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Internal Medicine Medical File Review Consultants

Welcome to the SEAK National Directory of Medical File Review Consultants. The following list of board certified Internal Medicine physicians are available to provide a Medical file review, Utilization review, Chart review, Peer review, Second opinion (2nd opinion), Underwriting report, Disability opinion, Pre-authorization, etc.



Arizona and Illinois
Board Certification: Internal Medicine
- MD degree in 1991 - MBA Degree in 2006. - Board Certification in IM. - Medical Director in a health plan in Arizona 2006-2008 - performed concurrent and retro review of inpatient stays, prior authorization and review of quality of care concerns for five lines of business(Medicare Advantage, Medicaid, Longterm Care, Developmental Disabilities and commercial) - Currently I am Chief Medical Officer at a health plan in Arizona, responcible for all UM (prior auth, concurrent review, retro review) and QM activities of the plan

Arizona
Board Certification: Internal Medicine and Gastroenterology
Hawthorne Gastroenterology Expert Consultant Started 2010

California
Board Certification: Internal Medicine
Fellow of the American College of Physicians; Fellow of the American Academy of Cardiology; Board Eligible in Nephrology

California, Georgia, and U.S. Virgin Islands
Board Certification: Internal Medicine
Occupational Medicine academic training and medical legal expert witness experience in occupational toxicology.

California
Board Certification: Internal Medicine, Addiction Medicine, and Gastroenterology
Dr. Michael DeMicco is a board certified gastroenterologist with a specialty in hepatitis, pancreatitis, biliary diseases and colon problems. Dr. DeMicco is board certified as well in internal medicine and addictionology. He is highly skilled in all endoscopic procedures including ERCP, colonoscopy, and upper endoscopy.

California
Board Certification: Infectious Disease and Internal Medicine
Completed 14 CME units of seminar on How to Start Build and Run a Seccessful Disability and File Review Practice given be SEAK, Inc.

California
Board Certification: Cardiovascular Disease and Internal Medicine
Invasive Cardiology, Critical Care Hospitalist, Utilization Review for more than 20 years.

California
Board Certification: Internal Medicine and Rheumatology
I was in the private practice of Internal Medicine and Rheumatology for 15 years before starting my current position at the Palo Alto VA-Stanford. I worked for 10 years as an IME/QME. I have worked as an expert witness in several personal injury and medical malpractice cases. I was active with the former California Medical Review Inc("CMRI") in the 1990s, and performed many medical case reviews in that capacity. Currently, I perform direct patient care, teaching, and clinical research. I am Chief of Rheumatology at the Palo Alto VA. I am a Clinical Associate Professor of Medicine(Stanford)

Colorado
Board Certification: Internal Medicine
My medical chart review history has been mostly related to civil or probate matters related to my own patient population. I have been retired for one year from the private practice of internal medicine, and was in practice from 1978 to 2010.References avaiable on request.

Colorado
Board Certification: Pulmonary Disease, Internal Medicine, and Critical Care Medicine
I have been active in the clinical practice of pulmonary and critical care for 30 years. I am the Director of Adult Critical Care Services at Presbyterian/St. Lukes Medical Center, Denver. I am also the Co-Chairman of the Quality Medical Committee at P/SL. I have won several teaching awards as well as additional professional achievement awards. I have performed medical chart reviews and IME's for the past 28 years and have servde as a medical expert for medical malpractice cases for the past 4 years. I am happy to review pulmonary/critical care cases.

Delaware and Pennsylvania
Board Certification: Internal Medicine and Gastroenterology
25+ years of private practice experience. Voted a Top Doc in Delaware Today three separate times by my peers. Asst Clin Prof Med Jefferson Med College Have reviewed 35 or more files. Trial experience. Excellent analytical and report skills. Timely performance,

California, Delaware, Florida, Iowa, Maine, Maryland, Missouri, New Jersey, New York, Pennsylvania, Virginia, and Wisconsin
Board Certification: Internal Medicine
Previous Assistant Professor of Clinical Medicine, University of Miami; Fellow, American College of Physicians

Florida
Board Certification: Hospice and Palliative Medicine and Internal Medicine
Degree in pulmonary/critical care medicine from University of South Florida. Board Certification in pulmonary medicine allowed to expire as currently working in hospice.

Florida
Board Certification: Hematology, Internal Medicine, and Oncology
Affiliate of Moffitt Cancer Center Assistant Professor University of Miami(former) President and Founder of Hematology Oncology Associates of the Treasure Coast

Florida
Board Certification: Internal Medicine and Interventional Cardiology

Florida, Georgia, New York, and North Carolina
Board Certification: Internal Medicine and Allergy and Immunology
Clinical Assistant Professor of Medicine, Florida State University College of Medicine Advisory Board, FL Med Association Environment and Health Section special interest in "sick building syndrome", occupational asthma, environmental pollution.

