Aetna "Select Provider" Listing - Ambulatory Surgery Cleveland - January, 2013

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OHIO ASHTABULA COUNTY Ashtabula Ashtabula County Medical 6460140, 34194 2420 Lake Avenue Ashtabula, OH 44004 Phone: 440-997-2262 CUYAHOGA COUNTY Beachwood Cleveland for Digestive Health & Endoscopy, LLC. 7316076, 5812636 3700 Park East Drive, Suite 100A Phone: 216-593-7700 Digestive Health, Inc. 4459146, 7300802 23250 Chagrin Blvd., Suite 110 Phone: 440-729-3399 / Fax: 216-591-9399 4459146, 482680 4110 Warrensville Road Phone: 216-591-1862 Bedford 9568415, 4331451 19550 Rockside Road Bedford, OH 44146 Phone: 440-232-8381 / Fax: 440-232-9371 Bedford Heights 9568415, 2514312 Bedford Height ASC 25350 Rockside Road, Suite 100 Bedford Heights, OH 44146 Phone: 440-232-8381 9568415, 2984282 Bedford Heights Health 25350 Rockside Road, Suite 200 Bedford Heights, OH 44146 Phone: 440-232-8381 Brecksville Brecksville Surgery LLC 9818403, 5393441 7001 South Edgerton Road, Suite A Brecksville, OH 44141 Phone: 440-717-0591 / Fax: 440-717-0594 Cleveland Cleveland Clinic Wooster Specialty 7687449, 76433 9500 Euclid Avenue Cleveland, OH 44195 Phone: 330-287-4500 CSA St. Vincent Charity Hospital 6460470, 39100 2351 East 22nd Street Cleveland, OH 44115 Phone: 216-861-6200 / Fax: 216-363-3333 MetroHealth Medical 6466150, 3400509 2500 Metrohealth Drive Cleveland, OH 44109 Phone: 216-778-7800 9568415, 5444337 Old Brooklyn Health 3311 Broadview Road Cleveland, OH 44109 Phone: 216-661-1545 9568415, 4914310 Cleveland Health 7997 Euclid Avenue Cleveland, OH 44103 Phone: 216-851-1880 East Cleveland CCF-Stephanie Tubbs Jones Health 9131877, 7094134 13944 Euclid Avenue East Cleveland, OH 44112 Phone: 216-767-4242 Mayfield Heights Cleveland Clinic Wooster Specialty 7687449, 112193 6780 Mayfield Road Mayfield Heights, OH 44124 Phone: 216-643-3062 Consultants in Gastroenterology Endoscopy 8464635, 7213364 5900 Landerbrook Drive, Suite 195 Mayfield Heights, OH 44124 Phone: 440-461-2550 Middleburg Heights Southwest General Health 6460190, 34187 18697 East Bagley Road Phone: 440-816-8000 Surgery Pearl, LLC 9812121, 7683257 6900 Pearl Road, Suite 101 Phone: 440-882-0103 The Surgery Bagley 8462310, 2451426 19250 Bagley Road Phone: 440-826-3240 / Fax: 440-826-3250 8462310, 359990 19250 East Bagley Road Phone: 440-826-3240 / Fax: 440-826-3250 Parma Parma Community General Hospital 6460440, 39268 7007 Powers Blvd. Parma, OH 44129 Phone: 440-743-3000 Parma Heights Vision Surgery, LLC 9325602, 6323898 6355 Pearl Road Parma Heights, OH 44130 Phone: 440-886-2020 Richmond Heights Cleveland Surgical Suites 4465141, 8480804 5106 Wilson Mills Road Richmond Heights, OH 44143 Phone: 440-461-2570 Rocky River 9568415, 5104347 Rocky River Health 20800 Ridge Road Rocky River, OH 44116 Phone: 440-333-1020 South Euclid University Suburban Health 8462305, 34486 1611 South Green Road, Suite 124 South Euclid, OH 44121 Phone: 216-382-1868 / Fax: 216-382-0584 Westlake North Ohio Endoscopy, LLC 9529329, 4593550 30701 Clemens Road Westlake, OH 44145 Phone: 440-617-1212 / Fax: 440-617-1213 Premier Ambulatory Outpatient Surgery 5061714, 4573537 25200 Ridge Road, Suite 3100 Westlake, OH 44145 Phone: 440-331-4559 / Fax: 440-333-7044 GEAUGA COUNTY Chagrin Falls The Endoscopy at Bainbridge, LLC 9969077, 1043118 8185 East Washington Street, Suite 106 Chagrin Falls, OH 44023 Phone: 440-708-0582 / Fax: 440-708-0583 1 of 4

