IHTSDO Company
Industry: Non profit trade organization
DescriptionThe International Health Terminology Standards Development Organisation, trading as SNOMED International, is an international non-profit organization that owns SNOMED CT, a leading clinical terminology used in electronic health records. Founded: 2007 Headquarters: London, United Kingdom Motto: Leading Healthcare Terminology, Worldwide
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IHTSDO Employees
Employee
Years
Job
Industry
Susan Matney Susan Matney's IHTSDO Experience February 2012 - Present
Job Nurse Informaticist, 3M Health Information Systems
Industry Biotechnology
Experience
3M Health Care June 2011 - Present
IHTSDO February 2012 - Present
HL7 Standards August 2007 - Present
University of Utah October 2002 - Present
Canada Health Infoway February 2013 - February 2014
Intermountain Healthcare January 2011 - June 2011
University of Utah March 2008 - January 2011
Siemens Medical Solutions November 2005 - February 2008
Intermountain Healthcare 1997 - 2005
Lakeview Hospital June 1993 - May 1997
Skills
Healthcare Terminologist, Information Modeler, Nurse, SNOMED, LOINC, Informatics, Healthcare Information..., EHR, HL7, EMR, Clinical Decision..., Health Information..., Hospitals, Healthcare, Medical Education, Information Technology, Health Services Research, Nursing, Medicine, Medical Terminology, Public Health, eHealth, Quality Improvement, Integration, Health Policy, Patient Safety, HIPAA, Nursing Theory, Healthcare Consulting, Cerner, Nursing Education, CPOE, Clinical Research
Education
University of Utah 2009 — 2015
Doctor of Philosophy (Ph.D.)
University of Utah 1994 — 1999
MSN
University of Phoenix 1989 — 1993
BS
Colorado Mesa University 1986 — 1989
AD
3M Health Care June 2011 - Present
IHTSDO February 2012 - Present
HL7 Standards August 2007 - Present
University of Utah October 2002 - Present
Canada Health Infoway February 2013 - February 2014
Intermountain Healthcare January 2011 - June 2011
University of Utah March 2008 - January 2011
Siemens Medical Solutions November 2005 - February 2008
Intermountain Healthcare 1997 - 2005
Lakeview Hospital June 1993 - May 1997
Skills
Healthcare Terminologist, Information Modeler, Nurse, SNOMED, LOINC, Informatics, Healthcare Information..., EHR, HL7, EMR, Clinical Decision..., Health Information..., Hospitals, Healthcare, Medical Education, Information Technology, Health Services Research, Nursing, Medicine, Medical Terminology, Public Health, eHealth, Quality Improvement, Integration, Health Policy, Patient Safety, HIPAA, Nursing Theory, Healthcare Consulting, Cerner, Nursing Education, CPOE, Clinical Research
Education
University of Utah 2009 — 2015
Doctor of Philosophy (Ph.D.)
University of Utah 1994 — 1999
MSN
University of Phoenix 1989 — 1993
BS
Colorado Mesa University 1986 — 1989
AD
Suzanne Santamaria's IHTSDO Experience January 2014 - Present
Job Senior Terminologist at IHTSDO
Industry Information Technology and Services
Experience
IHTSDO January 2014 - Present
Veterinary Medical Informatics Laboratory 2006 - December 2013
USDA APHIS VS 2004 - 2005
Front Range Community College 2003 - 2004
Various Practices 2001 - 2003
Skills
SQL, XML, Veterinary, Biomedical Informatics, Ontologies, Taxonomy, Terminology, Medicine, Informatics, Veterinary Medicine, Medical Terminology, Teaching, Science, Animal Welfare
Education
Virginia Polytechnic Institute and State University 2008 — 2012
MS, Veterinary Medical Informatics
Purdue University 1997 — 2001
DVM, Mixed Animal
University of Florida 1993 — 1997
BS, Animal Science
IHTSDO January 2014 - Present
Veterinary Medical Informatics Laboratory 2006 - December 2013
USDA APHIS VS 2004 - 2005
Front Range Community College 2003 - 2004
Various Practices 2001 - 2003
Skills
SQL, XML, Veterinary, Biomedical Informatics, Ontologies, Taxonomy, Terminology, Medicine, Informatics, Veterinary Medicine, Medical Terminology, Teaching, Science, Animal Welfare
Education
Virginia Polytechnic Institute and State University 2008 — 2012
MS, Veterinary Medical Informatics
Purdue University 1997 — 2001
