Attention Providers: Forcorrections to This List, Please Emailupdated Information To

Attention Providers: Forcorrections to This List, Please Emailupdated Information To

HIMS AMEs

(Updated 11-06-2018)

Attention providers: Forcorrections to this list, please emailupdated information to:

or contact your RFS office.

STATE / CITY / PRACTITIONER
AK / Anchorage / ILLIG
AK / Anchorage / THOMAS
AL / Birmingham / SULLIVAN
AZ / Chandler / MEYEROWITZ
AZ / Mesa / SHREDER
AZ / Phoenix / RANIOLO
CA / Bonita / VANCE
CA / Camarillo / SCOTT
CA / Fresno / ATMAJIAN
CA / Glendora / PHILLIPP
CA / Hawthorne / LENCHNER
CA / Healdsburg / ANDOLSEN
CA / La Palma / REIDER
CA / Lakeside / MARSHALL
CA / Los Angeles / SHAHIN
CA / Novato / SIMON
CA / Redlands / PLATT
CA / San Francisco / BURGDORFF
CA / Santa Ana / PUSKAS
CO / Boulder / SANCETTA
CO / Broomfield / STANTON
CO / Colorado Springs / ROGERS
CO / Englewood / HARRIS
CO / Littleton / HUGHES
CO / Westminster / DILLON
CT / Avon / KOFF
CT / Hartford / DODENHOFF
CT / Stamford / SLUTSKY
DE / Milford / ELLIOTT
FL / Estero / BRIDEWELL
FL / Sebring / ARUMUGAM
FL / Spring Hill / BAEHR
FL / Mount Dora / BERCKES
FL / Ft. Walton Beach / BLUMBERG
FL / Ft. Lauderdale / TORDELLA
FL / Kissimmee / BUSCH
FL / Lakeland / SEOANE
FL / Lake Park / GREER
FL / Tampa / BOHNKER
STATE / CITY / PRACTITIONER
FL / Miami / FURGANG
FL / Miami / ROSS
FL / Palm Coast / LUCHANSKY
FL / Pensacola / LUCEY
FL / Pensacola / NGUYEN
FL / Palm Coast / SYMEONIDES
FL / Pompano Beach / ANZALONE
FL / Sebring / DRURY
FL / Stuart / GITTENS
FL / Vero Beach / FRIES
GA / Atlanta / FAULKNER
GA / Atlanta / KOZARSKY
GA / Athens / SCHACHER
GA / Atlanta / WHALEY
GA / Cartersville / KOZARSKY
GA / Doraville / HARPER
GA / Peachtree City / WALKER
GA / Saint Simmons Island / FRIEDRICH
GA / St. Marys / MILES
HI / Honolulu / ANDO
ID / Boise / LEONARD
ID / Rigby / SPAULDING
IL / Bolingbrook / CHIEN
IL / Chicago / NOVEN
IL / Elgin / OSTROM
IL / Lake Forest / SCHNEIDMAN
IL / Lake in the Hills / URBAN
IL / Orland Park / BUTLER
IN / Osceola / POWELL
KS / Atchison / RIZZA
KS / Wichita / MCMASTER
KY / Edgewood / VILLEGAS
KY / Louisville / BARRETT
MA / Boston / BURRESS
MA / Marlboro / HILL
MA / Westfield / KEENAN
MD / Salisbury / ROSENTHAL
MI / Freeland / PINNELL
STATE / CITY / PRACTITIONER
MI / Grand Rapids / ILKA
MI / Plymouth / GORDON
MI / Shelby Township / WARNER
MI / Spring Lake / IVEY
MI / Waterford / BUSCH
MN / Edina / JETZER
MN / Edina / PETERSON
MN / Rochester / COWL
MN / Rochester / STEINKRAUS
MN / Rochester / TOUPS
MO / Springfield / CROSS
MO / St. Charles / CARPENTER
MO / St. Louis / BERKOWITZ
MO / Maryland Heights / MIRIANI
MT / Ronan / CULLIS
NC / Nags Head Manteo / DAVIDSON
NC / Raleigh / MOONEY
ND / Mandan / KLEIN
NH / Amherst / ROW
NH / Concord / GARHART
NH / Nashua / TIMMONS
NJ / Belvidere / BERNARD
NJ / Egg Harbor Township / TORDELLA
NJ / Newark / DELLORSO
NJ / Paramus / LIVA
NJ / Teaneck / BRUNETTI
NM / Albuquerque / VIGIL
NV / Las Vegas / OWEN
NV / Las Vegas / MARSHALL
NV / Reno / HIGGINS
NY / Fishkill / MALLICK
NY / Greenwich / TRACHTMAN
NY / Hamburg / PLUMB
NY / New York / GUARDARRAMAS
NY / New York / FELDMAN
NY / New York / PASTERNACK
NY / North Tonawanda / STEINAGLE
NY / Orchard Park / RUH
NY / Owego / NICHOLS
NY / Rochester / BROADWELL
NY / Rochester / TARKINGTON
NY / Vestal / LISCHAK
OH / Ashland / STEINHAUSER
STATE / CITY / PRACTITIONER
OH / Bentleyville / CARROL
OH / Centerville / OLSON
OH / Lancaster / MASONE
OH / Mansfield / STRETANSKI
OH / Miamisburg / GARRISON
OH / Dayton (WPAFB) / JACOBSON
OH / Worthington / KEARNS
OK / Broken Arrow / RITZE
OK / Grove / DEAKINS
OK / Oklahoma City / DUKES
OK / Tulsa / KRAFT
OR / Lake Oswego / SELBY
PA / Pittsburgh / LAMBROU
PA / Williamsport / SCHRACK
RI / Woonsocket / GITLOW
SC / Columbia / BORUCKI
SC / Rock Hill / JENKINS
SC / Spartanburg / OSBAHR
SD / Sturgis / JENTER
TN / Germantown / BOCK
TN / Jackson / PALMER
TX / Austin / DAVENPORT
TX / Bulverde / SABOE
TX / Columbus / MILLICAN
TX / Frisco / KRAMER
TX / Galveston / CASTLEBERRY
TX / Galveston / LOWRY
TX / Galveston / PINKSTON
TX / Galveston / POWERS
TX / Galveston / VANDERPLOEG
TX / Grapevine / NELSON
TX / Houston / BEATY
TX / Houston / STRINGFELLOW
TX / Katy / HADLEY
TX / Keller / BELLAND
TX / Killeen / FREEMAN
TX / Plano / SMITH
TX / San Antonio / HECKER
TX / San Antonio / DAVENPORT
TX / Tomball / JOHNSON
UT / Brigham City
West Valley City / CHECKETTS
UT / Logan / HOUSLEY
UT / Murray / TURNER
STATE / CITY / PRACTITIONER
VA / Leesburg / KOCH
VA / Manassas / DEROSA
VA / Sterling / CURRIER
VA / Williamsburg / CAMPANA
VA / South Riding / DEROSA
WI / De Pere / HUNSAKER
WA / Bellevue / JONES
WA / SeaTac
Mountlake Terrace / FRANKE
WA / Snohomish / BROWN
WA / Tacoma / DARBY
WA / Vancouver / LLOYD
WI / Appleton / SOUSEK
WI / Milwaukee / JAKUBAITIS
WI / Oshkosh / SOUSEK
WV / Charleston / MATUSIC
WY / Jackson / BLUE
WY / Casper / TOEWS

