Bayhealth Medical Center, Amendment Request Ltr. Dated 09 ... · Bayhealth Medical Center Terry M....

12
Bayhealth Medical Center Terry M. Murphy, FACHE 640 S. State Street, Dover, DE 1 99 01 P res ident a nd Chief Ex ecutive Office r Tel: (3 02) 7 44- 7 000 F ax: (302) 744-7181 September 1, 2010 6(. { Licensing Branch Nuclear Materials Safety Section Division of Safety & Safeguards U.S. N.R.C. - Region I 475 Allendale Rd. King of Prussia, P A 19406 Dear License Reviewer: Please be advised that the following physicians have joined our staff as authorized users of 10 CFR 35.100 and 10 CFR 35.200 byproduct materials .. . Kathleen M. Hughes, M.D. ABR 2008 - AU Eligible Arnit Newatia, M.D. ABR 2008 - AU Eligible Yogi Trivedi, M.D. ABR 2008 - AU Eligible Vijay Viswanathan, M.D. ABR 2007 - AU Eligible ABNM2006 Enclosed please find a copy of each physician's ABR certification which identifies the holder as being "AU Eligible". All other aspects of our radiation safety program remain unchanged. If you have any questions, please contact our consultant radiation physicist, Jay Yoder, MS, of Walter L. Robinson and Associates at 717-873-2790, or contact us at 302-744-7057. Our N.R.C. license no. is # 07-14850-01 (Bayhealth Medical Center - Kent General Hospital). ACHE Executive Officer Enclosure s: (4)

Transcript of Bayhealth Medical Center, Amendment Request Ltr. Dated 09 ... · Bayhealth Medical Center Terry M....

Page 1: Bayhealth Medical Center, Amendment Request Ltr. Dated 09 ... · Bayhealth Medical Center Terry M. Murphy, FACHE 640 S. State Street, Dover, DE 19901 President and Chief Executive

Bayhealth Medical Center Terry M Murphy FACHE 640 S State Street Dover DE 19901 President and Chief Executive Officer Tel (302) 744-7000 Fax (302) 744-7181

September 1 2010

6( Licensing Branch Nuclear Materials Safety Section Division of Safety amp Safeguards US NRC - Region I 475 Allendale Rd King of Prussia P A 19406

Dear License Reviewer

Please be advised that the following physicians have joined our staff as authorized users of 10 CFR 35100 and 10 CFR 35200 byproduct materials

Kathleen M Hughes MD ABR 2008 - AU Eligible Arnit Newatia MD ABR 2008 - AU Eligible Yogi Trivedi MD ABR 2008 - AU Eligible Vijay Viswanathan MD ABR 2007 - AU Eligible

ABNM2006

Enclosed please find a copy of each physicians ABR certification which identifies the holder as being AU Eligible

All other aspects of our radiation safety program remain unchanged

If you have any questions please contact our consultant radiation physicist Jay Yoder MS of Walter L Robinson and Associates at 717-873-2790 or contact us at 302-744-7057

Our NRC license no is 07-14850-01 (Bayhealth Medical Center - Kent General Hospital)

ACHE Executive Officer

Enclosures (4)

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ABMSreg Board Certification Credentials Profile A service provided by Applied Statistics and Management Inc

Vijay Viswanathan (ABMSUID shy 854835) Viewed3262010 15007 PM

008 Status

Certification

Nuclear Medicine Nuclear Medicine - General Certificate

Active Time-limited Initial 10132006 - 12312016

Radiology Diagnostic Radiology - General Certificate

Active Time-limited Initial 06062007 - 12312017

Neuroradiology - Subcertificate

Active Time-limited Initial 11092009 - 12312019

Education 2001 MD

rrrgtlSPijp powered by Direct$-~

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The information as presented by this service is approved for business use and is valid to meet the primary source verification requirements for credentialing as set by JCAHO NCQA URAC and other accrediting agencies

The ABMS phYSician specialty certification data provided by ABMS Certification Profile Service is proprietary and copyrighted by the American Board of Medical Specialties (AMBSreg) and subject to the intellectual property laws of the United States copy 2006 ABMS All Rights Reserved

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o Please provide to this office within 30 days of your receipt of this card

A copy of your action has been forwarded to our License Fee amp Accounts Receivable Branch who will contact you separately if there is a fee issue involved

