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INTERNATIONAL

Updated 01-18-2017





COUNTRY

CITY

PRACTITIONER

Brazil

Sao Paulo

MELHADO

Brazil

Rio De Janeiro

SUTMÖLLER

Canada

Ontario

GILMORE

China

Hong Kong

COCKS

China

Hong Kong

FOWLER

China

Hong Kong

LEE

China

Hong Kong

LIEW

Israel

Haifa

EFRATT

Mexico

Mexico City

SALICRUP

New Zealand

Auckland

POWELL

New Zealand

Auckland

SOUTER

Puerto Rico

Bayamon

PEREZ-TORO

Saudi Arabia

Jeddah

OURFALI

New Zealand

Auckland

SPROTT


INDEPENDENT

MEDICAL

SPONSORS (IMS)*

Updated 01-25-2017


*Not Authorized to issue Airman Medical Certification


STATE

CITY

PRACTITIONER

CO

Centennial

CORRIGAN

CO

Centennial

MARTIN

CO

Centennial

MCCARTNEY

CO

Centennial

PARKER

CO

Centennial

RICCITELLO

CO

Centennial

SNYDER

CO

Monument

WOLBRINK



HIMS AME

Updated 01-18-2017






AHTONE, Jeral, M.D.

4255 Amon Carter Boulevard, MD 4100

Fort Worth, TX 76155

Ph. 817-963-1200

Jeral.Ahtone@aa.com

Senior AME

Authorized to issue Class: I, II, III American Airlines Only
ALINEJAD, Nima, M.D.

1066 Rochel Drive

Shreveport, LA 71115

Ph. 318-456-7195



Authorized to issue Class: II & III ONLY
ANDO, Richard Jr., M.D.

405 North Kuakini, Suite 903

Honolulu, HI 96817

Ph. 808-538-1915

Andojrr001@hawaii.rr.com

Senior AME

Authorized to issue Class: I, II, III
ANDOLSEN, Richard, M.D.

465 A March Avenue

Healdsburg, CA 95448

Ph. 707-433-3369

randolsen@sbcglobal.net

Senior AME

Authorized to issue Class: I, II, III
ANTOSEK, L. Edward, D.O., MPH

233 North Federal Highway, Suite 59

Dania Beach, FL 33004

Ph. 954-583-9903

ed@faamedicine.com

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

fanancy@aerospacedoctor.com

Senior AME

Authorized to issue Class: I, II, III
ARCHULETA, Letitia, M.D., MPH

Aviation Medicals

2390 South Redwood Road

Salt Lake City, UT 84119

Ph. 801-272-4495

aviationmedicals@gmail.com



Senior AME

Authorized to issue Class: I, II, III
ARUMUGAM, Roger, M.D.

Central Florida Int. Occ/Med Clinic

7200 S. George Boulevard

Sebring, FL 33875

Ph. 863-471-9377

rogerarumugam@gmail.com



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

tkatmaj@hotmail.com

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

occmed2@medeastlou.com

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



dr_beaty@occmedicineclinic.com

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

Berckes.aeromedical@gmail.com

Senior AME

Authorized to issue Class: I, II, III
BERKOWITZ, Wallace P., M.D.

3535 South Jefferson Avenue

St. Louis, MO 63118

Ph. 314-647-9995

Berkowitz1ent@sbcglobal.net

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

rutheldred526@gmail.com



Senior AME

Authorized to issue Class: I, II, III
BLUE, Brent, M.D.

Emergency & Aftercare

PO Box 15240

Jackson, WY 83002

Ph. 307-733-8002

brentblue@wyoming.com



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

stearman@mac.com

Senior AME

Authorized to issue Class: I, II, III
BOCK, Gerald Warren, M.D.

Aviation Medical Specialists

8577 Cordes Circle

Germantown, TN 38139

Ph. 901-754-6733

Fx. 901-754-7508

docbock7@gmail.com

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

bkbohnker@juno.com



Senior AME

Authorized to issue Class: I, II, III
BONFILI, Hubert F., M.D., MPH

Health Status Evaluations, LLC

Smith Reynolds Airport Terminal

3801 N. Liberty Street., Suite 210

Winston-Salem, NC 27105

Ph. 336-744-7171

hfbmd@yahoo.com

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

drlipo@hotmail.com bobjet1@gmail.com

Senior AME

Authorized to issue Class: I, II, III


BOWLDS, Charles F., M.D.

MedEast Physicians

4003 Kresge Way, Suite 410

Louisville, KY 40207

Ph. 502-893-7462

Fx. 502-212-7536

occmed2@medeastlou.com

Senior AME

Authorized to issue Class: I, II, III
BRIDEWELL, Bruce, M.D.

Pilot Healthcare P.L.

3501 Health Center Boulevard, Suite 2230

Bonita Springs, FL 34135

Ph. 239-992-7822

bruce@drbridewell.com



Senior AME

Authorized to issue Class: I, II, III
BRIGHT, George M., M.D.

