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


Exclusions Short List


Search Again

You searched for: Short List
List Execution Date: 5/1/2026 6:34:37 PM.
Records returned: .
Data was last updated: 5/1/2026 12:01:10 AM.

Provider NameLicense NumberNPI NumberProvider TypeExclusion Effective DateSSN/FEIN
BARRAGAN JAVIER EHousekeeper04/06/2026Verify
BICKHAM JOHNDirect Support Professional04/06/2026Verify
BROWN JENNIPHERFamily Care Provider04/13/2026Verify
CHANG CAROLYN CHIENG-LIN2170011598826745Physician04/27/2026Verify
DACHA PHOEBE OGUDA003249861922341999Physician04/13/2026Verify
DEROSA ALFRED V001438761477683480Physician04/20/2026Verify
DRAKE KAYLA L.00307305Licensed Practical Nurse04/27/2026Verify
ELLIS CANDICEHealth Care Aide04/20/2026Verify
GARDNER AMY AKA/DBA AMY LYNN DISSOTTLEDevelopmental Disabilities Care Treatment Aide04/27/2026Verify
GEORGE KEVIN W002014391104816487Physician04/06/2026Verify
HARRISON STEVENDirect Support Professional 04/06/2026Verify
HUSSEIN KHALIL IAN002933951427442409Physician04/27/2026Verify
ISMAIL SHAREEN003048581417158130Physician04/06/2026Verify
JORGE MIGUELOfficer04/27/2026Verify
JOSEPH CHANTAL AKA/DBA MARIE JOSEPH JR.Assistant Manager04/06/2026Verify
KAMARA HAJA MARIAMANurses Aide04/20/2026Verify
LUCSOK ANNAChief Operating Officer04/06/2026Verify
MARKEVYCH ANDRIY000154381003156027Physician Assistant 04/20/2026Verify
MILLER MAE ALICE000748441225137904Clinical Social Worker04/20/2026Verify
NICOLEAU ARYEL MD001417411093880957Physician04/20/2026Verify
SAMEDY ROBERTOExecutive Director04/27/2026Verify
SANDGAARD THOMAS S.Owner 04/06/2026Verify
ST. FORT EDOUARDOChief Operating Officer04/27/2026Verify
STOLY YURA AKA/DBA YURA STOLYARSKI002757631104116375Physician04/20/2026Verify
STROKE RECOVERY SYSTEMSMedical Appliance Dealer04/06/2026Verify
TIRELUS RONALD JEAN AKA/DBA JEAN RONALD TIRELUSFormer Chairman 04/27/2026Verify
WEINER THOMAS C MDPhysician04/20/2026Verify

Office of the Medicaid Inspector General
Accessibility
Contact
Disclaimer
Language Access
Privacy Policy