TURK’S HEAD SURGERY CENTER, LLC
DISCLOSURE OF PHYSICIAN OWNERSHIP
Please carefully review the information contained in this notice.
Turk’s Head Surgery Center meets the definition of a “physician-owned ambulatory surgery center” under 42 Code of Federal Regulations §416. The ambulatory surgery center is owned in part by the following physicians.
- Donald Andersen, M.D.
- Jeffrey Citara, DO
- John J. DeStafeno, M.D.
- Kenneth Fitzpatrick, M.D.
- Michael Hoffman, MD
- Robert Huxster, M.D.
- Alexander C. Keszeli, D.O., FAOCO
- Robert P. Liss, M.D.
- Adam J Mariotti, MD, FACS
- Todd Michener, MD
- A. Vijay Mudgil, M.D.
- Michael A. Picariello, M.D., FACS
- Donelle L. Rhoads, M.D., FACS
- Bruce R. Saran, M.D.
- Matthew Schaeffer, M.D.
- Chet Simmons Jr., M.D.
- Joseph Smith III, MD
- Bruce I. Stark, M.D.
- Adrienne Towsen, M.D.
- Michael J. Ward, M.D. – Ophthalmologist
- Michael J. Ward, M.D. – Otolaryngologist
- Kenneth A. Witterholt, M.D., FACS
- Ilene Y. Wong, M.D.
- Richard Ziegler, M.D.
You have the right to choose the provider of your health care services. Although we believe that Turk’s Head Surgery Center will be able to meet your needs, you have the option to use a facility other than Turk’s Head Surgery Center. You will not be treated differently by your physician if you choose to use a different facility; however, your physician may not be able to perform your procedures at an alternative facility if he does not maintain privileges at such facility. If desired, your physician or any staff member can provide information about alternative health care providers.
If you have any questions concerning this notice, please feel free to ask your physician or any representative of Turk’s Head Surgery Center. We welcome you as a patient and value our relationship with you.