Sehrish Kamal Dow Medical College, University of Karachi USMLE/MS
48 Joseph Taylor Klingen Texas Tech Univ School Of Medicine USMLE
49 Harshad Shrigopal Ladha Dr. Vaishampayan Memorial Medical College USMLE/AL
50 David Lee Boston University School of Medicine USMLE/MA
51 James Robert LePage Jr. Alabama College of Osteopathic Medicine COMLEX
52 Li Li Medical Center Of Fundan University USMLE/IA
53 Gabriel Eduardo Lugo Meharry Medical College School of Medicine USMLE
54 Justin Quoc Ly Uniformed Services University of Health Sciences USMLE/IN
55 Leonel F. Maldonado Gonzalez Ignacio A Santos Sch Med Inst Tech Higher St USMLE
56 Merry Lynn Mann UASOM Birmingham USMLE/TX
57 Anderson Scott Marshall TX A&M University Health Science Center COM USMLE
58 Nelson Felipe Matos Ruiz University of Puerto Rico School of Medicine USMLE/PR
59 Jessica Epperson McLemore UASOM Birmingham USMLE
60 Janet Marie McNaughton Florida State University College of Medicine USMLE/CA
61 Kent Michael Melchiors Indiana University School of Medicine Indianapolis USMLE
62 Gregory Alan Melish University of Texas Medical School at San Antonio USMLE/OK
63 Gabriel Joseph Menendez Augusta University USMLE
64 Gwen Ann Minzes Kansas City University of Medicine & Biosciences COMLEX
65 Grant Herron Moody Medical College of Georgia School of Medicine USMLE
66 Geoffrey Lyle Odom LSU School of Medicine New Orleans USMLE/LA
67 Olumide Temitope Omobo University of Virginia School of Medicine USMLE
68 Timothy Jay Orlowski Loyola University of Chicago Stritch SOM USMLE/FL
69 Jordan David Perchik University of Tennessee Memphis COM USMLE
70 Jacob Lawrence Pessia Ohio University College of Osteopathic Medicine COMLEX
71 Cody Allen Peterson UASOM Birmingham USMLE
72 John Taylor Pickens UASOM Birmingham USMLE
ABME Public Agenda January 16, 2019 3
73 Jedlyn Pierrilus University of Miami School of Medicine USMLE/MD
74 Max Rosenberg Pollock University of Arizona College of Medicine USMLE/CA
75 Samuel Glenn Porter University of Tennessee Memphis COM USMLE/GA
76 Jessica Tierce Powell UASOM Birmingham USMLE
77 John Michael Provenza LSU Medical Center In Shreveport USMLE
78 Shannon Leigh Reed Kirksville College of Osteopathic Medicine COMLEX/OK
79 Evan Kawika Reinhardt Touro U College of Osteopathic Medicine COMLEX/UT
80 Michael Nathaniel Rozenfeld Touro University College Of Osteopathic Medicine COMLEX/IL
81 Nathaniel Sbravati University of Mississippi School of Medicine USMLE
82 Rachel Suzanne Schare University of Louisville School of Medicine USMLE/FL
83 Manal Mosaad Schoellerman University of California, Irvine College of Medicine USMLE/CA
84 Kevin Thomas Schwalbach Univ of Minnesota Medical School - Minneapolis USMLE
85 Jason Gregory Smith Vanderbilt University School of Medicine USMLE/TX
86 Trevor Dylan Smith University of Arkansas College of Medicine USMLE
87 William Benjamin Smith West Virginia School of Osteopathic Medicine COMLEX/NE
88 Blaire Marie Williams Smith West Virginia School of Osteopathic Medicine COMLEX