INDEPENDENT

MEDICAL

SPONSORS (IMS)*

*Not authorized to issue Airman Medical Certification

STATE / CITY / PRACTITIONER
CO / Centennial / CORRIGAN
CO / Centennial / MARTIN
CO / Centennial / MCCARTNEY
CO / Centennial / MONTMINY
CO / Centennial / PARKER
CO / Centennial / RICCITELLO
CO / Centennial / SNYDER
CO / Centennial / STOKES
CO / Monument / WOLBRINK

INTERNATIONAL

COUNTRY / CITY / PRACTITIONER
Australia / Moorabbin / Chu
Brazil / Sao Paulo / MELHADO
Canada / Ontario / GILLMORE
China / Hong Kong / CHAN
China / Hong Kong / COCKS
China / Hong Kong / FOWLER
China / Hong Kong / HO
China / Hong Kong / LAM
China / Hong Kong / LEE
China / Hong Kong / LIEW
Germany / Frankfurt / GABEL
Germany / Speyer / MUTSCHLER
Israel / Haifa / EFRATT
Mexico / Mexico City / SALICRUP
New Zealand / Auckland / SOUTER
New Zealand / Wellington
Queenstown / PAYNE
Puerto Rico / Bayamon / PEREZ-TORO
Saudi Arabia / Jeddah / OURFALI
New Zealand / Auckland / SPROTT
United Arab Emirates / Abu Dhabi / MUNTASER

HIMS AMEs

(Updated 11-06-2018)

ANDO, Richard Jr., M.D.

405 North Kuakini, Suite 903

Honolulu, HI 96817

Ph. 808-538-1915

Senior AME

Authorized to issue Class: I, II, III

ANDOLSEN, Richard, M.D.

