Physician Online Directory Update

Dear Physician and Office Managers
For your convenience, we now offer an easy way to request changes be made to your entry in the St. Mary Online Physician Directory. Please enter changes to enhance the information posted for your entry. Please be sure to include contact information (email and phone number) to allow us to verify this information. Please note email and cell phone numbers will not be displayed with website information.
There is a field to supply a website and email contact for your practice.

* Indicates required information

Physician name *

Contact Email Address for verification *

Practice Name

Type of practice *

Solo Group

Address corrections requested

Phone number correction requested

Additional Practice address and phone

Office Hours

Weekend or Evening office hours

Board Certifications

Additional Certifications and Training

Specific Clinical Areas of Interest

Medical School

Internship

Residency

Fellowship

Gender *

Male Female

Practice Web Address

Practice email (public)

Awards and Speaking Engagements

Practice Philosophy

Years in Practice

Languages spoken

Is office handicapped accessible *

Yes No

Do you accept Medical Assistance *

Yes No

Do you accept Medicaid *

Yes No

Do you accept Medicare *

Yes No

Insurances Accepted

Aetna HMO Aetna PPO Americhoice Ameriheath Personal Choice Amerihealth HMO Auto Blue Cross Blue Cross Personal Choice Champus Active Champus Retired Cigna Health HMO Cigna Health PPO Ethix Health Horizon Health Partners Intergroup Keycare Keystone Health East Keystone Mercy Major Medical Medicare Medicaid Oaktree Oxford Health Private Health Care Self Pay United Healthcare Workers Compensation Other None

If Other, please specify:

Other comments

Name of person submitting information *

Contact inf. for person submitting information *

Authentication *

If the challenge words are too difficult to read, click here to refresh.

Please email photo headshots directly to ksmith@stmaryhealthcare.org