Our Doctors

Medical Oncology

Dr. Virgilio

JoAnne Virgilio, D.O.

Medical School: Chicago College of Osteopathic Medicine, Denver Grove, Illinois
Internship/Residency: Grandview Hospital and Medical Center, Dayton, Ohio
Hematology/Oncology Fellowship: University of Cincinnati, Cincinnati, Ohio and Moffitt Cancer Center, Tampa, Florida
Board Certification: Board Certified Internal Medicine, Board Certified Oncology, Board Eligible Hematology
Clinical Interests: Medical Oncology, Breast Cancer, Ovarian Cancer, Multiple Myeloma, Lymphoma, Chronic Lymphocytic Leukemia
Professional Memberships: American Society of Clinical Oncology (ASCO), American Society of Hematology (ASH), American Academy of Hospice and Palliative Medicine (AAHPM)
Hospital Affiliations: Community Hospital, St. Mary’s Hospital

“I truly believe that cancer has its bad side but it changes people for the good. The living presence of God: That’s the good.” — Dr. Virgilio

Growing up in Brooklyn and Long Island, Dr. Virgilio decided to study oncology when her mother was diagnosed with small cell lung cancer. She has been practicing oncology for 26 years and she will tell you her practice philosophy has changed over time but a recurring theme continues to show up when you talk to her about her career. She feels privileged to take care of people at the most intense time of their life. Whatever the journey is that each patient is on; she wants to get them through it gracefully with the least amount of impact. She feels it is important to find the balance between being honest and providing hope.

She loves spending her free time with her family. When asked what her favorite sports team is, she quickly responded, The CMU Women’s Lacrosse Team! And it is no surprise that since her free time is often filled with hosting team dinners; she would have chosen to be a caterer if medicine had not been her calling.

Dr. Melancon

Diane Melancon, M.D.

Medical School: Dartmouth Medical School, Hanover, New Hampshire
Residency/Residency: Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire
Board Certification: Board Certified American Board of Internal Medicine
Clinical Interests: Breast Cancer, Gynecologic Cancer
Hospital Affiliations: Community Hospital, St. Mary’s Hospital

“I tell all of my patients, we are not here for a long time; we are here for a good time!” — Dr. Melancon

When you ask Dr. Melancon why she chose medicine, she will immediately tell you, “I love this job.” Beginning her medical career as an X-ray technician, she came to oncology in a roundabout way, but she likens it to a puzzle and putting the pieces together.

Dr. Melancon feels it is her job to educate her patients to make the right decision for themselves. Her most important advice for patients and caregivers is to live life everyday and to not put things off. She practices what she preaches by finding time to hike, sail, bike and cook. At the time of this interview, she was heading off to make rhubarb crisp with the rhubarb cut from her garden that morning. So it’s no surprise if she hadn’t been a doctor, she would have been a farmer. She says in her next life she will have long legs, lots of children and live on a farm! She then paused and realized part of that has already come true. She softly responded, “My patients are my children.”

Dr. King

Jonathan D. King, M.D.

Medical School: Medical College of Wisconsin, Milwaukee, Wisconsin
Internship/Residency: University of Wisconsin-Madison, Madison, Wisconsin
Hematology/Oncology Fellowship: University of Wisconsin-Madison, Madison, Wisconsin
Hospice and Palliative Medicine Fellowship: University of Wisconsin-Madison, Madison, Wisconsin
Board Certification: Board Certified American Board of Internal Medicine, Board Certified Hospice and Palliative Medicine, Board Certified Hematology Subspecialty, Board Certified Oncology Subspecialty
Clinical Interests: Prostate Cancer, Lung Cancer, Palliative Care, Lymphoma, Multiple Myeloma
Professional Memberships: American Society of Clinical Oncology (ASCO), American Society of Hematology (ASH), American Academy of Hospice and Palliative Medicine (AAHPM)
Hospital Affiliations: Community Hospital, St. Mary’s Hospital

“It is a gift to be with people during this time. It’s not about finding the right decision for the patient but rather the best decision for the patient.” — Dr. King

Click here to view Dr. King's profile.

