Announces Revocation Of Independent Medical Examination Authorization For Failure To Renew
New York, NY (CompNewsNetwork) - New York
State Workers' Compensation Board announced the following medical doctors, surgeons, and
osteopaths who were authorized to conduct independent medical examinations of injured
or ill workers have failed to renew their board certification with the American Board of
Medical Specialties (ABMS) or American Osteopathic Association (AOA), as the case may
Those providers as listed below are no longer compliant with WCL §137 or 12 NYCRR
§300.2(b)(3), which require such board certification in order to continue to be IME
authorized. Accordingly, each individual's respective authorization to conduct independent
medical examinations has been revoked until such time that said provider renews his or her
board certification and submits an application for authorization with adequate and
appropriate proof to that effect. The providers' authorization to treat workers'
compensation claimants, if so authorized, is not affected by this revocation.
NAME AUTHORIZATION NUMBER EFFECTIVE DATE OF REVOCATION Autz, Arthur
207738-6W 01/01/07 Blum,
01/01/05 Ciuffo, Joseph
155718-0W 01/01/05 Engel,
sp; 143677-3W 01/01/07
sp; 105592-0W 01/01/07
nbsp; 01/01/05 Khokhar, Imtiaz
nbsp; 08/02/07 Kjoller, Jane
194237-4W 01/01/05 Larosa,
01/01/05 Luna Vega, Alberto
159208-8W 07/02/05 Mehta,
nbsp; 07/02/07 Moore, Donald
nbsp; 210513-8W 01/01/07
111469-3W 07/02/07 Padial,
nbsp; 01/01/05 Peer, Richard
Santiago, Ricardo Nakadomari
202437-0W 07/01/07 Shanon,
175599-0W 01/01/05 Verdini,
179399-1W 01/01/05 Wieder,
206669-4W 01/01/05 Zuo,
Any reports of independent medical examination conducted prior to the provider's
respective revocation date of his or her authorization are permitted and the examiner is
entitled to payment. Further, said provider may provide testimony and/or deposition
concerning independent medical exams he or she concluded prior to revocation date.
Any questions regarding this matter should be referred to the Office of General Counsel
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