Welcome to the SEAK National Directory of Medical File Review Consultants. The following list of Physician (MD or DO)s who are licensed in Wisconsin 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.
John Cox, MD
C&D Medical Consulting
Wilmette, Illinois
Pediatric Emergency Medicine, Pediatrics
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Board certified in General Pediatrics and Pediatric Emergency Medicine; Robust clinical experience at Level 1 Trauma Hospital; Non-clinical work includes 4+ years of utilization management, reviewing thousands of cases to assess for medical necessity; UM experience also includes specialized reviews in oncology and genetic testing; Significant experience reviewing medical-legal documentation and preparing expert witness reports and affidavits; Broad experience in both clinical and multiple non-clinical healthcare domains.
Ali Ekbatani, DO, MBA
Plymouth Meeting, Pennsylvania
Anesthesiology
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Medical staff credentialing
Facility agreements
Complex negotiations
Medical necessity
budget planning
strategic planning
revenue cycle
HR matters
James J. Schuh, MD
JKS Medica, SC
Westby, Wisconsin
Anesthesiology
Teddi Swidinsky, MD, FACS
Las Vegas, New Mexico
General Surgery
Yelena Vidgop, MD
Integrative Neurology Inc
Weston, Florida
Neurology, Neurophysiology
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Inpatient/outpatient, Stroke, Headaches, Migraines, Neuropathy, CIDP, MS Myasthenia, Encephalopathy, Tremors, Parkinson's, Back/Neck injuries, Radiculopathy, Epilepsy, Dementia, Concussions
Board Certified in Neurology and Fellowship trained in Neurophysiology. Currently practicing with Telespecialists, licensed in 36 states, privileges in 204 hospitals. Serves as a Stroke Medical Director and Regional Medical Director for multiple hospital systems. Associate Professor at Nova Southeastern Medical School. Experience in teaching and presenting. Experience with disability file review claims.
Gaurang Mavani, MD
Carmel, Indiana
Internal Medicine, Nephrology
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I have experience in doing disability reviews. I have done more than 25 reviews in disability so far. I work for dane street and brown and brown.
I al also an expert in doing DRG validation. I have done more than 500 reviews so far.
I am also an expert in medical necessity review for inpatient and observation. I have seen more than 30,000 reviews so far.
I also have done more than 10 Medical review approval for Nephrology.
I want to develop my disability file review practice.
Joshua Herskovic, MD
HealthAdvise
Boca Raton, Florida
Anesthesiology
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Dr. Herskovic is a Board Certified Physician Anesthesiologist with background in medical device development. He has over 15 years of experience as a practicing anesthesiologist in a busy private practice. Prior to medicine he worked in the medical device industry as a mechanical engineer. He continues to use his engineering background to provide assistance to start up medical device companies. This assistance includes medical device R&D, CAD design, rapid prototyping & 3D printing, and low volume manufacturing techniques.
Anika S Goodwin, MD
Greensboro, North Carolina
Ophthalmology
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Fellowship trained in ocular trauma and oculofacial plastic surgery. Prior faculty member and residency program director at The University of South Carolina SOM. Excellent communication and writing skills. Poised and confident.
Johannie Keith Y Uy, MD
New York, New York
Internal Medicine
ismael shaukat, MD
Rockford , Illinois
Hematology, Internal Medicine, Oncology
Kelly Carter, MD, FACEP
HealthAdvise
Verona, Wisconsin
Emergency Medicine
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Kelly Carter graduated in the top third of her class from the University of Wisconsin-Madison Medical School. She completed her Emergency Medicine Residency at the Pitt County Memorial Hospital/Brody School of Medicine and was Chief Resident for one year. She is board certified by the American Board of Emergency Medicine.
Kelly has been an emergency medicine physician for 16 years. She also has experience as a telemedicine physician, and was Co-Founder and CEO of Brily Innovations.