465 A March Avenue

Healdsburg, CA 95448

Ph. 707-433-3369

Senior AME

Authorized to issue Class: I, II, III

ANZALONE, Fanancy L., M.D., MPH

Aerospace Medicine Services Intl., LLC

660 S. Federal Highway, Suite 100

Pompano Beach, FL 33062

Ph. 954-951-6080

Fx. 954-951-6081

Senior AME

Authorized to issue Class: I, II, III ATCS

ARUMUGAM, Roger, M.D.

Central Florida Int. Occ/Med Clinic

7200 S. George Boulevard

Sebring, FL 33875

Ph. 863-471-9377

Senior AME

Authorized to issue Class: I, II, III

ATMAJIAN, Timothy K., M.D.

3030 N. Fresno Street, Suite 101

Fresno, CA 93703

Ph. 559-287-6700

Senior AME

Authorized to issue Class: I, II, III

BARRETT, Melissa T., M.D.

MedEast Physicians

4003 Kresge Way, Suite 410

Louisville, KY 40207

Ph. 502-893-8750

Fx. 502-212-7536

Senior AME

Authorized to issue Class: I, II, III

BAEHR, Michael C., M.D.

Bayfront Health Medical Group

8425 Northcliffe Boulevard,Suite 109

Spring Hill, FL 34606

Ph. 352-683-5141

Fx. 352-683-6546

Senior AME

Authorized to issue Class: I, II, III

BEATY, Rosalyn, M.D.

16125 Cairnway Drive, Suite 106

Houston, TX 77084

Ph. 281-855-1700

Senior AME

Authorized to issue Class: I, II, III

BELLAND, Kris M., D.O., MPH

4333 Amon Carter Drive

Fort Worth, TX 76115

Ph. 850-516-8416

Fx. 817-963-9010

Senior AME

Authorized to issue Class: I, II, III

BERCKES, Stacy John, M.D.

Berckes Aeromedical

Professional Building

111 Waterman Avenue

Mount Dora, FL 32757

Ph. 352-735-3313

Fx. 352-735-3711

Senior AME

Authorized to issue Class: I, II, III

BERKOWITZ, Wallace P., M.D.

3535 South Jefferson Avenue

St. Louis, MO 63118

Ph. 314-772-1777

Senior AME

Authorized to issue Class: I, II, III

BERNARD, John V., M.D.

Wellness & Recovery Center

526 Water Street

Belvidere, NJ 07823

Ph. 908-475-4601

Senior AME

Authorized to issue Class: I, II, III

BLUE, Brent, M.D.

Emergency & Family Practice

455 W Broadway

Jackson, WY 83002

Ph. 307-733-8002

Senior AME

Authorized to issue Class: I, II, III

BLUMBERG, Lawrence, M.D.

4 Skipper Avenue

Fort Walton Beach, FL 32547

Ph. 850-863-4194

Senior AME

Authorized to issue Class: I, II, III

BOCK, Gerald Warren, M.D.

Aviation Medical Specialists

8578 Cordes Circle

Germantown, TN 38138

Ph. 901-754-6733

Fx. 901-754-7508

Senior AME

Authorized to issue Class: I, II, III

BOHNKER, Bruce K., M.D.

COMBI

9210 Florida Palm Drive

Tampa, FL 33619

Ph. 813-246-4277

Senior AME

Authorized to issue Class: I, II, III

BORUCKI, Robert, M.D.

AeroMed, LLC

5115 Forest Drive, Suite E

Columbia, SC 29206

Ph. 803-661-9519

Fx. 803-661-9819

Senior AME

Authorized to issue Class: I, II, III

BRIDEWELL, Bruce, M.D.

Pilot Healthcare PL

Estero Medical Center

10201 Arcos Ave, Suite 201

Estero, FL 33928

Ph. 239-992-7822

Senior AME

Authorized to issue Class: I, II, III

BROADWELL, DAVID K., M.D., MPH

375 White Spruce Boulevard

Rochester, NY 14623

Ph. 585-244-5450

Fx. 585-244-5523

Senior AME

Authorized to issue Class: I, II, III

BROWN, Michael L., M.D.

9900 Airport Way

Snohomish, WA 98296

Ph. 360-568-1541, Ext. 4

Fx. 360-863-3795

Senior AME

Authorized to issue Class: I, II, III

BRUNETTI, Jacqueline C., M.D.