LAKE COUNTY Concord Twp Consultants in Gastroenterology Endoscopy 8464635, 5133345 7530 Fredle Drive Concord Twp, OH 44077 Phone: 440-386-2240 TriPoint Medical 6460930, 7593730 7590 Auburn Road Concord TWP, OH 44077 Phone: 440-375-8100 Madison TriPoint Medical 6460930, 7371016 6270 North Ridge Road Madison, OH 44057 Phone: 440-428-0280 Mentor Lake County Pain & Diagnostic 7553666, 5962167 8401 Mentor Avenue, Suite A Phone: 440-205-0080 / Fax: 440-205-1820 Mentor Surgery, Ltd. 5259642, 2541754 9485 Mentor Avenue, Suite 1 Phone: 440-205-5725 TriPoint Medical 6460930, 3560187 9485 Mentor Avenue Phone: 440-352-1200 University Mednet Surgery 7911019, 48974 9000 Mentor Avenue Phone: 216-383-6730 Painesville G & G International, LLC d/b/a surgical Care 9733150, 4403256 2165 Mentor Avenue Painesville, OH 44077 Phone: 440-354-9775 / Fax: 440-354-9784 Willoughby CDH Endoscopy 5256499, 3961595 34940 Ridge Road, Suite B Willoughby, OH 44094 Phone: 440-953-8568 LORAIN COUNTY Elyria EMH Regional Medical 6460640, 3740 630 East River Street Phone: 440-329-7500 North Coast Surgery, LLC 7174798, 8582247 1170 East Broad Street, Suite 104 Phone: 440-366-6029 / Fax: 440-366-6064 Premium Surgery L.L.C. 7077048, 9881211 5319 Hoag Drive Phone: 440-930-6050 / Fax: 440-934-8882 Lorain Erie Shores Endoscopy 5787529, 577118 3600 Kolbe Road, Suite 19 Lorain, OH 44053 Phone: 440-960-7277, OPT, ORP Mercy Regional Medical -East 6460780, 3783 205 West 20th Street Lorain, OH 44052 Phone: 440-233-1000 9568415, 5484313 Lorain Health 200 West 9th Street Lorain, OH 44052 Phone: 440-242-2087 MAHONING COUNTY Boardman St. Elizabeth Boardman Health 7660929, 9401341 8401 Market Street Phone: 330-729-2929 / Fax: 330-729-5591 The Orthopaedic Surgery at Beeghly Medical Park 7166546, 4453215 Building B 6505 Market Street, Suite 101 Phone: 330-965-0580 Svcs: ORP 7166546, 8971909 6505 Market Street, Bldg. B, Suite 101 Phone: 330-758-1065 / Fax: 330-965-0580 Canfield Surgery of Canfield 7441592, 9722145 4147 Westford Drive Canfield, OH 44406 Phone: 330-702-1489 / Fax: 330-702-1545 Poland The for Advanced Eye Surgery 7182023, 7301129 1031 West Western Reserve Road Poland, OH 44514 Phone: 330-965-0900 9568415, 2664369 Health 77 East Midlothian Blvd., OH 44507 Phone: 330-788-2487 St. Elizabeth Health 6461190, 4333658 1044 Belmont Avenue, OH 44504 Phone: 330-480-7211 The Surgical Hospital at Southwoods 9880424, 2073592 7630 Southern Blvd., OH 44512 Phone: 330-758-1954 Tippecanoe Endoscopy, Inc 5326133, 6200254 1210 Boardman Canfield Road, OH 44512 Phone: 330-726-0132 MEDINA COUNTY Medina Medina General Hospital 6460845, 142282 1000 East Washington Street Medina, OH 