DVM, Mixed Animal
University of Florida 1993 — 1997
BS, Animal Science
Patrick J. McCormick, MD's IHTSDO Experience August 2014 - Present
Job Assistant Professor of Anesthesiology at Icahn School of Medicine at Mount Sinai
Industry Medical Practice
Experience
IHTSDO August 2014 - Present
Icahn School of Medicine at Mount Sinai June 2013 - Present
Anesthesia Quality Institute January 2012 - Present
Mount Sinai School of Medicine July 2012 - June 2013
Mount Sinai School of Medicine July 2009 - June 2012
Mount Sinai School of Medicine July 2008 - July 2009
Tellme Networks June 1999 - August 2004
Microsoft 1997 - 1997
Skills
Anesthesiology, Anesthesia, Software Engineering, Medical Informatics, Speech Recognition, Telecommunications, Medical Records, Medical Terminology, Medical Devices, Medical Writing, Evidence-based Medicine, Hospitals, Python, Database Development, Network Security, Medicine, Informatics, Healthcare Information..., Medical Education
Education
Columbia University College of Physicians and Surgeons 2004 — 2008
MD
Santa Clara University 2003 — 2003
Massachusetts Institute of Technology 1994 — 1999
B.S. & M.Eng
IHTSDO August 2014 - Present
Icahn School of Medicine at Mount Sinai June 2013 - Present
Anesthesia Quality Institute January 2012 - Present
Mount Sinai School of Medicine July 2012 - June 2013
Mount Sinai School of Medicine July 2009 - June 2012
Mount Sinai School of Medicine July 2008 - July 2009
Tellme Networks June 1999 - August 2004
Microsoft 1997 - 1997
Skills
Anesthesiology, Anesthesia, Software Engineering, Medical Informatics, Speech Recognition, Telecommunications, Medical Records, Medical Terminology, Medical Devices, Medical Writing, Evidence-based Medicine, Hospitals, Python, Database Development, Network Security, Medicine, Informatics, Healthcare Information..., Medical Education
Education
Columbia University College of Physicians and Surgeons 2004 — 2008
MD
Santa Clara University 2003 — 2003
Massachusetts Institute of Technology 1994 — 1999
B.S. & M.Eng
Andy Wiesenthal Andy Wiesenthal's IHTSDO Experience 2003 - Present
Job Director at Deloitte
Industry Hospital & Health Care
Experience
HIT Standards Committee, Office of the National Coordinator, HIT, Department of HHS February 2013 - Present
Deloitte May 2010 - Present
IHTSDO 2003 - Present
Office of the National Coordinator of Health Information Technology 2009 - 2011
The Permanente Federation March 2000 - May 2010
Kaiser Permanente 2000 - 2010
Colorado Permanente Medical Group March 1983 - March 2000
University of Colorado Health Sciences Center July 1980 - June 1983
Centers for Disease Control and Prevention July 1978 - June 1980
University of Colorado Health Sciences Center June 1975 - June 1978
Skills
Clinical, Healthcare Management, EHR, Governance, HIT, Healthcare, Health, EMR, Informatics, Quality Management, Public Health, SNOMED, Patient Safety, Healthcare Information..., Healthcare IT, Research, Ambulatory, eHealth, Policy, Epidemiology, Inpatient, Analysis, Order Entry, Performance Improvement, Disease Management, Change Management, Managed Care, Pediatrics, Management Consulting, Clinical Informatics, Process Improvement, Writing, Medical Informatics, Hospitals, Medical Education, Healthcare Consulting, Health Policy, HL7, HIPAA, Clinical Research, CPOE, Quality Improvement, Epic Systems, Health Information..., Healthcare Industry
Education
Harvard University School of Public Health 2002 — 2004
SM, Health Care Management
State University of New York Downstate Medical Center College of Medicine 1971 — 1975
MD, Medicine
Yale University 1967 — 1971
BA, Latin American Studies
HIT Standards Committee, Office of the National Coordinator, HIT, Department of HHS February 2013 - Present
Deloitte May 2010 - Present
IHTSDO 2003 - Present
Office of the National Coordinator of Health Information Technology 2009 - 2011
The Permanente Federation March 2000 - May 2010
Kaiser Permanente 2000 - 2010
Colorado Permanente Medical Group March 1983 - March 2000
University of Colorado Health Sciences Center July 1980 - June 1983
