Our physicians strive to provide the highest quality of patient care. While monitoring remotely, they communicate in real time with the technologist and other staff in the OR to assist the surgeon and avoid damage to the patient's nervous system.
Part of our commitment to quality as a Telemedicine Physician Practice under the Joint Commission of Healthcare Organizations includes following these principles.
are on our staff and follow our credentialing policy and procedures
participate in regular IONM focused CME
practices are limited to your IONM patients
quality and responsiveness is constantly evaluated
George R. “Trey” Lee, III, M.D. (Founder, President and CMO)
Dr. Lee is trained as a Neurologist with sub-specialization in Neurophysiology and is an Assistant Clinical Professor at Vanderbilt University Medical Center. Dr. Lee began his professional career at Vanderbilt University building the IONM program, establishing the technologist training program and the resident training program in IONM. Dr. Lee began private practice in IONM in 2005 and established Real Time Neuromonitoring Associates in 2009 and growing the practice to 18 physicians and the largest IONM tele-neurology practice in the USA. Dr. Lee is professionally active as a member of multiple professional society boards and is currently the President of the American Society of Neurophysiological Monitoring. Dr. Lee frequently presents at Neurology medical conferences about IONM practices and quality.
Memberships: Dr. Lee is a member of the American Association of Neuromuscular & Electrodiagnostic Medicine, the American Society of Neurophysiological Monitoring, the American Society of Electrodiagnostic Technologists, the Indiana Society of Electroneurodiagnostic Technologists & Technicians, the American Medical Association, the Tennessee Medical Association, and the Nashville Academy of Medicine
Brian Ahuja, M.D.
Dr. Brian Ahuja serves as a staff neurologist at RTNA. He entered the field of intraoperative neuromonitoring (IONM) to follow his passion for neurology and clinical neurophysiology, specifically the ability to use neurophysiologic testing in the operating room to help prevent postoperative neurologic deficits. Prior to his current role, Dr. Ahuja spent the majority of his career studying and training in neurology, gaining experiences in adult neurology, clinical neurophysiology, and IONM. While being a neurologist is his primary job function by day, in his spare time Dr. Ahuja enjoys hiking, traveling, and spending time with friends and family.
Dr. Ahuja graduated from New York University in 2008, completing his BA in chemistry with a minor in linguistics. He went on to attend The University of Toledo College of Medicine in Toledo, Ohio and graduated with his medical degree in 2012. He then completed his preliminary medicine internship at Boston Medical Center, Boston, Massachusetts in 2013. He completed his residency at the MedStar Georgetown – NIH Neurology Residency Program, Washington, DC in 2016 where he also served as chief resident. Dr. Ahuja then moved to California where he completed his fellowship in clinical neurophysiology with a focus on IONM at Stanford University Medical Center in Palo Alto, California in June 2017. Dr. Ahuja joined RTNA in July 2017 and currently resides in Los Angeles, CA.
Certifications: Dr. Ahuja obtained his board certification in Neurology in 2016.
Memberships: Dr. Ahuja is a member of the American Society of Neurophysiologic Monitoring, the American Clinical Neurophysiology Society, and the American Academy of Neurology.
Megan Alcauskas, M.D.
Dr. Megan Alcauskas has practiced neurology for 9 years. She was recently elected to the ASNM Board of Directors and has been featured in several well-known industry publications including Neurology, Medical Economics, and Virtual Mentor.
Serving as the Director of Education, a staff neurologist, and a participant on the communication and quality assurance committees at RTNA, Dr. Alcauskas plays a major role in improving patient safety at an individual and system-wide level. Through her commitment to the field, she loves helping people understand complicated neurophysiological concepts and relating them to patient care.
Dr. Alcauskas received her medical degree from Columbia University College of Physicians and Surgeons in New York City in 2005. She completed her internship in internal medicine at Lenox Hill Hospital in 2006 and her neurology residency at Mount Sinai School of Medicine in 2009. Dr. Alcauskas was then asked to join the faculty at Mount Sinai where she practiced intraoperative neuromonitoring and general neurology. There she also served as the Neurology Clerkship Director and the Neurology Residency Assistant Director. Dr. Alcauskas was an attending neurologist at Mount Sinai Hospital and its affiliate, Elmhurst Hospital, until joining RTNA in April 2012. Dr. Alcauskas resides in Portland, Oregon.
Certifications: Dr. Alcauskas is board certified in Neurology (2009).
Memberships: Dr. Alcauskas is a member of the American Academy of Neurology and the American Society of Neurophysiological Monitoring.
Jonathan Chen, M.D.
Dr. Chen graduated from the University of California, Berkeley with a B.A. degree in molecular and cell biology and cognitive science (2007). He then earned his medical degree at New York Medical College (2013). In 2013, Dr. Chen began his medical training at California Pacific Medical Center-Pacific Campus as an intern resident of internal medicine. This was followed by his neurology residency at LAC+USC Medical Center (2014-2017) and his fellowship of intraoperative neuromonitoring at the Keck School of Medicine (2017). Dr. Chen is a staff neurologist at RTNA and resides in southern California.
Certifications: Dr. Chen is board certified in Neurology (2017).