44256 Phone: 330-725-1000 9568415, 4664318 Medina Health 4018 Medina Road, Suite C Medina, OH 44256 Phone: 330-723-1300 The Medina Surgery 9164629, 1963924 3780 Medina Road, Suite 120 Medina, OH 44256 Phone: 330-952-0014 / Fax: 330-952-0015 PORTAGE COUNTY Kent 9568415, 9954332 Kent Health 138 East Main Street Kent, OH 44240 Phone: 330-678-8011 Western Reserve Surgery 4507294, 348857 1930 State Route 59 Kent, OH 44240 Phone: 330-677-3620 Svcs: GEN, EN, ORP, Podiatry;Pain Mgmt. 2 of 4

Ravenna Robinson Memorial Hospital 6460970, 39302 6847 North Chestnut Street Ravenna, OH 44266 Phone: 330-297-0811 RICHLAND COUNTY Mansfield Advanced Eye Care Surgery, 7694902, 7880696 1991 Park Avenue West Phone: 419-522-5088 Ohio Eye Associates 5734290, 167861 466 South Trimble Road Phone: 419-756-8000 / Fax: 419-756-7100 5734290, 3482777 466 South Trimple Avenue Phone: 419-756-8000 / Fax: 419-756-7100 9568415, 8944417 Mansfield Health 384 Park Avenue West Phone: 419-525-3075 STARK COUNTY Alliance Surgery Alliance, LTD 5749040, 9260139 975 Sawburg Avenue Alliance, OH 44601 Phone: 330-821-7997 / Fax: 330-821-7295 Canton CG Endoscopy, LTD 7881390, 1041631 3722 Dressler Road Northwest Phone: 330-479-9000 / Fax: 330-477-5805 Gastroenterology Associates, Inc. 8467319, 147753 4665 Belpar Street Phone: 330-493-1485 Gastroenterology Specialists, Inc. 4592244, 5121851 2726 Fulton Drive Northwest Phone: 330-455-5011 / Fax: 330-588-7127 GOC Endoscopy Inc. 4505586, 8942057 4124 Munson Street Northwest, Suite A Phone: 330-492-6662 Mercy Medical 6460240, 159197 1320 Mercy Drive Northwest Canton, OH 44708 Phone: 330-489-1000 Oasis Orthopaedic Ambulatory Surgical Intervention Svcs 5449716, 34005 4889 Munson Street Northwest Phone: 330-498-9898 / Fax: 330-498-9700 Svcs: GEN, EN, ORP, Pain Mgmt.,Spinal Surgery 9568415, 3574263 Canton Health 2663 Cleveland Avenue Northwest Canton, OH 44709 Phone: 330-456-7191 Stark Ambulatory Surgery LLC. 7058688, 1552242 4360 Fulton Drive Northwest Phone: 330-305-2020 / Fax: 330-305-0303 The Eye Surgical, LLC 7708870, 533779 800 McKinley Avenue Northwest Canton, OH 44703 Phone: 330-639-0046 / Fax: 330-639-0042 Massillon Affinity Medical -Massillon Campus 6460835, 216570 875 8th Street Northeast Massillon, OH 44646 Phone: 330-832-8761 SUMMIT COUNTY Akron Crystal Clinic Orthopaedic - Surgery 9273333, 390721 3975 Embassy Pkwy. Akron, OH 44333 Phone: 330-668-4085 / Fax: 330-668-2624 Svcs: ORP Park West Surgical 7200868, 3802842 One Park West Blvd., Suite 260 Akron, OH 44320 Phone: 330-864-6000 / Fax: 330-864-6020, Oculoplastics,Pain Mgmt. 9568415, 3494501 Akron Health 444 West Exchange Street Akron, OH 44302 Phone: 330-535-2671 System Optics ASC Facility 7751182, 3112262 3510 Manchester Road Akron, OH 44319 Phone: 330-630-9699 Cuyahoga Falls The For Surgery 5931550, 6820531 789 Graham Road Cuyahoga Falls, OH 44221 Phone: 330-923-7636 Norton Digestive Wellness, LLC 9839148, 7103119 3939 South Cleveland-Massillon Road Norton, OH 44203 Phone: 330-237-1058 / Fax: 330-237-1059 Stow St. Clare Surgery 