Standard File

The standard LEIE is a complete database file containing all exclusion in effect as of October 2002. Individuals and entities who have been reinstated are not included in this file. The standard LEIE will NOT be updated. The file should be updated monthly through the implementation of monthly exclusion and reinstatement supplements.

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Updated LEIE

The updated LEIE is a complete database file containing all exclusions currently in effect. Individuals and entities who have been reinstated are not included in this file. Each month a new updated LEIE will be posted and the old updated LEIE will be removed. This file is complete and should not be used in conjunction with the monthly exclusion and reinstatement supplements.

10/07/04

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2004

10/07/04

Exclusions occurring during the month of September

10/07/04

Reinstatements occurring during the month of September

09/08/04

Exclusions occurring during the month of August

09/08/04

Reinstatements occurring during the month of August

08/10/04

Exclusions occurring during the month of July

08/10/04

Reinstatements occurring during the month of July

07/13/04

Exclusions occurring during the month of June

07/13/04

Reinstatements occurring during the month of June

06/10/04

Exclusions occurring during the month of May

06/10/04

Reinstatements occurring during the month of May

05/06/04

Exclusions occurring during the month of April

05/06/04

Reinstatements occurring during the month of April

04/13/04

Exclusions occurring during the month of March

04/13/04

Reinstatements occurring during the month of March

03/05/04

Exclusions occurring during the month of February

03/05/04

Reinstatements occurring during the month of February

02/10/04

Exclusions occurring during the month of January

02/10/04

Reinstatements occurring during the month of January

2003

01/14/04

Exclusions occurring during the month of December

01/14/04

Reinstatements occurring during the month of December

12/05/03

Exclusions occurring during the month of November

12/05/03

Reinstatements occurring during the month of November

11/14/03

Exclusions occurring during the month of October

11/14/03

Reinstatements occurring during the month of October

10/15/03

Exclusions occurring during the month of September

10/10/03

Reinstatements occurring during the month of September

09/22/03

Exclusions occurring during the month of August

09/22/03

Reinstatements occurring during the month of August

08/06/03

Exclusions occurring during the month of July

08/06/03

Reinstatements occurring during the month of July

07/25/03

Exclusions occurring during the month of June

07/25/03

Reinstatements occurring during the month of June

06/05/03

Exclusions occurring during the month of May

06/05/03

Reinstatements occurring during the month of May

05/13/03

Exclusions occurring during the month of April

05/13/03

Reinstatements occurring during the month of April

04/03/03

Exclusions occurring during the month of March

04/03/03

Reinstatements occurring during the month of March

03/13/03

Exclusions occurring during the month of February

03/13/03

Reinstatements occurring during the month of February

02/07/03

Exclusions occurring during the month of January

02/07/03

Reinstatements occurring during the month of January

2002

01/08/03

Exclusions occurring during the month of December

01/08/03

Reinstatements occurring during the month of December

12/12/02

Exclusions occurring during the month of November

12/12/02

Reinstatements occurring during the month of November

Correction Type

PLEASE NOTE THE
CORRECT DOB
AND CHANGE OF ADDRESS

THIS IS A CORRECTION TO AN ENTRY ORIGINALLY PUBLISHED IN THE DECEMBER 1980 REPORT WHICH WAS DISTRIBUTED IN JANUARY 1981.

WORTHINGTON, WINSTON HALL 1128(a)(1)
GENERAL PRACTICE 700 CABOT DR 12/18/1980
09/16/1943 KNOXVILLE, TN 37922 A98988

THE EXCLUDED
INDIVIDUAL IS
DECEASED

THIS IS A CORRECTION TO AN ENTRY ORIGINALLY PUBLISHED IN THE OCTOBER 1997 REPORT WHICH WAS DISTRIBUTED IN NOVEMBER 1997.

SMITH, KENNETH CARROL 1128(b)(4)
PHARMACIST 502 MEADOWLAND 11/20/1997
08/02/1930 HUBBARD, OH 44425
DOD: UNKNOWN

PLEASE NOTE THE
CORRECT DOB

THIS IS A CORRECTION TO AN ENTRY ORIGINALLY PUBLISHED IN THE SEPTEMBER 1999 REPORT WHICH WAS DISTRIBUTED IN OCTOBER 1999.

VINET, EMILIE VALDARY 1128(a)(2)
NURSE/NURSES AIDE 2933 ORLEANS AVE 10/20/1999
08/26/1939 NEW ORLEANS, LA 70119-4123

PLEASE NOTE THE
CORRECT DOB

THIS IS A CORRECTION TO AN ENTRY ORIGINALLY PUBLISHED IN THE JUNE 1985 REPORT WHICH WAS DISTRIBUTED IN JULY 1985.

SAFFREN, STEVEN 1128(a)(1)
DENTIST 1625 NORTHAMPTON ST 06/11/1985
01/15/1957 EASTON, PA 18042
REINSTATEMENT DATE: 09/01/2004

PLEASE NOTE THE
CORRECT DOB
AND CHANGE OF
ADDRESS

THIS IS A CORRECTION TO AN ENTRY ORIGINALLY PUBLISHED IN THE DECEMBER 1983 REPORT WHICH WAS DISTRIBUTED IN JANUARY 1984.

SALINKSI, THEODORE W 1128(a)(1)
DME/GENERAL 1155 W ARMITAGE, UNIT 202 12/19/1983
06/07/1936 CHICAGO, IL 60614

PLEASE NOTE THE
CORRECT EXCLUSION
DATE

THIS IS A CORRECTION TO AN ENTRY ORIGINALLY PUBLISHED IN THE FEBRUARY 1986 REPORT WHICH WAS DISTRIBUTED IN MARY 1986.

JULIAN, JAMES 1128(b)(6)
GENERAL PRACTICE/FP 1654 CAHUENGA BLVD 02/21/1987
UNKNOWN HOLLYWOOD, CA 90068

PLEASE NOTE THE
CORRECT
NAME AND DOB

THIS IS A CORRECTION TO AN ENTRY ORIGINALLY PUBLISHED IN THE JULY 1994 REPORT WHICH WAS DISTRIBUTED IN AUGUST 1994.

MAJUMBER, MUJIBUR RAHMAN [WAS PUBLISHED AS MAJIBUR MAJUNDER] 1128(a)(1)
OWNER 2000 E ROGER RD, #G-36 08/10/1994
05/07/1955 TUCSON, AZ 85719

PLEASE NOTE THE
LACK OF UPIN

THIS IS A CORRECTION TO AN ENTRY ORIGINALLY PUBLISHED IN THE OCTOBER 1997 REPORT WHICH WAS DISTRIBUTED IN NOVEMBER 1997.

LEWIS, CHARLES M 1128(b)(4)
GENERAL PRACTICE/FP 141 AVE P 11/20/1997
04/08/1944 BROOKLYN, NY 11223

THE EXCLUDED
INDIVIDUALS ARE
DECEASED

ROS, RICARDO G 1128(b)(4)
GENERAL PRACTICE/FP 25-42 87TH STREET 03/05/1990
09/23/1910 JACKSON HEIGHTS, NY 11369
DOD: UNKNOWN

THE EXCLUDED
INDIVIDUALS ARE
DECEASED

CALLY, JOSEPH R 1128(b)(4)
GENERAL PRACTICE 2 GARDENER ST 02/26/1990
11/15/1924 CATSKILL, NY 12414
DOD: 07/1988

CUMBERBATCH, EVRIC D 1128(a)(1)
EMPLOYEE 1424 E 46TH STREET 05/11/1990
12/28/1928 BROOKLYN, NY 11234
DOD: 09/01/1998

DAVIDSON, JERRY MAREECE 1128(a)(1)
OWNER 401 N SANTA CRUZ BLVD 08/02/1993
08/03/1929 ELOY, AZ 85231
DOD: UNKNOWN

FARLEY, MAUREEN CATHERINE 1128(b)(4)
NURSE/NURSES AIDE 31900 35TH STREET 09/20/1998
06/19/1948 JANESVILLE, MN 56048
DOD: UNKNOWN

GIUMMO, JOSEPH 1128(a)(1)
GENERAL PRACTICE 75 PEIRPONT, APT 1B 09/28/1982
03/04/1942 NEW YORK, NY 11201
DOD: 04/21/2003

GOMEZ, FABIAN SEBASTIAN 1128(b)(4)
SURGEON 711 W WHITTIER BLVD 06/05/1994
06/13/1924 MONTEBELLO, CA 90640
DOD: 10/25/2003

GREWAL, JASBIR SINGH 1128(a)(2)
NURSE/NURSES AIDE 1512 E MADISON 01/04/1995
07/20/1952 EL CAJON, CA 92019
DOD: 09/24/2001

HARNAS, MARY TERESA BAKER 1128(a)(1)
OWNER P O BOX 54 04/30/1992
05/17/1924 WATKINS GLEN, NY 14891
DOD: 04/1996

LIRIANO, OCTAVIO A 1128(a)(1)
SURGEON 312 E PROSPECT AVE 02/27/1992
12/22/1928 MOUNT VERNON, NY 10553
DOD: 04/16/1995

MCCLOUD, THOMAS E 1128(a)(1)
PSYCHOLOGIST 19430 LUCERNE DR 07/29/1985
03/27/1930 DETROIT, MI 48203
DOD: UNKNOWN

PLEASE NOTE THE
CORRECT SPECIALTY

THIS IS A CORRECTION TO AN ENTRY ORIGINALLY PUBLISHED IN THE JUNE 2004 REPORT WHICH WAS DISTRIBUTED IN JULY 2004.

