Dr. Jeff Bushman received  his Doctor of Osteopathic Medicine from Des Moines University.  He specializes in Prolotherapy, an injection to heal ligaments and joints, osteopathic manipulation, skin-biopsy and excision of lesions, and spider vein treatment.




Dr. Blair Goodsell completed his undergraduate studies at Utah State University in Logan, Utah and received his medical degree from the Kirksville College of Osteopathy Medicine in Kirksville, Mo. He completed his internship in Family Practice at the Madigan Army Medical Center in Tacoma, Wash. and his residency at the Silas B. Hays Army Community Hospital at Fort Ord, Calif.

Dr. Goodsell has practiced medicine in Sierra Vista since 1989. Prior to entering private practice, he was a physician with the US Army, serving at Fort Polk, La. and Ft. Huachuca, Ariz. Dr. Goodsell is a member of the American Osteopathic Association, Arizona Osteopathic Medical Associates and Cochise County Medical Society.



Sherry Hron FNP-BC has been in the nursing field for over 3 decades. Ms. Hron has been a Family Nurse Practitioner since 2013 and is Board Certified through the American Nurses Credentialing Center. She has practiced in Medical/Surgical, Cardiac Step Down, Women’s Health and Family Practice during her career. Ms. Hron was born and raised in Bellevue, Nebraska where she received her Master of Nursing at Clarkson College and BS in Education from University of Nebraska. She relocated to Arizona in 2014. As a Family Nurse Practitioner, Ms. Hron provides primary care for the whole family, from children to grandparents.



Dr. Roberto Molina completed his undergraduate studies in microbiology at the University of Arizona and then stayed through medical school. After receiving his medical degree, Dr. Molina completed his internship and residency in Internal Medicine at St. Joseph’s Hospital and Medical Center in Phoenix, Ariz.

During medical school, Dr. Molina received recognition for “excellent leadership in rural health professions” and during his residency was commended for “excellence in outpatient medicine” for three consecutive years. While in medical school, Dr. Molina worked with volunteer physicians at a clinic in Nogales to provide free care to Mexican children who have neurological and orthopedic disorders. He also mentored and tutored elementary students in reading and math and taught anatomy and physiology of the heart and eyes to middle school students in underserved areas of Tucson and Southern Arizona. Fluent in Spanish, he was able to serve as a student caregiver and translator at a clinic that provides physical evaluations for torture victims seeking asylum in the U.S.

Board Certified in Internal Medicine, Dr. Molina is a member of the Arizona Medical Association, American Medical Association, Society of General Internal Medicine and American College of Physicians.


Dr Mary Schlotterer attended medical at The University of Arizona College of Medicine.  She completed her residency at the Henry Ford Hospital in Detroit Michigan and did her fellowship at Maricopa Integrated Health Systems.  Dr. Schlotterer specializes in contraceptive services, complete gynecologic care, pregnancy management, hormone replacement therapy, menopause management, and pelvic prolapse and reconstructive surgery.  She has been in private practice in Phoenix Arizona before moving to Sierra Vista.


Dr. Sidney Semrad has been practicing obstetrics and gynecology for more than 30 years. A board-certified distinguished fellow with the American Board of Osteopathic Obstetricians and Gynecologists, he received his medical degree from Kirksville College of Osteopathic Medicine and completed his residency at Garden City Hospital in Michigan. For the past 27 years Dr. Semrad has owned a private practice in Mesa, AZ.


Natalie had been a nurse since 1993.  She was a labor and delivery nurse and worked as a back office nurse in obstetrics and gynecology office for 19 years.  After becoming a Certified Nurse Midwife in 2012, Natalie has worked in both Arizona and Iowa.  She loves giving women choices with their care and prides her self on building relationships with her patients. An Arizona native, she has raised her 2 children in Iowa before returning to Arizona to continue her practice.  Natalie specializes in Contraceptive services, complete gynecologic care, routine pregnancy management, menopause management, sexually transmitted disease screening and treatment and hormone replacement therapy.