Holy Name Medical Center

718 Teaneck Road

Teaneck, NJ 07666

Ph. 201-833-3001

Fx. 201-267-6244

Senior AME

Authorized to issue Class: I, II, III

BURGDORFF, Chad, M.D.

15495 Los Gatos Boulevard, Suite1

Los Gatos, CA 95032

Ph. 415-941-5171

Fx.559-540-8368

Authorized to issue Class: I, II, III

BURRESS, John W., M.D., MPH

10 Hawthorne Place, Suite 114

Boston, MA 02114

Ph. 617-367-5002

Fx. 877-529-0181

Senior AME

Authorized to issue Class: I, II, III

BUSCH, Dana, D.O.

5624 Highland Road

Waterford, MI 48327

Ph. 248-674-4110

Fx. 248-674-5409

Senior AME

Authorized to issue Class: I, II, III

BUSCH, William T., D.O.

3959 Merlin Drive

Kissimmee, FL 34741

Ph. 407-846-0854

Senior AME

Authorized to issue Class: I, II, III

BUTLER, David, M.D.

Butler Orthopaedics, SC

15300 West Avenue, Suite 300

East Building

Orland Park, IL 60464

Ph. 708-349-6700

Senior AME

Authorized to issue Class: I, II, III

CAMPANA, Rick, M.D.

First Medical of Williamsburg

312 2nd Street

Williamsburg, VA23185

Ph. 757-209-5426

Fx. 757-229-1792

Senior AME

Authorized to issue Class: I, II, III

CARPENTER, James, M.D.

Doccarp, Inc.

205 N. 5th Street, Suite 208

St. Charles, MO 63301

Ph. 314-616-7321

Fx. 636-724-3896

Senior AME

Authorized to issue Class: I, II, III

CARROL, Anne M., M.D.

Anne M. Carrol, M.D., Inc

35036 Cannon Road

Bentleyville, OH 44022

Ph. 216-831-3494

Fx. 440-424-4383

Senior AME

Authorized to issue Class: I, II, III

CASTLEBERRY, Tarah, M.D.

UTMB, Galveston

Maurice Ewing Hall, 700,

Harbourside Drive, Suite 2.102

Galveston, TX 77555

Ph. 409-747-6131 or409-747-9176

Senior AME

Authorized to issue Class: I, II, III

CHECKETTS, Spencer C., M.D.

1954 W. Parkway Boulevard

West Valley City, UT 84119

Ph. 435-553-4787

Fx. 435-239-7089

Senior AME

Authorized to issue Class: I, II, III

AND

111 East Forest Street, Suite 1

Brigham City, UT 84302

Ph. 435-553-4787

Fx. 435-239-7089

CHIEN, Bruce B., M.D.

106 S. Clow International Parkway

Suite E

Bolingbrook, IL 60490

Ph. 309-689-5242

Fx. 630-759-6565

Senior AME

Authorized to issue Class: I, II, III

COWL, Clayton T., M.D., MS

200 First Street SW, Gonda 18S

Rochester, MN 55905

Ph. 507-266-0354

Senior AME

Authorized to issue Class: I, II, III

CROSS, Randall J., M.D.

3555 S. National Avenue, Suite 104

Springfield, MO 65807

Ph. 417-269-3319 or 417-830-9629

Fx. 417-875-3490

Senior AME

Authorized to issue Class: I, II, III

CULLIS, William, M.D.

St. Luke Healthcare

126 6th Avenue SW

Ronan, MT 59864

Ph. 406-676-3600

Fx. 406-676-3738

Senior AME

Authorized to issue Class: I, II, III

CURRIER, Carol L., M.D., MPH

Concentra Medical Center

46440 Benedict Drive, Suite 108

Sterling, VA 20164

Ph. 703-444-5656

Senior AME

Authorized to issue Class: I, II, III

DARBY, Paul S., M.D., MPH

Port Clinic

1930 Port of Tacoma Road

Tacoma, WA 98421

Ph. 253-272-6677

Fx. 253-274-5525

Senior AME

Authorized to issue Class: I, II, III

DAVENPORT, Louis, M.D.

4309 Emma Browning Avenue, Hangar 1

Austin, TX 78719

Senior AME

Authorized to issue Class: I, II, III

AND

3603 Paesano Parkway, Suite 300

San Antonio, TX 78231

Ph. 512-843-5559

DAVIDSON, Charles S., M.D.

2518 South Croatan Highway

Nags Head, NC 27959

Ph. 252-548-9141

Fx. 252-715-0662

Senior AME

Authorized to issue Class: I, II, III

AND

410 Airport Road

Manteo, NC 29949

Ph. 252-548-9141

Fx. 252-715-0662

DEAKINS, Dennis E., M.D., Ph.D, MPH

63800 E 300 Road

Grove, OK 74344

Ph. 918-314-1679

Senior AME

Authorized to issue Class: I, II, III

DELLORSO, John, M.D.