BENISATTO, SALVATORE DAVID 1128(a)(1)
OWNER 27987 COOPER CREEK 07/20/2004
02/14/1944 FARMINGTON HILLS, MI 48331

PLEASE NOTE THE
CORRECT DOB

THIS IS A CORRECTION TO AN ENTRY ORIGINALLY PUBLISHED IN THE DECEMBER 2003 REPORT WHICH WAS DISTRIBUTED IN JANUARY 2004.

BROWN, GARRY MICHAEL 1128(b)(4)
NURSE/NURSES AIDE 20420 AL HIGHWAY 9 01/20/2004
06/07/1969 PIEDMONT, AL 36272

PLEASE NOTE THE
CORRECT
FIRST NAME

THIS IS A CORRECTION TO AN ENTRY ORIGINALLY PUBLISHED IN THE OCTOBER 2001 REPORT WHICH WAS DISTRIBUTED IN NOVEMBER 2001.

OKWUJE, PHILIP 1128(b)(5)
FAMILY PRACTICE 6858 S CONSTANCE AVE 11/20/2002
11/11/1941 CHICAGO, IL 60649 D13932

PLEASE NOTE THE
CORRECT DOB
AND CHANGE OF
ADDRESS

THIS IS A CORRECTION TO AN ENTRY ORIGINALLY PUBLISHED IN THE OCTOBER1989 REPORT THAT WAS DISTRIBUTED IN NOVEMBER 1989.

BROWN, RONALD S 1128(b)(4)
GENERAL PRACTICE 5920 AVONHOE RD 10/24/1989
07/20/1949 PHILADELPHIA, PA 19138

PLEASE NOTE THE
CORRECT UPIN
AND CHANGE OF
ADDRESS

THIS IS A CORRECTION TO AN ENTRY ORIGINALLY PUBLISHED IN THE JULY 1987 REPORT WHICH WAS DISTRIBUTED IN AUGUST 1987.

KESZLER, BERNEY R 1128(a)(1)
ANESTHESIOLOGIST 13411 THESSALY 07/13/1987
07/18/1942 UNIVERSAL CITY, TX 78148 C17830

PLEASE NOTE THE
CORRECT DOB
AND CHANGE OF
ADDRESS

THIS IS A CORRECTION TO AN ENTRY ORIGINALLY PUBLISHED IN THE JANUARY 1984 REPORT WHICH WAS DISTRIBUTED IN FEBRUARY 1984.

KHANDWALA, NITIN 1128(a)(1)
PHARMACIST 7 YALE COURT 07/09/1985
08/24/1951 LIVINGSTON, NJ 07039

PLEASE NOTE THE
LACK OF UPIN

THIS IS A CORRECTION TO AN ENTRY ORIGINALLY PUBLISHED IN THE MAY 1985 REPORT WHICH WAS DISTRIBUTED IN JUNE 1985.

LAWRENCE, STEPHEN B 1128(a)(1)
HEALTH CARE AIDE 407 A GILBERT, #6 05/10/1985
UNKNOWN SAN BERNARDINO, CA 92404

PLEASE NOTE THE
CORRECT DOB

THIS IS A CORRECTION TO AN ENTRY ORIGINALLY PUBLISHED IN THE JANUARY 1984 REPORT WHICH WAS DISTRIBUTED IN FEBRUARY 1984.

LAZAR, CALVIN S 1128(a)(1)
PHARMACIST 1287 KRA NUR DRIVE 01/04/1984
10/10/1925 BURTON, MI 48509

PLEASE NOTE THE
LACK OF UPIN

THIS IS A CORRECTION TO AN ENTRY ORIGINALLY PUBLISHED IN THE AUGUST 1983 REPORT WHICH WAS DISTRIBUTED IN SEPTEMBER 1983.

KELLY, PETER W 1128(a)(1)
PRIVATE CITIZEN 6 PARKWOOD DR 08/03/1983
UNKNOWN OROVILLE, CA 95965

PLEASE NOTE THE
CORRECT DOB
AND CHANGE OF
ADDRESS

THIS IS A CORRECTION TO AN ENTRY ORIGINALLY PUBLISHED IN THE JANUARY 1982 REPORT WHICH WAS DISTRIBUTED IN FEBRUARY 1982.

CARTY, THEOPHILE 1128(a)(1)
GENERAL PRACTICE 4842 HOLLYWOOD BLVD 01/20/1982
12/09/1945 LOS ANGELES, CA 90027 A91209

PLEASE NOTE THE
CORRECT SPECIALTY

CLARK, JANE M 1128(a)(1)
NURSE/NURSES AIDE 6 GREENBUSH COURT 05/19/1988
11/16/1958 WINDSOR MILL, MD 21244 5 YRS 0 MOS

FACTS: CONVICTED OF A CRIME INVOLVING THE MEDICARE, MEDICAID, MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT OR BLOCK GRANTS TO STATES FOR SOCIAL SERVICES PROGRAMS.
REINSTATED 06/09/2004

PLEASE NOTE THE
CORRECT DOB

STANT, DANA 1128(a)(1)
PHARMACIST 2115 GAP NEWPORT PIKE 09/13/1983
03/06/1952 COCHRANVILLE, PA 19330 5 YRS 0 MOS

FACTS: CONVICTED OF A CRIME INVOLVING THE MEDICARE, MEDICAID, MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT OR BLOCK GRANTS TO STATES FOR SOCIAL SERVICES PROGRAMS.
REINSTATED 6/18/2004

PLEASE NOTE THE
CORRECT EXCLUSION
DATE

THIS IS A CORRECTION TO AN ENTRY ORIGINALLY PUBLISHED IN THE SEPTEMBER 2003 REPORT WHICH WAS DISTRIBUTED IN OCTOBER 2003.

SLAY, JERRY L
INTERNIST/IM 1509 DAPHNE PLACE 09/20/2001
BRENTWOOD, TN 37027

Reinstatement Date: 09/20/2001

PLEASE NOTE THE
CORRECT DOB
AND EXCLUSION DATE

THIS IS A CORRECTION TO AN ENTRY ORIGINALLY PUBLISHED IN THE APRIL 1987 REPORT WHICH WAS DISTRIBUTED IN MAY 1987.

PARRIS, LEONARD 1128(a)(1)
DENTIST 255 S 17TH STREET 04/18/1987
01/11/1926 PHILADELPHIA, PA 19103 5 YRS 0 MOS T71702

FACTS: CONVICTED OF A CRIME INVOLVING THE MEDICARE, MEDICAID, MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT OR BLOCK GRANTS TO STATES FOR SOCIAL SERVICES PROGRAMS.

THE EXCLUDED
INDIVIDUAL IS
DECEASED

THIS IS A CORRECTION IN AN ENTRY ORIGINALLY PUBLISHED IN THE JANUARY 1996 REPORT WHICH WAS DISTRIBUTED IN FEBRUARY 1996.

SMITH, LARRY W 1128(b)(14)
GENERAL PRACT PHYS’N C/O 1005 D B TODD JR BLVD 02/15/1996
07/17/1958 NASHVILLE, TN 37208 INDEFINITE

FACTS: DEFAULTED ON PUBLIC HEALTH SERVICE EDUCATION LOAN.
DATE OF DEATH: 01/27/1997

THE EXCLUDED
INDIVIDUAL IS
DECEASED

THIS IS A CORRECTION IN AN ENTRY ORIGINALLY PUBLISHED IN THE FEBRUARY 1997 REPORT WHICH WAS DISTRIBUTED IN MARCH 1997.

MARSH, JEFFREY C 1128(b)(14)
CHIROPRACTOR 160 DIXON RD 03/02/1997
08/18/1960 MARIETTA, GA 30667 INDEFINITE

FACTS: DEFAULTED ON PUBLIC HEALTH SERVICE EDUCATION LOAN.
DATE OF DEATH: UNKNOWN

PLEASE NOTE THE
CORRECT DOB

THIS IS A CORRECTION IN AN ENTRY ORIGINALLY PUBLISHED IN THE FEBRUARY 2002 REPORT WHICH WAS DISTRIBUTED IN MARCH 2002.

PHILLIPS, DOUGLAS JAMES 1128(b)(4)
DENTIST 4512 N FLAGLER DR, #301 03/20/2002
10/27/1941 N PALM BEACH, FL 33407-3820 INDEFINITE

FACTS: LICENSE REVOKED, SUSPENDED, SURRENDERED OR OTHERWISE
LOST FOR REASONS BEARING ON PROFESSIONAL PERFORMANCE,
PROFESSIONAL COMPETENCE OR FINANCIAL INTEGRITY.

THE EXCLUDED
INDIVIDUAL IS
DECEASED

THIS IS A CORRECTION IN AN ENTRY ORIGINALLY PUBLISHED IN THE MARCH 2004 REPORT WHICH WAS DISTRIBUTED IN APRIL 2004.

