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Bayhealth Medical Center Terry M Murphy FACHE 640 S State Street Dover DE 19901 President and Chief Executive Officer Tel (302) 744-7000 Fax (302) 744-7181
September 1 2010
6( Licensing Branch Nuclear Materials Safety Section Division of Safety amp Safeguards US NRC - Region I 475 Allendale Rd King of Prussia P A 19406
Dear License Reviewer
Please be advised that the following physicians have joined our staff as authorized users of 10 CFR 35100 and 10 CFR 35200 byproduct materials
Kathleen M Hughes MD ABR 2008 - AU Eligible Arnit Newatia MD ABR 2008 - AU Eligible Yogi Trivedi MD ABR 2008 - AU Eligible Vijay Viswanathan MD ABR 2007 - AU Eligible
ABNM2006
Enclosed please find a copy of each physicians ABR certification which identifies the holder as being AU Eligible
All other aspects of our radiation safety program remain unchanged
If you have any questions please contact our consultant radiation physicist Jay Yoder MS of Walter L Robinson and Associates at 717-873-2790 or contact us at 302-744-7057
Our NRC license no is 07-14850-01 (Bayhealth Medical Center - Kent General Hospital)
ACHE Executive Officer
Enclosures (4)
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ABMSreg Board Certification Credentials Profile A service provided by Applied Statistics and Management Inc
Vijay Viswanathan (ABMSUID shy 854835) Viewed3262010 15007 PM
008 Status
Certification
Nuclear Medicine Nuclear Medicine - General Certificate
Active Time-limited Initial 10132006 - 12312016
Radiology Diagnostic Radiology - General Certificate
Active Time-limited Initial 06062007 - 12312017
Neuroradiology - Subcertificate
Active Time-limited Initial 11092009 - 12312019
Education 2001 MD
rrrgtlSPijp powered by Direct$-~
-lo U Connectmiddot (TI-II($ HOIIIOIl bull $IOLl Select Notice It is up to the user to determine if the physical record obtained from this services is that of the physician being sought
The information as presented by this service is approved for business use and is valid to meet the primary source verification requirements for credentialing as set by JCAHO NCQA URAC and other accrediting agencies
The ABMS phYSician specialty certification data provided by ABMS Certification Profile Service is proprietary and copyrighted by the American Board of Medical Specialties (AMBSreg) and subject to the intellectual property laws of the United States copy 2006 ABMS All Rights Reserved
rrlie Jlmerican (jJoaraofNucCear Meaicine [ncorporatea 1971
Certifies tfiat
rrJijay rrJiswanathan
lias met tlie requirements oftliis (]Joananais quaEified aurinfJ tlie periodof2006 tlirougli 2016 to practice as a SpeciaCist
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o Please provide to this office within 30 days of your receipt of this card
A copy of your action has been forwarded to our License Fee amp Accounts Receivable Branch who will contact you separately if there is a fee issue involved
Your action has been assigned Mail Control Number 573 Y63 When calling to inquire about this action please refer to this control number You may can us on (610) 337-5398 or 33-5260
NRC FORM 532 (RI) Sincerely (6-96) Licensing Assistance Team Leader
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ABMSreg Board Certification Credentials Profile A service provided by Applied Statistics and Management Inc
Vijay Viswanathan (ABMSUID shy 854835) Viewed3262010 15007 PM
008 Status
Certification
Nuclear Medicine Nuclear Medicine - General Certificate
Active Time-limited Initial 10132006 - 12312016
Radiology Diagnostic Radiology - General Certificate
Active Time-limited Initial 06062007 - 12312017
Neuroradiology - Subcertificate
Active Time-limited Initial 11092009 - 12312019
Education 2001 MD
rrrgtlSPijp powered by Direct$-~