89 Austin Chandler Starnes UASOM Birmingham USMLE
90 Luke Mitchell Stewart Brody SOM at East Carolina University USMLE
91 Scott Michael Strickler E TN State University James H Quillen COM USMLE
92 Shane Fancher Strom LSU Medical Center In Shreveport USMLE
93 * Eugene Frank Tareshawty Jr. Universidad Central Del Este (UCE) FLEX/OH
94 William Blake Tennant USACOM USMLE
95 James Michael Terzian SUNY Upstate Medical University COM USMLE/NY
96 Sirsha Reddy Thambuluru University of Central Florida College of Medicine USMLE
97 William Jacob Thomas University of South Alabama College of Medicine USMLE
98 * Saraswathi Bai Tirumalasetty Guntur Medical College, Nagarjuna University FLEX/FL
99 Anson Varghese Touro University College Of Osteopathic Medicine COMLEX
100 Sanjeevi Vridhachalam New York Medical College USMLE/CA
101 Justin Todd Watts University of Mississippi School of Medicine USMLE
102 Lucinda Weaver University of South Dakota SOM Vermillion USMLE
103 Kristopher Ross Weemes Michigan State Univ College Of Osteo Medicine COMLEX/MI
104 Margaret Compton Yates UASOM Birmingham USMLE
105 Mazen Zaarour Lebanese University USMLE/LA
SPECIAL PURPOSE LICENSE Scanned with Endorsements Name Location Type of Practice
1 Paresh Arora Avon Lake, OH Teleradiology
2 Olena Dorokhova Brentwood, TN Teledermatopathology
ABME Public Agenda January 16, 2019 4
II LIMITED LICENSE Name Medical School Endorsement
1 * Zakeya M. Al-Sadah King Faisal University, Dammam LL/AL
2 Stephanie Bustros American University of Beirut LL/AL
3 Yesica Andrea Campos Universidad Militar Nueva Granada LL/AL
4 Swetha Srialluri Konaseema Inst of Med Sci and Res LL/AL
IV PHYSICIAN ASSISTANTS / ADVANCED PRACTICE NURSES (11) Cover Sheet P.A. License Name School NCCPA
1 Jessica Lyons-Farino, PA D’Youville College 1082376 2 Samantha Hawley, PA Massachusetts Col of Pharm and Hlth Sci 1144767 3 Roxzy Mabry, PA Nova Southeastern University 1123469 4 Meredith Veazey, PA UAB 1131663 5 Camille Dixon, PA Midwestern University 1108102 6 Kathryn Kings, PA Nova Southeastern University 1155473
A.A. License Name School NCCAA No AA License Applicants Temporary P.A. License Name School NCCPA
1 Madeline Hargis UAB Pending PANCE Results
2 Tabitha Abernathy, PA UAB Pending PANCE Results
3 Chelsi Davis, PA UAB Pending PANCE Results
4 Taylor Davis, PA UAB Pending PANCE Results
5 Cassidy Dickson, PA UAB Pending PANCE Results
6 Alayna Holderfield, PA UAB Pending PANCE Results
7 Tyler Jones, PA UAB Pending PANCE Results
8 Morgan Lee, PA UAB Pending PANCE Results
ABME Public Agenda January 16, 2019 5
9 Jessica Mena, PA UAB Pending PANCE Results
10 Charles Preston, PA UAB Pending PANCE Results
11 Jenna Risley, PA UAB Pending PANCE Results
12 Andrea Rowe, PA UAB Pending PANCE Results
13 Lindsay Simmons, PA UAB Pending PANCE Results
Temporary P.A. License to Full License Name School NCCPA No Temporary PA License to Full License Applicants P.A. Registration Without additional duties; With Qualified Remote Sites; Formulary: #2, #21, #23