Newark Airport Medical Offices

360 Avenue P, 3rd Floor

Newark, NJ 07105

Ph. 973-928-8940

Fx. 973-491-6099

Senior AME

Authorized to issue Class: I, II, III

DEROSA, Gary A., M.D.

Bull Run Family Practice

8640 Sudley Road, Suite 203

Manassas, VA 20110

Ph. 703-368-3161

Fx. 703-368-2498

Senior AME

Authorized to issue Class: I, II, III

DILLON, Jade, M.D.

Trocaire Medical, LLC

11550 Sheridan Boulevard, Suite 104

Westminster, CO 80020

Ph. 720-227-0562

Fx. 720-306-3046

Senior AME

Authorized to issue Class: I, II, III

DODENHOFF, Robert, M.D.

58 Lindbergh Drive

Hartford, CT 06114

Ph. 860-244-9110

Fx. 860-244-9110

Senior AME

Authorized to issue Class: I, II, III

DRURY, James A.B., D.O.

128 Authority Lane

Sebring, FL 33872

Ph. 302-233-3288

Fx. 863-471-6363

Authorized to issue Class: II III only

DUKES, Charles, M.D., FAPA

OU Health Sciences Center

920 Stanton L. Young Boulevard

Williams Pavilion 3rd Floor

Oklahoma City, OK 73104

Ph. 405-271-8001, ext. 47683

Fx. 405-271-7724

Senior AME

Authorized to issue Class: I, II, III

ELLIOTT, Brett, M.D.

521 S Dupont Boulevard

Milford, DE 19963

Ph. 302-422-3034

Senior AME

Authorized to issue Class: I, II, III

FAULKNER, Thomas B., M.D., M.H.A.

100 Hartsfield Centre Parkway, Suite 340

Atlanta, GA 30354

Ph. 404-565-0870

Fx. 678-228-1817

Senior AME

Authorized to issue Class: I, II, III

FELDMAN, David, M.D.

2 Fifth Avenue, Suite #7

New York, NY 10011

Ph. 212-366-0599

Senior AME

Authorized to issue Class: I, II, III

FOWLER, Louis B. Jr., M.D.

431 E. Government Street

Pensacola, FL 32501-6131

Ph. 850-433-9391

Senior AME

Authorized to issue Class: I, II, III

FRANKE, Randal C., M.D.

16219 Military Road South

Seatac, WA 98118

Ph. 206-914-3170

Fx. 206-260-2967

Senior AME

Authorized to issue Class: I, II, III

AND

5803 232nd Street SW

Mountlake Terrace, WA 98043

Ph. 206-914-3170

Fx. 206-260-2967

FREEMAN, Edward B., M.D.

3106 S. WS Young Drive, A-103

Killeen, TX 76542

Ph. 254-634-4244

Fx. 254-634-8809

Senior AME

Authorized to issue Class: I, II, III

FRIEDRICH, Eric, M.D.

10 Dunbar Creek Point

Saint Simmons Island, GA 31522

Ph. 912-275-7346

Senior AME

Authorized to issue Class: I, II, III

FRIES, Ian Blair, M.D.

AIA Aviation Medicine, Inc

1480Route AIA

Vero Beach, FL 32963

Ph. 732-801-8139

Fx. 772-234-4353

Senior AME

Authorized to issue Class: I, II, III

FURGANG, Fred A., M.D.

Reliance Aviation

14532 SW 129th Street, Kendall-Tamiami

Miami, FL 33186

Ph. 305-607-4619 or 305-971-8802

Senior AME

Authorized to issue Class: I, II, III

GARHART, Sally, M.D.

109 Ponemah Road, Unit E5

PO BOX 6274

Amherst, NH03031

Ph. 603-491-5036

Fx. 603-249-3009

Senior AME

Authorized to issue Class: I, II, III

GARRISON, Richard, M.D., MS

10570 Springboro Pike

Miamisburg, OH 45342

Ph. 937-469-2087

Senior AME

Authorized to issue Class: I, II, III

GITLOW, Stuart, M.D., MPH

32 Mechanic Avenue

Woonsocket, RI 02895

Ph. 401-338-0493

Authorized to Issue Class:II & III ONLY

GITTENS, Carl, M.D.