-lo U Connectmiddot (TI-II($ HOIIIOIl bull $IOLl Select Notice It is up to the user to determine if the physical record obtained from this services is that of the physician being sought
The information as presented by this service is approved for business use and is valid to meet the primary source verification requirements for credentialing as set by JCAHO NCQA URAC and other accrediting agencies
The ABMS phYSician specialty certification data provided by ABMS Certification Profile Service is proprietary and copyrighted by the American Board of Medical Specialties (AMBSreg) and subject to the intellectual property laws of the United States copy 2006 ABMS All Rights Reserved
rrlie Jlmerican (jJoaraofNucCear Meaicine [ncorporatea 1971
Certifies tfiat
rrJijay rrJiswanathan
lias met tlie requirements oftliis (]Joananais quaEified aurinfJ tlie periodof2006 tlirougli 2016 to practice as a SpeciaCist
in af(aspects ofCfinicaCanapounda6oratory
Nucfear lvletficine
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~MCLI~M)-1- r()7 JLj SS-O 0 ( rlJ TherlWe(e fo-~dfuihlsfralive orntssiohs Your application was a~gned to a technical reviewer Please note that the technical review may identify additional omissions or require additional information
o Please provide to this office within 30 days of your receipt of this card
A copy of your action has been forwarded to our License Fee amp Accounts Receivable Branch who will contact you separately if there is a fee issue involved
Your action has been assigned Mail Control Number 573 Y63 When calling to inquire about this action please refer to this control number You may can us on (610) 337-5398 or 33-5260
NRC FORM 532 (RI) Sincerely (6-96) Licensing Assistance Team Leader
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Copyrighc copy2Q09 Elsevier Inlt and tho Amorln Bord of Medical Specialties All rightis reler
huplw wwboardccrtiJicddacscamcn_dotails asp Stacy L Dotterer CPCS 031812009
v
-- -shy
- shy-1-
--shy
ABMSreg Board Certification Credentials Profile A service provided by Applied Statistics and Management Inc
Vijay Viswanathan (ABMSUID shy 854835) Viewed3262010 15007 PM
008 Status
Certification
Nuclear Medicine Nuclear Medicine - General Certificate
Active Time-limited Initial 10132006 - 12312016
Radiology Diagnostic Radiology - General Certificate
Active Time-limited Initial 06062007 - 12312017
Neuroradiology - Subcertificate
Active Time-limited Initial 11092009 - 12312019
Education 2001 MD
rrrgtlSPijp powered by Direct$-~
-lo U Connectmiddot (TI-II($ HOIIIOIl bull $IOLl Select Notice It is up to the user to determine if the physical record obtained from this services is that of the physician being sought
The information as presented by this service is approved for business use and is valid to meet the primary source verification requirements for credentialing as set by JCAHO NCQA URAC and other accrediting agencies
The ABMS phYSician specialty certification data provided by ABMS Certification Profile Service is proprietary and copyrighted by the American Board of Medical Specialties (AMBSreg) and subject to the intellectual property laws of the United States copy 2006 ABMS All Rights Reserved
rrlie Jlmerican (jJoaraofNucCear Meaicine [ncorporatea 1971
Certifies tfiat
rrJijay rrJiswanathan
lias met tlie requirements oftliis (]Joananais quaEified aurinfJ tlie periodof2006 tlirougli 2016 to practice as a SpeciaCist
in af(aspects ofCfinicaCanapounda6oratory
Nucfear lvletficine
JD
07621 Wum5er
VmtedStates
~~ tiligihIe
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ertificlIh~ ~o_ 53Sn6 Jlialio tlyrnug~ 2m
pplication dated
-----------L--c~LJ-()=---___ and to inform you that the initial processing which includes an administrative review has been performed
~MCLI~M)-1- r()7 JLj SS-O 0 ( rlJ TherlWe(e fo-~dfuihlsfralive orntssiohs Your application was a~gned to a technical reviewer Please note that the technical review may identify additional omissions or require additional information