Marcos Cruz, M.D.
Dr. Cruz completed pre-medicine training at the University of Puerto Rico before completing his medical training in New York Medical College in Valhalla, NY (2002). He chose pediatrics as his residency program at University Pediatric Hospital, Puerto Rico (2004). Dr. Cruz completed a fellowship in Neurology with special qualifications in Child Neurology through St. Christopher’s Hospital for Children and Hahneman University Hospital, PA (2008). After moving to Tennessee, Dr. Cruz completed a Neurophysiology fellowship at Vanderbilt University Medical Center (2009) and remained on staff as Assistant Professor of Neurology (2011). In 2009, Dr. Cruz opened his private practice in neurology (C & C Neurological Associates, PLLC). He joined the staff of Real Time Neuromonitoring Associates in January 2011. Dr. Cruz resides in Hendersonville, TN.
Certifications: Dr. Cruz is board certified in Neurology with special qualifications in Child Neurology (2008), Clinical Neurophysiology (2014)
Memberships: Dr. Cruz is a member of the American Clinical Neurophysiology Society, American Academy of Neurology, Child Neurology Society, the American Academy of Pediatrics, and the American Society of Neurophysiologic Monitoring
Vivian Hoang, M.D.
Combine a love for medicine and business and you have Dr. Vivian Hoang. Serving as the Medical Director and a staff physician at RTNA, Dr. Hoang entered this field to explore her passion for clinical neurophysiology and patient care. She enjoys the collaborative atmosphere of the healthcare industry and working with people who are striving to give the best patient care. For Dr. Hoang, the most rewarding part of her work is knowing that she can make a difference in patients’ surgical procedures and their outcomes.
Dr. Hoang received her medical degree in 2007 from Tulane University School of Medicine in New Orleans. She completed her internship in internal medicine at Tulane University Hospital in 2008, her neurology residency at Georgetown University Hospital in Washington, DC in 2011, and her neurophysiology fellowship at the University of California, Los Angeles in 2013. Dr. Hoang was then asked to join the staff at RTNA where she currently practices intraoperative neuromonitoring. Dr. Hoang resides in Dallas, Texas.
Certifications: Dr. Hoang is board certified in Neurology (2005) and Clinical Neurophysiology (2013).
Memberships: Dr. Hoang is a member of the American Academy of Neurology and the American Clinical Neurophysiology Society.
Chuong Le, M.D.
Dr. Chuong Le entered the medical field to explore his interest in neurophysiology. As an on-staff RTNA neurologist, Dr. Le loves helping people understand IONM as it relates to patient care and getting to know his colleagues.
Dr. Le attended the University of California, San Diego completing a BS in biology in 2000. He chose to attend St. George’s University Medical School in Grenada, West Indies and graduated with his medical degree in 2005. Dr. Le completed an internship in internal medicine at Brookdale University Hospital, New York in 2006. Following this program, Dr. Le moved to Kentucky to complete his neurology residency at the University of Louisville. He continued his education at the University of Louisville by completing a fellowship in neurophysiology in 2010. In January 2011, Dr. Le joined the staff of RTNA. He currently resides in San Jose, California.
Certifications: Dr. Le is board certified in Neurology (2015).
Memberships: Dr. Le is a member of the American Academy of Neurology, the American Medical Association, and the American Society of Neurophysiological Monitoring.
Michelle Mora, D.O.
Dr. Mora was graduated from Colorado State University with a B.S. degree in chemistry and mathematics. She then went on to complete her medical degree at Touro University College of Osteopathic Medicine. She subsequently completed her internship in neurology at St. John Providence Health Systems and her clinical neurophysiology/epilepsy fellowship at the University of Michigan. She continued her training at the University of Michigan as an Advance Epilepsy/Intraoperative Neuromonitoring fellow. She is a Staff Neurologist at Real Time Neuromonitoring Associates, PC and affiliated entities. Dr. Mora resides in Vallejo, CA.
Certifications: Dr. Mora is board certified in Neurology (2015).
Memberships: Dr. Mora is a member of the American Clinical Neurophysiology Society, the American Epilepsy Society, and the American Academy of Neurology.
Douglas Porter, M.D.
Dr. Porter joined the RTNA physician staff in 2014. Leading up to his current role, he spent a decade gaining experiences in neurology, neurophysiology research, and internal medicine. He currently resides in Los Angeles, California.
Dr. Porter graduated with highest honors from the Rochester Institute of Technology in 2000 with a bachelor's degree in biology and a minor in philosophy. After college, he worked for several years as a Clone Management Research Assistant in Cambridge, Massachusetts. In 2003 he began medical school at Tufts University School of Medicine in Boston, Massachusetts.
During his training, he enrolled in an additional one-year neurophysiology research concentration and helped produce three research publications. After graduating from Tufts in 2008, Dr. Porter performed his medical internship at Baystate Medical Center in Springfield, Massachusetts (July 2008 – June 2009) and then went on to complete a neurology residency at Georgetown University Medical Center in Washington, DC (July 2009 – June 2012). During his final year there, he was Chief Resident. Dr. Porter completed his clinical training with a fellowship in Clinical Neurophysiology and Intraoperative Monitoring at the University of California Los Angeles (July 2012-June 2014).
