Office of the Medicaid Inspector General
Medicaid Exclusions
Medicaid Exclusions Short List



Exclusions Short List


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You searched for: Short List
List Execution Date: 4/25/2024 10:24:49 AM.
Records returned: .
Data was last updated: 4/25/2024 12:01:15 AM.

Provider NameLicense NumberNPI NumberProvider TypeExclusion Effective DateSSN/FEIN
ALARIO FRANK001642041194740225Physician04/18/2024Verify
ALEGRIA JOSHUANon medical04/01/2024Verify
Aaron-Wood Sharon003320291457922668LPN04/18/2024Verify
BAILEY AIREALNon medical04/01/2024Verify
BAINS CHARNJIT SINGH00790052RN04/18/2024Verify
BASHER MOTAZDirect Support Professional03/27/2024Verify
BAYLESS JACQUELYNDirect Support Aide04/07/2024Verify
BERNARDINI RONALD000029291639177918Chiropractor04/18/2024Verify
BISHOFF DAVIDManager04/07/2024Verify
BROMFIELD LEROY ALPHANSO00564070RN04/18/2024Verify
DAGGS ELIJAH00030898Massage Therapy04/18/2024Verify
DALEY HAYDENChild Support Aide04/07/2024Verify
ELMANDOUGH MOHAMED00030595Therapist04/18/2024Verify
LAGACE JOSHUA00028918Massage Therapy04/18/2024Verify
MAGARIAN DEVIN ANTHONYOTHER03/27/2024Verify
MANGO SARAHDirect Support Aide03/27/2024Verify
MARTINIS FRANCIS GERARD001934791952345373Physician03/27/2024Verify
MARTINIS JESSICANon medical 03/27/2024Verify
OGUNYEMI TENIOLA00810589RN04/18/2024Verify
PRIME ANDREWOTHER03/27/2024Verify
RABINOWITZ MOSESNon medical04/01/2024Verify
RIVER CHEMISTS CORP AKA/DBA DJ DRUGS000284011851432116Pharmacy04/07/2024Verify
ROPER JONATHAN PATRICKOTHER04/18/2024Verify
SAMBER MENACHEMNon medical04/01/2024Verify
TALBOT YASMIN00597852Nurse03/27/2024Verify
VIAGRANDE CHRISTOPHER005831541790006526RN04/01/2024Verify