SCHLUTER, KATHLEEN H 1128(b)(14)
CHIROPRACTOR 261 MANUELLA LANE 04/20/2004
02/14/1944 SONOMA, CA 95476 INDEFINITE

FACTS: DEFAULTED ON PUBLIC HEALTH SERVICE EDUCATION LOAN.
DATE OF DEATH: UNKNOWN

THE EXCLUDED
INDIVIDUAL IS
DECEASED

THIS IS A CORRECTION TO AN ENTRY ORIGINALLY PUBLISHED IN THE SEPTEMBER 2003 REPORT WHICH WAS DISTRIBUTED IN OCTOBER 2003.

KANE, PATRICIA ANNE 1128(b)(4)
NURSE/NURSES AIDE 12 EDWARDS RD 10/20/2003
07/02/1945 WOBURN, MA 01801 INDEFINITE

FACTS: LICENSE REVOKED, SUSPENDED, SURRENDERED OR OTHERWISE
LOST FOR REASONS BEARING ON PROFESSIONAL PERFORMANCE,
PROFESSIONAL COMPETENCE OR FINANCIAL INTEGRITY.
DATE OF DEATH: 04/07/2001

PLEASE NOTE THE
CORRECT FACTS

THIS IS A CORRECTION IN AN ENTRY ORIGINALLY PUBLISHED IN THE JANUARY 2004 REPORT WHICH WAS DISTRIBUTED IN FEBRUARY 2004.

YORK, STEVEN R 1128(b)(14)
OSTEOPATH P O BOX 609 01/06/1997
12/17/1961 LAKELAND, MI 48143 INDEFINITE

FACTS: DEFAULTED ON PUBLIC HEALTH SERVICE EDUCATION LOAN.

THE EXCLUDED
INDIVIDUAL IS
DECEASED

THIS IS A CORRECTION IN AN ENTRY ORIGINALLY PUBLISHED IN THE OCTOBER 2003 REPORT WHICH WAS DISTRIBUTED IN NOVEMBER 2003.

BURNETTE, DAVID B 1128(b)(14)
OSTEOPATH P O BOX 250 08/22/2003
12/16/1954 FORREST CITY, AR 72335 INDEFINITE

FACTS: DEFAULTED ON PUBLIC HEALTH SERVICE EDUCATION LOAN.
DATE OF DEATH: 01/21/2004

PLEASE NOTE THE
CORRECT EXCLUSION
DATE

THIS IS A CORRECTION TO AN ENTRY ORIGINALLY PUBLISHED IN THE NOVEMBER 2000 REPORT WHICH WAS DISTRIBUTED IN DECEMBER 2000.

BENJAMIN, ROXANNE L 1128(b)(14)
OSTEOPATH 200 BORDEN RD 11/07/2000
03/14/1946 ROSE CITY, MI 48654 INDEFINITE

FACTS: LICENSE REVOKED, SUSPENDED, SURRENDERED OR OTHERWISE
LOST FOR REASONS BEARING ON PROFESSIONAL PERFORMANCE,
PROFESSIONAL COMPETENCE OR FINANCIAL INTEGRITY.
NOW REINSTATED 11/07/2000 IN THIS MONTH’S REPORT

PLEASE NOTE THE
CORRECT EXCLUSION
TYPE

THIS IS A CORRECTION IN AN ENTRY ORIGINALLY PUBLISHED IN THE DECEMBER 2002 REPORT WHICH WAS DISTRIBUTED IN JANUARY 2003.

FRENCH PRIEUR, REBA ANN 1128(b)(4)
NURSE/NURSES AIDE 16423 PRIDE VALLEY RD 01/20/2003
06/17/1950 LITTLE ROCK, AR 72223-4825 5 YRS 0 MOS

FACTS: LICENSE REVOKED, SUSPENDED, SURRENDERED OR OTHERWISE LOST FOR REASONS BEARING ON PROFESSIONAL PERFORMANCE, PROFESSIONAL
COMPETENCE OR FINANCIAL INTEGRITY.

PLEASE NOTE THE
CORRECT EXCLUSION
TYPE

THIS IS A CORRECTION IN AN ENTRY ORIGINALLY PUBLISHED IN THE JANUARY 2004 REPORT WHICH WAS DISTRIBUTED IN FEBRUARY 2004 OF THE CORRECTION PAGE

YORK, STEVEN R 1128(b)(14)
OSTEOPATH P O BOX 609 01/06/1997
12/17/1961 LAKELAND, MI 48143 INDEFINITE

FACTS: LICENSE REVOKED, SUSPENDED, SURRENDERED OR OTHERWISE
LOST FOR REASONS BEARING ON PROFESSIONAL PERFORMANCE,
PROFESSIONAL COMPETENCE OR FINANCIAL INTEGRITY.

PLEASE NOTE THE
CORRECT REINSTATEMENT
DATE

PLEASE NOTE THE
CORRECT DOB

THIS IS A CORRECTION TO AN ENTRY ORIGINALLY PUBLISHED IN THE MARCH 1985 REPORT WHICH WAS DISTRIBUTED IN APRIL 1985.

LEE, FRANK 1128(a)(1)
PHARMACIST 520 SOUTHWEST DR 03/07/1985
07/05/1937 JONESBORO, AR 72401 5 YRS 0 MOS

FACTS: CONVICTED OF A CRIME INVOLVING THE MEDICARE, MEDICAID, MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT OR BLOCK GRANTS TO STATES FOR SOCIAL SERVES PROGRAMS.

PLEASE NOTE THE
CORRECT EXCLUSION
DATE

THIS IS A CORRECTION IN AN ENTRY ORIGINALLY PUBLISHED IN THE FEBRUARY 1989 REPORT WHICH WAS DISTRIBUTED IN MARCH 1989.

HUTSKO, JOSEPH P 1128(a)(1)
OSTEOPATH 3037 S PIKE AVE 02/14/1989
06/08/1934 ALLENTOWN, PA 18103 5 YRS 0 MOS D98582

FACTS: CONVICTED OF A CRIME INVOLVING THE MEDICARE, MEDICAID, MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT OR BLOCK GRANTS TO STATES FOR SOCIAL SERVES PROGRAMS.

THE EXCLUDED
INDIVIDUAL IS
DECEASED

THIS IS A CORRECTION IN AN ENTRY ORIGINALLY PUBLISHED IN THE DECEMBER 1996 REPORT WHICH WAS DISTRIBUTED IN JANUARY 1997.

YORK, STEVEN R 128(b)(14)
OSTEOPATH P O BOX 609 01/06/1997
12/17/1961 LAKELAND, MI 48143 INDEFINITE

FACTS: LICENSE REVOKED, SUSPENDED, SURRENDERED OR OTHERWISE
LOST FOR REASONS BEARING ON PROFESSIONAL PERFORMANCE,
PROFESSIONAL COMPETENCE OR FINANCIAL INTEGRITY.

PLEASE NOTE THE
CORRECT SPELLING OF
THE INDIVIDUALS LAST
NAME

THIS IS A NOTICE OF AN ENTRY ORIGINALLY PUBLISHED IN THE OCTOBER 2003 REPORT WHICH WAS DISTRIBUTED IN NOVEMBER 2003.

PLEASE NOTE THE CORRECT SPELLING OF THE INDIVIDUAL’S LAST NAME.

TOMLINSON, ALISON 1128(b)(14)
FAMILY PRACTICE 20220 N E 3RD COURT #4 10/09/2003
07/29/1956 N MIAMI BEACH, FL 33179 INDEFINITE
U51792

FACTS: DEFAULTED ON PUBLIC HEALTH SERVICE EDUCATION LOAN.

PLEASE NOTE THE
STATE

THIS IS A CORRECTION TO AN ENTRY ORIGINALLY PUBLISHED IN THE DECEMBER 2003 REPORT WHICH WAS DISTRIBUTED IN JANUARY 2004.

RX 2000 PHARMACY, INC 1128(a)(1)
PHARMACY 2125-A KENNEDY BLVD 01/20/2004
N/A JERSEY CITY, NJ 07305 5 YRS NA 0 MOS

FACTS: CONVICTED OF A CRIME INVOLVING THE MEDICARE, MEDICAID, MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT OR BLOCK GRANTS TO STATES FOR SOCIAL SERVES PROGRAMS.

PLEASE NOTE THE
CORRECT EXCLUSION
DATE

THIS IS A CORRECTION TO AN ENTRY ORIGINALLY PUBLISHED IN THE DECEMBER 2003 REPORT WHICH WAS DISTRIBUTED IN JANUARY 2004.

CANTU, RUDOLF G 1128(b)(4)
GENERAL PRACTICE 2302 FIR GRAVE DR 01/20/2004
07/28/1947 KINGWOOD, TX 77339 INDEFINITE

FACTS: LICENSE REVOKED, SUSPENDED, SURRENDERED OR OTHERWISE
LOST FOR REASONS BEARING ON PROFESSIONAL PERFORMANCE,
PROFESSIONAL COMPETENCE OR FINANCIAL INTEGRITY.

PLEASE NOTE THE
CORRECT EXCLUSION
DATE

THIS IS A CORRECTION TO AN ENTRY ORIGINALLY PUBLISHED IN THE SEPTEMBER 2003 REPORT WHICH WAS DISTRIBUTED IN OCTOBER 2003.