Growing up just outside of Salt Lake City, Dr. Jonathon King did a report on doctors in the 3rd grade and his future in the sciences was set. When asked about his practice philosophy, Dr. King speaks passionately about taking care of the whole person and he believes his connection with his patients is key. He tells his patients that knowing what their own goals are is the most important thing. One of his patients referred to him as “a cup of love” and when you see his joyful smile and sense his compassionate heart, you may very well agree.

Dr. King enjoys being outdoors both hiking and biking. And he loves spending his free time with his wife, Jess, a PA with Grand Valley Pediatrics, as well as their three children: Olivia, Jeremy and Lucy.

Dr. Jahangiri

Sudy Jahangiri, M.D.

Medical School: Northeast Ohio Medical University College of Medicine, Rootstown, Ohio
Internship/Residency: SUMMA Health System/Northeast Ohio Medical University, Rootstown, Ohio
Hematology/Oncology Fellowship: University of Rochester Medical Center, Rochester, New York
Board Certification: Board Certified American Board of Internal Medicine, Board Certified Hematology Subspecialty, Board Certified Oncology Subspecialty
Clinical Interests: Hematology, Gastrointestinal Cancer, Lung Cancer
Professional Memberships: American Society of Clinical Oncology (ASCO), American Society of Hematology (ASH)
Hospital Affiliations: Community Hospital, St. Mary’s Hospital

“Often it can feel like a lot of things happen to us, but I believe every day we have the opportunity to choose our outlook, our attitude and how we live our lives.” — Dr. Jahangiri

Dr. Jahangiri chose to become a physician because of an amazing oncologist she had the privilege to watch interact with patients. “Watching her and how she was able to bring joy to people was what inspired me to become an oncologist.”

Dr. Jahangiri sees herself as a guide to patients on their journey through life with cancer. Her aim is to provide her patients with the information and tools to make decisions in their care and to support them along whatever path they choose.

As you talk to Dr. Jahangiri, you can’t help but be affected by her smile. She truly sees every day as a gift and lives her life that way. Her family includes her loving husband and best friend, their adventurous and adorable son, and their dog that they rescued from a shelter. She loves trail running, yoga and spending time with her family. If she could learn anything it would be languages so she could connect with more people. It was her parents who taught her to cherish and enjoy every day, and after meeting Dr. Jahangiri, you will agree, her parents taught her well.

Dr. Goutsouliak

Kristina Goutsouliak, MD

Medical School: Charles University First Faculty of Medicine, Prague, Czech Republic
Internal Medicine Residency: Lankenau Medical Center, Philadelphia, PA
Medical Oncology/Hematology Fellowship: Baylor College of Medicine, Houston, TX
Board Certification: Board Certified - American Board of Internal Medicine, Board Eligible - Hematology Subspe-cialty, Board Eligible - Oncology Subspecialty
Clinical Interests: Medical Oncology with a special interest in Breast Cancer
Hospital Affiliations: Community Hospital

““The human spirit is stronger than anything that can happen to it” - while I cannot take credit for writing those words, I fervently believe in them. I feel privileged to work with, counsel and help, people coping through a difficult time in their lives. ” — Dr. Goutsouliak

Click here to view Dr. Goutsouliak's profile.

I’ve always known that I wanted to be a physician. Science was my passion and I am endlessly fascinated by people. Medicine is the intersection of my two defining interests. I chose Oncology because it is a dynamic field of medicine offering differing treatment options to patients at a dif-ficult time in their lives. I view my role as helping patients to understand their options and make the best possible decisions for their individual circumstances. I respect my patients and work hard to present the facts honestly and compassionately. There is so much hope and progress to celebrate in this field but at times there are also difficult decisions to be made.

In my free time, I love spending time with my husband, Richard Zogala, a Rheumatologist at Community Hospital, and our two active little girl’s, Ariana and Nicole. We love the outdoors and cannot wait to take part in all of the wonderful outdoor activities that beautiful Grand Junction has to offer.

