Sharing knowledge
is part of our practice.

Great Lakes Anesthesiology and our doctors take tremendous pride in leading the pediatric anesthesia field. Whether training the next generation of practitioners or contributing to academic advancements, we firmly believe our expertise is meant to be shared for the greater good.

Anesthesia training.

Great Lakes is affliated with the University at Buffalo Jacobs School of Medicine and Biomedical Sciences, where our doctors hold appointments in the Department of Anesthesiology. We offer postgraduate residency training in pediatric anesthesia and fellowships in pediatric and obstetric anesthesia.

John R. Oishei Childrens Hospital

Training at a regional center of excellence

Our training programs take place at the John R. Oishei Children’s Hospital (formerly Women and Children’s Hospital of Buffalo). This new institution, which opened in 2017, is located in downtown Buffalo, New York, adjacent to the campus of the University of Buffalo.

About the hospital and our partnership:

10-story,
200-bed facility

with operating rooms for ambulatory surgery and inpatient procedures, including obstetrics. Great Lakes also provides anesthesia in radiology for MRI, CT, and interventional radiology procedures and anesthesia for neonatal surgery

16 operating
rooms,

with three designated for C-sections, both elective and emergency

46-bed
NICU

anesthesia for neonatal patients cover a wide range of surgeries that are undertaken both in the NICU and in the operating room

20-bed
pediatric ICU

cares for children with a wide range of critical illnesses, including those who require ECMO

Our patients

We provide anesthesia for children undergoing surgery for conditions ranging from simple ambulatory surgery for otolaryngology, dental caries, and ophthalmologic disorders to gastric bypass surgery, neurosurgery for tumors, and craniofacial and plastic surgery. In total, we provide anesthesia care for approximately 12,000 children per year.

Oishei Children’s Hospital is a Level 1 Pediatric Trauma Center and Regional Perinatal Center. The obstetrics service delivers about 4,000 babies per year. Great Lakes provides not only epidural, spinal and combined spinal epidural analgesia for labor patients, but is also actively involved in planning and executing complex care plans for high-risk obstetric patients. We also participate in prenatal classes.

John R. Oishei Childrens Hospital

Anesthesia residency.

Residents

Typically, we host up to six residents from the anesthesia programs at University at Buffalo and NewYork-Presbyterian in NYC. Our residents receive pediatric and obstetric anesthesia training while engaging in weekly didactic rounds and OR instruction at Oishei Children’s Hospital. In addition, the University holds weekly seminars covering the curriculum for the ACGME teaching program, and our faculty provide lectures on pediatric and obstetric anesthesia.

Anesthesia fellowships.

Pediatric anesthesia

Great Lakes Anesthesiology has a world-class reputation in pediatric anesthesia. Our pediatric anesthesiology fellowship is a one-year American Board of Anesthesiology-accredited training program open to two candidates. We also offer non-accredited fellowship positions in both pediatric and obstetric anesthesiology. Fellowship subspecialty training in pediatric anesthesia is supported by our clinical team of 25 anesthesiologists.

Child in OR

Fellows at Great Lakes have the opportunity to:

Improve
their skill set

in managing children from 500 gm to 200 kg for a range of surgeries

Deliver
lectures

to the department and city-wide rounds to a forum of anesthesiologists from all centers in the program

Gain
experience

with more challenging clinical cases, neonatal anomalies, and pediatric cardiac rotation at nearby centers

Gain
experience

under the guidance of Dr. Jerrold Lerman, an internationally recognized clinical researcher and author. Bimonthly clinical rounds are held informally to learn how to review and critique research papers.

Obstetric anesthesia

Medical staff

For anesthesiologists pursuing a subspeciality in obstetric anesthesia, we offer one-year non-accredited obstetric fellowship positions. The department is working to obtain ACGME accreditation in obstetric anesthesia..

Oishei Children’s Hospital is a regional referral center for high-risk obstetric patients. We care for moms with complex medical disorders, fetuses requiring intrauterine surgery, and neonates with congenital diseases.

We collaborate closely with our Maternal Fetal Medicine colleagues to optimize care for both the mom and the fetus. We provide prenatal consultations and actively participate in birth plan formulation in complex clinical scenarios. During labor, we provide high-quality analgesia in the form of regional anesthesia, including continuous spinal, epidural, combined spinal epidural, and dural puncture epidural (DPE) analgesia. When a fetus requires intrauterine surgery, we provide comprehensive anesthesia for both the fetus and the mom.