DENHALTER, SCOTT K 1128(b)(4)
NURSE/NURSES AIDE 64 DAYTON COURT, #306 10/20/2003
04/21/1965 HACKETTSTOWN, NJ 07840 INDEFINITE

FACTS: LICENSE REVOKED, SUSPENDED, SURRENDERED OR OTHERWISE
LOST FOR REASONS BEARING ON PROFESSIONAL PERFORMANCE,
PROFESSIONAL COMPETENCE OR FINANCIAL INTEGRITY.

CORRECTION

Shabbir A. Dharamsey, M.D. was included in both the October 2002 LEIE and the updated LEIE downloadable database files. Dr. Dharamsey should not have been included in these files. He is not now nor has he ever been excluded by the Office of Inspector General.

THE EXCLUDED
INDIVIDUAL IS
DECEASED

THIS IS A CORRECTION TO AN ENTRY ORIGINALLY PUBLISHED IN THE SEPTEMBER 2003 REPORT WHICH WAS DISTRIBUTED IN OCTOBER 2003.

OVERMAN, TAMMY THERESE 1128(b)(4)
NURSE/NURSES AIDE 1346 BENNETT AVE 10/20/2003
09/14/1964 COLORADO SPRINGS, CO 80909 INDEFINITE

FACTS: LICENSE REVOKED, SUSPENDED, SURRENDERED OR OTHERWISE
LOST FOR REASONS BEARING ON PROFESSIONAL PERFORMANCE,
PROFESSIONAL COMPETENCE OR FINANCIAL INTEGRITY.
DATE OF DEATH: 08/30/2003

PLEASE NOTE THE
CORRECT UPIN

THIS IS A CORRECTION TO AN ENTRY ORIGINALLY PUBLISHED IN THE JUNE 2001 REPORT WHICH WAS DISTRIBUTED IN JULY 2001.

SUEN, SZE MING 1128(b)(7)
FAMILY PHYSICIAN 95016 KUAHELNAI AVE 02/23/2003
03/24/1938 MILILANI, HI 96789 PERMANENT C98936

FACTS: FRAUD, KICKBACKS AND OTHER PROHIBITED ACTIVITIES.

PLEASE NOTE THE
CORRECT DOB

THIS IS A CORRECTION TO AN ENTRY ORIGINALLY PUBLISHED IN THE OCTOBER 2001 REPORT WHICH WAS DISTRIBUTED IN NOVEMBER 2001.

FREMER, EDWARD M 1128(b)(4)
OSTEOPATH 2000 HIGHWAY 95, #216 11/20/2001
08/04/1958 BULLHEAD CITY, AZ 86442 INDEFINITE

FACTS: LICENSE REVOKED, SUSPENDED, SURRENDERED OR OTHERWISE
LOST FOR REASONS BEARING ON PROFESSIONAL PERFORMANCE,
PROFESSIONAL COMPETENCE OR FINANCIAL INTEGRITY.

PLEASE NOTE THE
STATE

THIS IS A CORRECTION TO AN ENTRY ORIGINALLY PUBLISHED IN THE APRIL 2003 REPORT WHICH WAS DISTRIBUTED IN MAY 2003.

SAFDARI, MEHDI 1128(b)(4)
THERAPIST P O BOX 163243 05/20/2003
01/21/1952 ALTAMONTE SPRINGS, FL 32716 INDEFINITE

FACTS: LICENSE REVOKED, SUSPENDED, SURRENDERED OR OTHERWISE
LOST FOR REASONS BEARING ON PROFESSIONAL PERFORMANCE,
PROFESSIONAL COMPETENCE OR FINANCIAL INTEGRITY.

PLEASE REMOVE
THE UPIN

THIS IS A CORRECTION TO AN ENTRY ORIGINALLY PUBLISHED IN THE MAY 2003 REPORT WHICH WAS DISTRIBUTED IN JUNE 2003.

MOHAMMAD, KHADIJAH 1128(a)(1)
OWNER 3625 FCI ROAD, FCI 05/20/2003
12/29/1961 MARIANNA, FL 32446 7 YRS 0 MOS

FACTS: CONVICTED OF A CRIME INVOLVING THE MEDICARE, MEDICAID,
MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT OR BLOCK
GRANTS TO STATES FOR SOCIAL SERVICES PROGRAMS.

PLEASE NOTE THE
CORRECT DOB

THIS IS A CORRECTION TO AN ENTRY ORIGINALLY PUBLISHED IN THE JULY 1984 REPORT WHICH WAS DISTRIBUTED IN AUGUST 1984.

LEONE, PAUL A 1128(a)(1)
PHARMACIST 425 S GRAND ST, BX 142 07/27/1984
10/09/1935 W SUFFIELD, CT 06093 5 YRS 0 MOS

FACTS: CONVICTED OF A CRIME INVOLVING THE MEDICARE, MEDICAID,
AND MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT OR BLOCK
GRANTS TO STATES FOR SOCIAL SERVICES PROGRAMS.
REINSTATEMENT DATE 08/22/2003

PLEASE NOTE THE
CORRECT REINSTATEMENT
DATE

THIS IS A CORRECTION TO AN ENTRY ORIGINALLY PUBLISHED IN THE APRIL 1986 REPORT WHICH WAS DISTRIBUTED IN MAY 1986.

LEONARD, GEORGE 1128(a)(1)
PHARMACIST 6720 S BENNETT 04/23/1986
09/10/1947 CHICAGO, IL 60649 10 YRS
0 MOS

FACTS: CONVICTED OF A CRIME INVOLVING THE MEDICARE, MEDICAID,
AND MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT OR BLOCK
GRANTS TO STATES FOR SOCIAL SERVICES PROGRAMS.
REINSTATEMENT DATE 08/212003

PLEASE NOTE THE
CORRECT EXCLUSION
DATE

THESE ARE CORRECTIONS TO ENTRIES ORIGINALLY PUBLISHED IN THE JULY 2003 REPORT WHICH WAS DISTRIBUTED IN AUGUST 2003.

BASSEY, KRISTINE A 1128(a)(1)
OFFICE/EXECUT/BOARD 3230 N LINCOLN AVE, #222 05/02/2003
11/01/1970 ANAHEIM, CA 92801 PERMANENT

FACTS: CONVICTED OF A CRIME INVOLVING THE MEDICARE, MEDICAID,
AND MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT OR BLOCK
GRANTS TO STATES FOR SOCIAL SERVICES PROGRAMS.

LEWANDOWSKI, JENNIFER ANN 1128(a)(1)
DME/GENERAL 3316 E WILTON ST, #3 05/23/2003
09/14/1971 LONG BEACH, CA 90804 PERMANENT

FACTS: CONVICTED OF A CRIME INVOLVING THE MEDICARE, MEDICAID,
AND MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT OR BLOCK
GRANTS TO STATES FOR SOCIAL SERVICES PROGRAMS.

CHEM, PHALLA 1128(a)(1)
EMPLOYEE 1051 GLADYS AVE, #6 05/02/2003
01/11/1975 LONG BEACH, CA 90804 PERMANENT

FACTS: CONVICTED OF A CRIME INVOLVING THE MEDICARE, MEDICAID,
AND MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT OR BLOCK
GRANTS TO STATES FOR SOCIAL SERVICES PROGRAMS.

PLEASE NOTE THE
CORRECT EXCLUSION
ACTION TAKEN

THESE ARE CORRECTIONS TO ENTRIES ORIGINALLY PUBLISHED IN THE JULY 2003 REPORT WHICH WAS DISTRIBUTED IN AUGUST 2003.

JACKSON NTONE NDEMBA 1128(a)(1)
PRIVATE CIT/ENTITY 5311 HUNTINGTON DR, N #4 08/20/2003
07/29/1970 LOS ANGELES, CA 90032 5 YRS 0 MOS

FACTS: CONVICTED OF A CRIME INVOLVING THE MEDICARE, MEDICAID,
AND MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT OR BLOCK
GRANTS TO STATES FOR SOCIAL SERVICES PROGRAMS.

PLEASE NOTE THE
CORRECT UPIN

THESE ARE CORRECTIONS TO ENTRIES ORIGINALLY PUBLISHED IN THE JULY 2003 REPORT WHICH WAS DISTRIBUTED IN AUGUST 2003.