Adolescent & Family Health Center

13821 Village Mill Drive, Suite B

Midlothian, VA 23114

Ph. 804-794-8900 or 804-564-6068

ahc@brightadolescent.com



Authorized to issue Class: II & III ONLY
BRUNETTI, Jacqueline C., M.D.

Holy Name Medical Center

718 Teaneck Road

Teaneck, NJ 07666

Ph. 201-833-3001

brunetti@holyname.org



Senior AME

Authorized to issue Class: I, II, III
BRYMAN, David, D.O.

Aviation Medicial Certification Specialists

20414 N. 27th Avenue, Suite 375

Scottsdale, AZ 95027

PO Box 5608 Carefree, AZ 85377

Ph. 623-580-1445 or 623-580-1446

drBryman@gmail.com

Senior AME

Authorized to issue Class: I, II, III

JAA, Transport Canada, Australia,

New Zealand

BUSCH, Dana, D.O.

5624 Highland

Waterford, MI 48327

Ph. 248-674-4110



Senior AME

Authorized to issue Class: I, II, III
BUSCH, William T., D.O.

3959 Merlin Drive

Kissimmee, FL 34741

Ph. 407-846-0854

doc@stallion51.com

Senior AME

Authorized to issue Class: I, II, III
BUTLER, David, M.D.

15300 West Avenue, Suite 300

East Building

Orland Park, IL 60464

Ph. 708-651-0780 or 708-651-0780

Senior AME

Authorized to issue Class: I, II, III
CAMPANA, Rick, M.D.

First Medical of Williamsburg

312 2nd Street

Williamsburg, VA 23185

Ph. 757-229-4141

Rickcampana1@hotmail.com



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

doc@doccarp.com



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

Amcmd88@yahoo.com



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 or 409-747-9176

tlcastle@UTMB.edu

Senior AME

Authorized to issue Class: I, II, III
CHIEN, Bruce B., M.D.

Bruce B Chien, MDSC

1320 W. Bird Boulevard

Peoria, IL 61615

Ph. 309-689-5242

Fx. 309-691-8973

aeromedicaldoc@comcast.net

Senior AME

Authorized to issue Class: I, II, III
COWL, Clayton T., M.D., MS

Aerospace Medicine, Mayo Clinic

200 First Street SW, Baldwin 5A

Rochester, MN 55905

Ph. 507-284-3211

cowl.clayton@mayo.edu



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

wcullis@stlukehealthcare.org



Senior AME

Authorized to issue Class: I, II, III
CURRIER, Carol L., M.D., MPH

Corporate Health Center, LLC

46440 Benedict Drive, Suite 108

Sterling, VA 20164

Ph. 703-444-5656

ccurrier@lmgdoctors.com



Senior AME

Authorized to issue Class: I, II, III
DAVENPORT, Louis, M.D.

690 Bella Vista Circle

Kyle, TX 78640

Ph. 512-757-6888

ldavenpo@gmail.com

Senior AME

Authorized to issue Class: I, II, III
DAVIDSON, Charles S., M.D.

2518 South Croatan Highway

Nags Head, NC 27959

Ph. 252-441-2144 or 252-261-4187

Airmax103@gmail.com

Senior AME

Authorized to issue Class: I, II, III
DAVIS, Jerome I., M.D.

Fellowship Hall

3402 Battleground Avenue

PO Box 1389D

Greensboro, NC 27410

Ph. 336-545-1515 or 336-545-1107

jerrydmd@aol.com jerryd@fellowshiphall.com

Senior AME

Authorized to issue Class: I, II, III
DEAKINS, Dennis E., M.D., Ph.D, MPH

63800 E 300 Road

Grove, OK 74344

Ph. 918-314-1679

Dennis_deakins@yahoo.com

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. 973-643-8383

jdellorso@airportmedical.com



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

or

25055 Riding Plaza, Suite 220



South Riding, VA 20152

Ph. 703-368-3161

gaderosa@novanthealth.org

Senior AME

Authorized to issue Class: I, II, III
DILLON, Jade, M.D.

Trocaire Medical Center

11550 Sheridan Boulevard, Suite 104

Westminster, CO 80020

Ph. 720-227-0562

j.dillon@trocairemedical.com



Senior AME

Authorized to issue Class: I, II, III
DODENHOFF, Robert, M.D.

58 Lindbergh Drive

Hartford, CT 06114

Ph. 860-244-9110

ctame@sbcglobal.net

Senior AME

Authorized to issue Class: I, II, III
DOODY, William G., M.D.

1429 E. Thousand Boulevard, Suite 102

Thousand Oaks, CA 91362

Ph. 805-497-1646

wdoodymd@netzero.net

Senior AME

Authorized to issue Class: I, II, III

EDWARDS, Curtis, M.D.