When a baby is expected to need surgery immediately after birth while still attached to the umbilical cord and dependent on placental blood flow (EXIT procedures) our highly specialized Obstetric team provides care for the mother while our highly specialized Pediatric Anesthesia team provides specialized care for the neonate.

Great Lakes Anesthesiology helps deliver approximately 4,000 babies per year. Our high-risk OB unit is complemented by our high-risk NICU team within the same building. Dr. S. Watt is the fellowship director, and Dr. B. Senbruna leads our clinical team that includes four fellowship-trained OB anesthesiologists.

Applying for a fellowship.

At Oishei Children’s Hospital, our medical staff are all board certified in anesthesiology, our pediatric anesthesiologists are also board certified in pediatric anesthesia, and our OB anesthesiologists are all fellowship-trained in OB anesthesia.

Our anesthesiologists and CRNAs also staff other hospitals and ambulatory centers across Western New York and Pennsylvania that provide services to adults, including sedation and general and regional anesthesia. These do not require specialty certification.

Learn more about our anesthesiology career opportunities.

Learn More

Candidates for pediatric and obstetric fellowships should apply to the University at Buffalo. For candidates outside of the United States, Great Lakes may provide legal assistance for VISA issues.

Apply Here

Academic and institutional partners.

Great Lakes has built solid partnerships with academic centers to keep our anesthesiologists on the leading edge and to empower the next generation of medical professionals.

SUNY University at Buffalo
Columbia Presbyterian
American University of Beirut

Publications.

We encourage our anesthesiologists to pursue research and academic endeavors outside their clinical practices. Our current and former team members have authored textbooks, published research papers, and presented their research at conferences globally.

Textbooks
Neonatal Anesthesia
2nd Edition, 2023
By Dr. Jerrold Lerman
Information and purchase
A Practice of Anesthesia For Infants & Children
Text Book, 7th Edition, 2023
By Dr. Charles J. Cote, Dr. Jerrold Lerman, and Dr. Brian J. Anderson.
Information and purchase
Manual of Pediatric Anesthesia With an Index of Pediatric Syndromes
Text Book, 7th Edition, 2017
By Dr. Jerrold Lerman, Dr. Coté, and Dr. Steward
Information and purchase
Mobile apps

Pedi-Anesth mobile app
Dr. Lerman, in conjunction with his coauthors, Drs. Charles Coté and Brian Anderson, developed the Pedi-Anesth mobile app, which provides immediate access to emergency information and planning instructions to manage children requiring pediatric anesthesia. The clinical information for the app is adapted from the textbook A Practice of Anesthesia for Infants and Children.

Available on the Apple App Store

Recent Publications

New ESAIC fasting guidelines for clear fluids in children: Much ado about nothing or is it?
PMID: 35822222

Induction of anesthesia with sevoflurane in children: Curiosities and controversies
PMID: 35899582

Changes in the cuff pressure in neonates in the absence of nitrous oxide
PMID: 35416440

Glottic views using a Miller size 0 blade are superior to those from a Macintosh size 0 blade in neonates: a randomized trial
PMID: 35164484

Association of anesthesia type with prolonged postoperative intubation in neonates undergoing inguinal hernia repair
PMID: 32499596

Pro-Con Debate: 1- vs 2-Hour Fast for Clear Liquids Before Anesthesia in Children
PMID: 34403386

A randomized trial of the glottic views with the classic Miller, Wis-Hipple and C-MAC (videolaryngoscope and direct views) straight size 1 blades in young children
PMID: 31450175

The Effects of a Shoulder Roll During Laryngoscopy in Infants: A Randomized, Single-Blinded, Crossover Study
PMID: 32925342

Tracking tidal volume noninvasively in volunteers using a tightly controlled temperature-based device: A proof of concept paper
PMID: 31808617

COVID-19 Pandemic Acute Respiratory Distress Syndrome Survivors: Pain After the Storm?
PMID: 32541584

Drug Calculation Errors in Anesthesiology Residents and Faculty: An Analysis of Contributing Factors
PMID: 31094802

Have a question?

To learn more about what Great Lakes has to offer, fill out the short form below or call our administrative office at 716.323.6570. We look forward to talking with you.