Misty Decker is a certified nurse-midwife. Who grew up in Sierra Vista Arizona and graduated from Buena High School. She is the mother to 4 wonderful children. She always had a passion for helping others by working in health care. She began as a registered nurse graduating from Mesa Community College in 1992. She worked in various areas of health care from school nursing to home health and eventually women’s health spending more than 15 years on the Labor and Delivery unit. She furthered her education with a Bachelor’s degree in Health Care Administration from Wayland Baptist University in 2001 while continuing to work on the Labor and Delivery unit. She later advanced her passion for women’s health receiving a Master’s Degree in Midwifery from the Midwifery Institute of Philadelphia University in 2012.

As a new graduate midwife, Misty worked in collaboration with physicians in a busy medical practice gaining experience and eventually the expertise to open an independent Midwifery practice Desert Blossom Midwifery. Here Misty’s goal was to provide women with a personalized, patient focused experience. She feels privileged to participate in the care, planning and management of women during pregnancy, birth and all stages of life. Today, she is pleased to join the Canyon Vista Medical group as part of a cohesive team of midwives and physicians to provide  collaborative,  evidence based,  patient focused care for the women of our community.

Misty is certified by the American Midwifery Certification Board, the National Certification Corporation in Inpatient Obstetrics and advanced fetal monitoring. Misty is also a certified surgical first assist, allowing her to maintain continentality of care when need for surgical intervention arises. Misty remains current by active participation and membership in the American College of Nurse Midwives, the American Congress of Obstetrics and Gynecologist and the Association of Women’s Health, Obstetric and Neonatal Nurses.

Misty’s approach is patient centered, she works with each patient’s condition, history and desires to provide rewarding, evidence-based care. She sees her role with women and families as a partnership to ensure not only a healthy outcome but an empowering experience. Childbirth is personal, every women’s birth should be an experience she remembers fondly, she should always feel heard and be an active participant in her care.

Misty welcomes new and return patients with her personal style. She cares for expectant mothers but also extends her caring approach, serving women of all ages with routine gynecological care, birth control options, family planning, menopause transition, hormone replacement and bioidentical hormones.


Mamie “Liz” Ramchandani, board-certified Women’s Health Nurse Practitioner, has been practicing in Southern Arizona since 2017. Liz earned her Master’s degree in nursing, with a specialty in women’s health, from Vanderbilt University School of Nursing in Nashville, TN. She completed her preceptorship at Desert Blossom Midwifery in Sierra Vista. She is certified to evaluate and treat a wide range of gynecologic conditions and routine obstetrics. Mamie enjoys spending one-on-one time with each patient to provide a compassionate, holistic approach with every encounter.


 Dr. Berdichevsky received his medical degree at Albert Einstein College of Medicine in 2007 and completed his residency at State University of New York Downstate Medical Center in 2012.
As a board certified orthopedic surgeon, Dr Berdichevsky specializes in:
  •  Compression fracture surgery/Kyphoplasty
  • Lumbar disc replacement and fusion
  • Minimally invasive spine surgery
  • Cervical disc replacement and fusion
  • Spinal decompression
Appointments are available by calling 520.263.3761.

Brian Daines received his Bachelor of Science in Biochemistry from Brigham Young University and his Medical Degree from Columbia University College of Physicians and Surgeons in New York City. He completed his Orthopaedic Surgical Residency at the University of Washington in Seattle. He then completed a Joint Reconstructive Surgery Fellowship with Colorado Joint Replacement in Denver.

Following his fellowship, he helped develop Joint Replacement Programs at two hospitals in Southern Illinois before moving to Southern Arizona.

He is a board certified orthopaedic surgeon who has published numerous book chapters and scientific articles on bone loss in revision joint replacements, blood management in joint replacements, preventing infections in joint replacements, and managing wound complications in joint replacements.

For the past several years, he has participated in Operation Walk in Panama, Honduras, and Guatemala. This is a not-for-profit volunteer medical services organization that provides free surgical treatments for patients in developing countries and in the United States.


Dr. Randall Roy received his bachelor of science in Sports Medicine from Pepperdine University & his both medical Degree & master of business administration degrees from University of California in Irvine.  He completed his Orthopaedic surgery residency at Howard University Hospital in Washington D.C.  He Then Completed a Sports medicine Fellowship at Cincinnati Sports Medicine & Orthopaedic in Ohio.