Andrea Liggett

Andrea Liggett, FNP

Nursing Undergraduate: University of Rochester School of Nursing, Rochester, New York
Nursing Graduate: University of Northern Colorado, Greely, Colorado
Board Certification: American Nurses Credentialing Center
Clinical Interests: Lymphoma, Lung Cancer, Breast Cancer, Symptom Management & Survivorship
Professional Memberships: Oncology Nursing Society

“It is a privilege, and always humbling, to work with oncology patients. My goal is to provide support to patients to empower them on their individual journeys.” — Andrea Liggett

Andrea began her career in inpatient oncology as a new registered nurse. She initially wanted to work with oncology patients because she was fascinated with the science and research in the field of cancer care, and it allowed her learn something new every day. She soon realized that working with oncology patients was her passion. She considers it both a pleasure and privilege to work with patients throughout their journey with cancer. Andrea enjoys spending time with patients and their families to provide education and support to empower them to make decisions that are the best fit for their individual situation.

After completing her training as a family nurse practitioner, she worked in primary care before returning to oncology as an NP. During this time, her stepfather had a recurrence of cancer and was cared for by the team at Grand Valley Oncology. Andrea was able to see the work of this amazing team first hand, and is thrilled to have the opportunity to work alongside them. The ability to impact patient’s lives in a meaningful way keeps Andrea motivated to continue to grow and learn in the field of cancer care. She thinks her stepfather would be very proud.

In her free time, Andrea enjoys spending time outside with her husband Cole, climbing mountains, running, and unwinding with yoga. She and Cole travel whenever they can. You may see her trying to get the hang of mountain biking on the local trails or cruising around town in her husband’s classic Mini Cooper.

Gynecologic Oncology

Dr. Higdon

Ruth Higdon, M.D.

Medical School: University of Missouri-Columbia School of Medicine, Columbia, Missouri
Internship: LSU Medical Center-University Hospital, New Orleans, Louisiana
Residency: Louisiana State University New Orleans School of Medicine, New Orleans, Louisiana
Fellowship: Jackson Memorial Hospital, Miami, Florida
Board Certification: Board Certified American Board of Obstetrics/Gynecology
Clinical Interests: Gynecologic Oncology
Professional Memberships: American College of Obstetricians and Gynecologists (ACOG), Society of Gynecologic Oncology (SGO)
Hospital Affiliations: Community Hospital, St. Mary’s Hospital

“Cancer is a family affair, but it is also a lonely journey. Support your loved one in their decision.” — Dr. Higdon

Dr. Higdon’s advice to patients is to keep living. Don’t sit at home; get out there and be alive. She is the epitome of living life to the fullest. When you ask her what she does in her free time she lists three things: raise yaks, climb mountains and fly planes! She shrugs off the pilot license by sharing that she lived in Alaska and you really need to fly to get around “The Last Frontier” state. She enjoys climbing mountains describing it as a fun way to see the world. And there is the added benefit of meeting her husband on the slopes of Mt. McKinley. Now they raise yaks in their free time.

When it comes to treating her patients, Dr. Higdon will tell you, “Now I know.” She understands because she has dealt with the disease with both her mother and sister. Her practice philosophy is to really get to know the patient, to be able to communicate with them and to tailor their care for their journey.

At the age of 10, Dr. Higdon wanted to be a missionary. We are fortunate her mission in life brought her to Grand Valley Oncology.

Please note, Dr. Higon is located at Grand Valley Women's Health Specialists.

Radiation Oncology

Dr. Miller

Gayle Miller, M.D.

Medical School: Kansas University Medical School, Kansas City, Kansas
Internship/Residency: Kansas University Medical Center, Kansas City, Kansas
Board Certification: Board Certified American Board of Radiology
Clinical Interests: Radiation Oncology, Breast Cancer
Professional Memberships: American Society for Radiation Oncology (ASTRO)
Hospital Affiliations: Community Hospital, St. Mary’s Hospital

“Cancer gives you a different philosophy on life. You can choose to live every day or die every day.” — Dr. Miller

Life’s path is different for everyone and Dr. Gayle Miller is no exception. She was a high school science and math teacher before becoming a physician. It was her husband, Steve, who supported and helped her find the path that has brought her both happiness and success. Dr. Miller was doing her internship in pediatrics when her father was diagnosed with pancreatic cancer, and it was his advice that she has based her practice upon. He told her something she will always remember, “The patient is not their disease.”