Florida
Board Certification: Pulmonary Disease, Internal Medicine, and Critical Care Medicine
Expert in asthma, reactive airways disease, respiratory failure, drug induced (and) toxin induced, lung disease

Hawaii and Ohio
Board Certification: Pulmonary Disease, Occupational Medicine, and Internal Medicine
Professor and Chief, Division of Pulmonary and Critical Care Medicine, NEOUCOM 1989-2002. Founding Fellow and past-president AADEP. Author - Disability Evaluations (first and second editions). Numerous fellowships. Almost 100 publications. IME experience since 1984; practice currently 100% IMEs with some file reviews.

Idaho and Ohio
Board Certification: Internal Medicine
I have 29 years of clinical practice experience. I will quickly review charts, medical information and provide you with relevant answers.

California, Illinois, and Texas
Board Certification: Occupational Medicine and Internal Medicine
(Triple Residency Trained and Triple Board Certified) Diplomate, American Board of Preventive Medicine – Occupational Medicine Diplomate, American Board of Internal Medicine Diplomate, American Board of Preventive Medicine – Public Health/Preventive Medicine Visiting Clinical Associate Professor, University of Illinois Adjunct Clinical Associate Professor, University of North Texas

Illinois
Board Certification: Occupational Medicine and Internal Medicine

Illinois
Board Certification: Internal Medicine
I earned my medical degree and performed my internship and residency in internal medicine at Northwestern University Medical School in Chicago, Il. I held a faculty appointment as a clinical instructor of medicine at Northwestern until last year when my hospitals (Glenbrook and Evanston) left Northwestern and affiliated with University of Chicago Medical School instead. Currently, I maintain a private practice and teach University of Chicago medical interns and residents at Glenbrook Hospital. I enjoy file reviews as a side interest.

Maryland
Board Certification: Occupational Medicine and Internal Medicine
Deep expertise in federal workers' compensation (FECA) system, including case management. Expertise in US military disability evaluation system. Volunteer teaching faculty appointments at Johns Hopkins University Bloomberg School of Public Health, University of Maryland, and Uniformed Services University of the Health Sciences (USUHS).

Maryland
Board Certification: Internal Medicine
I have been out on disability for 10 years because of reflex sympathetic dystrophy following an ACL reconstruction. Before that, I was in private practice in internal medicine for 8 years. 3 of those years, I was on the medical review board at Shady Grove Adventist Hospital in Rockville, MD. Before private practice, I worked at Kaiser Permanente in Landover, MD. The last two years there, I was department chair of internal medicine. Before medical school, I had extensive experience in research, both in basic science and medical research, working on a team studying cystic fibrosis.

Massachusetts
Board Certification: Pediatrics, Internal Medicine, and Pediatric Emergency Medicine
Undergraduate degree: Harvard University; MD: University of North Carolina; Residency: University of North Carolina Combined Internal Medicine and Pediatrics; Practice: Twenty Years Emergency Medicine (children and adults) in one of the busiest emergency departments in Massachusetts, recently retired.

Massachusetts
Board Certification: Pulmonary Disease and Internal Medicine
Clinical experience in Environmental and Occuational Asthma, RADS,

Arizona, California, Connecticut, Illinois, Massachusetts, and Texas
Board Certification: Occupational Medicine and Internal Medicine
Over 20 years clinical and administrative experience, occupational medicine, internal medicine, rehab, quality assurance, utilization review, medical policy, appeals-grievances, level of care, standards of care, causation, impairment, complex case review

Michigan
Board Certification: Internal Medicine

Mississippi
Board Certification: Internal Medicine
Board certified by american board of quality assurance and utilization review physicians (ABQAURP) Certified by the American Society of Hypertension (ASH) Chairman of Utilization Review committee at Memorial Hospital Physician Advisor for Utilization Review department-Memorial Hospital Review Physician for Physician Review Network-Phoenix, AZ Medical Director, (former)Medical Foundation of South Mississippi,(1992-2008) Medical Director, Gulf Coast Community Ministries, Gulfport, MS

Missouri
Board Certification: Internal Medicine
Current: Medical Media Producer/Director of educational Exhibits, Films & Med. Devices Medical Films, LOOLC, CEO; Life Time Honorary Trustee, Board, Yale U. Cushing/Whitney Med. Library: Emeritus Chairman, prior Clinical Professor Medicine, Yale University School of Medicine.

Kansas and Missouri
Board Certification: Internal Medicine
Have practiced occupational medicine full-time for nine years. Board Certified in Internal Medicine.

