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: 6/30/2025 6:46:33 PM.
Records returned: .
Data was last updated: 6/30/2025 12:01:08 AM.

Provider NameLicense NumberNPI NumberProvider TypeExclusion Effective DateSSN/FEIN
ADELEKE MICHAEL003017091881908705Licensed Practical Nurse06/10/2025Verify
ALY YASSER M000695641265585293Clinical Social Worker06/29/2025Verify
ATLAS LIMO INCTransportation Company 06/29/2025Verify
BLAKE AKEEMChild Care Therapy Aide06/10/2025Verify
BROOKS DAMIONDirect Support Professional06/10/2025Verify
CAMPBELL JAMIE L. AKA/DBA JAMIE L. PITTS, JAMIE L. ROBERTS00327014Licensed Practical Nurse06/03/2025Verify
CHIN KINGSLEY002866231023046521Physician06/29/2025Verify
CHUN DAVIDDirect Support Professional06/03/2025Verify
CUNNINGHAM JOSEPH MICHAEL00234072Licensed Practical Nurse06/10/2025Verify
DEROSA ALFRED V001438761477683480Physician06/29/2025Verify
DICKINSON JOHN CARLTON001423661487686622Physician06/03/2025Verify
FELDMAN VICTORIA003061961184068702Nurse Practitioner 06/29/2025Verify
GINZBURG SURGEYAssistant Director 06/29/2025Verify
HILTON WILLIAM MARTIN002645001285827006Physician06/03/2025Verify
HOBERMAN RENEE SHARON000905861124456983Licensed Clinical Social Worker06/29/2025Verify
JENKINS KAREN__________Assistant Manager06/03/2025Verify
KENT PERRYResidential Habilitation Aide06/29/2025Verify
KHAN MOHAMMAD A.Owner of Transportation Company 06/29/2025Verify
KOCH PAUL001347351538125414Physician06/03/2025Verify
LEWIS RYAN00008313 RespiratoryTherapist06/03/2025Verify
MARKEVYCH ANDRIY000154381003156027Physician Assistant 06/29/2025Verify
MCCLOUD THOMASDirect Support Professional06/03/2025Verify
MILLER MAE ALICE000748441225137904Clinical Social Worker06/30/2025Verify
MILLER MEGAN ELIZABETH00299000Licensed Practical Nurse06/30/2025Verify
NICOLEAU ARYEL MD001417411093880957Physician06/30/2025Verify
ROBINSON MICHELLE00331757Licensed Practical Nurse06/10/2025Verify
SOUCY ROBERT G JR DOPhysician Services 06/30/2025Verify
STOLY YURA AKA/DBA STOLY002757631104116375Physician06/30/2025Verify
TANTO CORPORATIONHome Health Business06/30/2025Verify
WALKER MELISSA00501255Registered Nurse06/03/2025Verify
WHITMAN KEVINUnlicensed Physician 06/30/2025Verify

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