Jerrold Lerman, BASc, MD, FRCPC, FANZCA

Jerrold Lerman, BASc, MD, FRCPC, FANZCA

Vice President|Site Director, Buffalo Ambulatory Surgery Center (BASC)|Co-Site Director, Warren General Hospital

Dr. Jerrold Lerman is Vice President of the board of directors at Great Lakes Anesthesiology. He is also the Site Director, Buffalo Ambulatory Surgery Center (BASC) and Co-Site Director, Warren General Hospital.

Dr. Lerman has over 40 years of clinical experience and is board certified in the United States and Canada. He earned a B.S. in chemical engineering from the University of Waterloo before attending medical school at the University at Toronto in Ontario, Canada. He completed his internship at Toronto General Hospital and residency at the University at Toronto.

His areas of interest include pediatric Anesthesia and research. He serves as the Clinical Professor of Anesthesiology at Jacob's School of Medicine and Biomedical Sciences in Buffalo, NY. Dr. Lerman is affiliated with the Royal College of Physicians and Surgeons of Canada and is a Fellow of the Australia and New Zealand College of Anaesthetists (ANZCA). He is also a member of the American Society of Anesthesiologists; Society of Pediatric Anesthesia; AUA; New York State Society of Anesthesiologists; APA; FEAPA;

Dr. Lerman has been a member of Great Lakes Anesthesiology since 2002 and views the company as "a wonderful family that supports each other both at work and outside of work."

Navyugjit S. Virk, MD

Navyugjit S. Virk, MD

President, Operating Room Coordinator, Oishei Children’s Hospital, Buffalo NY & Co-Site Director, Warren General Hospital

Dr. Virk is the President and CEO of Great Lakes Anesthesiology, as well as the OR Coordinator at Oishei Children’s Hospital, and Co-Site Director at Warren General Hospital in Warren, PA. He is certified by the American Board of Anesthesiology and specializes in obstetric anesthesia and pediatric anesthesia, in which he is Fellowship trained.

After completing his undergraduate studies at SUNY University at Buffalo, Dr. Virk graduated from medical school at the University of Silesia in Poland. He returned to Western New York for his residency in anesthesia at SUNY University at Buffalo. Dr. Virk joined Great Lakes in 2014.

Dr. Virk maintains an academic affiliation with SUNY University at Buffalo. He is a member of the American Society of Anesthesiologists, Society of Pediatric Anesthesia, and the New York State Society of Anesthesiologists. He is passionate about community advocacy and advancing the patient-centric care model.

M. Karim Kechli, MD

M. Karim Kechli, MD

Clinical Assistant Professor of Anesthesiology, SUNY at Buffalo

Dr. Kechli is a Clinical Assistant Professor of Anesthesiology at SUNY at Buffalo and is a shareholder of Great Lakes Anesthesiology.

Prior to joining Great Lakes Anesthesiology in 2018, Dr. Kechli attended medical school and completed his residency at the American University of Beirut in Lebanon. After his studies, he began an academic affiliation with the SUNY University at Buffalo where he remains involved today. In addition, he is an active member of the American Society of Anesthesiologists.

Dr. Kechli is not only an expert physician and teacher but also a master in his niche, where he focuses on pediatric and obstetrical anesthesia. Having completed fellowships in this field and teaching students today to be the exceptional doctors of tomorrow makes Dr. Kechli an excellent addition to Great Lakes Anesthesiology.

Douglas Kahn, MD

Douglas Kahn, MD

Clinical Assistant Professor Anesthesiology, SUNY at Buffalo

Dr. Kahn is a Clinical Assistant Professor of Anesthesiology at SUNY at Buffalo. He was certified in 1992 by the American Board of Anesthesiology.

Dr. Kahn received his education at the Sackler School of Medicine, University of Tel Aviv in Israel in 1981. He held his anesthesia residency in Cleveland, Ohio in 1990 at the Metro Health Center.

Dr. Kahn’s professional focuses include regional, adult and pediatric anesthesia.

Justin Eckler, MD PhD

Justin Eckler, MD PhD

Clinical Instructor of Anesthesiology, SUNY at Buffalo

Dr. Eckler is a Clinical Instructor of Anesthesiology at SUNY at Buffalo. He has been certified since 2019 from the American Board of Anesthesiology.