o Please provide to this office within 30 days of your receipt of this card
A copy of your action has been forwarded to our License Fee amp Accounts Receivable Branch who will contact you separately if there is a fee issue involved
Your action has been assigned Mail Control Number 573 Y63 When calling to inquire about this action please refer to this control number You may can us on (610) 337-5398 or 33-5260
NRC FORM 532 (RI) Sincerely (6-96) Licensing Assistance Team Leader
UoardCcrtiliedDocs Page 1 of 1
BoardCertifiedDocs
Accoun~ Inre
ADM Prlmarv Source Ota
AMIiIUC4JtiIQAKD O8ADIUIOU CERtIFfeATIUN(I)~ olillorHliltlt Riildiolugy QGIJlluM bull UlllZOU
Dlph)m~te fitlf A_portod D~ttl
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BoardCertifiedDocs QUick SEarh Rtiou(ct~ Contact Ult
51arth rtloufts
AlIM5 Primary Source Dati
MIKltAN IOARD OF IAIUQI QX tIiRTIFtAtlON)1 OilU3tlMtic dialog) Oliollaolil ll3120HI
Llplomltt bullbullIf RepQrtOQ Dal
ampDUCATION ltlOO MO)
-This ptClflltl contltlns primltty SltlLJree 1)~1lld ttlrtlrhtiQrI d t~ J1~CIilllr he bl-n de19118ted by A~MS liS in Ollkl11 DispllolY A-gent end is able tl) prCl ide thlg p~lmaty iQUrIl (Illto )t1 bchllif Q
ABMS The AiW1S has MEl designated 0 primaI) stlurtl 0 board certlfltatlon informatiM by Joint tommliilon for A(t~dltiltiM or HlIllthcare Or9~nJZlItlons (JCAHO) the Nilltionlli tommi fOr QuQllty Assur~nce (NtQA)Ina URAC
Copyrighc copy2Q09 Elsevier Inlt and tho Amorln Bord of Medical Specialties All rightis reler
huplw wwboardccrtiJicddacscamcn_dotails asp Stacy L Dotterer CPCS 031812009
v
-- -shy
- shy-1-
--shy
ABMSreg Board Certification Credentials Profile A service provided by Applied Statistics and Management Inc
Vijay Viswanathan (ABMSUID shy 854835) Viewed3262010 15007 PM
008 Status
Certification
Nuclear Medicine Nuclear Medicine - General Certificate
Active Time-limited Initial 10132006 - 12312016
Radiology Diagnostic Radiology - General Certificate
Active Time-limited Initial 06062007 - 12312017
Neuroradiology - Subcertificate
Active Time-limited Initial 11092009 - 12312019
Education 2001 MD
rrrgtlSPijp powered by Direct$-~
-lo U Connectmiddot (TI-II($ HOIIIOIl bull $IOLl Select Notice It is up to the user to determine if the physical record obtained from this services is that of the physician being sought
The information as presented by this service is approved for business use and is valid to meet the primary source verification requirements for credentialing as set by JCAHO NCQA URAC and other accrediting agencies
The ABMS phYSician specialty certification data provided by ABMS Certification Profile Service is proprietary and copyrighted by the American Board of Medical Specialties (AMBSreg) and subject to the intellectual property laws of the United States copy 2006 ABMS All Rights Reserved
rrlie Jlmerican (jJoaraofNucCear Meaicine [ncorporatea 1971
Certifies tfiat
rrJijay rrJiswanathan
lias met tlie requirements oftliis (]Joananais quaEified aurinfJ tlie periodof2006 tlirougli 2016 to practice as a SpeciaCist
in af(aspects ofCfinicaCanapounda6oratory
Nucfear lvletficine
JD
07621 Wum5er
VmtedStates
~~ tiligihIe
~ 0 gti(lt - - J Jlrrsibttrl
ertificlIh~ ~o_ 53Sn6 Jlialio tlyrnug~ 2m
pplication dated
-----------L--c~LJ-()=---___ and to inform you that the initial processing which includes an administrative review has been performed
~MCLI~M)-1- r()7 JLj SS-O 0 ( rlJ TherlWe(e fo-~dfuihlsfralive orntssiohs Your application was a~gned to a technical reviewer Please note that the technical review may identify additional omissions or require additional information
o Please provide to this office within 30 days of your receipt of this card
A copy of your action has been forwarded to our License Fee amp Accounts Receivable Branch who will contact you separately if there is a fee issue involved