Olympia Aerospace Medical, PLLC

4310 Foxhall Drive NE

Olympia, WA 98516

Ph. 360-923-0476

curt112@comcast.net



Senior AME

Authorized to issue Class: I, II, III
ELLIOTT, Brett, M.D.

PO Box 193

Milford, DE 19963

Ph. 302-422-3034

BEMDCOM@BEMD.com

Senior AME

Authorized to issue Class: I, II, III
EVANS, Virginia, M.D.

The OMS, Ltd.

300 W. Adams, Suite 835

Chicago, IL 60606

Ph. 312-762-2959

vevans@1oms.com



Senior AME

Authorized to issue Class: I, II, III
FAULKNER, Thomas B., M.D., M.H.A.

Medical Direction, LLC

100 Hartsfield Centre Parkway, Suite 340

Atlanta, GA 30354

Ph. 404-565-0870

Fx. 678-228-1817

medicaldirection@bellsouth.net

Senior AME

Authorized to issue Class: I, II, III
FELDMAN, Daniel, M.D.

2 Fifth Avenue, Suite #7

New York, NY 10011

Ph. 212-366-0599

metromedpc@aol.com

Senior AME

Authorized to issue Class: I, II, III

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

431 E. Government Street

Pensacola, FL 32502

Ph. 850-433-9391

LBFJRMD@yahoo.com

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

rcfranke@gmail.com

Senior AME

Authorized to issue Class: I, II, III
FREEMAN, Edward B., M.D.

Manfred & Associates

2127 Clear Creek Road

Killeen, TX 76549

Ph. 254-634-4244 or 713-446-6031

es4450@gmail.com



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

Fries Professional Building 1480

Route AIA

Vero Beach, FL 32963

Ph. 732-801-8139

ibfmd@cybercomm.net

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

ffurgang@gmail.com



Senior AME

Authorized to issue Class: I, II, III
GARHART, Sally, M.D.

NH Professionals Health Program

171 Pleasant Street

Concord, NH 03301

Ph. 603-924-0161 or 603-491-5036

sgarhart@nhphp.org



Senior AME

Authorized to issue Class: I, II, III
GARRISON, Richard, M.D., MS

Wright State University

School of Medicine

Program in Aerospace Medicine

3155 Research Boulevard, Suite 201

Kettering, OH 45420

Ph. 937-775-1400

richard.garrison@wright.edu



Senior AME

Authorized to issue Class: I, II, III
GIBSON, Ernest Russell, M.D.

129 Montgomery Lane

Maryville, TN 37803

Ph. 865-681-1224

rgibsonmd@gmail.com

Senior AME

Authorized to issue Class: I, II, III
GITLOW, Stuart, M.D., MPH

PO Box 3367, 126 Main Street

Nantucket, MA 02584

Ph. 401-338-0493

drgitlow@aol.com

Authorized to Issue Class: II & III ONLY
GITTENS, Carl, M.D.

Carl Gittens MD, PA

789 SW Federal Highway, Suite 212

Stuart, FL 34994

Ph. 772-288-4111

drgpolo@aol.com



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 or 734-718-7607

Fx. 734-953-8866

drgordon@pilotdr.com



Senior AME

Authorized to issue Class: I, II, III
GREER, Robert C. V, D.O.

Doctor of Osteopathy

624 US Highway 1

Lake Park, FL 33403

Ph. 561-844-2464

robertgre@pcom.edu



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

pfhs@msn.com



Senior AME

Authorized to issue Class: I, II, III
HADLEY, Arthur, M.D., MPH

Smart Medical

20303 Kingsland Boulevard

Katy, TX 77450

Ph. 281-597-1010

Fx. 281-597-0015

drhadley@fitslim.com

Senior AME

Authorized to issue Class: I, II, III
HAFNER, Karl F., M.D., MPH

98 N 2ND Street

Fulton, NY 13069

Ph. 315-598-1220

khafnermd@yahoo.com

Senior AME

Authorized to issue Class: I, II, III


HALEY, Bobby R., D.O.

Dunedin Aviation Medicine

180 Patricia Avenue

Dunedin, FL 34698

Ph. 727-422-6237

bhaley71@verizon.net



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. 770-457-3533

chasharper@gmail.com



Senior AME

Authorized to issue Class: I, II, III
HARRIS, John C., M.D.

Centennial Medical Center

12150 E. Briarwood Avenue

Suite 105

Englewood, CO 80112

Ph. 303-790-1999

centennialmedcenter@gmail.com

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

tcflyingdoc@yahoo.com

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

Millstreetmedical.aviation@gmail.com



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

hill999@aol.com



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

michael.housley@imail.org



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

johnstuarthughes@gmail.com



Senior AME

Authorized to issue Class: I, II, III
HUNSAKER, Matt, M.D.

KSB Hospital/University of Illinois

144 N. Court

Dixon, IL 61021

Ph. 815-284-7733

mhunsaker@mcw.edu




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