Your action has been assigned Mail Control Number 573 Y63 When calling to inquire about this action please refer to this control number You may can us on (610) 337-5398 or 33-5260

NRC FORM 532 (RI) Sincerely (6-96) Licensing Assistance Team Leader

Page 2: Bayhealth Medical Center, Amendment Request Ltr. Dated 09 ... · Bayhealth Medical Center Terry M. Murphy, FACHE 640 S. State Street, Dover, DE 19901 President and Chief Executive

BoardCertifiedDocs Contact UIi

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ABMSreg Board Certification Credentials Profile A service provided by Applied Statistics and Management Inc

Vijay Viswanathan (ABMSUID shy 854835) Viewed3262010 15007 PM

008 Status

Certification

Nuclear Medicine Nuclear Medicine - General Certificate

Active Time-limited Initial 10132006 - 12312016

Radiology Diagnostic Radiology - General Certificate

Active Time-limited Initial 06062007 - 12312017

Neuroradiology - Subcertificate

Active Time-limited Initial 11092009 - 12312019

Education 2001 MD

rrrgtlSPijp powered by Direct$-~

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The information as presented by this service is approved for business use and is valid to meet the primary source verification requirements for credentialing as set by JCAHO NCQA URAC and other accrediting agencies

The ABMS phYSician specialty certification data provided by ABMS Certification Profile Service is proprietary and copyrighted by the American Board of Medical Specialties (AMBSreg) and subject to the intellectual property laws of the United States copy 2006 ABMS All Rights Reserved

rrlie Jlmerican (jJoaraofNucCear Meaicine [ncorporatea 1971

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rrJijay rrJiswanathan

lias met tlie requirements oftliis (]Joananais quaEified aurinfJ tlie periodof2006 tlirougli 2016 to practice as a SpeciaCist

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o Please provide to this office within 30 days of your receipt of this card

A copy of your action has been forwarded to our License Fee amp Accounts Receivable Branch who will contact you separately if there is a fee issue involved

Your action has been assigned Mail Control Number 573 Y63 When calling to inquire about this action please refer to this control number You may can us on (610) 337-5398 or 33-5260

NRC FORM 532 (RI) Sincerely (6-96) Licensing Assistance Team Leader

Page 3: Bayhealth Medical Center, Amendment Request Ltr. Dated 09 ... · Bayhealth Medical Center Terry M. Murphy, FACHE 640 S. State Street, Dover, DE 19901 President and Chief Executive

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ABMSreg Board Certification Credentials Profile A service provided by Applied Statistics and Management Inc

Vijay Viswanathan (ABMSUID shy 854835) Viewed3262010 15007 PM

008 Status

Certification

Nuclear Medicine Nuclear Medicine - General Certificate

Active Time-limited Initial 10132006 - 12312016

Radiology Diagnostic Radiology - General Certificate

Active Time-limited Initial 06062007 - 12312017

Neuroradiology - Subcertificate

Active Time-limited Initial 11092009 - 12312019

Education 2001 MD

rrrgtlSPijp powered by Direct$-~

-lo U Connectmiddot (TI-II($ HOIIIOIl bull $IOLl Select Notice It is up to the user to determine if the physical record obtained from this services is that of the physician being sought

The information as presented by this service is approved for business use and is valid to meet the primary source verification requirements for credentialing as set by JCAHO NCQA URAC and other accrediting agencies

The ABMS phYSician specialty certification data provided by ABMS Certification Profile Service is proprietary and copyrighted by the American Board of Medical Specialties (AMBSreg) and subject to the intellectual property laws of the United States copy 2006 ABMS All Rights Reserved

rrlie Jlmerican (jJoaraofNucCear Meaicine [ncorporatea 1971

Certifies tfiat

rrJijay rrJiswanathan

lias met tlie requirements oftliis (]Joananais quaEified aurinfJ tlie periodof2006 tlirougli 2016 to practice as a SpeciaCist

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-----------L--c~LJ-()=---___ and to inform you that the initial processing which includes an administrative review has been performed

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o Please provide to this office within 30 days of your receipt of this card

A copy of your action has been forwarded to our License Fee amp Accounts Receivable Branch who will contact you separately if there is a fee issue involved

Your action has been assigned Mail Control Number 573 Y63 When calling to inquire about this action please refer to this control number You may can us on (610) 337-5398 or 33-5260