PA / Physician Registration / Remote Site / Formulary Recommendation
1 Elizabeth Eisenbeis, PA Nicole Kersh, M.D.
Registration Birth Control Drugs and Devices
2 Lacey Bowen, PA Grady Maddox, M.D.
Registration
3 Samantha Hawley, PA Julie Gladsjo, M.D.
Registration
4 Andrea Jost, PA Jeffrey Jones, M.D.
Registration Birth Control Drugs and Devices
5 Roxzy Mabry, PA Camy Beall, M.D.
Registration
6 Emily Mullady, PA Michael Blum, M.D.
Registration
7 Rachel Ragland, PA Dewey Jones, M.D.
Registration
8 Leigh Smalley, PA Timothy Ricketts, M.D.
Registration
9 Haley Basford, PA Kathleen Shine, M.D.
Registration
10 Adam Bevis, PA Aftab Khan, M.D.
Registration Remote site Birth Control Drugs and Devices
11 Judith Blake, PA Grant Stone, D.O.
Registration
12 Cassidy Dickson, PA Conrad De Los Santos, D.O.
Registration
13 Camille Dixon, PA David Lortscher, M.D.
Registration
ABME Public Agenda January 16, 2019 6
PA / Physician Registration / Remote Site / Formulary Recommendation
14 Ann Elliott, PA James Cavender, M.D.
Registration
15 Latrinia Franklin, PA Joseph Schultz, M.D.
Registration Antineoplastic Agents Birth Control Drugs and Devices
16 Ivey Holt, PA Lance Westerlund, M.D.
Registration Birth Control Drugs and Devices
17 Tyler Jones, PA Patrick Lett, M.D.
Registration
18 Shanna Killebrew, PA John Burgess, M.D.
Registration
19 Jessica Mena, PA Brian Tierney, M.D.
Registration
20 Diana O’Reilly, PA Mathias Allen, M.D.
Registration Birth Control Drugs and Devices
21 Charles Preston, PA Cheng Tao, M.D.
Registration Remote site
22 Jenna Risley, PA Jared Cox, M.D.
Registration
23 Andrea Rowe, PA Timothy Frerichs, M.D.
Registration
With additional duties; Remote site; Misc. Formulary requests
PA / Physician Registration / Remote Site / Formulary Recommendation
1 (15)
Theresa Rehm-Hamilton, PA Mark Haygood, M.D.
Registration Remote Site Formulary: Antidepressants, Non-Benzodiazepine anxiolytics, Antipsychotics, Mood Stabilizers, Anticonvulsants, Cognitive Enhancers,Non-Stimulant ADHD Medications, Opioid Antagonists, Alcohol Dependence Medications, Alpha Blockers, Anticholinergics, V-mat 2 Inhibitors, Antiemetics, Melatonin Receptor Agonists
2 (30)
Lori Tippets, PA Duane Tippets, D.O.
Registration Approval to train: Arthrocentesis; Injections of the Shoulder; Injections of the Elbow (Olecranon Bursa); Injections of the Knee, Injections of the Greater Trochanteric Bursa Standard Language is available
ABME Public Agenda January 16, 2019 7
PA / Physician Registration / Remote Site / Formulary Recommendation
3 (44)
Amanda Ward, PA Carole Lane, M.D.
Registration Formulary: Antineoplastic Agents, Birth Control Drugs and Devices, Enbrel, Stelara, Humira, Cosentyx, Taltz, Apremilast, CellCept, and Cyclosporine Approval to Train: Shave and Punch Biopsy Standard Language is available
A.A. Registration 1. Joseph Bodin, III, AA / James Bridges, D.O. P.A. / A.A. Miscellaneous Requests / Reports Within Protocol
PA / Physician Request Recommendation
1 (61)
Derok Cornwell, PA James Smith, M.D.
Approve Supervise Practice: Arthrocentesis and Joint Injections
2 (69)
Megan Harris, PA Ryan Ramagosa, M.D.
Additional Practice Site Location: Sunrise Dermatology 8832 US Highway 90 Daphne, AL 36526
3 (71)
Katherine Ivey, PA Billy McGough, M.D.
Approval to Train: Arthrocentesis and Joint Injections Standard Language is available
Strike from agenda
4 (75)
Michael Pugh, PA Erik Hernandez, M.D.
Approve Supervise Practice: Central Venous Line- Femoral
5 (83)
Allen Veren, PA Robert Sorell, M.D.
Approval to Train: Arthrocentesis and Joint Injections Standard Language is available
Strike from agenda
6 (86)
Sarah Welch, PA Michael Ledet, M.D.
Additional Practice Site Location: Hope Center 10274 St Hwy 104 Fairhope, AL 36532
7 (SA)
Judith Blake, PA Grant Stone, D.O.
Approval to Train: Arthrocentesis; Joint Injections (Shoulder, Knee, and Greater Trochanteric Bursa), and Trigger Point Injections Standard Language is available
8 (SA)
Chris Boyce, PA David Pigott, M.D.