759 SW Federal Highway, Suite 204B

Stuart, FL 34994

Ph. 772-288-4111

Fx. 772-905-3336

Senior AME

Authorized to issue Class: I, II, III

GORDON, Robert J., D.O.

965 S. Main Street

Plymouth, MI 48170

Ph. 734-455-3530 or734-718-7607

Fx. 734-455-5050

Senior AME

Authorized to issue Class: I, II, III

GREER, Robert C. V, D.O.

624 US Highway 1

Lake Park, FL 33403

Ph. 561-844-2464

Senior AME

Authorized to issue Class: I, II, III

GUARDARRAMAS, Gabriel, M.D.

600 West 111th Street

Suite 1E

New York, NY 10025

Ph. 212-222-1142

Fx. 212-222-0220

Senior AME

Authorized to issue Class: I, II, III

HADLEY, Arthur, M.D., MPH

20303 Kingsland Boulevard

Katy, TX 77450

Ph. 281-597-1010

Fx. 281-597-0015

Senior AME

Authorized to issue Class: I, II, III

HARPER, Charles R. II, M.D

Aeromedical Inc.

2000 Clearview Avenue, Street 215

Doraville, GA 30340

Ph. 770-457-3532

Fx. 770-457-1200

Senior AME

Authorized to issue Class: I, II, III

HARRIS, John C., M.D.

Centennial Medical Center

12150 E. Briarwood Avenue

Suite 105

Centennial, CO 80112

Ph. 303-790-1999

Fx. 303-790-4866

Senior AME

Authorized to issue Class: I, II, III

HECKER, Richard B., D.O., FAOCA

33 San Isidro

San Antonio, TX 78261

Ph. 210-391-1072

Senior AME

Authorized to issue Class: I, II, III

HIGGINS, Dianne L., M.D., MPH

Mill Street Medical

815 Mill Street

Reno, NV 89502

Ph. 775-329-2266

Senior AME

Authorized to issue Class: I, II, III

HILL, Arnold J., M.D., F.A.S.A.M.

Marlboro Medical Center

320 Bolton Street, Suite 100

Marlboro, MA 01752

Ph. 508-485-0104

Senior AME

Authorized to issue Class: I, II, III

HOUSLEY, Michael, M.D.

Intermountain Healthcare

412 N. 200 E

Logan, UT 84321

Ph. 435-713-2850

Senior AME

Authorized to issue Class: I, II, III

HUGHES, John S., M.D.

Hughes Medical Consulting

4 W. Dry Creek Circle, Suite 135

Littleton,CO 80120

Ph. 303-798-1210

Fx. 303-997-2147

Senior AME

Authorized to issue Class: I, II, III

HUNSAKER, Matt, M.D.

MCW –Green Bay

110 Grant Street

De Pere, WI IL 54115

Ph. 920-403-4500

Fx. 920-358-9639

Senior AME

Authorized to issue Class: I, II, III

ILKA, Richard, M.D., MPH

1410 Shadyview Drive, SE

Grand Rapids, MI 49546

Ph.. 616-2852728

Fx. 616-285-3234

Senior AME

Authorized to issue Class: I, II, III

AND

East Paris Medical Center

1000 East Paris, SE, Suite 155

Grand Rapids, MI 49546

Ph. 616-285-2728

Fx. 616-285-3234

ILLIG, Petra A., M.D.

Aviation Medical Services of Alaska

5011 Spenard Road

Suite 205

Anchorage, AK 99517

Ph. 907-245-4359

Fx. 907-245-2212

Senior AME

Authorized to issue Class: I, II, III

IVEY, Mark J., M.D., FCCP, FAASM, FACP

Lake Shore Pulmonology, PLC

17357 Van Wagoner Road

Suite 2

Spring Lake, MI49456

Ph. 616-847-1009

Fx. 616-847-1607

Senior AME

Authorized to issue Class: I, II, III

JACOBSON, Michael, D., D.O., MPH

2510 Fifth Street, Building 840

WPAFB, OH 45433

Ph. 937-938-2782

Authorized to Issue Class: II & III only

JAKUBAITIS, Terry C., M.D.

923 E. Layton Avenue

Milwaukee, WI 53207

Ph. 262-751-7963

Senior AME

Authorized to issue Class: I, II, III

JENKINS, Matthew David, M. D.

311 Glenwood Drive

Rock Hill, SC 29732

Ph. 803-366-7175 or803-366-7199

Fx. 803-366-2199

Senior AME

Authorized to issue Class: I, II, III

JENTER, George W., D.O.