Dr. Eckler attended medical school at SUNY at Buffalo and earned his Ph.D in pharmacology and toxicology in 2002. This is where he also held his anesthesia residency in 2012 and his pediatric anesthesia fellowship in 2013.

Dr. Eckler’s research interests include opioid receptors, obstructive sleep apnea, pain management, pharmacodynamics, and dental sedation.

Michael Weinberg, BS MD

Michael Weinberg, BS MD

Clinical Assistant Professor of Anesthesiology, SUNY at Buffalo

Dr. Weinberg is part of the UJF New Leadership Committee in the Physicians’ Division and serves as a Clinical Assistant Professor of Anesthesiology at SUNY at Buffalo. He is certified by the American Board of Anesthesiology since 1995.

Dr. Weinberg received his education from SUNY at Buffalo in 1987 and had both his anesthesia residency and pain medicine fellowship there in 1994 and 1995.

Michelle Raczka, MD

Michelle Raczka, MD

Clinical Assistant Professor of Anesthesiology, SUNY at Buffalo

Dr. Raczka is the Department Compliance Officer at Kaleida Health and serves as a Clinical Assistant Professor of Anesthesiology at SUNY at Buffalo. Dr. Raczka is certified by the American Board of Anesthesiology as of 2008 and received a subspecialty board certification in 2013 from Pediatric Anesthesiology.

She received her education at SUNY at Buffalo in 2003 where she also worked her anesthesia residency in 2007 and completed her fellowship in 2009.

Stephan Nebbia, BSc MD

Stephan Nebbia, BSc MD

Clinical Assistant Professor of Anesthesiology, SUNY at Buffalo

Dr. Nebbia serves as a clinical assistant professor of Anesthesiology at SUNY at Buffalo. He was certified by the American Board of Anesthesiology in 1995 and subsequently earned a subspecialty certification in Pediatric Anesthesiology in 2017.

Dr. Nebbia attended Rutgers Medical School in Newark, NJ. He did an internship in Pediatrics at Emory before starting Anesthesia residency at Vanderbilt. He then moved to Canada completing his residency in 1992 and completed a fellowship in Pediatric Anesthesia in 1993. He is also board certified by the Royal College of Physicians and Surgeons of Canada.

Ramiro Mireles, MD

Ramiro Mireles, MD

Clinical Assistant Professor of Anesthesiology, SUNY at Buffalo

Dr. Mireles received his certification from the American Board of Anesthesiology in 1994 and serves as a Clinical Assistant Professor of Anesthesiology at SUNY at Buffalo.

He received his education from Mount Sinai School of Medicine of NYU in 1989 and conducted his residency at Bellevue Hospital Medical Center in 1993 in New York. Following his time in NY, Dr. Mireles took on a fellowship in Washington DC at the Children’s National Medical Center in 1994 and continues to specialize in pediatric anesthesia.

Max Chudy, BS MD

Max Chudy, BS MD

Clinical Assistant Professor of Anesthesiology, SUNY at Buffalo

Dr. Chudy serves as the Clinical Assistant Professor of Anesthesiology at SUNY at Buffalo. This position holds significant honor being an alum of the University, as he completed both his pediatric anesthesia fellowship and anesthesia residency there in 1984-1985 leading into his career.

Dr. Chudy received his education at U Autonoma de Guadalajara and earned his BS degree and MD in 1979. During his studies, Dr. Chudy took great interest in pediatric anesthesia and continues his practices in this field today.

Barbara Williams

Sr. Medical Biller/Certified Medical Coder

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Donna Kibler

Sr. Medical Biller

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In vim omnium offendit. Vix dico putant dicunt cu, ea eos partem praesent. Elit nostrud vim ea. No eum persius iudicabit, an consequat interpretaris est. Hinc case reque id mei.

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Melissa A. Klopfer

Credentialing Specialist

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In vim omnium offendit. Vix dico putant dicunt cu, ea eos partem praesent. Elit nostrud vim ea. No eum persius iudicabit, an consequat interpretaris est. Hinc case reque id mei.

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Danielle Washington

Medical Charge Entry Specialist

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Jennifer Polizzi

Sr. Medical Biller/Certified Medical Coder

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Dawn Henderson

Credentialing Specialist

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In vim omnium offendit. Vix dico putant dicunt cu, ea eos partem praesent. Elit nostrud vim ea. No eum persius iudicabit, an consequat interpretaris est. Hinc case reque id mei.

