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: 12/30/2024 12:21:44 PM.
Records returned: .
Data was last updated: 12/30/2024 12:01:10 AM.

Provider NameLicense NumberNPI NumberProvider TypeExclusion Effective DateSSN/FEIN
ABORISADE OLUWANIFEMIHome Health Aide12/09/2024Verify
ANTAO ELAINEBusiness Owner 12/09/2024Verify
BEKHIT CHRISTINA000575091952616922Pharmacist12/19/2024Verify
BIGGS SHALIS007429451780341875Registered Nurse12/19/2024Verify
BLAKE GWENDOLYNNight Nurse12/09/2024Verify
CONTRISTANO SALVATORE JOSEPH000995721417062688Physician12/09/2024Verify
EDOUARD SONORE00770202Registered Nurse12/19/2024Verify
GHORBANI-MOGHADDAM HAMED000571111700144714Dentist 12/09/2024Verify
HENAGHAN RYANAlcoholism and Substance Abuse Counselor12/16/2024Verify
IJAZ AHSANBusiness Owner 12/16/2024Verify
KINNALLY RYAN00626384Registered Nurse12/16/2024Verify
MARTIN MIKAYLACounselor12/22/2024Verify
OVIASOGIE VICTORDirect Support Professional 12/22/2024Verify
PAMPERIEN GARY00581534Registered Professional Nurse12/26/2024Verify
PARRIS CHRISTOPHER ALVINOther12/19/2024Verify
PARSLEY SARAH S.002988561275863375License Practical Nurse12/26/2024Verify
PAYNE JOSEPHTeaching Assistant12/26/2024Verify
POMPEII RACHAELNon Medical 12/22/2024Verify
QUIJADA-LEMUS ALVAROBusiness Owner12/16/2024Verify
RESPONSIBLE CARE STAFFING INCHome Health Agency12/16/2024Verify
ROUSSEL DANIELLE LEA00628637Registered Professional Nurse12/26/2024Verify
RYAN-BEALE ANGELA A00592781Registered Professional Nurse12/26/2024Verify
RYERSON KATIE ELOISE00330661Licensed Practical Nurse12/26/2024Verify
S J CONTRISTANO M D P C1629244348Physician Group12/09/2024Verify
SCOTT LAMONICACustodian12/22/2024Verify
SIRIGNANO LAUREN GRACEOther12/19/2024Verify
SWINEHART TIFFANYRehadbilitation Coach12/22/2024Verify
SWINSON TYRONEDriver12/26/2024Verify
TARIVERDI KENANBusiness Owner12/16/2024Verify
TARIVERDI NAZIMBusiness Owner12/16/2024Verify
TAYLOR JEFFREY JEROME00293328License Practical Nurse12/26/2024Verify
WASEF MANALNon Medical 12/16/2024Verify
WELLMAN TINA00005365Respiratory Therapist12/16/2024Verify
WESTERN CARE MEDICAL SERVICES P C001150611871038315Pharmacy12/22/2024Verify
WHITE MARYHouse Manager12/22/2024Verify
WHITNEY STEVENOutpatient Therapist12/22/2024Verify
WILCOX-BICKHAM SAMMIEDirect Support Professional 12/26/2024Verify
WIREDU PATRICK00338679Licensed Practical Nurse12/19/2024Verify
WOODARD JESSE OTISDirect Support Professional 12/26/2024Verify
WRIGHT SHANIQUEBehavioral Tech12/09/2024Verify

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