Centers for Disease Control and Prevention July 1978 - June 1980
University of Colorado Health Sciences Center June 1975 - June 1978
Skills
Clinical, Healthcare Management, EHR, Governance, HIT, Healthcare, Health, EMR, Informatics, Quality Management, Public Health, SNOMED, Patient Safety, Healthcare Information..., Healthcare IT, Research, Ambulatory, eHealth, Policy, Epidemiology, Inpatient, Analysis, Order Entry, Performance Improvement, Disease Management, Change Management, Managed Care, Pediatrics, Management Consulting, Clinical Informatics, Process Improvement, Writing, Medical Informatics, Hospitals, Medical Education, Healthcare Consulting, Health Policy, HL7, HIPAA, Clinical Research, CPOE, Quality Improvement, Epic Systems, Health Information..., Healthcare Industry
Education
Harvard University School of Public Health 2002 — 2004
SM, Health Care Management
State University of New York Downstate Medical Center College of Medicine 1971 — 1975
MD, Medicine
Yale University 1967 — 1971
BA, Latin American Studies
Julie Richards Julie Richards's IHTSDO Experience 2007 - 2014
Job Business Development Director Healthcare at CGI
Industry Information Technology and Services
Experience
CGI October 2013 - Present
IHTSDO 2007 - 2014
RichardsGroup Consulting LLC September 2012 - October 2013
Canada Health Infoway March 2004 - September 2012
Canadian Institute for Health Information September 1996 - March 2004
Mount Sinai Hospital, Toronto April 1994 - September 1996
Skills
Healthcare Information..., SNOMED, eHealth, Clinical Informatics, ISOTC 215, HL7, Healthcare Terminology, Standards, Governance, Data Quality, Strategic Planning, EHR, Terminology, Healthcare, Informatics, Health Information..., Change Management, ICD-10, Health Information..., Information Management, EMR, Business Analysis
Education
Harvard University School of Public Health 2011 — 2011
Leadership Strategies for Information Technology in Health Care
University of Toronto 1994 — 1996
Master of Science (MHSc), Health Administration
University of Toronto 1991 — 1993
Bachelor of Science (B.Sc.), Computer Science
University of Toronto 1980 — 1984
Bachelor of Science (B.Sc.), Geology Specialist Programme
CGI October 2013 - Present
IHTSDO 2007 - 2014
RichardsGroup Consulting LLC September 2012 - October 2013
Canada Health Infoway March 2004 - September 2012
Canadian Institute for Health Information September 1996 - March 2004
Mount Sinai Hospital, Toronto April 1994 - September 1996
Skills
Healthcare Information..., SNOMED, eHealth, Clinical Informatics, ISOTC 215, HL7, Healthcare Terminology, Standards, Governance, Data Quality, Strategic Planning, EHR, Terminology, Healthcare, Informatics, Health Information..., Change Management, ICD-10, Health Information..., Information Management, EMR, Business Analysis
Education
Harvard University School of Public Health 2011 — 2011
Leadership Strategies for Information Technology in Health Care
University of Toronto 1994 — 1996
Master of Science (MHSc), Health Administration
University of Toronto 1991 — 1993
Bachelor of Science (B.Sc.), Computer Science
University of Toronto 1980 — 1984
Bachelor of Science (B.Sc.), Geology Specialist Programme
Kent Spackman Kent Spackman's IHTSDO Experience July 2007 - December 2014
Job Retired
Industry Information Technology and Services
Experience
IHTSDO July 2007 - December 2014
SNOMED International 1997 - 2007
Oregon Health & Science University 1989 - 2007
Dartmouth Hitchcock Medical Center 1986 - 1989
Skills
Artificial Intelligence, Machine Learning, Hematopathology, Medicine, Medical Terminology, Pathology, Informatics, Bioinformatics, Healthcare Information..., Ontologies, Computational Biology, Semantic Web, Terminology, Healthcare Management, SNOMED, Information Retrieval, eHealth, Public Health, Computer Science, Data Mining, Natural Language..., Knowledge Representation, EHR, EMR, HL7, Epidemiology
Education
University of Minnesota-Twin Cities 1983 — 1986
Residency in Clinical Pathology
University of Illinois at Urbana-Champaign 1980 — 1983
Ph.D., Computer Science
University of Alberta 1975 — 1979
M.D.
