CTO Name and Location
Carroll PHO, LLC
200 Memorial Avenue
Westminster, Maryland 21157
CTO Primary Contact
Organizational Information
CTO Partnerships
| CTO Partnerships |
CTO Participant in Joint Venture (Enter Y or N) |
| Manchester Family Medicine, LLC |
N |
| Manchester Medical Center, LLC |
N |
| Westminster Internal Medicine |
N |
| Carroll Family Medicine, LLC |
N |
| Dr Wilbur Kuo & Associates Internal Medicine, LLC |
N |
| Carroll Primary Care - Westminster |
N |
| Carroll Primary Care - Eldersburg |
N |
| LifeBridge Multi-Specialty, LLC |
N |
| Airpark Primary Care, LLC |
N |
| Carroll Health Group - Westminster |
N |
| Carroll Health Group - College Square |
N |
| Carroll Health Group - Hampstead |
N |
| Carroll Health Group - Eldersburg |
N |
| Carroll Health Group - Mt. Airy |
N |
| Family Medical Center |
N |
PHO Governing Body
| Member |
Member's Voting Power - Expressed as
a percentage or number |
Membership Type |
ACO Participant TIN
Legal Business Name/
DBA, if applicable |
| Last Name |
First Name |
Title/Position |
| Galvin, M.D. |
Todd |
PHO Participant |
1 |
Chair & Voting Member |
Carroll Health Group, LLC |
| Freiji, M.D. |
Khalil |
PHO Participant |
1 |
Voting Member |
Westminster Internal Medicine Association |
| Kuna, M.D. |
Kiran |
PHO Participant |
1 |
Voting Member |
Carroll County Anesthesia Associates, PA |
| Johnston, M.D. |
Kimberly |
PHO Participant |
1 |
Medical Director & Voting Member |
LifeBridge Multi-Specialty, LLC |
| Myers |
Michael |
Hospital Administrator |
1 |
Treasurer & Voting Member |
|
| Fisher |
Charles |
Community Member |
1 |
Medicare Beneficiary |
|
| Loeffler, M.D. |
Sara |
PHO Participant |
1 |
Voting Member |
Carroll Health Group, LLC |
| McClernan |
Sharon |
Hospital Administrator |
1 |
Secretary & Voting Member |
|
| McEvoy, M.D. |
Michael |
PHO Participant |
1 |
Voting Member |
Carroll Primary Care |
| Mendoza, M.D. |
Ernesto |
PHO Participant |
1 |
Voting Member |
Carroll Health Group, LLC |
| Ozgun, M.D. |
Bertan |
PHO Participant |
1 |
Voting Member |
Advanced Radiology, P.A. |
| Callahan |
Laura |
Compliance Officer |
0 |
Non-Voting Member |
|
| Sikorski, M.D. |
Stephen |
PHO Participant |
1 |
Voting Member |
Carroll Primary Care |
| Simmons |
Leslie |
Hospital Administrator |
1 |
Voting Member |
|
Key CTO Clinical and Administrative Leadership
| Joshua Parks |
Executive Director |
| Kim Johnston, M.D. |
Medical Director |
| Kim Johnston, M.D. |
Quality Assurance/Improvement Officer |
Associated Committees and Committee Leadership
| Committee Name |
Committee Leader Name and Position |
| Clinical and Quality Committee |
Kimberly Johnston, M.D., Chair |
| Compliance Committee |
Bertan Ozgun, M.D., Chair |
| Finance Committee |
Michael Myers, Chair |
| Information Technology Committee |
Michael McEvoy, M.D., Chair |
| Membership Committee |
Leslie Simmons, Chair
|