In her free time you will find her traveling and in her quiet time you will catch her reading. Her favorite book is Pillars of the Earth. Dr. Miller has a fascination with weather and if she had not chosen to become a physician she would have been a meteorologist. We at Grand Valley Oncology are all very happy that she chose medicine over meteorology.

Dr. Bagley

J. Ryan Bagley, M.D.

Medical School: Medical College of Wisconsin, Milwaukee, Wisconsin
Internship: Aurora St. Luke's Medical Center, Milwaukee, Wisconsin
Residency: Medical College of Wisconsin
Board Certification: Board Certified American Board of Radiology
Clinical Interests: Prostate Cancer, Lung Cancer, Head and Neck Cancer, Palliative Radiation
Professional Memberships: American Society for Radiation Oncology (ASTRO), American Brachytherapy Society (ABS), American Radium Society (ARS)
Hospital Affiliations: Community Hospital, St. Mary’s Hospital

“I love the technology but what is most meaningful to me is to teach my patients, listen to their needs and give them the care they deserve.” — Dr. Bagley

Dr. Bagley’s path to medical school was an interesting one. He studied math and physics at the University of Utah, worked in business and taught school for two years before making the leap to medical school. He enjoys teaching his patients about cancer, the disease and the treatment. Once you sit down with him, it is quite clear teaching is an important part of his practice. “We’ve gotten away from the paternalistic model in oncology. Patients and families drive their care and that's the way it should be.”

The field of cancer is always changing and Dr. Bagley enjoys continuing his own education. As a Radiation Oncologist, it is no surprise his favorite book is Radioactive: Marie and Pierre Curie: A Tale of Love and Fallout. However in his free time, he and his wife, Diana, enjoy swimming, hiking and adventures with their five children: Jack, Luke, Max, Will and Lily.

Dr. Frandsen

Jonathan Frandsen, M.D.

Medical School: University of Utah School of Medicine, Salt Lake City, Utah
Internship: Spartanburg Regional Hospital, Spartanburg, South Carolina
Residency: University of Utah - Huntsman Cancer Institute, Salt Lake City, Utah
Board Certification: Board Certified American Board of Radiology
Clinical Interests: Full Spectrum Radiation Oncology
Professional Memberships: American Society for Radiation Oncology (ASTRO)
Hospital Affiliations: Community Hospital

“Every person with cancer deserves a doctor who is not only up to date on the latest medical advances, but who also cares deeply about the person. I strive to be this cancer doctor every person deserves.” — Dr. Frandsen

Click here to view Dr. Frandsen’s profile.

Dr. Jonathan Frandsen felt the call to pursue a career in medicine as a teenager. In fact, when he was a junior in high school, he told his girlfriend (and future wife, Melinda) that he wanted to be a cancer doctor. Dr. Frandsen works every day to be the best oncologist he can be for his patients. He feels a great responsibility to help his patients navigate the latest medical and technological advances in oncology.

As a resident physician at the Huntsman Cancer Institute in Salt Lake City, Dr. Frandsen won multiple awards for his cancer research. His work has been presented at international medical conferences and published in top flight medical journals. He is thrilled to bring his expertise to the Grand Valley.

Dr. Frandsen loves his family, music, and the great outdoors. He loves sharing his hobbies with his wife, three boys, and baby girl. When not busy seeing patients or wrestling his young children, you might find him around a fire pit sawing on his fiddle, or on the trails peddling his mountain bike.

Surgical Oncology

Dr. Fulton

Courtney Fulton, M.D.