Your action has been assigned Mail Control Number 573 Y63 When calling to inquire about this action please refer to this control number You may can us on (610) 337-5398 or 33-5260
NRC FORM 532 (RI) Sincerely (6-96) Licensing Assistance Team Leader
AtardCcttiiiedDocs
BoardCertifiedDocs QUick SEarh Rtiou(ct~ Contact Ult
51arth rtloufts
AlIM5 Primary Source Dati
MIKltAN IOARD OF IAIUQI QX tIiRTIFtAtlON)1 OilU3tlMtic dialog) Oliollaolil ll3120HI
Llplomltt bullbullIf RepQrtOQ Dal
ampDUCATION ltlOO MO)
-This ptClflltl contltlns primltty SltlLJree 1)~1lld ttlrtlrhtiQrI d t~ J1~CIilllr he bl-n de19118ted by A~MS liS in Ollkl11 DispllolY A-gent end is able tl) prCl ide thlg p~lmaty iQUrIl (Illto )t1 bchllif Q
ABMS The AiW1S has MEl designated 0 primaI) stlurtl 0 board certlfltatlon informatiM by Joint tommliilon for A(t~dltiltiM or HlIllthcare Or9~nJZlItlons (JCAHO) the Nilltionlli tommi fOr QuQllty Assur~nce (NtQA)Ina URAC
Copyrighc copy2Q09 Elsevier Inlt and tho Amorln Bord of Medical Specialties All rightis reler
huplw wwboardccrtiJicddacscamcn_dotails asp Stacy L Dotterer CPCS 031812009
v
-- -shy
- shy-1-
--shy
ABMSreg Board Certification Credentials Profile A service provided by Applied Statistics and Management Inc
Vijay Viswanathan (ABMSUID shy 854835) Viewed3262010 15007 PM
008 Status
Certification
Nuclear Medicine Nuclear Medicine - General Certificate
Active Time-limited Initial 10132006 - 12312016
Radiology Diagnostic Radiology - General Certificate
Active Time-limited Initial 06062007 - 12312017
Neuroradiology - Subcertificate
Active Time-limited Initial 11092009 - 12312019
Education 2001 MD
rrrgtlSPijp powered by Direct$-~
-lo U Connectmiddot (TI-II($ HOIIIOIl bull $IOLl Select Notice It is up to the user to determine if the physical record obtained from this services is that of the physician being sought
The information as presented by this service is approved for business use and is valid to meet the primary source verification requirements for credentialing as set by JCAHO NCQA URAC and other accrediting agencies
The ABMS phYSician specialty certification data provided by ABMS Certification Profile Service is proprietary and copyrighted by the American Board of Medical Specialties (AMBSreg) and subject to the intellectual property laws of the United States copy 2006 ABMS All Rights Reserved
rrlie Jlmerican (jJoaraofNucCear Meaicine [ncorporatea 1971
Certifies tfiat
rrJijay rrJiswanathan
lias met tlie requirements oftliis (]Joananais quaEified aurinfJ tlie periodof2006 tlirougli 2016 to practice as a SpeciaCist
in af(aspects ofCfinicaCanapounda6oratory
Nucfear lvletficine
JD
07621 Wum5er
VmtedStates
~~ tiligihIe
~ 0 gti(lt - - J Jlrrsibttrl
ertificlIh~ ~o_ 53Sn6 Jlialio tlyrnug~ 2m
pplication dated
-----------L--c~LJ-()=---___ and to inform you that the initial processing which includes an administrative review has been performed
~MCLI~M)-1- r()7 JLj SS-O 0 ( rlJ TherlWe(e fo-~dfuihlsfralive orntssiohs Your application was a~gned to a technical reviewer Please note that the technical review may identify additional omissions or require additional information
o Please provide to this office within 30 days of your receipt of this card
A copy of your action has been forwarded to our License Fee amp Accounts Receivable Branch who will contact you separately if there is a fee issue involved
Your action has been assigned Mail Control Number 573 Y63 When calling to inquire about this action please refer to this control number You may can us on (610) 337-5398 or 33-5260
NRC FORM 532 (RI) Sincerely (6-96) Licensing Assistance Team Leader
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ABMSreg Board Certification Credentials Profile A service provided by Applied Statistics and Management Inc
Vijay Viswanathan (ABMSUID shy 854835) Viewed3262010 15007 PM
008 Status
Certification
Nuclear Medicine Nuclear Medicine - General Certificate