Christine A. Kenyon Laundre, MD
Franklin, Wisconsin
Anesthesiology, Pediatric Anesthesiology
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I completed my Anesthesiology Residency and Pediatric Anesthesiology Fellowship at the Mayo Clinic in Rochester, MN. Subsequently, I have been in private practice for 13 years. As an anesthesiologist, I regularly review patient charts to guide pre-operative medical evaluation and to determine the appropriate setting for surgical care. I have served as the Director of Anesthesiology Services in an ambulatory surgery center, where I was responsible for evaluating and addressing any peri-operative complications or concerns, as well as developing and writing anesthesia policies and procedures.
Jonathan Wiesen, MD
Beachwood, Ohio
Critical Care Medicine, Internal Medicine, Pulmonary Disease
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My areas of expertise include: Critical Care Medicine (Cardio-pulmonary hemodynamics, respiratory physiology, mechanical ventilation, sepsis and septic shock); Pulmonary Medicine (Asthma, COPD, Smoking related diseases, Interstitial Lung Disease, Pulmonary Hypertension, Lung transplantation); Biomedical Ethics (End of life, conflict resolution, triage). I have received a number of teaching and research awards for my academic work at the Cleveland Clinic. I have extensive academic experience with over 75 publications including first authorship of over a dozen full length manuscripts.
Chibuzor Ihe, MD, MSc, MBA, FRCPCH, FAAP
Huntersville, North Carolina
Pediatrics
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I have been an attending physician in various healthcare settings across three continents, gaining a deep understanding of the challenges & opportunities in child health. My experience spans over 22 yrs & includes specialist certification in the UK. I have an MSc in International Child Health and an MBA. I bring illumination to areas of a child's health outside of specialist niches and I connect gaps. My expertise includes child health subject matter, management, resource utilization, medical education, quality improvement. I facilitate children's product creation & overseas health initiatives
Ryan Sydnor, MD
Colorado Imaging Associates
Boulder, Colorado
Radiology, Angiography Interventional, Radiology, Diagnostic, Radiology, Vascular and Interventional
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Experience on peer review subcommittees, medical executive boards, radiology group executive committee, credentialing committees, institutional review board (IRB), physician leadership council.
Michael D Snyder, MD
Quell Headache & Wellness Center
Shiloh, Illinois
Neurology, Neuromuscular Medicine
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I previously worked for 2 different companies that do Independent Review and have fairly extensive experience doing case reviews. I am board-certified in Neurology with Added Qualification in Headache Medicine, Neuromuscular Medicine, and by the American Board of Electrodiagnostic Medicinen.
Erica Larson, D.O.
CORE Choice
La Crosse, Wisconsin
Child and Adolescent Psychiatry, Psychiatry
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Dr. Larson created specialty clinics, for individuals with ADHD and wellness initiatives and treatment programs for healthcare workers. She has served as the behavioral health service line medical director for a major healthcare system in Wisconsin and the medical director of a clinic in Iowa, supervising and reviewing both nurse practitioners and PA's. She has completed peer chart reviews for the medical examiners board in Michigan and is an evaluator for disability cases for the Department of Labor in Wisconsin. Executive board positions with WPA, WMS, LCMS, WISCCAP, AACAP, and the AMA.
Robert H Odell, MD, PhD
Neuropathy & Pain Center of Las Vegas
Las Vegas, Nevada
Anesthesiology, Pain
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Dr. Odell is Founder of Neuropathy and Pain Centers of Las Vegas and is Co-owner of Associated Pain Specialists, with two clinics in east TN. At both practices, he does interventional pain procedures, including a new safe and effective treatment for peripheral neuropathy.He has extensive experience with a wide variety of pain management techniques including spinal cord stimulator placement, radiofrequency procedures in the spine. He has done multiple record reviews for both plaintiff and defense in medical legal cases. He has published extensively in the pain management literature.
Timothy P Korytko, MD
Cooperstown, New York
Radiation Oncology
MA Flores, DO, MS, MMM
riverside, California
Family Medicine/Family Practice, Occupational Medicine
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Dual Board Certified in Occupational Medicine and Family Medicine. Masters in Environmental Toxicology and Medical Management. Licensed in 30 states. Expert reviewer capable of expedited turn around times, specializing in Worker's Comp Utilization Review and Peer Review.