Additional Practice Site Location: UAB Medicine Gardendale 210 Fieldstown Road Gardendale, AL 35071
ABME Public Agenda January 16, 2019 8
Outside Protocol
PA / Physician Request Recommendation
1 (90)
Kelly Fordham, PA Jenny Sobera, M.D.
Formulary: Antineoplastic Agents, Birth Control Drugs and Devices, Isotretinoin, Biologic Agents (Psoriasis) Approval to Train: Photodynamic Therapy; Laser (Hair Removal, KTP); IPL; Radiofrequency procedures; *Cryotherapy; Electrodessication; *Skin Biopsies (Punch and Shave); Curettage; Removal/Destruction of Cutaneous Lesions; *Sclerotherapy; and Intralesional Injections *Standard Language is available
2 (100)
Lily Nizam, PA Sami Nizam II, M.D.
Request to train: Soft Tissue and Dermal Hyaluronic Acid Filler Administration; *Chemical Peel; Poly-L-Lactic Acid (PLLA) Administration; Neurotoxin Administration; Non-Ablative Lasers *Standard Language is available
3 (124)
David Gilmore, PA Lauren Tucker, PA Doyle Wingate, PA Ahmed Kamel, M.D.
Request to train: Tunneled Central Venous Catheter Placement Request does not align with existing Standard Language
P.A. QACSC Registration
PA PHYSICIAN
1 Lindsey Mangum, PA Rodney Soto, M.D. 2 Nicolaus Ruehl, PA Frank Francone, M.D. 3 Lauren Smith, PA James Wilhite, M.D. 4 Suzanne Tompkins, PA Michael DiChiara, M.D. 5 Carly Garvey, PA Matthew Bennett, M.D.
P.A. Limited Purpose Special Permit
PA / Physician Request Recommendation Approve Deny
1 (131)
Edward Daugherty, D.O. Adam Bevis, PA Specialty: Family Medicine/Emergency Medicine
ADHD Medications Hydrocodone Combinations Hydrocodone (Cough Preparations) Oxycodone-Immediate Release
ABME Public Agenda January 16, 2019 9
Collaborative Practice / APN QACSC Registration (SA) Collaborative Practice Registration (SA) Collaborative Practice Modification (SA) Collaborative Practice Covering Physician Applicants (SA) Limited Protocol Applicants (SA) CRNP / CNM QACSC Registration Applicants APN Miscellaneous Requests / Reports (133) Cover Sheet Skills Requests Within Protocol
Physician /NP Request Recommendation
1 (135)
Michael Christopher Allemand, M.D. Megan S. Bush, CRNP
Approval of supervised practice: Sonar Insufflation Studies (10)
2 (139)
Scott C. Bellot, M.D. Cathy Willis, CRNP
Approval of supervised practice: Removal of pacing wires(30); Swan Ganz catheter(30); IABP catheter (13); mediastinal chest tube (17)
3 (153)
James Stuart Early Booth, M.D. Somali H. Nguyen, CRNP
Train to perform skills included in the Orthopedic Specialty Protocol: Arthrocentesis; Joint injection of shoulder, elbow(olecranon bursa) and knee
4 (163)
Kenneth W. Bramlett, M.D. Christopher C. Berry, CRNP
Approval of supervised practice: joint injections of shoulder (10); elbow (olecranon bursa) (3); greater trochanteric bursa (7) and knee (14).
5 (173)
Christopher O. Harper, M.D. Elizabeth H. Yarbrough, CRNP
Transfer approval of skills included in Orthopedic Specialty Protocol
6 (183)
Clinton Howard IV, M.D. Adam R. Smith, CRNP
Approval of supervised practice: joint injections of the shoulder (6); greater trochanteric bursa (13); and knee (6).