During his fellowship, he worked with the Cincinnati Bengals under the head team physician, providing clinical, team room & Operating room Coverage.

Dr. Roy is active member of the American Academy of Orthopaedic Surgery, American Association of North America & American Orthopaedic Society of Sports Medicine.  He also is the current team physician for Buena High School & Cochise College.


Practice Philosophy

My personal goals as a physician are patient safety, enhancing the total patient experience, and providing a positive, transforming medical experience. These components are the power source of my orthopedic energy.

My Orthopedic Skill Set

Since 1987, I have been practicing general orthopedics. Over 30 years, and performing over 500 surgeries per year, I have developed a wealth and depth of surgery knowledge, experience and skill.

I treat patients for general orthopedic conditions to include arthritis and degenerative conditions, traumatic injuries, sports injuries, shoulder, elbow, wrist, hand, hip, knee, ankle, and foot problems.

Some of the most frequent surgeries I perform are total knee and total hip replacements, knee and shoulder arthroscopy, fracture care (operative and non-operative), ligament reconstruction and many other reconstructive procedures.

Using and introducing the latest techniques and implants demonstrates my commitment to keeping up-to-date with the latest medical education and process improvements in orthopedic surgery. I am proud to be an early adopter of Zimmer’s cutting edge total joint arthroplasty. I use the Persona Total Knee with FuZion Instrumentation and the Kinective Total Hip replacement with Forever Hip Technology. For sports medicine and arthroscopy, I utilize Arthrex instrumentation. For fracture care, I use Synthes Instrumentation. These and many more state- of- the- art techniques allow me to provide excellent quality surgical outcomes for every patient.


Undergraduate Degree
Bachelor of Science in Chemistry
Graduated Magnum Cum Laude
Member of the Alpha Omega Alpha
Franklin and Marshall College, Lancaster, PA

Post Graduate Training
Internship – Walter Reed Medical Center
Residency in Orthopedic Surgery at Madigan Army Medical Center in Tacoma, WA
Madigan Army Medical Center

Board Certification
Member of American Board Orthopedic Surgeons since 1989
Member of the American Academy of Orthopedic Surgeons since 1987

Practice History

In 1987 I was a Major in the US Army and arrived at Fort Huachuca, Arizona. Upon my departure with the Army, I decided to stay in Sierra Vista and start my private practice. I have been practicing orthopedics in Sierra Vista, Arizona ever since.

Personal Life

Cochise County has been my home since 1987. I enjoy living here, the community, the climate and environment. I am an avid cyclist. Frequently you will see me riding on the roads or mountain biking on the trails of our county. Other activities that I enjoy are diving, kayaking, and hiking. I also like listening to music and playing the guitar.

I am blessed to have my wife, Rhonda, six children, and four grandchildren to enhance the joy in my life.


Jared Haymore, MPAS, PA-C earned his Bachelor of Interdisciplinary Studies from Arizona State University. He completed his Master of Physician Assistant Studies degree from Touro University Nevada. Jared also worked as an Emergency Department Technician in Glendale, Arizona.


Dean Marturello received his bachelors from Weber State University and his master degree in physician assistant studies from the University of Utah in 2011.

Dean has served in several different roles in healthcare including, being a surgical technologist in Ogden, Utah and a primary care physician assistant in Salt Lake City as well as an orthopaedic physician assistant in Alabama. Dean was also the department chair of surgical technology at Everest College in West Valley City, Utah and was the associate dean of surgical technology at Stevens-Henager College in Ogden, Utah.


Dr. Jarrett Hamilton, who is originally from Phoenix, Ariz., received his medical degree in Foot and Ankle Surgery from the California College of Podiatric Medicine in Oakland, Calif. He completed his residency at Encino-Tarzana Regional Medical Center, part of Southern California Kaiser Permanente, in Encino, Calif.

Board Certified in Podiatry and licensed in both California and Arizona, Dr. Hamilton has been a practicing podiatrist in Sierra Vista since 2007.