Nebraska
Board Certification: Internal Medicine
Fellow(ship), American College of Physicians Director of Occupational Medicine Clinics for 10 yrs. Independent Medical Examiner for 12 years >1,000 None-Surgical Sports Medicine for 30 years Medical Review Officer for 20 years Fitness-for-Duty Medical Director, Union Pacific RR Hospital Utilization Management Advisor for 2 years Estimated number of Depositions -- >>100 President-Nebraska Society Internal Med. 1996-7 File Reviews for various organizations - TNTC

Arizona, California, Florida, Minnesota, Nevada, New York, and North Dakota
Board Certification: Internal Medicine, Oncology, and Pain
Board Certified American Board of Quality Assurance and Review Physicians Extensive file review over many years for many state peer review organizations as well as independent contracting for a number of private review organizations Editor WEB MD articles in oncology

New Jersey
Board Certification: Internal Medicine
Board certified in Emergency Medicine from 1990 through 2010. Director, Department of Emergency Medicine, St. Michael's Medical Center, Newark, NJ 1985-1993. Full-time Emergency Department Attending Physician, Overlook Hospital, Summit, NJ 1993-2010.

New Jersey
Board Certification: Internal Medicine and Psychiatry
specialized training and experience in forensic psychiatry; masters degree student in bioethics; double board certification in medicine and psychiatry

Delaware
Board Certification: Internal Medicine
I have worked exclusively as a hospitalist for the last 12 years. I am a cofounder of the group which we eventually sold to a national hospitalist company. Our group also provides care to many surrounding nursing homes both as medical directors and admitting physicians.

New Jersey
Board Certification: Emergency Medicine, Occupational Medicine, Internal Medicine, and Addiction Medicine
Board certified in Emergency Medicine from 1983 through present. Director, Department of Emergency Medicine, Rancocas Hospital, Willingboro, NJ. 1979-1985. Built and owned an occupational medicine practice 1986-2010. Helped clients (employers) achieve savings and boost productivity via occupational and preventive medicine. Facilitated two clients reaching one million hours with no lost time injuries. Full-time Occupational medicine practice: 1986 to present. Medical Director of Burlington County New Jersey Dept. of Corrections 1986-2007. Certified Medical Review Officer. Expert Witness

New Jersey
Board Certification: Internal Medicine
I have practiced addiction medicine on an inpatient detoxification ward for past year; diplomate of ABQAURP.

New Jersey and New York
Board Certification: Pulmonary Disease, Internal Medicine, and Sleep Medicine
Faculty: Robert Wood Johnson School of Medicine: Clinical Instructor Education: MBA File Review: extensive for IME firms, Disability, Insurance as well as Legal firms

Iowa, New Jersey, New York, and Pennsylvania
Board Certification: Emergency Medicine and Internal Medicine

New Jersey
Board Certification: Infectious Disease and Internal Medicine
In addition to my infectious disease practice, I've completed advanced training in wound care and hyperbaric medicine, and am currently a Medical Director of a wound care center in Princeton. I also have an appointment to UMDNJ-Robert Wood Johnson Medical School as Clinical Assistant Professor of Medicine. My previous file review experience includes a number of medical malpractice cases.

Maryland, New Jersey, New York, and South Carolina
Board Certification: Occupational Medicine and Internal Medicine
Major contracts include: •Providing and supervising over 11,000 disability examinations per year; •Serving as the Associate Director at a national center dedicated to the evaluation of Veterans with Medically Unexplained Symptoms (MUS); •Serving as a Subject Matter Expert on environmental exposure concerns for the VA, which includes responding to inquiries, planning and delivering lectures and training programs for VA and non-VA clinicians nationwide, serving on national committees for and of the VA, DOD and Academia, and writing articles for both the the profesional and lay press.

Georgia, New Jersey, and Tennessee
Board Certification: Hospice and Palliative Medicine, Occupational Medicine, and Internal Medicine
Board Certification: Internal Medicine (ABIM); Occupational Medicine (ABPM); Hospice and Palliative Medicine

New York
Board Certification: Internal Medicine
Focus on urgent care and ambulatory care. Clients have included private attorneys as well as a malpractice carrier.

New York
Board Certification: Internal Medicine
I have perfomed many peer reviews for no-fault cases. I have also testified in court for no-fault cases. I have teaching experience with medical students, residents and nurse practioners. I am currently awaiting an academic position and title to the new medical school at Hofstra.

New York
Board Certification: Internal Medicine
I have over 25 years experience in patient care and resident/medical student education and currently I am both associate program director of a residency program and associate chair of Dept of Medicine in a large city hospital. I have extensive experience in home care as I treat chronically ill patients in their home and I am the medical director of a large home care agency. I am on the faculty of Downstate Medical School and St George University Medical School.

New York
Board Certification: Internal Medicine

New York
Board Certification: Internal Medicine and Gastroenterology
Board Certified Gastroenterologist and Gastrointestinal Endoscopy specialist, Columbia and Cornell trained clinician with an active Internal Medicine/Gastroenterology practice on staff at New York Presbyterian Hospital and Weill Cornell College of Medicine.

