Attachment B Evaluation Work Group

Attachment B

Evaluation Work Group

Evaluation Work Group

Dr. Kelly Acton, M.D., M.P.H., F.A.C.P.

Director, Indian Health Service

Diabetes Program Indian Health Service

5300 Homestead Road, .NE.

Albuquerque, NM 87110

Phone (505) 248-4182

Fax (505) 248-4188

Email [email protected]

Mr. Thomas Chapel, M.B.A.

Office of the Director/ Administrator

Centers for Disease Control and Prevention

248 Connecticut Avenue

Atlanta, GA 30307

Phone (678) 296-8436

Fax (404) 498-1187

Email [email protected]

Dr. Marshall Chin, M.D., M.P.H.

Associate Professor of Medicine

University of Chicago School of Medicine

5841 S. Maryland Avenue, MC 2007, Room B216

Chicago, IL 60637

Phone (773) 702-4769

Fax (773) 834-2238

Email [email protected]

Dr. Charles M. Clark, Jr., M.D.

Chair, Evaluation Work Group Associate Dean, Continuing Medical Education Professor of Medicine and Pharmacology

Indiana University School of Medicine

Division of Continuing Medical Education

714 N. Senate Avenue, EF 204 Indianapolis IN 46202

Phone (317) 274-0104;

(317) 418-6311

Fax (317) 274-5182

Email [email protected]

Dr. Catherine Cowie, Ph.D.

Director, Diabetes Epidemiology National Institute of Diabetes and Digestive and Kidney Diseases, NIH

6707 Democracy Blvd., Room 691

Bethesda MD 20892

Phone (301) 594-8804

Fax (301) 480-3503

Email [email protected]

Dr. Mark Eberhardt, Ph.D.

Epidemiologist, National Center for Health Statistics, Center for Disease Control and Prevention

3311 Toledo Rd., Rm. 6421

Hyattsville MD 20782

Phone (301) 458-4201

Fax (301) 458-4037

Email [email protected]

Dr. Kenneth Fink, M.D., M.G.A., M.P.H.

Chief Medical Officer, Centers for Medicare & Medicaid Services

Centers for Medicare & Medicaid Services, Region X

2201 Sixth Avenue, MS 40

Seattle WA 98121

Phone (206) 615-2390

Fax (206) 615-2027

Email [email protected]

Ms. Linda Geiss, M.P.H.

Surveillance Coordinator

Division of Diabetes Translation Centers for Disease Control and Prevention

4770 Buford Hwy. NE, MS K-10

Atlanta GA 30341

Phone (770) 488-1056

Fax (770) 488-1148

Email [email protected]

Dr. Susan Gilliland, Ph.D.

Indian Health Service Associate

Epidemiologist University of Southern California Keck School of Medicine, Department of Preventive Medicine, Division of Biostatistics

1540 Alcazar Street, CHP 222, MC 9010 Los Angeles CA 90089-9010

Phone (626) 441-8487

Fax (626) 403-1801

Email [email protected]

Dr. Mary Jo Goolsby, Ed.D., M.S.N., A.N.P.C., F.A.A.N.P.

American Academy of Nurse Practitioners

Director of Research and Education American Academy of Nurse Practitioners

2600 Via Fortuna, Suite 100

Austin TX 78746

Phone (512) 442-4262 x 231

Fax (512) 442-6469

Email [email protected]

Ms. Rosemary Janiszewski, M.S., C.H.E.S.

Director, National Eye Institute

National Eye Health Education Program National Eye Institute, NIH

31 Center Drive, Building 31, Room 6A32, MSC 2510

Bethesda MD 20892

Phone (301) 496-5248

Fax (301) 402-1065

Email [email protected]

Dr. Norman Kahn, Jr., M.D., F.A.A.F.P.

Vice President, Science and Education

American Academy of Family Physicians

11400 Tomahawk Creek Parkway Leawood KS 66211-2672

Phone (800) 274-2237

Email [email protected]

Ms. Susan Lopez-Payan , B.A.

Interim Chief, California Diabetes Program

California Department of Health Services

CDP 3rd Floor, MS 7211, P.O. Box 997413

Sacramento CA 95899-7413

Phone (916) 552-9942

Fax (916) 552-9988

Email [email protected]

Dr. David Marrero, Ph.D.

Chair, Diabetes Prevention Program, Translation Committee J.O. Ritchey Professor of Medicine, Division of Endocrinology & Metabolism

Indiana University School of Medicine

250 North University Boulevard, Suite 122

Indianapolis IN 46202

Phone (317) 278-0905

Fax (317) 278-0911

Email [email protected]

Dr. Qaiser Mukhtar, Ph.D.

Epidemiologist

NCCDPHP/DDT

4770 Buford Hwy. NE, MS K-10

Atlanta, GA 30341

Phone (770) 488-5505

Fax (770) 488-5195

Email [email protected]

Dr. Leonard M. Pogach, M.D., M.B.A.

National Program Director

Diabetes Veterans Administration

US Veterans Administration Health Care System National Program, East Orange Veterans Affairs Medical Center, Veterans Health Administration

385 Tremont Avenue

East Orange, NJ 07018-1095

Phone (973) 676-1000 x 1693

Fax (853) 395-7092

Email [email protected];

[email protected]

Dr. Amir Qaseem, M.D., Ph.D., M.H.A.

American College of Physicians Clinical Epidemiologist

American College of Physicians

190 N. Independence Mall West

Philadelphia, PA 19106

Phone (215) 351-2570

Fax (215) 351-2594

Email [email protected]

Ms. Martha Rinker

American Association of Diabetes Educators, Chief Advocacy Officer

American Association of Diabetes Educators

801 Pennsylvania Ave., NW Suite 245

Washington, DC 20004

Phone (202) 624-1510 (work);

(202) 549-6124 (cell)

Fax (202) 737-6462

Email [email protected]

Dr. Sunil Sinha, M.D., M.B.A.

Centers for Medicare and Medicaid

Services

Medical Officer, Quality Measurement & Health Assessment Group Centers for Medicare and Medicaid Services

75 W Security Blvd., Mail Stop S3-02-01

Baltimore, MD 21244

Phone (410) 786-2288

Email [email protected]