Certifications: Dr. Porter is board certified in Neurology (2014) and Clinical Neurophysiology and Intraoperative Monitoring (2014).
Memberships: Dr. Porter is a member of the American Academy of Neurology, the American Clinical Neurophysiology Society, and the American Society of Neuromuscular Monitoring.
Greg Schaublin, M.D.
Dr. Greg Schaublin entered the medical field to explore his passion for clinical neurophysiology and lesion localization. He has spent the majority of his career in the EMG and IONM field and performing inpatient and outpatient general neurology. With experiences in providing EMG guided botulinum toxin injections for various conditions and running an in-office infusions suite for patients requiring intravenous medications, Dr. Schaublin brings a wealth of insight to the RTNA physician team. In his free time, Dr. Schaublin enjoys spending time with his wife and children, running and exercising as much as he can, and attending live sporting and musical events.
Dr. Schaublin is a graduate from the University of Toledo. He received his medical degree (2001) and completed his internship in internal medicine (2002) at the Medical College of Ohio. Dr. Schaublin completed his neurology residency and fellowship in clinical neurophysiology (EMG) at the University of Virginia from 2002 -2006. Post-fellowship, Dr. Schaublin has held positions as a staff neurologist, the director of an in-house hospital IONM program, and as a member of a hospital medical staff quality committee.
Certifications: Dr. Schaublin is board certified in Neurology (2006), Clinical Neurophysiology (2006) and Electrodiagnostic Medicine (2007)
Romina Shirka, D.O.
Dr. Shirka graduated from UCLA in Los Angeles, California where she obtained her degree in Psychobiology. She received her Doctor of Osteopathy from Touro University College of Osteopathic Medicine. Her internship was completed at Henry Ford Hospital and Henry Ford Wyandotte Hospital. Dr. Shirka's Neurology residency was completed at Henry Ford Hospital. Dr. Shirka completed a fellowship in Clinical Neurophysiology including training in Intraoperative Neuromonitoring at New York Presbyterian Hospital-Cornell and at Memorial Sloan-Kettering Cancer Center in June of 2012. She also completed a fellowship in Epilepsy at Yale New Haven Hospital in June 2013. She joined Real Time Neuromonitoring Associates in July of 2013. She currently resides in Henderson, NV.
Certifications: Dr. Shirka is board certified in Neurology (2011) and Epilepsy (2014).
Memberships: Dr. Shirka is a member of the American Academy of Neurology, the American Osteopathic Association, and the Osteopathic Cranial Academy
Lon Steinberg, M.D.
Preventing neurological injuries is what drives Dr. Lon Steinberg as an RTNA neurologist. With each patient, his goal is to provide neurophysiological oversight that assists patients in getting through surgery safely. He has spent the majority of his career in the clinical neurophysiology field, gaining experiences in areas such as intraoperative monitoring and epilepsy. While clinical neurophysiology is Dr. Steinberg’s primary job by day, he also enjoys golf and composing music.
Dr. Steinberg graduated from the University of Pennsylvania in 2004 where he obtained a degree in neuroscience. In 2008, he received his medical degree from Albert Einstein College of Medicine and then went on to completed both his internship and residency at New York Presbyterian Hospital Cornell in 2012. He then completed a fellowship in clinical neurophysiology at Montefiore Medical Center in the Bronx, New York. Dr. Steinberg joined RTNA in July 2013. He currently resides in San Diego, California.
Certifications: Dr. Steinberg is board certified in Neurology (2012), Clinical Neurophysiology (2015), and Intraoperative Monitoring.
Memberships: Dr. Steinberg is a member of the American Board of Clinical Neurophysiology, the American Academy of Neurology, the American Geriatrics Society, the American Medical Association, and the American Society of Neurophysiological Monitoring.
Cynthia Tainsh, M.D.
Since 2012, Dr. Cynthia Tainsh has been an on-staff neurologist at RTNA. Dr. Tainsh is known for her expertise in electrodiagnostic medicine and her ability to teach others neurology related to surgical cases. The most rewarding part of her job is the opportunity for continuous learning and interacting with colleagues.
Dr. Tainsh graduated Magna Cum Laude from Brown University in Providence, Rhode Island where she obtained her biology degree in 1980. She received her medical degree from the Warren Alpert Medical School of Brown University in 1983 and completed her internship at Beth Israel Deaconess Medical Center, Boston, Massachusetts. Dr. Tainsh's residency was completed at The Harvard Longwood Neurological Training Program under Dr. Martin Samuels where during her final year she served as chief resident. Her clinical work during this time was completed at Beth Israel Hospital and Brigham and Women's Hospital. Dr. Tainsh also completed a fellowship in electromyography at Harvard Medical School and performed her related clinical work at Massachusetts General Hospital. She joined RTNA in August 2012 and resides in Medford, Massachusetts.
Certifications: Dr. Tainsh is board certified in Neurology and Electrodiagnostic Medicine.
Memberships: Dr. Tainsh is a member of the American Society of Neurophysiological Monitoring and the American Clinical Neurophysiology Society.