Board Certification: Fellow of the Royal College of Surgeons of Canada, Board Eligible for American Board of Surgery
Clinical Interests: Breast Cancer, Oncoplastic Surgery, Melanoma, Colon Cancer
Professional Memberships: American College of Surgeons, American Society of Breast Surgeons, Society of American Gastrointestinal and Endoscopic Surgeons (SAGES)
Hospital Affiliations: Community Hospital
Medical School: Schulich School of Medicine and Dentistry, London, Ontario, Canada
Internship/Residency: University of Alberta, Edmonton, Alberta, Canada
Breast Oncology Fellowship: University of Toronto, Toronto, Ontario, Canada

“My favorite part of treating cancer is helping patients choose the operation that’s right for them.” — Dr. Fulton

Click here to view Dr. Fulton’s profile.

Dr. Fulton is a general surgeon who recently completed a fellowship that focused on breast cancer and melanoma. She is excited to start her career with Community Hospital and Grand Valley Oncology. Her passion is oncoplastic surgery, a form of breast reconstruction that combines cancer resection with tissue resculpting. There are many options for breast cancer surgery, and she feels that her role is to help the patient decide on the right treatment plan for them. The field of surgery is rapidly changing, so Dr. Fulton keeps up-to-date on the latest advances by attending and presenting at multiple conferences a year.
In her free time, Dr. Fulton loves to do outdoor activities with her husband and son. She can’t wait to take advantage of all that Grand Junction and the area have to offer including hiking, skiing, snowboarding and biking! She also enjoys spending time at home relaxing with her family and two cats.

Please note, Dr. Fulton is located at Surgical Associates of the Grand Valley.

Survivorship Physician

Dr. Tarman

Kathryn Tarman, M.D.

Medical School: Georgetown University School of Medicine, Washington, D.C.
Internship: Naval Hospital Camp Pendleton, Camp Pendleton, CA
Residency: University of California San Diego
Board Certification: Board Certified American Board of Family Practice
Clinical Interests: Integrative Wellness, Cancer Survivorship, Preventative Medicine, Nutrition, Exercise
Professional Memberships: American Academy of Family Physicians (AAFP)
Hospital Affiliations: Community Hospital, St. Mary’s Hospital

“You are responsible for your own happiness and your own joy.” — Dr. Tarman

Click here to view Dr. Tarman’s profile.

When talking to Dr. Tarman, you will sense her passion for her career. She always wanted to be a physician and she recounts babysitting for a little boy, Christopher, and remembering the day he was diagnosed with neuroblastoma. Perhaps that little boy helped mold her practice philosophy. “I think about what it’s like to be my patient and to understand what it feels like from their standpoint.” Dr. Tarman builds relationships with her patients by taking the time to get to know them and to earn their trust.

A mother of three boys, she met her husband, Dr. Greg Tarman, at Georgetown University. She adds with a smile, “I had an Irish Setter and he asked for the dog’s phone number.” Both Dr. Tarman and her husband served in the United States Navy.

She is most excited about seeing what paths her sons will take as they prepare for their next chapters in life. Her free time is spent doing needlepoint, knitting or cooking. Her favorite book is Doc Susie: Mountain Doctor and The Beetles top her music list. We are certainly fortunate that this native New Jersey doctor ended up in our community!

Oncology Pharmacist

Stephanie Evangelisti, Pharm D, MS

Stephanie Evangelisti, Pharm D, MS

Doctrate's Degree: University of Maryland
Undergraduate: Colorado School of Mines
Master's Degree: Georgetown University
Hospital Affiliations: Community Hospital

“Live deeply and laugh often.” — Stephanie Evangelisti, Pharm D, MS

Stephanie’s transition from biochemical engineering to oncology pharmacy may seem unusual, but her passion for high quality health care has been the guiding principle. She was working in drug research and development when she first observed the personal touch that clinical pharmacists brought to patient care. She then made the decision to work directly with patients and serve as a facilitator in their understanding of complex chemotherapy regimens.

Stephanie views life as an extended weekend and the world as a giant playground. She and her husband spend as much time as possible outside running, hiking, canoeing and camping.