CLEMENT, RICHARD JOSEPH 517 S RYAN ST 1128(b)(4)
GYNECOLOGIST/OB LAKE CHARLES, LA 70601-5724
04/10/1937 NO UPIN

LEWIS, HOUSTON A 1118 MAIN STREET 1128(a)(1)
DENTIST WHEELING, WV 26003
05/04/1920 NO UPIN

LEVI, ELLIS 17 MILLSTONE ROAD 1128(b)(4)
DENTIST RANDALLSTOWN, MD 21133
05/27/1937 T77261

LOPEZ, MARCO A SR 6039 COLLINS AVE, APT 437 1128(a)(1)
GENERAL PRACTICE MIAMI BEACH, FL 33140
09/18/1914 D67289

MALABANAN, BEN CARPIO P O BOX 9300, #27966-077 1128(b)(1)
GENERAL PRACTICE TEXARKANA, TX 75505
05/20/1935 B24583

MALONE, WILLIAM W 7048 N 6TH AVENUE 1128(a)(1)
GENERAL PRACTICE PHOENIX, AZ 85021
04/13/1930 D37227

MERKOW, LEONARD P 5301 DARLINGTON ROAD 1128(a)(1)
GENERAL PRACTICE PITTSBURGH, PA 15217
09/06/1935 C29285

MIDDLETON, DAVID H 1130 FAIR OAKS 1128(b)(4)
GENERAL PRACTICE ANN ARBOR, MI 48104
11/23/1933 B45677

MORA, JUAN RICARDO 1901 S W 8TH AVE 1128(a)(1)
PSYCHIATRIST MIAMI, FL 33165
12/27/1934 NO UPIN

MUNOZ, RAFAEL A 7710 34TH AVE 1128(a)(1)
PODIATRIST JACKSON HEIGHTS, NY 11372
12/01/1954 T51443

N T PLASTIC & ALLERGY CENTER
124 N 16TH AVENUE 1128(b)(8)
CLINIC LAUREL, MS 39440 NO UPIN

OCHSNER, EWARD WILLIAM 2323 METAIRIE ROAD 1128(b)(4)
GENERAL PRACTICE METAIRIE, LA 70001
11/06/1924 NO UPIN

PARRIS, LEONARD 1420 LOCUST ST, APT 36-A 1128(a)(1)
DENTIST PHILADELPHIA, PA 19102
UNKNOWN T71702

PERRY, BRADLEY 1401 APPLE LANE 1128(a)(1)
PODIATRIST EAST MEADOW, NY 11554
08/14/1958 T32063

PETRUS, EDWARD J LATUNA FED CORR INST 1128(a)(1)
OPHTHALMOLOGIST ANTONY, TX 88021
UNKNOWN E77559

PICKERING, BRYANT I 77 E MISSOURI, #38 1128(a)(1)
GENERAL PRACTICE PHOENIX, AZ 85012
07/19/1929 D00110

RABIE, FOUAD M 431 WEST OAK 1128(a)(1)
GYNECOLOGIST/OB EL DORADO, AR 71731
06/24/1933 D08967

RAMOS-SANTIAGO, NELSON DEJESUS 1128(a)(1)
GENERAL PRACTICE 110 RABY AVE, #04539-017
10/11/1945 PENSACOLA, FL 32509 D53392

RICHARDSON, NEIL J 3481 15 MILE RD 1128(b)(14)
CHIROPRACTOR CEDAR SPRINGS, MI 49319
01/22/1953 T97180

ROSHY, GARY L 9105 DANIELSDALE DR 1128(a)(1)
CHIROPRACTOR RICHMOND, VA 23291
01/31/1948 T33240

SACAY, EMMANUEL E 5355 LEES CROSSING, APT 7 1128(a)(1)
INTERNIST/IM CINCINNATI, OH 45239-7622
12/25/1939 A71381

SALANT, SHELDON M 5510 CENTURY AVE, #2 1128(a)(1)
DENTIST MIDDLETON, WI 53562
08/15/1939 NO UPIN

SCHANKMAN, ALAN ROBERT 12840 RIVERSIDE DR 1128(a)(1)
OPTHAMOLOGY N HOLLYWOOD, CA 91607
01/01/1947 A91669

SAVERIO, JOSEPH 215 W 92ND ST, APT 15A 1128(a)(1)
GENERAL PRACTICE NEW YORK, NY 10025
01/01/1939 B11966

SHAPIRO, JEFFREY S 1538 TURNPIKE ST 1128(b)(4)
PSYCHIATRIST N ANDOVER, MA 01845
07/31/1949 D03383

STEINER, JEROME 417 EAST 83RD ST 1128(b)(4)
GENERAL PRACTICE NEW YORK, NY 10028
07/16/1929 C09887

THIBODEAUX, CHESTER B 511 N PARKERSON 1128(a)(1)
OPTOMETRIST RAYNE, LA 70578
02/03/1935 T19554

TLG ELDERCARE INC C/O 66 LAUREL LANE 1128(b)(7)
PSYCHOLOGIC PRACTICE MARLBOROUGH, CT 06447
N/A NO UPIN

VAN HORN, EUGEAN C SR 8163 MURRY HILL DR 1128(a)(1)
GENERAL PRACTICE FORT WASHINGTON, MD 20744
06/18/1935 B93825

VICTORY MEDICAL SUPPLIES, INC 1128(b)(7)
DME COMPANY 1206 REDBANK RD
N/A GOOSE CREEK, SC 29445 NO UPIN

WELLS, DARRELL K 102 HAZEL PATH 1128(b)(4)
GENERAL PRACTICE HENDERSONVILLE, TN 37075
08/08/1941 A97046

WESTON, DON LITTON 26 ARSENAL ST 1128(b)(4)
PSYCHIATRIST AUGUSTA, ME 04332
01/08/1935 B05273

WILLOUGHBY, THOMAS M 10900 HAINES, N E 1128(a)(1)
OSTEOPATH ALBUQUERQUE, NM 87112
10/20/1922 E47434

THE EXCLUDED
INDIVIDUAL IS
DECEASED

THIS IS A CORRECTION TO AN ENTRY ORIGINALLY PUBLISHED IN THE FEBRUARY 2000 REPORT WHICH WAS DISTRIBUTED IN MARCH 2000.

SHAH, ARVIND 1128(b)(5)
GENERAL PRACTICE 406 ASCOT LANE 03/20/2000
09/06/1944 OAK BROOK, IL 60521-2540 INDEFINITE
D12774

FACTS: SUSPENDED OR EXCLUDED BY A FEDERAL OR STATE HEALTH CARE PROGRAM FOR REASONS BEARING ON PROFESSIONAL PERFORMANCE.

PLEASE NOTE THE
CORRECT DOB

THIS IS A CORRECTION TO AN ENTRY ORIGINALLY PUBLISHED IN THE SEPTEMBER 2000 REPORT WHICH WAS DISTRIBUTED IN OCTOBER 2000.

WAYNE, BRYAN MATTHEW 1128(b)(4)
OTORHINOLARYNGOLOGST 6309 RIVERVIEW WAY 10/19/2000
08/09/1957 HOUSTON, TX 77057-1078 INDEFINITE

FACTS: LICENSE REVOKED, SUSPENDED, SURRENDERED OR OTHERWISE LOST FOR REASONS BEARING ON PROFESSIONAL PERFORMANCE, PROFESSIONAL COMPETENCE OR FINANCIAL INTEGRITY.

PLEASE NOTE THE
CORRECT EXCLUSION
DATE

THIS IS A CORRECTION TO ENTRIES ORIGINALLY PUBLISHED IN THE DECEMBER 2001 REPORT WHICH WAS DISTRIBUTED IN JANUARY 2002.

BENNETT, FREEMAN THOMAS 1128(b)(4)
GENERAL PRACTICE 1203 LINDEN PLACE 01/20/2002
08/28/1964 JACKSON, MS 39202 INDEFINITE

FACTS: LICENSE REVOKED, SUSPENDED, SURRENDERED OR OTHERWISE LOST FOR REASONS BEARING ON PROFESSIONAL PERFORMANCE, PROFESSIONAL COMPETENCE OR FINANCIAL INTEGRITY.

RICE, TIMOTHY RAY 1128(b)(4)
NURSE/NURSES AIDE P O BOX 172 01/20/2002
02/02/1972 JACKSON, MS 39202 INDEFINITE

FACTS: LICENSE REVOKED, SUSPENDED, SURRENDERED OR OTHERWISE LOST FOR REASONS BEARING ON PROFESSIONAL PERFORMANCE, PROFESSIONAL COMPETENCE OR FINANCIAL INTEGRITY.

BITTENBENDER CHIROPRACTIC 1128(b)(8)
CHIROPRACTIC PRACT 156 PENNSYLVANIA AVE 01/20/2002
N/A WILKES-BARRE, PA 18701-3301 INDEFINITE

FACTS: ENTITY EXCLUDED DUE TO OWNERSHIP OR CONTROL INTEREST BY AN EXCLUDED OR CONVICTED INDIVIDUAL/ENTITY.

PLEASE NOTE THE
CORRECT EXCLUSION
TYPE

THIS IS A CORRECTION TO AN ENTRY ORIGINALLY PUBLISHED IN THE JUNE 2002 REPORT WHICH WAS DISTRIBUTED IN JULY 2002.

MCGOVERN’S AMBULANCE SERVICE 1128(b)(7)
AMBULANCE COMPANY C/O 2474 PELLAM BLVD 04/16/2002
N/A PORT CHARLOTTE, FL 33948 15 YRS 0 MOS

FACTS: FRAUD, KICKBACKS AND OTHER PROHIBITED ACTIVITIES.

PLEASE NOTE THE
CORRECT SPECIALTY,
UPIN AND DOB

THIS IS A CORRECTION TO AN ENTRY ORIGINALLY PUBLISHED IN THE SEPTEMBER 1987 REPORT WHICH WAS DISTRIBUTED IN OCTOBER 1987.