IHTSDO July 2007 - December 2014
SNOMED International 1997 - 2007
Oregon Health & Science University 1989 - 2007
Dartmouth Hitchcock Medical Center 1986 - 1989
Skills
Artificial Intelligence, Machine Learning, Hematopathology, Medicine, Medical Terminology, Pathology, Informatics, Bioinformatics, Healthcare Information..., Ontologies, Computational Biology, Semantic Web, Terminology, Healthcare Management, SNOMED, Information Retrieval, eHealth, Public Health, Computer Science, Data Mining, Natural Language..., Knowledge Representation, EHR, EMR, HL7, Epidemiology
Education
University of Minnesota-Twin Cities 1983 — 1986
Residency in Clinical Pathology
University of Illinois at Urbana-Champaign 1980 — 1983
Ph.D., Computer Science
University of Alberta 1975 — 1979
M.D.
Geraldine Wade MD, MS's IHTSDO Experience April 2010 - Present
Job
Industry Information Technology and Services
Experience
IHTSDO April 2010 - Present
Clinical Informatics Consulting January 2009 - Present
Hewlett-Packard July 2007 - December 2008
CSC February 2006 - May 2007
Skills
Informatics, Healthcare Information..., Terminology, Quality Assurance, Clinical Research, Public Health, Project Planning, Healthcare, Strategic Consulting, SOA, Strategy, SNOMED, Integration, EHR, HL7, Program Management, Medicine, Healthcare Information..., EMR, eHealth, Health Information..., Healthcare Consulting, Consulting, Hospitals, Healthcare Management
Education
Emory University School of Medicine
MD, Medicine
University of Utah School of Medicine
MS, Medical Informatics
IHTSDO April 2010 - Present
Clinical Informatics Consulting January 2009 - Present
Hewlett-Packard July 2007 - December 2008
CSC February 2006 - May 2007
Skills
Informatics, Healthcare Information..., Terminology, Quality Assurance, Clinical Research, Public Health, Project Planning, Healthcare, Strategic Consulting, SOA, Strategy, SNOMED, Integration, EHR, HL7, Program Management, Medicine, Healthcare Information..., EMR, eHealth, Health Information..., Healthcare Consulting, Consulting, Hospitals, Healthcare Management
Education
Emory University School of Medicine
MD, Medicine
University of Utah School of Medicine
MS, Medical Informatics
Ray Simkus's IHTSDO Experience 2007 - Present
Job participant at Health information standards development
Industry Medical Practice
Experience
IHTSDO 2007 - Present
HL7 Working Group 2006 - Present
Health information standards development 1983 - Present
Fraser Health Authority January 1978 - Present
Primary Care December 1977 - Present
Standards Collaborative 2006 - July 2011
EMR development 1980 - 2011
IHTSDO 2007 - 2010
PersonalBrain 2000 - 2010
BCMA member 1977 - 2010
Skills
Healthcare Information..., EMR, Informatics
Education
McGill University
MD, biochemistry, medicine
IHTSDO 2007 - Present
HL7 Working Group 2006 - Present
Health information standards development 1983 - Present
Fraser Health Authority January 1978 - Present
Primary Care December 1977 - Present
Standards Collaborative 2006 - July 2011
EMR development 1980 - 2011
IHTSDO 2007 - 2010
PersonalBrain 2000 - 2010
BCMA member 1977 - 2010
Skills
Healthcare Information..., EMR, Informatics
Education
McGill University
MD, biochemistry, medicine
Jeff Wilcke's IHTSDO Experience 2008 - 2011
Job Professor at Virginia Tech
Industry Veterinary
Experience
Virginia Tech August 1982 - Present
IHTSDO 2008 - 2011
SNOMED-CT 1995 - 2010
SNOMED 1995 - 2007
Skills
Veterinary, Veterinary Medicine, Medicine, Lifesciences, Clinical Research, Epidemiology, Hospitals, Public Health, Research, Public Speaking, Surgery, Editing, Healthcare, Infectious Diseases, Data Analysis, Internal Medicine, Animal Husbandry, Higher Education, Informatics, Teaching, Clinical Trials, Science, Microbiology, Animal Models, Pets, Life Sciences, Pharmacology
Education