Sturgis Medical Center

1010 Ballpark Road, Suite #2

Sturgis, SD 57785

Ph. 605-347-3684

Senior AME

Authorized to issue Class: I, II, III

JETZER, Thomas C., M.D., MPH

Occupational Medicine Consultants

6515 Barrie Road, Suite 150

Edina, MN 55435

Ph. 952-920-5663

Senior AME

Authorized to issue Class: I, II, III

JOHNSON, Ewan, M.D., Ph.D.

Tomball Regional Internal Medicine

13414 Medical Complex Drive, Suite 6

Tomball, TX 77375

Ph. 281-415-6687

Senior AME

Authorized to issue Class: I, II, III

JONES, Calvin T., M.D.

19310 North Creek Parkway, Suite 106

Bothell, WA 98011

Ph. 425-806-5700

Fx. 425-806-5701

Senior AME

Authorized to issue Class: I, II, III

KEARNS, Joseph, D.O., MPH

37 East Wilson Bridge Road, Suite 200

Worthington, OH 43085

Ph. 614-686-3751

Senior AME

Authorized to issue Class: I, II, III

KEENAN, Joseph P., M.D.

Barnes Airport Terminal

110 Airport Road, Suite 111

Westfield, MA 01085

Ph. 413-536-2978

@gmail.com

Senior AME

Authorized to issue Class: I, II, III

KLEIN, Dale A., M.D.

Sanford Health

910 N.W. 18th Street

Mandan, ND 58554

Ph. 701-667-5100

Fx. 701-667-5095

Senior AME

Authorized to issue Class: I, II, III

KOCH, James, M.D.

1005 Sycolin Road, SE

Leesburg, VA 20175

Ph. 703-856-6665

Senior AME

Authorized to issue Class: I, II, III

KOFF, Arnold M., M.D.

30 W. Avon Road

Avon, CT 06001

Ph. 860-675-6595

Senior AME

Authorized to issue Class: I, II, III

KOZARSKY, Alan, M.D.

3193 Howell Mill Road, Suite 115

Atlanta, GA 30327

Ph. 404-357-2020

Fx. 404-350-1429

Senior AME

Authorized to issue Class: I, II, III

AND

*155 E. Highway 61 S.E.

Cartersville, GA30120

*(Check in at Phoenix Air FBO)

KRAFT, Melanie Susan, M.D.

Jones Riverside Airport

106 West Piper Drive

Tulsa, OK 74132

Ph. 918-627-3084

Fx. 661-280-2002

Senior AME

Authorized to issue Class: I, II, III

KRAMER, Stephan M., D.O.

Aviation/Pilot Medical Center

7589 Preston Road, Suite 750

Frisco, TX 75034

Ph. 972-731-9555

Senior AME

Authorized to issue Class: I, II, III ATCS

LAMBROU, Peter J., M.D.

University of Pittsburgh Med Center - West

1600 Coraopolis Heights Road

Pittsburgh, PA 15108

Ph. 412-604-2088

Fx. 412-774-1974

Senior AME

Authorized to issue Class: I, II, III

LEONARD, Stephen D., M.D.

3815 West Rickenbacker Street, Suite 213

Boise, ID 83705

Ph. 208-901-4493

Fx. 208-621-4559

Senior AME

Authorized to issue Class: I, II, III

LENCHNER, Stephan, C., M.D.

15000 Aviation Boulevard, AWP-300

Hawthorne, CA 90260

Ph. 310-725-3750

ATCS and Tech Ops Cases Only

LISCHACK, Michael, M.D.

3101 Shippers Road

Vestal, NY 13850

Ph. 607-251-2170

Senior AME

Authorized to issue Class: I, II, III

LIVA, Jeffrey S., M.D., MPH, MS

1 West Ridgewood Avenue

Parmus, NJ 07652

Ph. 201-444-3060

Fx. 201-447-5338

Senior AME

Authorized to issue Class: I, II, III

LLOYD, Clee E., M.D.

101 East Reserve Street

Vancouver, WA 98661

Ph. 503-550-5082

Fx. 360-735-9445

Senior AME

Authorized to issue Class: I, II, III

LOWRY, Cheryl L., M.D. MPH

UTMB Health Aerospace Med

400 Harborside Drive, Suite 126

Galveston, TX 77555

Ph. 409-747-9176

Fx. 409-747-6129

Senior AME

Authorized to issue Class: I, II, III

LUCEY, Richard W., M.D., P.A.