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Jenna Weiss

Sr. Medical Biller/Certified Medical Coder

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Dianne Adams, MAOL

Dianne Adams, MAOL

Executive Assistant to the CFO/COO

Dianne Adams is Executive Assistant to Andrea Watkins, our CFO/COO. She joined the GLA team in late 2021, but boasts over 35 years of experience. She cites the diversity of ideas and the clear, open communication between the team as her favorite thing about working here.

Dianne earned an Associate’s Degree in Secretarial Science/Office Management from ECC, and two degrees from Medaille College: a Bachelor’s Degree in Business Administration, and a Master’s of Arts Degree in Organizational Leadership (MAOL).

Additionally, Dianne is a Certified Clerk typist and specializes in Medical Transcription.

Dragana Draca, MBA

Dragana Draca, MBA

Human Resource Manager

Dragana Draca is Great Lakes Anesthesiology’s HR Manager, joining the team in 2021. Company culture is her favorite part of working at GLA. “We are Empowered to Grow,” she says.

Dragana holds undergraduate degrees in Paralegal Studies and Business Administration, and a Master of Business Administration Degree, with a concentration in Leadership and Change from Canisius College.

She is active in the Society for Human Resource Management and when she is not working, Dragana can be found baking in the kitchen, spending time with her Pomsky Lola, traveling or cheering on her favorite football team. Go Bills!

Megan A. Roemer

Megan A. Roemer

Office Manager & Scheduling Specialist

A GLA team member for over 20 years, Megan Roemer is Great Lakes Anesthesiology’s Office Manager and Scheduling Specialist.

Megan is a certified Surgical Tech, and has an Associate’s Degree in Surgical Technology from Niagara County Community College.

A team member since 2002, Megan knows a great deal about the teamwork culture at GLA.

“When all clinical and nonclinical staff collaborate effectively, healthcare teams can improve patient outcomes and increase patient satisfaction.”

Stacey Watt, MD, MBA, MHPE, FASA

Stacey Watt, MD, MBA, MHPE, FASA

Site Director - Oishei Children's Hospital, Chief of Anesthesia - Kaleida Health

Dr. Watt wears many hats, serving as the Chief of Anesthesia for Kaleida Health, Site Director for Oishei Children’s Hospital, and the Program Director of the Anesthesia Residency & Pediatric Anesthesia Fellowship at University at Buffalo’s Jacobs School of Medicine and Biomedical Sciences. She was board certified by the American Board of Education in 2007, earning a subspecialty certification in Pediatric Anesthesiology in 2014.

Dr.Watt followed her medical degree from SUNY Upstate Medical University in 2001 with a residency at University at Buffalo in 2005, where she was also fellowship-trained in Pediatric Anesthesia in 2007.

Like many of her GLA colleagues, Dr. Watt serves as a Clinical Professor of Anesthesiology at University at Buffalo’s Jacobs School of Medicine and Biomedical Sciences. Her other specialities include malignant hyperthermia, heat related illness and injury, and trauma and emergency preparedness.

Michael Marino, MD

Michael Marino, MD

Board of Directors At Large Member

Dr. Marino earned his board certification from the American Board of Anesthesiologists (ABA) in 1997, and a subspecialty certification in Pediatric Anesthesiology from the ABA in 2016. He serves as an At Large Member of the Board of Directors at Great Lakes Anesthesiology.

Dr. Marino earned a medical degree from the University at Buffalo in 1990, and completed a residency at the school in 1995. He is fellowship-trained in Adult Critical Care Medicine from the University at Buffalo.

Dr. Marino serves as a Clinical Assistant Professor of Anesthesiology at University at Buffalo. His other specialties are in Regional and Pediatric Anesthesia.

Marybeth Sgroi, CPC

Marybeth Sgroi, CPC

Billing Manager

Marybeth Sgroi has more than 30 years of professional experience. She joined the GLA team in 2007, and is currently our Billing Manager.

“Being part of the GLA team for the past 15 years has given me the opportunity to watch the corporation grow and work with an exceptional team of providers and administrative staff.”

Her education is in business, in which she holds an associate’s degree from SUNY Canton. Marybeth is also an AAPC Certified Medical Coder.

Outside of GLA, Marybeth is an active volunteer with Churches in Action, and a Black Belt in Karate.