NRC FORM 532 (RI) Sincerely (6-96) Licensing Assistance Team Leader

Page 4: Bayhealth Medical Center, Amendment Request Ltr. Dated 09 ... · Bayhealth Medical Center Terry M. Murphy, FACHE 640 S. State Street, Dover, DE 19901 President and Chief Executive

UoardCcrtiliedDocs Page 1 of 1

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huplw wwboardccrtiJicddacscamcn_dotails asp Stacy L Dotterer CPCS 031812009

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ABMSreg Board Certification Credentials Profile A service provided by Applied Statistics and Management Inc

Vijay Viswanathan (ABMSUID shy 854835) Viewed3262010 15007 PM

008 Status

Certification

Nuclear Medicine Nuclear Medicine - General Certificate

Active Time-limited Initial 10132006 - 12312016

Radiology Diagnostic Radiology - General Certificate

Active Time-limited Initial 06062007 - 12312017

Neuroradiology - Subcertificate

Active Time-limited Initial 11092009 - 12312019

Education 2001 MD

rrrgtlSPijp powered by Direct$-~

-lo U Connectmiddot (TI-II($ HOIIIOIl bull $IOLl Select Notice It is up to the user to determine if the physical record obtained from this services is that of the physician being sought

The information as presented by this service is approved for business use and is valid to meet the primary source verification requirements for credentialing as set by JCAHO NCQA URAC and other accrediting agencies

The ABMS phYSician specialty certification data provided by ABMS Certification Profile Service is proprietary and copyrighted by the American Board of Medical Specialties (AMBSreg) and subject to the intellectual property laws of the United States copy 2006 ABMS All Rights Reserved

rrlie Jlmerican (jJoaraofNucCear Meaicine [ncorporatea 1971

Certifies tfiat

rrJijay rrJiswanathan

lias met tlie requirements oftliis (]Joananais quaEified aurinfJ tlie periodof2006 tlirougli 2016 to practice as a SpeciaCist

in af(aspects ofCfinicaCanapounda6oratory

Nucfear lvletficine

JD

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pplication dated

-----------L--c~LJ-()=---___ and to inform you that the initial processing which includes an administrative review has been performed

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o Please provide to this office within 30 days of your receipt of this card

A copy of your action has been forwarded to our License Fee amp Accounts Receivable Branch who will contact you separately if there is a fee issue involved

Your action has been assigned Mail Control Number 573 Y63 When calling to inquire about this action please refer to this control number You may can us on (610) 337-5398 or 33-5260

NRC FORM 532 (RI) Sincerely (6-96) Licensing Assistance Team Leader

Page 5: Bayhealth Medical Center, Amendment Request Ltr. Dated 09 ... · Bayhealth Medical Center Terry M. Murphy, FACHE 640 S. State Street, Dover, DE 19901 President and Chief Executive

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ABMSreg Board Certification Credentials Profile A service provided by Applied Statistics and Management Inc

Vijay Viswanathan (ABMSUID shy 854835) Viewed3262010 15007 PM

008 Status

Certification

Nuclear Medicine Nuclear Medicine - General Certificate

Active Time-limited Initial 10132006 - 12312016

Radiology Diagnostic Radiology - General Certificate

Active Time-limited Initial 06062007 - 12312017

Neuroradiology - Subcertificate

Active Time-limited Initial 11092009 - 12312019

Education 2001 MD

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-lo U Connectmiddot (TI-II($ HOIIIOIl bull $IOLl Select Notice It is up to the user to determine if the physical record obtained from this services is that of the physician being sought

The information as presented by this service is approved for business use and is valid to meet the primary source verification requirements for credentialing as set by JCAHO NCQA URAC and other accrediting agencies

The ABMS phYSician specialty certification data provided by ABMS Certification Profile Service is proprietary and copyrighted by the American Board of Medical Specialties (AMBSreg) and subject to the intellectual property laws of the United States copy 2006 ABMS All Rights Reserved

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~MCLI~M)-1- r()7 JLj SS-O 0 ( rlJ TherlWe(e fo-~dfuihlsfralive orntssiohs Your application was a~gned to a technical reviewer Please note that the technical review may identify additional omissions or require additional information

o Please provide to this office within 30 days of your receipt of this card

A copy of your action has been forwarded to our License Fee amp Accounts Receivable Branch who will contact you separately if there is a fee issue involved

Your action has been assigned Mail Control Number 573 Y63 When calling to inquire about this action please refer to this control number You may can us on (610) 337-5398 or 33-5260