University of Illinois at Urbana-Champaign 1979 — 1982
MSc, Veterinary Clinical Pharmacology
Iowa State University 1973 — 1978
DVM, Veterinary Medicine
Virginia Tech August 1982 - Present
IHTSDO 2008 - 2011
SNOMED-CT 1995 - 2010
SNOMED 1995 - 2007
Skills
Veterinary, Veterinary Medicine, Medicine, Lifesciences, Clinical Research, Epidemiology, Hospitals, Public Health, Research, Public Speaking, Surgery, Editing, Healthcare, Infectious Diseases, Data Analysis, Internal Medicine, Animal Husbandry, Higher Education, Informatics, Teaching, Clinical Trials, Science, Microbiology, Animal Models, Pets, Life Sciences, Pharmacology
Education
University of Illinois at Urbana-Champaign 1979 — 1982
MSc, Veterinary Clinical Pharmacology
Iowa State University 1973 — 1978
DVM, Veterinary Medicine
Kathleen Brown MD's IHTSDO Experience August 2014 - April 2015
Job Physician Informaticist|Medical Writer and Editor
Industry Information Services
Experience
Motive Medical Intelligence (Independent Consultant) April 2013 - Present
IHTSDO August 2014 - April 2015
Truven Health Analytics (formerly Thomson Reuters) January 2005 - February 2013
Thomson Reuters (formerly Thomson Micromedex) June 2003 - January 2005
Conemaugh Health System September 1993 - September 1999
United States Air Force August 1988 - July 1992
Skills
Healthcare, Medical Writing, Medicine, Content Development, Healthcare Information..., Clinical Research, Clinical Decision..., CPT, LOINC, ICD-10, ICD-9-CM, SNOMED, Clinical Terminology, Medical Informatics, Informatics, Physicians, EHR, Healthcare Consulting, Health Informatics, Healthcare Management, Medical Education
Education
University of Rochester School of Medicine and Dentistry
Doctor of Medicine (MD)
University of Rochester
Bachelor of Science (BS), Neuroscience
Motive Medical Intelligence (Independent Consultant) April 2013 - Present
IHTSDO August 2014 - April 2015
Truven Health Analytics (formerly Thomson Reuters) January 2005 - February 2013
Thomson Reuters (formerly Thomson Micromedex) June 2003 - January 2005
Conemaugh Health System September 1993 - September 1999
United States Air Force August 1988 - July 1992
Skills
Healthcare, Medical Writing, Medicine, Content Development, Healthcare Information..., Clinical Research, Clinical Decision..., CPT, LOINC, ICD-10, ICD-9-CM, SNOMED, Clinical Terminology, Medical Informatics, Informatics, Physicians, EHR, Healthcare Consulting, Health Informatics, Healthcare Management, Medical Education
Education
University of Rochester School of Medicine and Dentistry
Doctor of Medicine (MD)
University of Rochester
Bachelor of Science (BS), Neuroscience
Howard Goldberg's IHTSDO Experience 2008 - Present
Job Sr Corp Manager at Partners HealthCare
Industry Health, Wellness and Fitness
Experience
Harvard Medical School March 2014 - Present
Partners HealthCare 2005 - Present
IHTSDO 2008 - Present
Clinician Support Technology 2000 - 2005
Beth Israel Deaconess Medical Center 1993 - 2000
Skills
Clinical Decision..., Healthcare Information..., Informatics, Internal Medicine, Healthcare, Medicine, Health Information..., EHR, Clinical Research, Data Analysis, EMR, Healthcare Management, HL7, HIPAA, Public Health, Hospitals, Healthcare Consulting, SNOMED
Education
Albert Einstein College of Medicine of Yeshiva University 1984 — 1988
MD, Medicine
The Johns Hopkins University 1980 — 1984
BA, Natural Sciences
Harvard Medical School March 2014 - Present
Partners HealthCare 2005 - Present
IHTSDO 2008 - Present
Clinician Support Technology 2000 - 2005
Beth Israel Deaconess Medical Center 1993 - 2000
Skills
Clinical Decision..., Healthcare Information..., Informatics, Internal Medicine, Healthcare, Medicine, Health Information..., EHR, Clinical Research, Data Analysis, EMR, Healthcare Management, HL7, HIPAA, Public Health, Hospitals, Healthcare Consulting, SNOMED