 Dr. Adams attend American International School of Medicine in Georgetown, Guyana. He then completed both his residency and fellowship at the University of Texas Health Science Center at San Antonio. As a General Surgeon Dr. Adams specializes in:
 Colon and rectal surgery
 Hernia repair
 Surgery for benign & malignant breast disease
 Colonoscopy & Endoscopy
 Vascular access/dialysis access surgery
 Gallbladder disease

Call us at 520.452.0144 to schedule your appointment with Dr. Adams today!




Dr. Haj attended Touro University- California,College of Osteopathic Medicine in Vallejo, California and completed his residency in New York at Flushing Hospital Medical Center. As a General Surgeon, Dr. Haj specializes in:
 Laparoscopic inguinal hernia repair
 Gallbladder & biliary tree disorders
 Colorectal surgical oncology
 Thyroid & Parathyroid lesions
 Diagnostic & therapeutic endoscopy
 Diseases of the breast, benign & malignant


Dr. Opie is a graduate of Lake Erie School of Osteopathic Medicine in Greensburg Pennsylvanian and complete his internship and residency is Mesa Arizona. Dr. Opie specializes in:
 Hernias & complete abdominal wall surgery
 Thyroid & Parathyroid surgery
 Colorectal surgeries including colonoscopy
 Gastric surgery including EGD
 Benign & malignant skin or breast masses
 Hemorrhoids
As a native Arizonian, he is excited to be in Sierra Vista.


Dr. Niemczyk provides full services in general urology, including urinary stone management, urological oncology, urological trauma. Based on his fellowship and special interest, he has expertise in:

Urinary storage and voiding dysfunction

  • urodynamic testing
  • male and female urethral tape for incontinence
  • artificial urinary sphincter
  • urethral reconstruction)

Urinary tract reconstruction

  • urethral reconstruction
  • fistula repair
  • bladder augmentation
  • urinary diversion)

Pelvic organ prolapse and pain disorder

  • neuromodulation
  • intravesical Botox
  • pelvic reconstruction and grafting

Sexual dysfunction

  • female sexual dysfunction
  • erectile, orgasmic and ejaculatory dysfunction
  • penile prosthetic surgery

Hormonal balance management

  • male testosterone replacement therapy
  • bioidentical female replacement therapy

Dr. Niemczyk studied bio cybernetics at Czech Technical University in Prague. After relocating from his native Czech Republic, Dr. Niemczyk enrolled at the Eberhard Karls University of Tübingen in Germany, where he earned his medical degree. He trained as general surgeon at the University of Witwatersrand Hospital in Johannesburg, South Africa. After completing one year in general surgery at Beth Israel Medical Center in Manhattan, NY, he began his urological residency at Robert Wood Johnson Medical School in New Brunswick, NJ. He completed his full time academic training with a Fellowship in voiding dysfunction and pelvic reconstruction at Washington University in St. Louis, MO. Pursuing more holistic approach to his patients, he graduated from Fellowship in Metabolic and Nutritional Medicine and became certified with American Board of Anti-Aging and Regenerative Medicine in 2015.

Dr. Niemczyk is Fellow of the American College of Surgeons. He is also an active member of numerous professional associations including the American Urological Association (AUA), the Society for Urodynamic and Female Urology (SUFU), the International Society for Sexual Medicine (ISSM), the International Continence Society (ICS) and the International Urogynecological Association (IUGA). He authored publications in Journal of Urology, Urology, Techniques of Urology and Contemporary Urology and two book chapters.


Andrea Ruble is a Board Certified Family Nurse Practitioner through the American Nurses Credentialing Center. She went to nursing school at Cochise College and then went on to earn her Bachelor’s Degree and Master’s Degree in Science and Nursing at the University of Phoenix. She was the recipient of the prestigious National Health Service Corp Scholarship and spent two years in rural Alaska providing health care in remote villages 400 miles off the road system. After two years in Alaska, she enjoyed providing primary care for geriatric patients in their homes in the greater Phoenix area. Andrea is happy to be back in Sierra Vista and serve the patients in the Advanced Wound Care Center at Canyon Vista. In her spare time she enjoys hiking, community service and travel.