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Our Leadership

At RTNA, our motivation is based on three simple principles: offering clients sustainable IONM services delivering positive patient outcomes, creating a professional team environment to implement services and technologies that support IONM physician supervision, and fulfilling our promises to our clients. Our leadership team works to advance these principles, utilizing them to guide decision making and to lead our teams to success.
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 of Neurology at Vanderbilt University Medical Center. Dr. Lee began his professional career at Vanderbilt University building the IONM program, establishing an accredited technologist training program and the frame work for the fellowship training program in IONM. Dr. Lee established Real Time Neuromonitoring Associates in 2009 and grew the practice into the largest IONM tele-neurology practice in the USA. Dr. Lee is professionally active as a member of multiple professional society boards and committees. He is a past president of the American Society of Neurophysiological Monitoring and also served on the national committee that accredits EEG and IONM technologist training programs. Dr. Lee frequently presents at Neurology medical conferences about IONM practices, quality, and medicolegal. In the spring of 2020, Dr. Lee earned his MBA from Vanderbilt's Owen Graduate School of Management.

Memberships:  Dr. Lee is a member of the American Medical Association, the Tennessee Medical Association, the Nashville Academy of Medicine, the American Clinical Neurophysiology Society, the American Society of Neurophysiological Monitoring, the American Association of Neuromuscular & Electrodiagnostic Medicine, the American Society of Neurophysiological Monitoring and ASET - The Neurodiagnostic Society, the American Telemedicine Association, the American Association for Physician Leadership, and the Nashville Health Care Council.

Gene K. Balzer, Ph.D.
Chief Executive Officer

Dr. Gene Balzer began his clinical career in intra-operative monitoring in 1981 and started NeuroDynamic Systems in 1991. Dr. Balzer was a founder of the American Society of Neurophysiological Monitoring and the American Board of Neurophysiological Monitoring and has over 100 professional publications and presentations. Dr. Balzer served as the Technical Director of the Minneapolis Neuroscience Institute, Corporate Vice President of Medcenter One Health Systems and CEO of Campbell County Memorial Hospital, integrating physician practices, hospital services and community health. Dr. Balzer led Biotronic NeuroNetwork to first in industry Joint Commission accreditation and remarkable growth and profitability. Dr. Balzer is a Fellow in the American Society of Neurophysiological Monitoring and recently founded the American NeuroMonitoring Association trade association. Dr. Balzer was a member of the medical staff of Shriners Hospital for Children in Minneapolis, MN for 28 years.

Vivian Hoang, M.D.
Medical Director

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.

Rich Vogel, Ph.D.
Vice President of Clinical Services

Dr. Rich Vogel is internationally recognized for his expertise in neurophysiology, passion for education, and commitment to high quality patient care. At RTNA, his mission as Vice President of Clinical Services is to inspire and implement best IONM patient care through education, research, and quality assurance. Prior to joining RTNA, he served as President and CEO of Neurological Monitoring Associates, LLC (Milwaukee, WI).

Dr. Vogel earned PhDs in both Neuroscience and Psychology in 2009 from Indiana University in Bloomington, IN. He completed a postdoctoral fellowship in Neurophysiology at the University of Pennsylvania School of Medicine in 2010, and subsequently transitioned to the IONM field to focus on clinical neurophysiology. Dr. Vogel is a Fellow and Past President of the American Society of Neurophysiological Monitoring (ASNM), as well as Co-Founder and Co-Chair of the IONM Section of the North American Spine Society (NASS). He has published dozens of papers and book chapters and has given more than 100 invited lectures both nationally and internationally. He currently lives in Nashville, TN and spends his free time hiking, traveling, and exploring the US National Parks.

Certifications:  Dr. Vogel is board-certified in Intraoperative Neurophysiology by the American Board of Neurophysiological Monitoring (2014) and holds a CNIM (2011).

Memberships:  Dr. Vogel is a member of the American Society of Neurophysiological Monitoring (ASNM), the American Clinical Neurophysiology Society (ACNS), the International Society of Intraoperative Neurophysiology (ISIN), the Intraoperative Neurophysiology

Society of Asia-Pacific (INSA), the North American Spine Society (NASS), and the Neurodiagnostic Society (ASET).

Beth Wells
Vice President of Operations & Business Development

Beth’s mission as Vice President of Operations & Business Development is to create superior and mutually beneficial experiences that promote the company’s vision and build trust with our client partners.  She has spent the majority of her career in the IONM field, gaining experience in training and education of clinical and technical teams, marketing, business development, and quality assurance.  At RTNA, Beth works closely with our talented team of physicians and support staff to develop and implement creative strategies that improve efficiency, communication, job performance and company growth.  She currently resides in Nashville, TN and enjoys hiking, traveling, and loving her pup (and resident RTNA mascot), Polly.

Certifications:  CNIM

Memberships:  Beth is a member of the American Society of Neurophysiological Monitoring and ASET - The Neurodiagnostic Society.

Interested in TeleNeurology? Consider joining our team

Office: (615) 346-8182
(877) 836-2408
Billing: (855) 854-5600

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