Active Time-limited Initial 10132006 - 12312016
Radiology Diagnostic Radiology - General Certificate
Active Time-limited Initial 06062007 - 12312017
Neuroradiology - Subcertificate
Active Time-limited Initial 11092009 - 12312019
Education 2001 MD
rrrgtlSPijp powered by Direct$-~
-lo U Connectmiddot (TI-II($ HOIIIOIl bull $IOLl Select Notice It is up to the user to determine if the physical record obtained from this services is that of the physician being sought
The information as presented by this service is approved for business use and is valid to meet the primary source verification requirements for credentialing as set by JCAHO NCQA URAC and other accrediting agencies
The ABMS phYSician specialty certification data provided by ABMS Certification Profile Service is proprietary and copyrighted by the American Board of Medical Specialties (AMBSreg) and subject to the intellectual property laws of the United States copy 2006 ABMS All Rights Reserved
rrlie Jlmerican (jJoaraofNucCear Meaicine [ncorporatea 1971
Certifies tfiat
rrJijay rrJiswanathan
lias met tlie requirements oftliis (]Joananais quaEified aurinfJ tlie periodof2006 tlirougli 2016 to practice as a SpeciaCist
in af(aspects ofCfinicaCanapounda6oratory
Nucfear lvletficine
JD
07621 Wum5er
VmtedStates
~~ tiligihIe
~ 0 gti(lt - - J Jlrrsibttrl
ertificlIh~ ~o_ 53Sn6 Jlialio tlyrnug~ 2m
pplication dated
-----------L--c~LJ-()=---___ and to inform you that the initial processing which includes an administrative review has been performed
~MCLI~M)-1- r()7 JLj SS-O 0 ( rlJ TherlWe(e fo-~dfuihlsfralive orntssiohs Your application was a~gned to a technical reviewer Please note that the technical review may identify additional omissions or require additional information
o Please provide to this office within 30 days of your receipt of this card
A copy of your action has been forwarded to our License Fee amp Accounts Receivable Branch who will contact you separately if there is a fee issue involved
Your action has been assigned Mail Control Number 573 Y63 When calling to inquire about this action please refer to this control number You may can us on (610) 337-5398 or 33-5260
NRC FORM 532 (RI) Sincerely (6-96) Licensing Assistance Team Leader
ABMSreg Board Certification Credentials Profile A service provided by Applied Statistics and Management Inc
Vijay Viswanathan (ABMSUID shy 854835) Viewed3262010 15007 PM
008 Status
Certification
Nuclear Medicine Nuclear Medicine - General Certificate
Active Time-limited Initial 10132006 - 12312016
Radiology Diagnostic Radiology - General Certificate
Active Time-limited Initial 06062007 - 12312017
Neuroradiology - Subcertificate
Active Time-limited Initial 11092009 - 12312019
Education 2001 MD
rrrgtlSPijp powered by Direct$-~
-lo U Connectmiddot (TI-II($ HOIIIOIl bull $IOLl Select Notice It is up to the user to determine if the physical record obtained from this services is that of the physician being sought
The information as presented by this service is approved for business use and is valid to meet the primary source verification requirements for credentialing as set by JCAHO NCQA URAC and other accrediting agencies
The ABMS phYSician specialty certification data provided by ABMS Certification Profile Service is proprietary and copyrighted by the American Board of Medical Specialties (AMBSreg) and subject to the intellectual property laws of the United States copy 2006 ABMS All Rights Reserved
rrlie Jlmerican (jJoaraofNucCear Meaicine [ncorporatea 1971
Certifies tfiat
rrJijay rrJiswanathan
lias met tlie requirements oftliis (]Joananais quaEified aurinfJ tlie periodof2006 tlirougli 2016 to practice as a SpeciaCist
in af(aspects ofCfinicaCanapounda6oratory
Nucfear lvletficine
JD
07621 Wum5er
VmtedStates
~~ tiligihIe
~ 0 gti(lt - - J Jlrrsibttrl
ertificlIh~ ~o_ 53Sn6 Jlialio tlyrnug~ 2m
pplication dated