CAMPBELL, DOYLE EDWARD 1128(a)(1)
OPTHALMOLOGY 1715 27TH STREET 08/29/1987
02/01/1934 PORTSMOUTH, OH 45662 15 YRS 0 MOS
A73590

FACTS: CONVICTED OF A CRIME INVOLVING THE MEDICARE, MEDICAID, MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT OR BLOCK GRANTS TO STATES FOR SOCIAL SERVICES PROGRAMS.

PLEASE NOTE A
CORRECTED SSN
AND DOB

THIS IS A CORRECTION TO AN ENTRY ORIGINALLY PUBLISHED IN THE JULY 2003 REPORT WHICH WAS DISTRIBUTED IN AUGUST 2003.

MCGADDYE, EDESSA L 1128(a)(1)
NURSE/NURSES AIDE 203-08 ENGLISH OAKS DRIVE
01/09/1938 FAYETTEVILLE, NC 28314
REINSTATED: 07/03/2003

PLEASE NOTE THE
CORRECT UPIN

ABRAMS, GARY 1128(a)(1)
PSYCHOLOGIST 14227 FIGUERAS RD 07/07/1997
05/12/1944 LA MIRADA, CA 90638-3841 5 YRS 0 MOS
R25910

ANTONIO, AMELITA ABAN 1128(a)(1)
INTERNIST/IM 80 WALWORTH AVE
06/06/1948 SCARSDALE, NY 10583
A60516 REINSTATED 11/25/2002

BARD, ROBERT D 1128(A)(a)
OPTOMETRIST 3107 KENNEDY LANE 12/14/1994
01/08/1945 TEXARKANA, TX 75503 3 YRS 0 MOS
T12069

BAHADUE, GEORGE P 1128(b)(14)
OSTEOPATH 19665 E SAINT ANDREWS DR 07/20/1998
06/29/1954 MIAMI, FL 330150 INDEFINITE
F05499

BAHADUE, LORI STAMPLER 1128(a)(1)
EMPLOYEE 19665 E ST ANDREWS DR 06/01/1993
01/08/1958 MIAMI, FL 33174 INDEFINITE
NO UPIN

BAKER, GRISBY JR 1128(b)(14)
CHIROPRACTOR 3430 BINZ ST 12/30/1996
04/04/1952 HOUSTON, TX 77004 INDEFINITE
U14140

BARTH, THOMAS LESLIE 1128(b)(4)
OPHTHALMOLOGIST P O BOX 9200 06/20/2001
12/09/1946 NEW BOSTON, TX 75570-9200 INDEFINITE
C13222

BAUER, THOMAS G 1128(a)(1)
CHIROPRACTOR 3201 PIONEERS BLVD, #32 05/16/1993
11/19/1950 LINCOLN, NE 68512 5 YRS 0 MOS
T71384

BOYD, JOE T 1128(a)(1)
CHIROPRACTOR 1900 SIMLER AVE, FCI 08/13/1996
07/29/1926 BIG SPRING, TX 79720-7799 15 YRS 0 MOS
T12314

CAPOTE, WILLIAM 1128(b)(4)
GENERAL PRACTICE 945 B MORRIS PARK AVE 07/07/1997
05/15/1943 BRONX, NY 10517-1201 INDEFINITE
B12596

CARTHEN, MICHAEL 1128(b)(14)
PODIATRIST 5711 AVENUE H, 3RD FL 06/26/1997
06/08/1954 BROOKLYN, NY 11234 INDEFINITE
U28882

CHUA, BETSY 1128(a)(1)
GENERAL PRACTICE 8000 W FOSTER LANE, #202 05/15/1989
02/20/1930 NILES, IL 60648 5 YRS
D13018

CICALA, CARMINE J 1128(b)(14)
CHIROPRACTOR 2751 HAMMONDTON RD, #I-3 02/18/1997
08/01/1936 MARIETTA, GA 30036 INDEFINITE
NO UPIN

COUNCIL, BENJAMIN P 1128(a)(1)
GENERAL PRACTICE 124 N 16TH AVE 08/17/1994
06/09/1941 LAUREL, MS 39440-4132 5 YRS 0 MOS
B65958

COZOLINO, CLIFFORD J 1128(b)(14)
CHIROPRACTOR 420 8TH AVE 07/07/1997
01/05/1959 PELHAM, NY 10803 INDEFINITE
T89853

CULLEN, ROBERT H 1128(b)(3)
GENERAL PRACTICE P O BOX 1620 11/21/1991
03/25/1941 WISE, VA 25293 3 YRS 0 MOS
B06993

DIAZ, GEORGE 1128(a)(1)
PSYCHIATRIST 1597 N W 168 AVE 07/01/1997
10/08/1931 PEMBROKE PLAINS, FL 33028 5 YRS 0 MOS
D53379

ENOS AMBULANCE SERVICE INC 1128(a)(1)
AMBULANCE COMPANY 24 WASHINGTON AVE 03/20/2000
N/A BURLINGTON, MA 01803-3518 15 YRS 0 MOS
NO UPIN

FALEK, ALEXIS BROWN 1128(a)(1)
PSYCHOLOGIST 5457 GUARINO RD 07/10/1997
06/29/1945 PITTSBURGH, PA 15217 10 YRS 0 MOS
R05761

GIRTANNER, ROBERT EDWARD 1128(b)(4)
GENERAL PRACTICE 3000 MURWORTH DR, APT 511 04/23/1996
07/24/1935 HOUSTON, TX 77025 INDEFINITE
D58189

GREENWOOD, MARK W 1128(a)(1)
GENERAL PRACTICE 460 NORTH MAIN ST
10/09/1943 RICHFIELD, UT 84701
D07307 REINSTATED: 02/02/1998

GUERRIERO, LU ANN M 1128(b)(14)
CHIROPRACTOR C/O 21 KILMER DR, STE 2A 07/08/1997
07/14/1956 MORGANVILLE, NJ 07751 INDEFINITE
T45707

HAUG, WILLIAM 1128(a)(1)
OSTEOPATH 510 JOSEPH STREET 05/23/1988
12/26/1943 NORRISTOWN, PA 19403 5 YRS 0 MOS
C32554

HOPKINS, HAROLD G SR 1128(a)(1)
CHIROPRACTOR 5450 S SCENIC 01/23/1991
04/07/1938 SPRINGFIELD, MO 65807 7 YRS 0 MOS
T43456

ITARO, GABRIEL O 1128(b)(4)
GENERAL PRACTICE 1031 FOREST W COURT 07/03/1997
01/15/1956 STONE MOUNTAIN, GA 30088 INDEFINITE
F49593

JACOBS, VIRGINIA L 1128(b)(14)
CHIROPRACTOR 555 THAYER AVE 07/07/1997
01/20/1943 SILVER SPRING, MD 20910 INDEFINITE
T18663

JONES, BEULAH D 1128(b)(4)
GENERAL PRACTICE 35 HAWTHORNE AVE 05/07/1997
07/15/1943 YONKERS, NY 10705-1823 INDEFINITE
B79065

JORDAN CLINIC 1128(b)(8)
CLINIC 1627 MILLS B LANE 01/30/1997
N/A SAVANNAH, GA 31405 5 YRS 0 MOS
NO UPIN

KESZLER, BERNEY R 1128(A)(a)
ANESTHESIOLOGIST 13411 THESSALY 11/01/1990
07/18/1942 UNIVERSAL CITY, TX 78148 10 YRS 0 MOS
C17830

KOMPUS, LARRY L 1128(a)(1)
GENERAL PRACTICE 4166 STODDARD RD 03/25/1991
03/25/1938 ORCHARD LAKE, MI 48033 5 YRS 0 MOS
A77225

LASSOFF, IRVING 1128(a)(1)
GENERAL PRACTICE 950 N KINGS RD, #241 03/25/1991
01/17/1919 LOS ANGELES, CA 90069 10 YRS 0 MOS
A83598

GILROY, ANNE F 1128(b)(14)
GENERAL PRACTICE 609 ARDMORE AVE
03/04/1947 ARDMORE, PA 19003
B42219 REINSTATED: 03/16/1995

THE EXCLUDED
INDIVIDUAL IS
DECEASED

THIS IS A CORRECTION TO AN ENTRY ORIGINALLY PUBLISHED IN THE OCTOBER 2000 REPORT WHICH WAS DISTRIBUTED IN NOVEMBER 2000.

HAM, KEVIN ROBERT 1128(b)(4)
OTORHINOLARYNGOLOGST 2400 LUCY LEE PKWY, #C 11/20/2000
09/04/1951 POPLAR BLUFF, MO 63901 INDEFINITE
E80820

FACTS: LICENSE REVOKED, SUSPENDED, SURRENDERED OR OTHERWISE LOST FOR REASONS BEARING ON PROFESSIONAL PERFORMANCE, PROFESSIONAL COMPETENCE OR FINANCIAL INTEGRITY. DIED 03/02/2003

PLEASE NOTE THE
CORRECT DOB

THIS IS A CORRECTION TO AN ENTRY ORIGINALLY PUBLISHED IN THE SEPTEMBER 2002 REPORT WHICH WAS DISTRIBUTED IN OCTOBER 2002.