710 Underwood Avenue

Pensacola, FL 32504

Ph. 850-477-3453 or850-380-3262

Senior AME

Authorized to issue Class: I, II, III

LUCHANSKY, Mitchell A., M.D

ExamineAir, LLC

267 Old Moody Boulevard

Palm Coast, FL 32164

Ph. 386-313-5752

Fx. 386-313-5801

Senior AME

Authorized to issue Class: I, II, III

MALLICK, Imtiaz, M.D.

798 Route 9, Suite C

Fishkill, NY 12524

Ph. 845 -896-2204

Senior AME

Authorized to issue Class: I, II, III

MARSHALL, Larry J., M.D.

9550 South Eastern Avenue, #253

Las Vegas, NV 89123

Ph. 702-589-7471

Fx. 619-633-9173

Senior AME

Authorized to issue Class: I, II, III

AND

12517 Lakeshore Drive

Lakeside, CA 92040

Ph. 619-443-3843

Fx. 619-390-1810

MASONE, Robert J., M.D.

Spinal Technology and Pain Center

1750 Granville Pike

Lancaster, OH 43130

Ph. 740-653-2500

Senior AME

Authorized to issue Class: I, II, III

MATUSIC, Joseph, M.D.

830 Pennsylvania Avenue, Suite 200

Charleston, WV 25302

Ph. 304-388-2256

Fx. 304-344-1755

Senior AME

Authorized to issue Class: I, II, III

McMASTER, John F. M.D.

12828 E. 13th Street, Suite 8

Wichita, KS 67230

Ph. 316-681-0423

Senior AME
Authorized to issue Class I, II, III

MEYEROWITZ, Arnold, M.D.

Chandler Family Care

6245 W. Chandler Boulevard, Suite 4

Chandler, AZ 85226

Ph. 480-940-0088

Senior AME

Authorized to issue Class: I, II, III

MILES, Scott T., M.D.

5155 GA Highway 40 E.

St Marys, GA 31558

Ph. 912-434-1794

Fx. 912-662-8785

Senior AME

Authorized to issue Class: I, II, III

MILLICAN, Troy, M.D.

2122 Highway 71 South, Suite 101

Columbus, TX 78934

Ph. 979-732-2318

Senior AME

Authorized to issue Class: I, II, III

MIRIANI, Matthew J., D.O.

2024 Dorsett Village

Maryland Heights, MO 63043

Ph. 314-590-0550

Senior AME

Authorized to issue Class: I, II, III

MOONEY, Al J., M.D.

8521 Haworth Drive

Raleigh, NC 27513

Ph. 919-523 0569

Fx. 323-967-3626

Senior AME

Authorized to issue Class: I, II, III

NGUYEN, Thomas Bao, M.D.

700 South Palafox Street, Suite 200-LPensacola, FL 32505

Ph. 513-312-4138

Senior AME

Authorized to issue Class: I, II, III

NELSON, ThomasKevin, D. O., MPH

601 Main Street, Suite 201

Grapevine, TX 75061

Ph.888-362-8155
Fx. 817-796-1021

Senior AME

Authorized to issue Class: I, II, III

NICHOLS, Keith A., M.D.

130 Temple Street, Suite 100

Owego, NY 13827

Ph. 607-687-5616

Fx. 607-687-5989

Senior AME

Authorized to issue Class: I, II, III

NOVEN, Robert, M.D.

180 N. Michigan Avenue, Suite 1605

Chicago, IL 60601

Ph. 773-635-0032

Senior AME

Authorized to issue Class: I, II, III

OLSON, Dean M., M.D.

7071 Corporate Way, Suite 105

Centerville, OH 45419

Ph. 414-419-3300

Fx. 210-640-1938

Senior AME

Authorized to issue Class: I, II, III

OSBAHR, Al, M.D.

8311 Warren H. Abernathy Highway

Spartanburg, SC 29301

Ph. 846-879-1948 or 846-560-9696

Senior AME

Authorized to issue Class: I, II, III

OSTROM, Gregory L., M.D.

Aviation Medicine Midwest

370 Summit Street, Suite 5

Elgin, IL 60120

Ph. 847-741-0372

Senior AME

Authorized to issue Class: I, II, III

OWEN, R. Douglas, D.O.

6125 W Tropicana Ave

Las Vegas, NV 89103

Ph. (702) 706-2426

Senior AME

Authorized to issue Class: I, II, III

PALMER, Edmund T., Jr., M.D., FACP

UT Family Practice Center

294 Summar Drive

Jackson, TN 38301

Ph. 731-423-1932

Senior AME

Authorized to issue Class: I, II, III

PASTERNACK, Fred L., M.D.

29 A East 63rd Street

New York, NY 10065

Ph. 212-888-7723

Senior AME

Authorized to issue Class: I, II, III