Change Type | Physician Profile ID | Physician First Name | Physician Middle Name | Physician Last Name | Physician Name Suffix | Recipient Primary Business Street Address Line1 | Recipient Primary Business Street Address Line2 | Recipient City | Recipient State | Recipient Zip Code | Recipient Country | Recipient Province | Recipient Postal Code | Physician Primary Type | Physician Specialty | Record ID | Program Year | Total Amount Invested USDollars | Value of Interest | Terms of Interest | Submitting Applicable Manufacturer or Applicable GPO Name | Applicable Manufacturer or Applicable GPO Making Payment ID | Applicable Manufacturer or Applicable GPO Making Payment Name | Applicable Manufacturer or Applicable GPO Making Payment State | Applicable Manufacturer or Applicable GPO Making Payment Country | Is Dispute Status for Publication | Interest Held by Physician or an Immediate Family Member | Payment Publication Date |
NEW | 59308 | Seth | H | Berk | | 564 Eaglebrook Drive | | Moorestown | NJ | 7751 | United States | | | Medical Doctor | Allopathic & Osteopathic Physicians|Internal Medicine|Hematology & Oncology | 521128463 | 2018 | 9000.0 | | Common Stock | Cornerstone Specialty Network LLC | 100000216802 | Cornerstone Specialty Network LLC | TX | United States | False | Physician Covered Recipient | 2019-06-28 |
NEW | 131247 | Robert | Alex | Hirschl | | 89 W COPELAND DR | | Orlando | FL | 32806 | United States | | | Medical Doctor | Allopathic & Osteopathic Physicians|Neurological Surgery | 521163301 | 2018 | 400000.0 | 400000.0 | Entire investment is at risk. | HT Medical, LLC | 100000216782 | HT Medical, LLC | OK | United States | False | Physician Covered Recipient | 2019-06-28 |
NEW | 272294 | Anthony | | Asher | | 225 Baldwin Ave | | Charlotte | NC | 28204 | United States | | | Medical Doctor | Allopathic & Osteopathic Physicians|Neurological Surgery | 526676835 | 2018 | | 1049961.42 | Stock Units | HyperBranch Medical Technology Inc | 100000216777 | HyperBranch Medical Technology Inc | NC | United States | False | Physician Covered Recipient | 2019-06-28 |
NEW | 193241 | Dennis | | Crandall | | 3145 E Chandler Blvd Ste 110 | | Phoenix | AZ | 85048 | United States | | | Medical Doctor | Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine | 527138109 | 2018 | 10000.0 | 100000.0 | Investor | Ingeniumspine, LLC | 100000221801 | Ingeniumspine, LLC | AZ | United States | False | Physician Covered Recipient | 2019-06-28 |
NEW | 32077 | Jason | | Datta | | 3145 E Chandler Blvd Ste 110 | | Phoenix | AZ | 85048 | United States | | | Medical Doctor | Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine | 527138115 | 2018 | 10000.0 | 100000.0 | Investor | Ingeniumspine, LLC | 100000221801 | Ingeniumspine, LLC | AZ | United States | False | Physician Covered Recipient | 2019-06-28 |
NEW | 34556 | Terrence | | Crowder | | 3145 E Chandler Blvd Ste 110 | | Phoenix | AZ | 85048 | United States | | | Medical Doctor | Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine | 527138119 | 2018 | 10000.0 | 100000.0 | Investor | Ingeniumspine, LLC | 100000221801 | Ingeniumspine, LLC | AZ | United States | False | Physician Covered Recipient | 2019-06-28 |
NEW | 52618 | Michael | | Chang | | 3145 E Chandler Blvd Ste 110 | | Phoenix | AZ | 85048 | United States | | | Medical Doctor | Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine | 527138123 | 2018 | 10000.0 | 100000.0 | Inveastor | Ingeniumspine, LLC | 100000221801 | Ingeniumspine, LLC | AZ | United States | False | Physician Covered Recipient | 2019-06-28 |
NEW | 53930 | Lyle | | Young | | 3145 E Chandler Blvd Ste 110 | | Phoenix | AZ | 85048 | United States | | | Medical Doctor | Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine | 527138127 | 2018 | 10000.0 | 100000.0 | Investor | Ingeniumspine, LLC | 100000221801 | Ingeniumspine, LLC | AZ | United States | False | Physician Covered Recipient | 2019-06-28 |
NEW | 132587 | Yu-Guang | | He | | 5323 Harry Hines Blvd. | | Dallas | TX | 75390 | United States | | | Medical Doctor | Allopathic & Osteopathic Physicians|Ophthalmology | 528672711 | 2018 | | 6641.75 | 11,746 Series Preferred Units acquired in prior years. | Vital Art and Science, LLC | 100000005370 | Vital Art and Science, LLC | TX | United States | False | Physician Covered Recipient | 2019-06-28 |
NEW | 846806 | Timothy | | Wirt | | 1313 Riverside Ave | | Fort Collins | CO | 80524-4352 | United States | | | Medical Doctor | Allopathic & Osteopathic Physicians|Neurological Surgery | 528686869 | 2018 | 9600.0 | 63213.97 | 17.777777% ownership interest | Highline Surgical Solutions, LLC | 100000010801 | Highline Surgical Solutions, LLC | CO | United States | False | Physician Covered Recipient | 2019-06-28 |