NRC FORM 532 (RI) Sincerely (6-96) Licensing Assistance Team Leader

Page 6: Bayhealth Medical Center, Amendment Request Ltr. Dated 09 ... · Bayhealth Medical Center Terry M. Murphy, FACHE 640 S. State Street, Dover, DE 19901 President and Chief Executive

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ABMSreg Board Certification Credentials Profile A service provided by Applied Statistics and Management Inc

Vijay Viswanathan (ABMSUID shy 854835) Viewed3262010 15007 PM

008 Status

Certification

Nuclear Medicine Nuclear Medicine - General Certificate

Active Time-limited Initial 10132006 - 12312016

Radiology Diagnostic Radiology - General Certificate

Active Time-limited Initial 06062007 - 12312017

Neuroradiology - Subcertificate

Active Time-limited Initial 11092009 - 12312019

Education 2001 MD

rrrgtlSPijp powered by Direct$-~

-lo U Connectmiddot (TI-II($ HOIIIOIl bull $IOLl Select Notice It is up to the user to determine if the physical record obtained from this services is that of the physician being sought

The information as presented by this service is approved for business use and is valid to meet the primary source verification requirements for credentialing as set by JCAHO NCQA URAC and other accrediting agencies

The ABMS phYSician specialty certification data provided by ABMS Certification Profile Service is proprietary and copyrighted by the American Board of Medical Specialties (AMBSreg) and subject to the intellectual property laws of the United States copy 2006 ABMS All Rights Reserved

rrlie Jlmerican (jJoaraofNucCear Meaicine [ncorporatea 1971

Certifies tfiat

rrJijay rrJiswanathan

lias met tlie requirements oftliis (]Joananais quaEified aurinfJ tlie periodof2006 tlirougli 2016 to practice as a SpeciaCist

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-----------L--c~LJ-()=---___ and to inform you that the initial processing which includes an administrative review has been performed

~MCLI~M)-1- r()7 JLj SS-O 0 ( rlJ TherlWe(e fo-~dfuihlsfralive orntssiohs Your application was a~gned to a technical reviewer Please note that the technical review may identify additional omissions or require additional information

o Please provide to this office within 30 days of your receipt of this card

A copy of your action has been forwarded to our License Fee amp Accounts Receivable Branch who will contact you separately if there is a fee issue involved

Your action has been assigned Mail Control Number 573 Y63 When calling to inquire about this action please refer to this control number You may can us on (610) 337-5398 or 33-5260

NRC FORM 532 (RI) Sincerely (6-96) Licensing Assistance Team Leader

Page 7: Bayhealth Medical Center, Amendment Request Ltr. Dated 09 ... · Bayhealth Medical Center Terry M. Murphy, FACHE 640 S. State Street, Dover, DE 19901 President and Chief Executive

ABMSreg Board Certification Credentials Profile A service provided by Applied Statistics and Management Inc

Vijay Viswanathan (ABMSUID shy 854835) Viewed3262010 15007 PM

008 Status

Certification

Nuclear Medicine Nuclear Medicine - General Certificate

Active Time-limited Initial 10132006 - 12312016

Radiology Diagnostic Radiology - General Certificate

Active Time-limited Initial 06062007 - 12312017

Neuroradiology - Subcertificate

Active Time-limited Initial 11092009 - 12312019

Education 2001 MD

rrrgtlSPijp powered by Direct$-~

-lo U Connectmiddot (TI-II($ HOIIIOIl bull $IOLl Select Notice It is up to the user to determine if the physical record obtained from this services is that of the physician being sought

The information as presented by this service is approved for business use and is valid to meet the primary source verification requirements for credentialing as set by JCAHO NCQA URAC and other accrediting agencies

The ABMS phYSician specialty certification data provided by ABMS Certification Profile Service is proprietary and copyrighted by the American Board of Medical Specialties (AMBSreg) and subject to the intellectual property laws of the United States copy 2006 ABMS All Rights Reserved

rrlie Jlmerican (jJoaraofNucCear Meaicine [ncorporatea 1971

Certifies tfiat

rrJijay rrJiswanathan

lias met tlie requirements oftliis (]Joananais quaEified aurinfJ tlie periodof2006 tlirougli 2016 to practice as a SpeciaCist

in af(aspects ofCfinicaCanapounda6oratory

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pplication dated

-----------L--c~LJ-()=---___ and to inform you that the initial processing which includes an administrative review has been performed