5833466, 3740584 4441 Hudson Drive Stow, OH 44224 Phone: 330-920-4500 Tallmadge System Optics ASC Facility 7751182, 144305 518 West Avenue Tallmadge, OH 44278 Phone: 330-630-9699 TRUMBULL COUNTY Cortland 9568415, 7894333 Cortland Health 2664 Elm Road, Bldg. C Cortland, OH 44410 Phone: 330-399-5104 Warren Lippy Surgery, LLC 9812160, 5881 3893 East Market Street Warren, OH 44484 Phone: 330-856-7585 Trumbull Memorial Hospital 6461125, 9004395 1350 East Market Street Warren, OH 44483 Phone: 330-841-9011 / Fax: 330-841-9549 Belmont Eye Surgery 5348084, 5920 3020 Belmont Avenue, OH 44505 Phone: 330-759-7672 Northside Medical 6461200, 5434288 500 Gypsy Lane, OH 44504 Phone: 330-884-1000 3 of 4

TUSCARAWAS COUNTY Dennison Trinity Hospital Twin City 6460625, 247046 819 North 1st Street Dennison, OH 44621 Phone: 740-922-2800 Dover Tuscarawas Ambulatory Surgery 7807017, 4801193 320 Oxford Street Dover, OH 44622 Phone: 330-365-2101 Svcs: GEN, EN, LT, OPT, ORP, UR WAYNE COUNTY Wooster Cleveland Clinic Wooster Specialty 7687449, 1591757 721 East Milltown Road Wooster, OH 44691 Phone: 330-287-4500 Eye Surgery of Wooster 5777312, 274651 3519 Friendsville Road Wooster, OH 44691 Phone: 330-345-7200 / Fax: 330-345-8029 9568415, 6454439 Wooster Health 334 East Milltown Road Wooster, OH 44691 Phone: 330-345-7798 Note(s): Some ambulatory procedures require the physician to notify Aetna prior to performing services (e.g., colonoscopy and other scope procedures). These procedures were not used to determine this listing. 4 of 4

OHIO ASHTABULA COUNTY Ashtabula Ashtabula County Medical 6460140, 34194 2420 Lake Avenue Ashtabula, OH 44004 Phone: 440-997-2262 CUYAHOGA COUNTY Beachwood 7207189, 7743795 24700 Chagrin Blvd, STE 101 Phone: 330-759-5980 Brooklyn Preferred Diagnostic Sleep Laboraties of Ohio, Inc. 7622076, 2691415 7575 Northcliff Avenue, Suite 401 Brooklyn, OH 44144 Phone: 216-748-8283 Cleveland CSA St. Vincent Charity Hospital 6460470, 39100 2351 East 22nd Street Cleveland, OH 44115 Phone: 216-861-6200 / Fax: 216-363-3333 MetroHealth Medical 6466150, 142296 2500 Metrohealth Drive Cleveland, OH 44109 Phone: 216-778-7800 West Region Sleep 7588185, 1080365 15805 Puritas Avenue Cleveland, OH 44135 Phone: 216-267-5933 Middleburg Heights Remedy Sleep Disorders 7959455, 1784013 7507 Pearl Road Phone: 440-933-7775 Southwest General Health 6460190, 34187 18697 East Bagley Road Phone: 440-816-8000 North Olmsted Remedy Sleep Disorders 7959455, 4361277 25761 Lorain Road, 2nd Floor North Olmsted, OH 44070 Phone: 440-734-4900 / Fax: 440-734-4902 Aetna "Select Provider" Listing - Sleep Studies Parma West Region Sleep 7588185, 409208 6707 Powers Blvd., Suite 105 Parma, OH 44129 Phone: 440-842-8400 Westlake Westlake Sleep 9155076, 5343086 25101 Detroit Road, Suite 450B Westlake, OH 44145 Phone: 440-899-8136 / Fax: 440-899-7931 GEAUGA COUNTY Chardon Geauga Sleep 8463705, 6264292 100 Seventh Avenue, Suite 225 Chardon, OH 44024 Phone: 440-285-9598 8463705, 1121719 13221 Ravenna Road, Suite 13 Chardon, OH 44024 Phone: 440-285-9598 