Name

Position

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In vim omnium offendit. Vix dico putant dicunt cu, ea eos partem praesent. Elit nostrud vim ea. No eum persius iudicabit, an consequat interpretaris est. Hinc case reque id mei.

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Huseyin Tunceroglu, MD, MBA

Huseyin Tunceroglu, MD, MBA

Treasurer|Site Director, Olean General Hospital

Dr. Huseyin Tunceroglu is Treasurer of the Board of Directors at Great Lakes Anesthesiology and the anesthesia Site Director at Olean General Hospital in Olean, NY. He is certified by the American Board of Anesthesiology and specializes in Pediatric Anesthesiology.

After earning his bachelor's degree at Yale University, Dr. Tunceroglu attended medical school at SUNY University at Buffalo. He returned to Yale University for his residency, then completed a Pediatric Fellowship at Emory University. In 2022, he earned an MBA from Canisius College. Dr. Tunceroglu joined Great Lakes Anesthesiology in 2018 to "Be part of an outstanding team of anesthesia providers delivering the highest quality care while helping to shape and educate future anesthesiologists and nurse anesthetists."

In addition to his clinical duties, Dr. Tunceroglu maintains an academic affiliation with SUNY University at Buffalo. He is a member of the American Society of Anesthesiologists, Society of Pediatric Anesthesia, and New York State Society of Anesthesiologists.

Mark Thompson, MD

Mark Thompson, MD

Secretary|Director of Regional Anesthesia

Dr. Thompson is Secretary of the Board of Directors and the Director of Regional Anesthesia at Great Lakes Anesthesiology.

With nearly two decades of experience, he specializes in Neuroanesthesia, regional anesthesia, pediatric anesthesia, and ambulatory anesthesia. Dr. Thompson is certified by the American Board of Anesthesiology and has demonstrated ongoing excellence through Maintenance of Certification in Anesthesiology (MOCA) since 2014.

Dr. Thompson graduated with a bachelor’s degree in psychology from Atlantic Union College in South Lancaster, MA. He then completed medical school, his internship, and his residency at Loma Linda University in Loma Linda, CA. Additionally, he is fellowship-trained in pediatric anesthesiology from Children’s Hospital Colorado in Aurora, CO.

He joined Great Lakes in 2015 and appreciates the company’s collaborative solutions, team spirit, and commitment to the community. Beyond his practitioner duties, Dr. Thompson is a Clinical Associate Professor at SUNY University at Buffalo. He is a member of the American Society of Anesthesiologists, Society of Pediatric Anesthesia, and New York State Society of Anesthesiologists.

Outside of work, Dr. Thompson devotes his time and attention to family, fitness, and faith.

Cyrus Tanhaee, MD

Cyrus Tanhaee, MD

Board of Directors At Large Member

Dr. Cyrus Tanhaee is an At Large Member of the Board of Directors and the Educational/Clinical Committee Representative at Great Lakes Anesthesiology. He is board certified by the American Board of Anesthesiology with subspecialty board certification in pediatric anesthesiology.

Dr. Tanhaee attended Ross University School of Medicine in Dominica. He completed his residency and fellowship in pediatric anesthesia at SUNY University at Buffalo. In addition to his practitioner duties, Dr. Tanhaee is a Clinical Assistant Professor of Anesthesiology at SUNY University at Buffalo.

Lilleigh Stein, CRNA

Clinical Coordinator - Olean General Hospital

Lilleigh Stein is the Clinical Coordinator at Olean General Hospital in Olean, NY. She’s been a member of the Great Lakes Anesthesiology team since 2019 and appreciates the group's family atmosphere.

Lilleigh conducted her undergraduate studies at Trocaire College and Daemen College, then attended graduate school at Gannon University. She completed her nurse anesthesia residency at UPMC Hamot in Erie, PA. She is a member of the American Association of Nurse Anesthesiology (AANA), Pennsylvania Association.

Baiba Senbruna, MD

Baiba Senbruna, MD

Director of Obstetrics Anesthesiology, Oishei Children's Hospital

Dr. Baiba Senbruna is the Director of Obstetrics Anesthesia at John R. Oishei Children's Hospital. With nearly a decade of experience, her specialties include high-risk obstetrical anesthesia and pediatric anesthesia.

Dr. Senbruna completed medical school at Riga Stradins University in Latvia and fulfilled her residency at the American University of Beirut in Lebanon. She is a member of the American Society of Anesthesiologists and the Society of Pediatric Anesthesia and serves as volunteer faculty at SUNY University at Buffalo.