~MCLI~M)-1- r()7 JLj SS-O 0 ( rlJ TherlWe(e fo-~dfuihlsfralive orntssiohs Your application was a~gned to a technical reviewer Please note that the technical review may identify additional omissions or require additional information

o Please provide to this office within 30 days of your receipt of this card

A copy of your action has been forwarded to our License Fee amp Accounts Receivable Branch who will contact you separately if there is a fee issue involved

Your action has been assigned Mail Control Number 573 Y63 When calling to inquire about this action please refer to this control number You may can us on (610) 337-5398 or 33-5260

NRC FORM 532 (RI) Sincerely (6-96) Licensing Assistance Team Leader

Page 8: Bayhealth Medical Center, Amendment Request Ltr. Dated 09 ... · Bayhealth Medical Center Terry M. Murphy, FACHE 640 S. State Street, Dover, DE 19901 President and Chief Executive

rrlie Jlmerican (jJoaraofNucCear Meaicine [ncorporatea 1971

Certifies tfiat

rrJijay rrJiswanathan

lias met tlie requirements oftliis (]Joananais quaEified aurinfJ tlie periodof2006 tlirougli 2016 to practice as a SpeciaCist

in af(aspects ofCfinicaCanapounda6oratory

Nucfear lvletficine

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VmtedStates

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~ 0 gti(lt - - J Jlrrsibttrl

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pplication dated

-----------L--c~LJ-()=---___ and to inform you that the initial processing which includes an administrative review has been performed

~MCLI~M)-1- r()7 JLj SS-O 0 ( rlJ TherlWe(e fo-~dfuihlsfralive orntssiohs Your application was a~gned to a technical reviewer Please note that the technical review may identify additional omissions or require additional information

o Please provide to this office within 30 days of your receipt of this card

A copy of your action has been forwarded to our License Fee amp Accounts Receivable Branch who will contact you separately if there is a fee issue involved

Your action has been assigned Mail Control Number 573 Y63 When calling to inquire about this action please refer to this control number You may can us on (610) 337-5398 or 33-5260

NRC FORM 532 (RI) Sincerely (6-96) Licensing Assistance Team Leader

Page 9: Bayhealth Medical Center, Amendment Request Ltr. Dated 09 ... · Bayhealth Medical Center Terry M. Murphy, FACHE 640 S. State Street, Dover, DE 19901 President and Chief Executive

~~ tiligihIe

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ertificlIh~ ~o_ 53Sn6 Jlialio tlyrnug~ 2m

pplication dated

-----------L--c~LJ-()=---___ and to inform you that the initial processing which includes an administrative review has been performed

~MCLI~M)-1- r()7 JLj SS-O 0 ( rlJ TherlWe(e fo-~dfuihlsfralive orntssiohs Your application was a~gned to a technical reviewer Please note that the technical review may identify additional omissions or require additional information

o Please provide to this office within 30 days of your receipt of this card

A copy of your action has been forwarded to our License Fee amp Accounts Receivable Branch who will contact you separately if there is a fee issue involved

Your action has been assigned Mail Control Number 573 Y63 When calling to inquire about this action please refer to this control number You may can us on (610) 337-5398 or 33-5260

NRC FORM 532 (RI) Sincerely (6-96) Licensing Assistance Team Leader

Page 10: Bayhealth Medical Center, Amendment Request Ltr. Dated 09 ... · Bayhealth Medical Center Terry M. Murphy, FACHE 640 S. State Street, Dover, DE 19901 President and Chief Executive

pplication dated

-----------L--c~LJ-()=---___ and to inform you that the initial processing which includes an administrative review has been performed

~MCLI~M)-1- r()7 JLj SS-O 0 ( rlJ TherlWe(e fo-~dfuihlsfralive orntssiohs Your application was a~gned to a technical reviewer Please note that the technical review may identify additional omissions or require additional information

o Please provide to this office within 30 days of your receipt of this card

A copy of your action has been forwarded to our License Fee amp Accounts Receivable Branch who will contact you separately if there is a fee issue involved

Your action has been assigned Mail Control Number 573 Y63 When calling to inquire about this action please refer to this control number You may can us on (610) 337-5398 or 33-5260

NRC FORM 532 (RI) Sincerely (6-96) Licensing Assistance Team Leader