New Jersey and New York
Board Certification: Cardiovascular Disease and Internal Medicine
Board Certified- Clinical Lipidology Board Certification Pending- Critical Care (11/2011) Active Consultant Peer Review- Advanced Medical Reviews, Permedion, MCMC, Concentra

North Carolina
Board Certification: Internal Medicine
Specializing in Disability File Reviews and Workers Comp files. Certified Independent Medical Examiner. Elected Chief Resident, CMC 2001. Special training in Wilderness Medicine.

Ohio
Board Certification: Internal Medicine

Ohio
Board Certification: Internal Medicine
Certified by American Board of Independent Medical Examiners (ABIME)

Ohio
Board Certification: Pulmonary Disease and Internal Medicine
Certified independent medical examiner by ABIME. I have done IMEs, C92s but would like to do more file reviews now- have done file reviews before but mostly disability cases. I was certified in Geriatric Medicine and worked in a subacute rehab unit and familiar with orthopedic and neurological disabilities.

Ohio
Board Certification: Cardiovascular Disease and Internal Medicine

Oklahoma
Board Certification: Internal Medicine
Specializes in physician/patient relations and medical communications and interpretation.

Oregon
Board Certification: Internal Medicine
Primary Care, General Internist

Pennsylvania
Board Certification: Internal Medicine and Gastroenterology

Pennsylvania and West Virginia
Board Certification: Nephrology and Internal Medicine
After graduating medical school at the age of 23 I completed my Internal Medicine training at the Faulkner Hospital in Boston. I completed my Nephrology fellowship at the Cleveland Clinic and spent the next 15 years in private practice. During that time I spent 13 years on the ESRD Network 4 Medical Review Board participating in peer review on behalf of Medicare. I am now a Clinical Assistant Professor of Medicine at the University of Pittsburgh School of Medicine and have enjoyed the file review work I have done thus far. I would like to review Internal Medicine and Nephrology files.

Rhode Island
Board Certification: Cardiovascular Disease and Internal Medicine
Disability Consulting for Physicians Seminar, SEAK, August 2008. Perform Medical File Reviews for four national companies as well as for various attorneys and insurance companies.

Texas
Board Certification: Internal Medicine
Professional writer on medical topics for the public

North Carolina and Texas
Board Certification: Internal Medicine, Geriatric Medicine, and Rheumatology
Certified Independent Medical Examiner. Records review and evaluations for nursing home, personal injury, disability, impairment, fibromyalgia, breast implant, HMO/PPO cases and health/employment disputes. Expert witness in I.M., Rheumatology, Geriatrics for plaintiff and defense.

Arizona, Idaho, Montana, and Utah
Board Certification: Cardiovascular Disease and Internal Medicine
Interventional cardiology, peripheral vascular disease treatment, rhythm management device implantation experience. I have done reviews for both billing and coding as well as disability/impairment evaluation for years. Former faculty appointment University of Nevada School of Medicine

District Of Columbia and Virginia
Board Certification: Internal Medicine

North Carolina, Tennessee, and Virginia
Board Certification: Internal Medicine and Gastroenterology
I have over thirty years of gastroenterology experience and so am very competent in this area of expertise. I do not practice general internal medicine.

Washington
Board Certification: Hematology, Internal Medicine, and Oncology
I am a recently retired medical oncologist/hematologist and internal medicine specialist who practiced in the Seattle area for 35+ years. I maintain appointments in the department of medicine with the U. of Washington, and remain a member of the King County Medical Society and the Washington State Medical Society. While in private practice I engaged in part-time medical legal work which I am continuing in my retirement. I have 30+ years of experience with malpractice, negligence, standard of care, and causation in my areas of specialty.

Michigan and Wisconsin
Board Certification: Internal Medicine and Geriatric Medicine
Certified Forensic Physician (American College of Forensic Examiners Institute) Board Certified Medicolegal Death Investigator (American Board of Medicolegal Death Investigators) Clinical Asst. Professor of Medicine - University of Wisconsin School of Medicine & Public Health Clinical Asst. Professor of Medicine - Michigan State University College of Osteopathic Medicine Chief Deputy Coroner - Manitowoc County, Wisconsiin Performed independent medical and forensic peer reviews, independent death investigation, medical malpractice, and toxicology interpretation

Florida, Illinois, Iowa, Minnesota, South Carolina, and Wisconsin
Board Certification: Emergency Medicine and Internal Medicine
Sr. Aviation Medical Examiner, performed several IMEs, focusing on non-surgical back, carpal tunnel, hernia, podiatric medicine, toxicology, motor vehicle trauma, plaintiff and defense.

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