7 (187)
Daniel A. Kelmenson, M.D. Chad W. Lynch, CRNP
Train to perform skills included in Critical Care Specialty Protocol: central venous line insertion, internal jugular and femoral; arterial line insertion, femoral
ABME Public Agenda January 16, 2019 10
Physician /NP Request Recommendation
8 (196)
David Mauchley, M.D. Christopher Ford, CRNP
Transfer approval of Critical Care Specialty Protocol and previously approved supervised practice for removal of pacing wires
9 (205)
David W. Miller, M.D. Julia I. Rohwedder, CRNP
Train to perform skills included in the Critical Care Specialty Protocol: central venous line insertion, internal jugular
10 (211)
Philip O`Reilly, M.D. Kirsten E. Strawn, CRNP
Train to perform skills included in Critical Care Specialty Protocol: central venous line insertion, internal jugular and femoral; arterial line insertion, femoral
11 (219)
Philip O`Reilly, M.D. Amanda K. Varley, CRNP
Train to perform skills included in Critical Care Specialty Protocol: central venous line insertion, internal jugular and femoral; arterial line insertion, femoral
12 (228)
Rishi Raj Rajan, M.D. David G. Farr, CRNP
Percutaneous Tibial Nerve Stimulation
13 (233)
Eric Paul Robinson, M.D. Andrew T. Eden, CRNP
Train to perform Trigger point injections below T-12
14 (236)
Christopher W. Roney, M.D. Teresa R. Cooper, CRNP
Train to perform skills included in Critical Care Specialty Protocol: central venous line insertion, internal jugular and femoral
15 (242)
Janyce Sanford, M.D. Jonathan D. Borella, CRNP
Train to perform skills included in Orthopedic Specialty Protocol: Arthrocentesis
16 (252)
James Patrick Siler, M.D. Valerie Jane Vargas, CRNP
Train to perform skills included in Orthopedic Specialty Protocol: arthrocentesis, elbow (olecranon bursa), shoulder, knee
Skills Requests Outside Protocol
Physician /NP Request Recommendation
1 (262)
Scott Bellot, M.D. Amy Johnson, CRNP
Approval of supervised practice outside one year for: Removal of pacing wires(39); Swan Ganz catheters (30); Pleural catheters (34); Mediastinal chest tubes (44)
2 (285)
Christopher O. Harper, M.D. Ashley C. Scoggins, CRNP
Transfer approval of skills included in Orthopedic Specialty Protocol Train to perform Trigger Point Injections below T-12
3 (297)
William L. Holman, M.D. Margaret Weaver, CRNP
Approval of supervised practice outside one year for: Removal of pacing wires (31); Swan Ganz catheters (30); IABP catheters (10); mediastinal chest tubes (15)
ABME Public Agenda January 16, 2019 11
Physician /NP Request Recommendation
4 (303)
David Mauchley, M.D. Jessica Cha, CRNP
Approval of supervised practice outside one year for: Removal of pacing wires (34); Swan Ganze catheter (41); IABP catheter (17); pleural catheter (8) and mediastinal chest tubes (40).
5 (318)
David Mauchley, M.D. Justin Wright, CRNP
Approval of supervised practice outside one year for: Removal of pacing wires (43); Swan Ganz catheters (45); IABP catheter (24); Pleural catheters (21); mediastinal chest tubes (40).