A member of Great Lakes Anesthesiology since 2017, Dr. Senbruna appreciates, among other attributes, our “progressive, supportive environment that encourages individual professional growth and provides opportunities in clinical leadership.” She is an avid traveler who enjoys learning and experiencing different cultures and embarking on medical missions.

Jad Dughayli, MD

Jad Dughayli, MD

Board of Directors At Large Member|Site Director, Kenmore Mercy Hospital|Chief of Anesthesia, Kenmore Mercy Hospital|Director of Fellowship Recruitment

Dr. Jad Dughayli is an At Large Member of the Board of Directors and the Director of Fellowship Recruitment at Great Lakes Anesthesiology. He also serves as Site Director and Chief of Anesthesia at Kenmore Mercy Hospital.

Prior to joining Great Lakes Anesthesiology in 2018, Dr. Dughayli attended medical school at the American University of Integrative Sciences in Barbados, then completed his residency at the American University of Beirut in Lebanon. He maintains an academic affiliation with SUNY University at Buffalo.

Ravinder Devgun, DO

Ravinder Devgun, DO

Clinical Assistant Professor of Anesthesiology, SUNY at Buffalo

Dr. Ravinder Devgun is a clinical assistant professor of Anesthesiology at SUNY at Buffalo She is board certified by the American Board of Anesthesiology with a subspecialty certification in pediatric anesthesiology.

Dr. Ravinder Devgun graduated from the NY Institute of Technology, College of Osteopathic Medicine. She completed her residency and fellowship at SUNY University at Buffalo.

Dené Dainotto, CRNA, DNP

Clinical Coordinator - UB SRNA Program at KMH

Dené is the Clinical Coordinator of the UB SRNA Program at Kenmore Mercy Hospital in Buffalo, NY. She joined Great Lakes in 2020, and her areas of interest include regional anesthesia, pediatric anesthesia, and obstetric anesthesia.

Dené completed her education and training at SUNY University at Buffalo, earning her B.S. and then her Doctor of Nursing Practice (DNP) in Nurse Anesthesia. She has practiced at several hospitals and surgery centers around Western New York and holds the National Board of Certification and Recertification for Nurse Anesthetists.

Returning to her alma mater, Dené serves as adjunct faculty at SUNY University at Buffalo. She is a member of the American Association for Nurse Anesthesiologists and the New York State Association of Nurse Anesthetists.

Her favorite aspects of working at Great Lakes include caring for diverse patient populations and the group's teaching and learning environment. In her personal time, Dené is a national judge for the United States Powerlifting Association.

Richard Boneberg, CRNA

Clinical Coordinator - UB SRNA Program at OCH/NFMMC

Richard Boneberg is Great Lake Anesthesiology's Clinical Coordinator for the UB SRNA Program at Oishei Children's Hospital in Buffalo, NY, and Niagara Falls Memorial Medical Center in Niagara Falls, NY. He has 17 years of experience specializing in pediatric nurse anesthesia, and has been a member of the Great Lakes team since 2005.

Richard earned a B.A. in Psychology at Canisius College, a B.S. in Nursing at D'Youville University, and a Master of Science from the SUNY University at Buffalo Nurse Anesthetist Program. He holds numerous certifications, including Basic Life Support Provider, Pediatric Life Support Provider, Adult Cardiac Life Support Provider, Registered Professional Nurse, and Certified Registered Nurse Anesthetist.

An avid supporter of education, Richard serves as an adjunct professor at two institutions – SUNY University at Buffalo and SUNY Albany – and is a co-facilitator with Statewide Peer Assistance for Nurses (SPAN). He is also a member of the American Association for Nurse Anesthetists.

After two decades of being part of Great Lakes Anesthesiology, Richard describes the group as feeling like family. "There is a cohesive, caring atmosphere. The group's uniqueness is exemplary." In his personal time, Richard is an advocate and consultant for substance abuse. He enjoys cycling, playing with his dogs, and spending time with his family.

Dayle Cotter

Dayle Cotter

Operations Coordinator

Dayle Cotter is Great Lake Anesthesiology's Operations Coordinator, providing strategic operational support to the management and administrative teams to ensure our success and growth. She joined Great Lakes in January 2022 and appreciates the company's best-in-brand philosophy and family atmosphere.