Education
Albert Einstein College of Medicine of Yeshiva University 1984 — 1988
MD, Medicine
The Johns Hopkins University 1980 — 1984
BA, Natural Sciences
Robert Turnbull's IHTSDO Experience January 2013 - Present
Job Technical Product Manager (SNOMED CT) at IHTSDO
Industry Computer Software
Experience
IHTSDO January 2013 - Present
College of American Pathologists (CAP) April 2005 - January 2013
Education
University of Liverpool
MSc. (Information Systems Management)
IHTSDO January 2013 - Present
College of American Pathologists (CAP) April 2005 - January 2013
Education
University of Liverpool
MSc. (Information Systems Management)
Kelly Read's IHTSDO Experience June 2014 - December 2014
Job Sr. Mapping Specialist at IMO
Industry Hospital & Health Care
Experience
Intelligent Medical Objects January 2015 - Present
IHTSDO June 2014 - December 2014
Wolters Kluwer Health February 2014 - April 2014
M*Modal January 2011 - July 2013
PHIMA & WPHIMA 2010 - 2013
Indiana Regiona Medical Center October 2008 - December 2010
Skills
HIPAA, Healthcare Information..., EHR, Quality Assurance, Healthcare Management, Healthcare, Informatics, Software Documentation, Revenue Cycle, HL7, RHIA, Lean six sigma Green..., Data Analysis, Process Improvement, Program Management, Access, EMR, Epic Systems, Hospitals, Medicare, Medicaid, Managed Care, Healthcare Consulting, Training, Leadership, SNOMED-CT, Health Information..., SNOMED
Education
Fairmont State University
Bachelor of Applied Science (B.A.Sc.), Health/Health Care Administration/Management
Intelligent Medical Objects January 2015 - Present
IHTSDO June 2014 - December 2014
Wolters Kluwer Health February 2014 - April 2014
M*Modal January 2011 - July 2013
PHIMA & WPHIMA 2010 - 2013
Indiana Regiona Medical Center October 2008 - December 2010
Skills
HIPAA, Healthcare Information..., EHR, Quality Assurance, Healthcare Management, Healthcare, Informatics, Software Documentation, Revenue Cycle, HL7, RHIA, Lean six sigma Green..., Data Analysis, Process Improvement, Program Management, Access, EMR, Epic Systems, Hospitals, Medicare, Medicaid, Managed Care, Healthcare Consulting, Training, Leadership, SNOMED-CT, Health Information..., SNOMED
Education
Fairmont State University
Bachelor of Applied Science (B.A.Sc.), Health/Health Care Administration/Management
Aimee Furber's IHTSDO Experience January 2015 - Present
Job Software Developer at Informatics, Inc.
Industry Computer Software
Experience
IHTSDO January 2015 - Present
Informatics, Inc. September 2011 - Present
Informatics, Inc. May 2010 - September 2011
Skills
SQL, Maven, Subversion, HTML, CSS, Java, Software Development, JavaFX, Continuous Integration, Git, JIRA, Bamboo, Informatics, Agile Methodologies, Software Engineering, XML, NetBeans, Healthcare Information..., Drools, SNOMED, Integration, Business Analysis, Requirements Analysis
Education
Boston University 2009 — 2011
Master of Science (MS), Computer Information Systems: Database Management & Business Intelligence
University of Oregon 2002 — 2007
Bachelor of Arts (B.A.), Journalism
IHTSDO January 2015 - Present
Informatics, Inc. September 2011 - Present
Informatics, Inc. May 2010 - September 2011
Skills
SQL, Maven, Subversion, HTML, CSS, Java, Software Development, JavaFX, Continuous Integration, Git, JIRA, Bamboo, Informatics, Agile Methodologies, Software Engineering, XML, NetBeans, Healthcare Information..., Drools, SNOMED, Integration, Business Analysis, Requirements Analysis
Education
Boston University 2009 — 2011
Master of Science (MS), Computer Information Systems: Database Management & Business Intelligence
University of Oregon 2002 — 2007
Bachelor of Arts (B.A.), Journalism
NAED
Korea International Trade Association(KITA)
National Association of Electrical Distributors
Council On State Taxation