6 (326)
Collaborative Practice FTE Limits/ Standard Protocol Management
Proposal for Rule Change to increase FTE limits Slide presentation for management of standard protocol
APN Limited Purpose Special Permit (360) Cover Sheet
Physician/ Specialty/ Current Clinical Practice, CRNP/ Specialty/ Current Practice:
LPSP Formulary Request:
Recommendation Approve Deny
1 (367)
Mohammad Aryanpure, M.D. Family Medicine Primary Care Clinic Kimberly Flowers, CRNP FNP
ADHD Medications Hydrocodone SA Hydrocodone Cough Preps Oxycodone IR
2 (368)
Muhammed Ata, M.D. Internal Medicine Primary Care Clinic Rachelle Key, CRNP FNP
ADHD Medications Hydrocodone SA Hydrocodone Cough Preps MSIR Oxycodone IR
3 (369)
Renita Brown, M.D. Internal Medicine Private Practice Optum Health/ home visits and hospice Robin Scott, CRNP FNP
ADHD Medications Hydrocodone SA Hydrocodone Cough Preps MSIR Oxycodone IR Fentanyl LA Hydrocodone LA Hydromorphone Morphine LA
4 (371)
Carlos Clark II, M.D. Family Medicine Primary Care Clinic
Hydrocodone SA MSIR Oxycodone IR
ABME Public Agenda January 16, 2019 12
Physician/ Specialty/ Current Clinical Practice, CRNP/ Specialty/ Current Practice:
LPSP Formulary Request:
Recommendation Approve Deny
Nursing homes; Rehab Centers; Assisted Living Centers Shawna Mason, CRNP FNP
Fentanyl LA Hydrocodone LA Morphine LA Oxycodone LA
5 (373)
Ryan Cordry, D.O. Orthopaedic Surgeon Orthopaedic Clinic Breanne Connors, CRNP Adult-Gerontological Acute Care NP
Hydrocodone SA Hydrocodone Cough Preparations Oxycodone IR Hydromorphone Tapentadol ER
6 (375)
Darla Cowart, M.D. Family Medicine Total Sports Care University Clinic Connie Abbott, CRNP FNP
Hydrocodone SA Hydrocodone Cough Preps Oxycodone IR
7 (376)
Jonathan Dean, M.D. Family Medicine Rural Health Clinic Valerie Berry, CRNP FNP
ADHD Medications Hydrocodone SA Hydrocodone Cough Preps Oxycodone IR Fentanyl LA Hydrocodone LA Morphine LA Oxycodone LA
8 (378)
Robert Eaton, D.O. Family Medicine Primary Care Clinic Heather Farris, CRNP FNP
ADHD Medications Hydrocodone SA Hydrocodone Cough Preparations Oxycodone IR
9 (379)
Milton George, D.O. Family Medicine Primary Care Clinic Brandi Ray, CRNP Adult-Gerontological Acute Care NP
ADHD Medications Hydrocodone SA Hydrocodone Cough Preparations Oxycodone IR
ABME Public Agenda January 16, 2019 13
Physician/ Specialty/ Current Clinical Practice, CRNP/ Specialty/ Current Practice:
LPSP Formulary Request:
Recommendation Approve Deny
10 (380)
Rommel Go, M.D. Internal Medicine Rural Health Clinic Jennifer Giddens, CRNP FNP
ADHD Medications Hydrocodone SA Hydrocodone Cough Preparations MSIR Oxycodone IR Tapentadol SA Fentanyl LA Hydrocodone LA Morphine LA Oxycodone LA Tapentadol, Extended-release
11 (382)
Richard Grant, M.D. Psychiatry Pain Practice (PM Registration 673) Toni Hosea, CRNP FNP
Hydrocodone SA MSIR Oxycodone IR Tapentadol SA
12 (383)
Herbert Holdsambeck, M.D. Family Medicine Private Clinic University Clinic Amber McPhail, CRNP FNP
Hydrocodone SA Hydrocodone Cough Preparations Oxycodone IR
13 (384)
Aaron Karr, D.O. Family Medicine Primary Care; Home Health; Hospice Melody Smith, CRNP Adult NP
ADHD Medications Hydrocodone SA Hydrocodone Cough Preparations MSIR Oxycodone IR Tapentadol SA
14 (385)
Moh’d Khushman, M.D. Medical Oncologist Oncology Clinics and Hospital Vanessa Jones, CRNP Adult NP
Hydrocodone SA Hydrocodone Cough Preparations MSIR Oxycodone IR Fentanyl LA Hydrocodone LA Hydromorphone Morphine LA Oxycodone LA
ABME Public Agenda January 16, 2019 14