KAMARA, HELEN H 1128(b)(4)
NURSE/NURSES AIDE P O BOX 509 10/20/2002
03/09/1964 PALMYRA, NJ 08065 INDEFINITE

FACTS: LICENSE REVOKED, SUSPENDED, SURRENDERED OR OTHERWISE LOST FOR REASONS BEARING ON PROFESSIONAL PERFORMANCE, PROFESSIONAL COMPETENCE OR FINANCIAL INTEGRITY.

PLEASE NOTE THE
CORRECT DOB

THIS IS A CORRECTION TO AN ENTRY ORIGINALLY PUBLISHED IN THE APRIL 1998 REPORT WHICH WAS DISTRIBUTED IN MAY 1998.

VAN DE CASTLE, ROBERT L 1128(b)(4)
PSYCHOLOGIST 2965 CATLETT RD 05/20/1998
11/16/1927 CHARLOTTESVILLE, VA 22901 INDEFINITE

FACTS: LICENSE REVOKED, SUSPENDED, SURRENDERED OR OTHERWISE LOST FOR REASONS BEARING ON PROFESSIONAL PERFORMANCE, PROFESSIONAL COMPETENCE OR FINANCIAL INTEGRITY. REINSTATEMENT DATE 05/20/1998

PLEASE NOTE THE
CORRECT DOB

THIS IS A CORRECTION TO AN ENTRY ORIGINALLY PUBLISHED IN THE AUGUST 1996 REPORT WHICH WAS DISTRIBUTED IN SEPTEMBER 1996.

RAVAL, KANU 1128(a)(1)
PHARMACIST 2499 AUBURN LANE 09/05/1996
06/01/1947 ODENTON, MD 21113 5 YRS 0 MOS

FACTS: CONVICTED OF A CRIME INVOLVING THE MEDICARE, MEDICAID, MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT OR BLOCK GRANTS TO STATES FOR SOCIAL SERVICES PROGRAMS.

PLEASE NOTE A
CORRECTED SSN
IN THE ONLINE
DATABASE

THIS IS A CORRECTION TO AN ENTRY ORIGINALLY PUBLISHED IN THE MARCH 1994 REPORT WHICH WAS DISTRIBUTED IN APRIL 1994.

HAVELIWALA, JOSUF 1128(a)(1)
PSYCHIATRIST 177 MAIN ST, #233 04/06/1994
11/15/1934 FORT LEE, 05 YRS 0 MOS A63665

FACTS: CONVICTED OF A CRIME INVOLVING THE MEDICARE, MEDICAID, MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT OR BLOCK GRANTS TO STATES FOR SOCIAL SERVICES PROGRAMS.

PLEASE NOTE THE
MODIFIED TERM
OF EXCLUSION

THIS IS A CORRECTION TO AN ENTRY ORIGINALLY PUBLISHED IN THE NOVEMBER 2001 REPORT WHICH WAS DISTRIBUTED IN DECEMBER 2001.

BURSTEIN, DONALD A 1128(a)(1)
PSYCHOLOGIST 3109 CENTENNIAL STATION 11/28/2001
04/17/1941 WARMINSTER, PA 18974 10 YRS 0 MOS

FACTS: CONVICTED OF A CRIME INVOLVING THE MEDICARE, MEDICAID, MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT OR BLOCK GRANTS TO STATES FOR SOCIAL SERVICES PROGRAMS.

PLEASE NOTE THE
MODIFIED TERM
OF EXCLUSION

THIS IS A CORRECTION TO AN ENTRY ORIGINALLY PUBLISHED IN THE FEBRUARY 2001 REPORT WHICH WAS DISTRIBUTED IN MARCH 2001.

KUTCHER-OLVIO, ROBERTO 1128(b)(1)
GENERAL PRACTICE COND ASHFORD 1000, #4 03/20/2001
09/29/1951 CONDADO, PR 00907 D08494 4 YRS 0 MOS

FACTS: CONVICTED OF A CRIME RELATED TO THE DELIVERY OF HEALTH CARE OR FINANCIAL MISCONDUCT INVOLVING A GOVERNMENT-OPERATED PROGRAM.

PLEASE NOTE THE
CORRECT DOB

THIS IS A CORRECTION TO AN ENTRY ORIGINALLY PUBLISHED IN THE APRIL 1989 REPORT WHICH WAS DISTRIBUTED IN MAY 1989.

RAJTAR, KAREN B 1128(a)(1)
NURSE/NURSES AIDE 8125 HAMPSHIRE AVE 05/25/1989
05/13/1964 BROOKLYN PARK, MN 55445 5 YRS 0 MOS

FACTS: CONVICTED OF A CRIME INVOLVING THE MEDICARE, MEDICAID, MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT OR BLOCK GRANTS TO STATES FOR SOCIAL SERVICES PROGRAMS.
REINSTATEMENT DATE 06/04/2003

THE EXCLUDED
INDIVIDUAL IS
DECEASED

THIS IS A CORRECTION TO AN ENTRY ORIGINALLY PUBLISHED IN THE JULY 1996 REPORT WHICH WAS DISTRIBUTED IN AUGUST 1996.

MILLS, MARGIE B 1128(a)(1)
OWNER/OPERATOR 2660 FREDERICA RD 08/06/1996
04/13/1936 ST SIMONS ISLAND, GA 31522 15 YRS 0 MOS

FACTS: CONVICTED OF A CRIME INVOLVING THE MEDICARE, MEDICAID, MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT OR BLOCK GRANTS TO STATES FOR SOCIAL SERVICES PROGRAMS. DIED 06/03/2003

THE EXCLUDED
INDIVIDUAL IS
DECEASED

THIS IS A CORRECTION TO AN ENTRY ORIGINALLY PUBLISHED IN THE JULY 1996 REPORT WHICH WAS DISTRIBUTED IN AUGUST 1996.

MILLS, ROBERT JACKSON 1128(a)(1)
OWNER/OPERATOR 2660 FREDERICA RD 08/06/1996
10/05/1938 ST SIMONS ISLAND, GA 31522 15 YRS 0 MOS

FACTS: CONVICTED OF A CRIME INVOLVING THE MEDICARE, MEDICAID, MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT OR BLOCK GRANTS TO STATES FOR SOCIAL SERVICES PROGRAMS. DIED 06/03/2003

PLEASE NOTE THE
CORRECT TERM
OF EXCLUSION

THIS IS A CORRECTION TO AN ENTRY ORIGINALLY PUBLISHED IN THE JUNE 1990 REPORT WHICH WAS DISTRIBUTED IN JULY 1990.

FORD, BARBARA 1128(a)(1)
NURSE/NURES AIDE 171-38 119TH ROAD 06/13/1990
11/05/1940 ST ALBANS, NY 11434 5 YRS 0 MOS

FACTS: CONVICTED OF A CRIME INVOLVING THE MEDICARE, MEDICAID, MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT OR BLOCK GRANTS TO STATES FOR SOCIAL SERVICES PROGRAMS.

PLEASE NOTE THAT
“MARTIN FAMILY
CHIROPRACTIC CTR” IS
THE INCORRECT ENTITY
NAME

THIS IS A CORRECTION TO AN ENTRY ORIGINALLY PUBLISHED IN THE NOVEMBER 2001 REPORT WHICH WAS DISTRIBUTED IN DECEMBER 2001.

MARTIN CHIROPRACTIC CTR 1128(b)(8)
CHIROPRACTIC PRACT 3344 COACH LANE 12/20/2001
N/A CAMERON PARK, CA 95682 INDEFINITE

FACTS: ENTITY EXCLUDED DUE TO OWNERSHIP OR CONTROL INTEREST BY AN EXCLUDED OR CONVICTED INDIVIDUAL/ENTITY.

PLEASE NOTE THE
CORRECT SANCTION
DATE

THIS IS A CORRECTION TO AN ENTRY ORIGINALLY PUBLISHED IN THE FEBRUARY 2003 REPORT WHICH WAS DISTRIBUTED IN MARCH 2003.

MATIAN, KAMAL 1128(b)(4)
DENTIST 6650 RESEDA BLVD, STE 101 07/18/1996
12/01/1945 RESEDA, CA 91335 INDEFINITE

FACTS: DEFAULTED ON PUBLIC HEALTH SERVICE EDUCATION LOAN. REINSTATEMENT DATE 02/10/2003

PLEASE NOTE THE
CORRECT EIN

THIS IS A CORRECTION TO AN ENTRY ORIGINALLY PUBLISHED IN THE AUGUST 2002 REPORT WHICH WAS DISTRIBUTED IN SEPTEMBER 2002.

INDEPENDENT HOMECARE, INC 1128(a)(1)
DME COMPANY 4 CHELSEA DRIVE 09/19/2002
N/A STANDISH, ME 04084 5 YRS 0 MOS

FACTS: CONVICTED OF A CRIME INVOLVING THE MEDICARE, MEDICAID, MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT OR BLOCK GRANTS TO STATES FOR SOCIAL SERVICES PROGRAMS.

PLEASE NOTE THE
CORRECT DOB

THIS IS A CORRECTION TO AN ENTRY ORIGINALLY PUBLISHED IN THE MARCH 2003 REPORT WHICH WAS DISTRIBUTED IN APRIL 2003.