ANKUSH K BANSAL, MD FACP FACPM SFHM
Loxahatchee, Florida
Internal Medicine
Tim Lawler, DO, MPH, LCP-C
Cardinal Medical Services, Inc
San Diego, California
Occupational Medicine
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Dr. Tim Lawler is board certified in Occupational and Environmental Medicine and Physician Life Care Planning certified. He actively practices as the Associate Medical Director at a large multi-specialty group in San Diego, CA. Dr. Lawler’s career is marked by a series of prominent roles, including serving as the President of multi-clinic Occupational Medicine practice in the state of Wisconsin. Over his career - and on a weekly basis, Dr. Lawler reviews and manages cases for long term disability management. He currently holds active licenses in California, Missouri, and Wisconsin.
Dennis J Maiman, MD, PhD, MBA
Backworks SC
Cedarburg, Wisconsin
Neurological Surgery
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Professor of neurosurgery, past chair. Past director of spinal cord injury centers, evidence based spine clinics (operative and non-operative). Extensive clinical and research experience in the management of spinal disorders, including pathophysiology and outcomes. PhD in biomechanics. Directed spine fellowship in evidence-based spinal surgery and performed over 10,000 spinal operations Facile in evidence-based non operative and operative care. Experience in reviewing files for surgical justification, appropriateness of non-operative care, and medical-legal matters.
Andrea Nelsen, MD/MPH
Prior Lake, Minnesota
Preventive Medicine/Aerospace Medicine, Psychiatry, Public Health
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HIMS certified by the Federal Aviation Administration
Sarah A Martin, DO
Monona , Wisconsin
Emergency Medicine
Robert J Cooper, MD
Longmeadow, Massachusetts
Endocrinology, Diabetes and Metabolism, Internal Medicine
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20+ years practicing in the specialty of endocrinology, with experience in both private and academic practices. Diplomate of the ABIM in both IM and endocrinology. Fellow of the American College of Physicians (FACP) and Fellow of the American College of Endocrinology (FACE). Experienced in performing file reviews for medical necessity, peer reviews, pre-authorizations, chart reviews and coding reviews in endocrine; experienced in performing length of stay, chart reviews, and long/short term disability in both endocrine and IM. Previously served on QA/QI committee as Chief of Medicine.
Christina Ennabi Waller, DO
Riverside, California
Emergency Medicine
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Leadership skills
Excellent interpersonal skills
Ability to type 82 words per minute
Experience in medical writing
Abhi Kapuria, MD
Neurology Legal Consulting
Raleigh, North Carolina
Neurology, Neurophysiology
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I am a double-board-certified neurologist with extensive experience as a medical record reviewer. I Co-Founded Neurology Legal Consulting with my partner, Dr. Ovais Inamullah, to provide expert consultation on a wide range of neurological disorders ranging from stroke to seizure, critical care medicine, traumatic brain injury, spinal cord injury, and many others. Through meticulous examination of patient records, I analyze cases with attention to detail, providing valuable insights for legal proceedings.
John J Siegert, MD, MS
Mequon, Wisconsin
Hand Surgery
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All disorders of the upper extremity; hand through shoulder - Thorough, fair, and well-respected.
Kenneth M. Rice, M.D.
Suwanee, Georgia
Emergency Medicine
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Diplomate, American Board of Emergency Medicine (ABEM)
Fellow, American College of Emergency Physicians (FACEP)
Founder, owner and Medical Director of an independent Urgent Care center for fourteen years.
Extensive clinical experience in Emergency Medicine, Urgent Care, Primary Care, Occupational Medicine, Worker's Compensation, DOT, Teaching, Supervision, Clinic Management, and Telemedicine.
Shannnon M Foster, MD FACS
SMF Coverage & Solutions LLC
Reading, Pennsylvania
General Surgery, Surgical Critical Care
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Policy and best practice creator via expansive leadership roles in multiple professional organizations and training/experience in areas of medical Ethics, Credentialing, By-Laws, and Surgical Quality.
Previous positions include oversight and responsibility to review all Performance Improvement and Quality efforts for Divisional and Departmental initiatives as well as individual provider performance/quality/utilization measures.
Areas of interest expand beyond General Surgery/Trauma/Surgical Critical Care spectrum to prevention + palliation.
Utilization review. Disability review.