Physician/ Specialty/ Current Clinical Practice, CRNP/ Specialty/ Current Practice:
LPSP Formulary Request:
Recommendation Approve Deny
15 (387)
Vincent Law, M.D. Family Medicine Primary Care Clinic Jamie Chappell, CRNP FNP
ADHD Medications Hydrocodone SA Hydrocodone Cough Preparations MSIR Oxycodone IR
16 (388)
Tonya Lyles, M.D. Pediatrician Pediatric Clinic Kristie Johnson, CRNP FNP
ADHD Medication
17 (389)
Bryan McClelland, M.D. Family Medicine Geriatric Medicine Primary Care Clinic Jennifer Gafnea, CRNP FNP
ADHD Medications Hydrocodone SA Hydrocodone Cough Preparations MSIR Oxycodone IR Fentanyl Hydromorphone
18 (391)
Ashley McCloud, M.D. OB/GYN OB/GYN Clinic Shequita Madry, CRNP Women’s Health Care NP
Hydrocodone SA Oxycodone IR
19 (392)
Ashley McCloud, M.D. OB/GYN OB/GYN Clinic Kristine Putman, CRNP FNP
Hydrocodone SA Oxycodone IR
20 (393)
Howard McVeigh, M.D. Emergency Medicine Urgent Care Hala Mourtada, CRNP FNP
ADHD Medications Hydrocodone SA Hydrocodone Cough Preparations Oxycodone IR
21 (394)
Norma Mobley, M.D. Pediatrician Pediatric Clinic LaTanya Bryant, CRNP FNP
ADHD Medication
22 (395)
Randall Murphy Jr, M.D. Orthopaedic Surgeon Orthopaedic Clinic Nathan Evans, CRNP FNP
Hydrocodone SA Oxycodone IR Tapentadol SA Hydromorphone Oxycodone LA Oxymorphone
ABME Public Agenda January 16, 2019 15
Physician/ Specialty/ Current Clinical Practice, CRNP/ Specialty/ Current Practice:
LPSP Formulary Request:
Recommendation Approve Deny
23 (397)
Samantha Ross, M.D. Family Medicine Primary Care Clinic Karen Thompson, CRNP FNP
Hydrocodone SA Hydrocodone Cough Preparations
24 (398)
Bradley Sadler, M.D. Psychiatrist Psychiatry Clinic Crystal Threadgill, CRNP Family Psychiatric and Mental Health NP
ADHD Medication
25 (400)
Amanda Smith, M.D. Family Medicine Urgent Care David Hurley, CRNP FNP
Hydrocodone SA Hydrocodone Cough Preparations
26 (401)
Shelly Weisenfeld, M.D. Family Medicine Primary Care Clinic Ramona Roach-Davis, CRNP FNP
ADHD Medications Hydrocodone SA Hydrocodone Cough Preparations
27 (402)
Andrew Wilkerson, M.D. Psychiatrist Neuropsychiatry Clinic and hospital Larry Sneed, CRNP Family Psychiatric and Mental Health NP
ADHD Medications Hydrocodone SA Hydrocodone Cough Preparations MSIR Oxycodone IR Tapentadol SA Fentanyl LA Hydrocodone LA Hydromorphone Morphine LA Oxycodone LA Oxymorphone Tapentadol ER
28 (404)
Duane Williams, M.D. Pediatrician Pediatric Clinic Melinda Gibson, CRNP Pediatric NP
ADHD Medications Hydrocodone SA Hydrocodone Cough Preps
29 (405)
Salah Al-Abbadi, M.D. Family Medicine Rural Health Clinic; Nursing Home; Hospice Mary Huckabee, CRNP FNP
Requesting to expand existing LPSP #918-16159 to include the following: Morphine IR Morphine LA
ABME Public Agenda January 16, 2019 16
Physician/ Specialty/ Current Clinical Practice, CRNP/ Specialty/ Current Practice:
LPSP Formulary Request:
Recommendation Approve Deny
30 (409)
William Spiegel, M.D. Internal Medicine Hospice and Palliative Care Dennis Doss, CRNP Adult-Gerontological Primary Care NP
Requesting to reconsider to expand LPSP #521-11858 to add Methadone for treating pain for Hospice and Palliative Care patients (see letter signed by Dr William Spiegel and colleagues)
Joint Committee for Advanced Practice Nursing Joint Committee for Advanced Practice Nursing Meeting – January 15, 2019, 6:00 p.m. CURRENT BUSINESS (2) 1. FSMB: U.S. Medical Regulatory Trends and Actions (SA) 2. HHS Draft Report on Pain Management Best Practices PERSONNEL No Personnel Items VI HEARINGS (2) ABME Hearing Schedule No Hearings scheduled for January EXECUTIVE SESSION