YATES, MILDRED GERALDINE 1128(b)(4)
NURSE/NURSES AIDE 21 FIRST ST, RM 301 04/20/2003
11/05/1951 TROY, NY 12180 INDEFINITE

FACTS: DEFAULTED ON PUBLIC HEALTH SERVICE EDUCATION LOAN.

PLEASE NOTE THE
CORRECT DOB

PLEASE NOTE THE DOB OF THE NOW REINSTATED INDIVIDUAL.

FOIL, ROSCOE F JR 1128(a)(1)
PHARMACIST C/O 133 CUMBERLAND ST 05/29/1985
10/12/1954 BOGALUSA, LA 70438 5 YRS 0 MOS

FACTS: CONVICTED OF A CRIME INVOLVING THE MEDICARE, MEDICAID, MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT OR BLOCK GRANTS TO STATES FOR SOCIAL SERVICES PROGRAMS. REINSTATEMENT DATE 03/13/2003

PLEASE NOTE THE
CORRECT DOB

PLEASE NOTE THE DOB OF THE NOW REINSTATED INDIVIDUAL.

NEWMAN, NORMAN 1128(a)(1)
PHARMACIST 832 MARLOWE RD 07/09/1985
03/27/1938 CHERRY HILL, NJ 08003 2 YRS 0 MOS

FACTS: CONVICTED OF A CRIME INVOLVING THE MEDICARE, MEDICAID, MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT OR BLOCK GRANTS TO STATES FOR SOCIAL SERVICES PROGRAMS. REINSTATEMENT DATE 03/26/2003

THE EXCLUDED
INDIVIDUAL IS
DECEASED

THIS IS A CORRECTION TO AN ENTRY ORIGINALLY PUBLISHED IN THE DECEMBER 2002 REPORT WHICH WAS DISTRIBUTED IN JANUARY 2003.

ROHS, ELIZABETH HAWKINS 1128(b)(4)
NURSE/NURSES AIDE 20 ZUMMO WAY 01/20/2003
09/25/1956 NORRISTOWN, PA 19401 INDEFINITE

FACTS: DEFAULTED ON PUBLIC HEALTH SERVICE EDUCATION LOAN.

THE EXCLUDED
INDIVIDUAL IS
DECEASED

THIS IS A CORRECTION TO AN ENTRY ORIGINALLY PUBLISHED IN THE SEPTEMBER 1991 REPORT WHICH WAS DISTRIBUTED IN OCTOBER 1991.

JONES, ARCHBOLD M 1128(b)(4)
GENERAL PRACTICE 1014 JULIANA ST 09/05/1991
02/21/1932 PARKERSBURG, WV 26101 INDEFINITE

FACTS: LICENSE REVOKED, SUSPENDED, SURRENDERED OR OTHERWISE LOST FOR REASONS BEARING ON PROFESSIONAL PERFORMANCE, PROFESSIONAL COMPETENCE OR FINANCIAL INTEGRITY.

PLEASE NOTE THE
CORRECT DOB

ORIGINALLY PUBLISHED IN THE JANUARY 2003 REPORT WHICH WAS DISTRIBUTED IN FEBRUARY 2003.

SANDERS, JESSE CORNELL 1128(a)(1)
PHARMACIST 714 BLOSSOM WOOD DR 02/20/1985
05/02/1948 ARLINGTON, TX 76017 15 YRS 0 MOS

FACTS: CONVICTED OF A CRIME INVOLVING THE MEDICARE, MEDICAID,
MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT OR BLOCK
GRANTS TO STATES FOR SOCIAL SERVICES PROGRAMS.
REINSTATEMENT DATE 01/27/2003

PLEASE NOTE THE
CORRECT SANCTION
DATE

ORIGINALLY PUBLISHED IN THE JANUARY 2003 REPORT WHICH WAS DISTRIBUTED IN FEBRUARY 2003.

O’NEAL, BENJAMIN THOMAS 3027 N TYNDALL 1128(b)(4)
NURSE/NURSES AIDE TUCSON, AZ 85719 02/20/2003
05/18/1964 INDEFINITE

FACTS: LICENSE REVOKED, SUSPENDED, SURRENDERED OR OTHERWISE LOST FOR REASONS BEARING ON PROFESSIONAL PERFORMANCE, PROFESSIONAL COMPETENCE OR FINANCIAL INTEGRITY.

PLEASE NOTE THE
CORRECT UPIN

ORIGINALLY PUBLISHED IN THE JANUARY 2003 REPORT WHICH WAS DISTRIBUTED IN FEBRUARY 2003.

ORTIZ-VARGAS, DANIEL 1128(a)(1)
FAMILY PRACT PHYS’N P O BOX 5004, PMB 312 02/20/2003
03/18/1963 YAUCO, PR 20030-116 5 YRS F39353

FACTS: CONVICTED OF A CRIME INVOLVING THE MEDICARE, MEDICAID, MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT OR BLOCK
GRANTS TO STATES FOR SOCIAL SERVICES PROGRAMS.

PLEASE NOTE THE
CORRECT SPECIALITY

ORIGINALLY PUBLISHED IN THE APRIL 2000 REPORT WHICH WAS DISTRIBUTED IN MAY 2000.

SMITH, JILL D 1128(b)(14)
PHARMACIST C/O 768 MOUNTAIN RANCH RD 05/18/2000
09/12/1964 SAN ANDREAS, CA 95249 INDEFINITE

FACTS: DEFAULTED ON PUBLIC HEALTH SERVICE EDUCATION LOAN.

PLEASE NOTE THE
CORRECT SPELLING OF
THE INDIVIDUALS LAST
NAME

ORIGINALLY PUBLISHED IN THE NOVEMBER 1995 REPORT WHICH WAS DISTRIBUTED IN DECEMBER 1995.

THURAIRAQTNAM, INDRAN RAJPAL AKA INDRAN RATNAM 1128(b)(4)
FAMILY PRACT PHYS’N 323 HAMPTON GREEN 12/18/1995
01/11/1948 STATEN ISLAND, NY 10312 INDEFINITE

FACTS: LICENSE REVOKED, SUSPENDED, SURRENDERED OR OTHERWISE LOST FOR REASONS BEARING ON PROFESSIONAL PERFORMANCE, PROFESSIONAL COMPETENCE OR FINANCIAL INTEGRITY.

PLEASE NOTE THE
BELOW EXCLUDED
INDIVIDUAL DOES NOT
HAVE A UPIN

ORIGINALLY PUBLISHED IN THE DECEMBER 1986 REPORT WHICH WAS DISTRIBUTED IN JANUARY 1987.

HERNANDEZ, ROSE 1128Aa
PRIVATE CITIZEN 715 BRUNSWICK BLVD 12/05/1986
UNKNOWN SAN ANTONIO, TX 78214 5 YRS 0 MOS UNKNOWN

FACTS: AS A RESULT OF CIVIL MONETARY PENALTY AGREEMENT.

PLEASE NOTE THE
MODIFICATION OF
TERM/SANCTION

ORIGINALLY PUBLISHED IN THE SEPTEMBER 2002 REPORT WHICH WAS DISTRIBUTED IN OCTOBER 2002.

BERNSTEIN, SCOTT EVAN 1128(a)(1)
GENERAL PRACTICE 15801 S W 137TH AVE 10/20/2002
12/28/1965 MIAMI, FL 030109 8 YRS 0 MOS

FACTS: CONVICTED OF A CRIME INVOLVING THE MEDICARE, MEDICAID, MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT OR BLOCK GRANTS TO STATES FOR SOCIAL SERVICES PROGRAMS.

PLEASE NOTE THE
CORRECT DOB

ORIGINALLY PUBLISHED IN THE FEBRUARY 2000 REPORT WHICH WAS DISTRIBUTED IN MARCH 2000.

HESTER, CHARLOTTE A 1128(b)(4)
NURSE/NURSES AIDE 2375 BUTTSTON RD 03/20/2000
01/14/1951 DADEVILLE, AL 36853 INDEFINITE

FACTS: LICENSE REVOKED, SUSPENDED, SURRENDERED OR OTHERWISE LOST FOR REASONS BEARING ON PROFESSIONAL PERFORMANCE, PROFESSIONAL COMPETENCE OR FINANCIAL INTEGRITY.

PLEASE NOTE THE
CORRECT SPECIALITY

ORIGINALLY PUBLISHED IN THE JULY 2002 REPORT WHICH WAS DISTRIBUTED IN AUGUST 2002.

HEMPHILL, ROBERT 1128(a)(3) OSTEOPATH
1640 W DELTA DR 08/20/2002
03/29/1943 SAGINAW, MI 48603 5 YRS 0 MOS

FACTS: CONVICTED OF A FELONY INVOLVING HEALTH CARE FRAUD.

PLEASE NOTE THE
CORRECT UPIN

ORIGINALLY PUBLISHED IN THE AUGUST 2002 REPORT WHICH WAS DISTRIBUTED IN SEPTEMBER 2002.

BENTON, REGIS A SR 1128(a)(3) OSTEOPATH
5200 HOWE ROAD 09/19/2002
07/05/1923 GRAND BLANC, MI 43439 5 YRS 0 MOS
E37516

FACTS: CONVICTED OF A FELONY INVOLVING HEALTH CARE FRAUD.

PLEASE NOTE AT THIS
TIME WE DO NOT HAVE
AN INMATE NUMBER