Dayle earned her B.A. from Brock University in St. Catharine's, Ontario, Canada. She completed Disney's Approach to Quality Service & Business Excellence from the Disney Institute. Her areas of expertise include strategic planning, public relations, process implementation, and event planning. She is also an NYS Notary Public. Dayle loves to travel and enjoys playing golf and tennis.

Andréa Watkins, MSSL

Andréa Watkins, MSSL

Chief Financial Officer and Chief Operating Officer

Andréa Watkins is the Chief Financial Officer and Chief Operations Officer at Great Lakes Anesthesiology. Since joining the company in 2009, she has cherished the opportunity to "be a part of a dynamic, growing corporation while preserving the phenomenal interpersonal connections of the Great Lakes family."

Andréa holds a B.A. from the University at Buffalo, a B.S. from St. John Fisher University, and a Master's in Strategic Leadership (MSSL) from Roberts Wesleyan College. She is a member of the American Society of Anesthesiologists (ASA) and the Society for Human Resource Management (SHRM).

Nancy O'Day, CRNA

Chief CRNA, Warren General Hospital

Nancy Day is the Chief CRNA at Warren General Hospital in Warren, PA. She also serves as CNRA at Olean General Hospital in Olean, NY. Nancy has nearly 40 years of nursing experience, including 23 years as a certified CNRA. She joined our group in 2019 and has enjoyed working closely with the Great Lakes family.

Nancy earned her undergraduate degree at Syracuse University, then attended Northeastern University for her graduate studies. She completed her nurse anesthesia residency at Tufts Medical Center in Boston, MA. She is certified as an instructor for Basic Life Support (BLS), Pediatric Advanced Life Support (PALS), and Advanced Cardiovascular Life Support (ACLS). Her professional memberships include the American Association of Nurse Anesthesiology (AANA), Pennsylvania Association of Nurse Anesthetists (PANA), and Sigma Theta Tau International Honor Society of Nursing.

Nancy's favorite pastime is cooking. She is also active within the community through organizations such as the Smethport Area School District school board, American Legion, Women's Giving Circle of McKean County, and the American Heart Association.

James Burnett Armstrong, BSc, MSc, MD, FRCPC

James Burnett Armstrong, BSc, MSc, MD, FRCPC

Site Director, Atlas Surgical Center

Dr. James Armstrong is the anesthesia Site Director at Atlas Surgical Center, Buffalo, and Niagara Ambulatory Surgery Center in Niagara Falls, NY. One of our longest-tenured team members, Dr. Armstrong joined Great Lakes Anesthesiology in 1998.

Dr. Armstrong completed his education and training at the prestigious Queen's University in Kingston, Ontario, Canada, plus a fellowship at the Cleveland Clinic in Ohio. He is certified by the American Board of Anesthesiology.

Beyond his practice, Dr. Armstrong is the Clinical Assistant Professor of Anesthesiology at SUNY University at Buffalo. In 2012-13 he received the WCHOB Teacher Recognition Award.

He is a member of several professional organizations, including The Royal College of Physicians & Surgeons of Canada, American Society of Anesthesiologists, New York State Society of Anesthesiologists, and Society of Ambulatory Anesthesia.

Navyugjit S. Virk, MD

Navyugjit S. Virk, MD

President, Operating Room Coordinator, Oishei Children’s Hospital, Buffalo NY & Co-Site Director, Warren General Hospital

Dr. Virk is the President of Great Lakes Anesthesiology, OR Coordinator at Oishei Children’s Hospital, and Co-Site Director at Warren General Hospital (Warren, PA). He is certified by the American Board of Anesthesiology and specializes in obstetric anesthesia and pediatric anesthesia, in which he is Fellowship trained.

After completing his undergraduate studies at SUNY University at Buffalo, Dr. Virk graduated from medical school at the University of Silesia in Poland. He returned to Western New York for his residency in anesthesia at SUNY University at Buffalo. Dr. Virk joined Great Lakes in 2014.

Dr. Virk maintains academic affiliations with SUNY University at Buffalo and Lake Erie College of Osteopathic Medicine (LECOM). He is a member of the American Society of Anesthesiologists, Society of Pediatric Anesthesia, and the New York State Society of Anesthesiologists. He is passionate about community advocacy and advancing the patient-centric care model.