-----------L--c~LJ-()=---___ and to inform you that the initial processing which includes an administrative review has been performed
~MCLI~M)-1- r()7 JLj SS-O 0 ( rlJ TherlWe(e fo-~dfuihlsfralive orntssiohs Your application was a~gned to a technical reviewer Please note that the technical review may identify additional omissions or require additional information
o Please provide to this office within 30 days of your receipt of this card
A copy of your action has been forwarded to our License Fee amp Accounts Receivable Branch who will contact you separately if there is a fee issue involved
Your action has been assigned Mail Control Number 573 Y63 When calling to inquire about this action please refer to this control number You may can us on (610) 337-5398 or 33-5260
NRC FORM 532 (RI) Sincerely (6-96) Licensing Assistance Team Leader
rrlie Jlmerican (jJoaraofNucCear Meaicine [ncorporatea 1971
Certifies tfiat
rrJijay rrJiswanathan
lias met tlie requirements oftliis (]Joananais quaEified aurinfJ tlie periodof2006 tlirougli 2016 to practice as a SpeciaCist
in af(aspects ofCfinicaCanapounda6oratory
Nucfear lvletficine
JD
07621 Wum5er
VmtedStates
~~ tiligihIe
~ 0 gti(lt - - J Jlrrsibttrl
ertificlIh~ ~o_ 53Sn6 Jlialio tlyrnug~ 2m
pplication dated
-----------L--c~LJ-()=---___ and to inform you that the initial processing which includes an administrative review has been performed
~MCLI~M)-1- r()7 JLj SS-O 0 ( rlJ TherlWe(e fo-~dfuihlsfralive orntssiohs Your application was a~gned to a technical reviewer Please note that the technical review may identify additional omissions or require additional information
o Please provide to this office within 30 days of your receipt of this card
A copy of your action has been forwarded to our License Fee amp Accounts Receivable Branch who will contact you separately if there is a fee issue involved
Your action has been assigned Mail Control Number 573 Y63 When calling to inquire about this action please refer to this control number You may can us on (610) 337-5398 or 33-5260
NRC FORM 532 (RI) Sincerely (6-96) Licensing Assistance Team Leader
~~ tiligihIe
~ 0 gti(lt - - J Jlrrsibttrl
ertificlIh~ ~o_ 53Sn6 Jlialio tlyrnug~ 2m
pplication dated
-----------L--c~LJ-()=---___ and to inform you that the initial processing which includes an administrative review has been performed
~MCLI~M)-1- r()7 JLj SS-O 0 ( rlJ TherlWe(e fo-~dfuihlsfralive orntssiohs Your application was a~gned to a technical reviewer Please note that the technical review may identify additional omissions or require additional information
o Please provide to this office within 30 days of your receipt of this card
A copy of your action has been forwarded to our License Fee amp Accounts Receivable Branch who will contact you separately if there is a fee issue involved
Your action has been assigned Mail Control Number 573 Y63 When calling to inquire about this action please refer to this control number You may can us on (610) 337-5398 or 33-5260
NRC FORM 532 (RI) Sincerely (6-96) Licensing Assistance Team Leader
pplication dated
-----------L--c~LJ-()=---___ and to inform you that the initial processing which includes an administrative review has been performed
~MCLI~M)-1- r()7 JLj SS-O 0 ( rlJ TherlWe(e fo-~dfuihlsfralive orntssiohs Your application was a~gned to a technical reviewer Please note that the technical review may identify additional omissions or require additional information
o Please provide to this office within 30 days of your receipt of this card
A copy of your action has been forwarded to our License Fee amp Accounts Receivable Branch who will contact you separately if there is a fee issue involved
Your action has been assigned Mail Control Number 573 Y63 When calling to inquire about this action please refer to this control number You may can us on (610) 337-5398 or 33-5260
NRC FORM 532 (RI) Sincerely (6-96) Licensing Assistance Team Leader