HOLMES COUNTY Millersburg Joel Pomerene Memorial Hospital 6460855, 533355 981 Wooster Road Millersburg, OH 44654 Phone: 330-674-1015 LORAIN COUNTY Avon Lake Remedy Sleep Disorders 7959455, 3421009 32730 Walker Road, Suite D1 Avon Lake, OH 44012 Phone: 440-933-7775 / Fax: 440-933-9456 7959455, 5694312 32745 Walker Road, Suite C Avon Lake, OH 44012 Phone: 440-933-7775 / Fax: 440-933-9456 Elyria EMH Regional Medical 6460640, 3740 630 East River Street Phone: 440-329-7500 Oberlin Mercy Allen Hospital 6460915, 159357 200 West Lorain Street Oberlin, OH 44074 Phone: 440-775-1211 MAHONING COUNTY Boardman Crossroads Sleep Disorders, LLC 7831622, 2140367 721 Boardman-Poland Road, Suite 204 Phone: 330-965-0220 / Fax: 330-965-9622 7207189, 9763229 250 DeBartolo Place, Suite 2755, OH 44512 Phone: 330-965-8335 / Fax: 330-965-8337 The Surgical Hospital at Southwoods 9880424, 2073592 7630 Southern Blvd., OH 44512 Phone: 330-758-1954 PORTAGE COUNTY Ravenna Robinson Memorial Hospital 6460970, 39302 6847 North Chestnut Street Ravenna, OH 44266 Phone: 330-297-0811 STARK COUNTY Canton Mercy Medical 6460240, 159197 1320 Mercy Drive Northwest Canton, OH 44708 Phone: 330-489-1000 North Canton 7207189, 3962079 6520 Whipple Avenue Northwest North Canton, OH 44720 Phone: 330-494-7297 / Fax: 330-494-7365 SUMMIT COUNTY Cuyahoga Falls Crossroads Sleep Disorders, LLC 7831622, 2082574 267 West Portage Trail, Suite 100 Cuyahoga Falls, OH 44223 Phone: 330-923-0228 TRUMBULL COUNTY Girard 7207189, 3963848 1825 Tibbets Wick Girard, OH 44420 Phone: 330-759-9233 / Fax: 330-759-9677 Northside Medical 6461200, 6080 500 Gypsy Lane, OH 44504 Phone: 330-884-1000 1 of 1

Aetna National Provider Directory Home Sleep Testing In home sleep tests, where appropriate, may cost less than lab based services. In addition to the Select List of local sleep study providers, we are including a list of national sleep study providers that can provide sleep studies in the home: National home sleep providers Name Phone number Fax number for orders Website Instant Diagnostic Systems, Inc. (888) 235-0545 (888) 235-0545 www.instantdishttp://www.instantdiagnostic.com dba IDS Inc Nationwide Sleep Diagnostics LLC dba NiteWatch (800) 285-2529 (800) 260-8023 http://www.nationwidesleepdiagnostics.com/ SleepQuest, Inc. (800) 813-8358 (650) 412-0124 http://www.sleepquest.com/ Sleep Solutions Inc./NovaSom, Inc (877) 753-3776 (866) 551-1587 http://www.novasom.com/ University Services (215) 637-6800 (267) 672-4231 http://www.uservices.com/ SleepMed, Inc. dba Digitrace Care Services (877) 866-8763 http://www.sleepmed.md Watermark Medical, Inc (877) 710-6999 (877) 387-6715 www.watermarkmedical.com To learn more You can access more information on home sleep testing on our DocFind online provider directory. Simply go to www.aetna.com and choose Find a Doctor. Once on DocFind: Search for Other (X- ray, Surg Ctrs, Med Equip, etc.) Select Type Home Sleep Testing Providers Once on a new page, you can select the Click here to find a provider link to review a broader provider list.