Sanctioned Providers and Entities from Participation in Maryland
Sanctioned Providers and Entities from Participation in Maryland
Sanctioned Providers and Entities from Participation in Maryland
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<strong>Sanctioned</strong> <strong>Providers</strong> <strong>and</strong> <strong>Entities</strong> <strong>from</strong> <strong>Participation</strong> <strong>in</strong> Maryl<strong>and</strong>Medicaid ProgramLAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPA&E Home Care I, II Corporation HD 5/26/2005 1234 Cathedral Drive Glen Burnie MD 21061Aalai Mehrdad M.D. F 8/15/1994 10524 Democracy Blvd Potomac MDAbbas Muhmoud F M.D. F 6/10/1992 5411 Old Frederick Road Baltimore MD 21229Abundant Life Center, Inc. Corporation HHS 7/5/1989 30 South Broadway Baltimore MD 21231Acree Virg<strong>in</strong>ia V. Nurse HHS 12/20/2009 PC Alderson, Glen Ray Road, Box A Alderson, WV 24910Adams Charlotte PCP HD 10/24/1994 5313 Barbara Avenue Baltimore MD 21206Adams Hakki B. M.D. F 8/24/1983 6172 Oxon Hill Road Oxon Hill MD 20715Addison Denise PCP HD 9/9/1998 P.O. Box 6014 Baltimore MD 21231Adedapo Abosede Aide HHS 2/11/1999 1471 Hadwick Drive Baltimore MD 21221Adefolaju Adebowale Nurse HHS 7/20/2009 6405 Seta Drive Lanham MD 207060Adelanwa Gabriel W. LCPC F 2/18/2007 7100 Chesapeake Road <strong>and</strong>over Hills MD 20784Aderibigbe Victoria O. Citizen HHS 5/22/1998 11380 Cherry Hill Road; #20 Beltsville MD 20705Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 1 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPAdewale Soloman P.D. HHS 6/19/2008 4046 Warner Avenue, Apt. D1 <strong>and</strong>over Hills, MD 20784Adeyemi Nancy Citizen HHS 8/20/2008 7758 F<strong>in</strong>ns Lane, Apt. 2 New Carrollton MD 20781Adeyemi Mukaila Citizen F 2/28/1997 25 Strawhat Road; 1‐C Ow<strong>in</strong>gs Mills MD 21117Adger Rossanna PCP HD 9/9/1998 2140 Boyd Street Baltimore MD 21223Adler Jane M. M.D. HHS 9/20/2001 9812 Falls Road; Ste 114 Potomac MD 20854Advanced Cl<strong>in</strong>ical Associates Inc. Corporation F 10/2/1997 201 North Charles Street Baltimore MD 21201Aggroia Abhay V. M.D. HHS 7/20/2006 13168 K<strong>in</strong>nicut Drive Woodbridge MD 22192Aiken Stuart DPM HHS 5/5/2006 16 Dartmoor Court Olney MD 20832Aikens‐Afful Nathaniel M.D. F 4/18/1983 3706 Collier Road R<strong>and</strong>allstown MD 21133Ajong Eric Aide HHS 6/20/2011 13107 Serpent<strong>in</strong>e Way Silver Spr<strong>in</strong>g MD 20904Ajumobi Chukwudi Citizen HHS 8/19/2010 5404 85th Avenue, Apt. T3 ew Carrollton MD 2078Ak<strong>and</strong>e Dwanus Nurse HHS 1/20/2008 10849 N. Central Expressway Dallas, TX 75231‐2114Akhigbe Ehigiator M.D. HHS 10/20/2010 FCI Morgantown P.O. Box 1000 Morgantown WV 26507Aksoy Yasar M.D. LB 7/17/2001 1423 Cedarcroft Road Baltimore MD 21239Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 2 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPAkthar Waheed U. M.D. LB 9/9/2004 301 S. Theodore Green Blvd White Pla<strong>in</strong>s MD 20695Alalouf Ophir D.D.S. LB 5/2/2008 9812 Falls Road, Suite 118 Potomac MD 20854Al‐Attar Ali M.D. LB 4/22/2009 4900 Silver Hill Road Suitl<strong>and</strong> MD 20746Albers Nancy Citizen HHS 1/20/2008 750 Farnham Place Bel Air MD 21014Albrecht Frank M. Counselor HHS 8/20/2003 P.O.Box 877; 725 Elwood Ave Easton MD 21601Al‐Khatib Susan Nurse HHS 2/20/2008 13014 W<strong>in</strong>chester Road, SW Cumberl<strong>and</strong>, MD 21502Ally Azad M. D.D.S. F 7/21/2004 1643 Agnes Avenue, S.E. Palm Bay FL 32909Almeida Carlos M.D. LB 5/23/2005 7900 Old Branch Avenue Cl<strong>in</strong>ton MD 20735Alperste<strong>in</strong> Arnold R.Ph HHS 1/20/2004 3202 Walnut Avenue Ow<strong>in</strong>gs Mills MD 21117American Diagnostic Laborat Corporation HHS 10/28/2008 15749 Crabbs Branch Way Rockville MD 20855Amirgholi Mohammed H. M.D. LB 3/23/1988 9401 Indian Head Hwy t. Wash<strong>in</strong>gton MD 2074Anderson Morris PCP HD 7/21/1995 11 W. Baltimore; #1012 Hagerstown MD 21740Anderson Richard H. M.D. LB 5/26/2001 13 Cedar Waxw<strong>in</strong>g Road ton Head Isl<strong>and</strong> SC 299Anderson Susan Nurse HHS 12/19/2002 11554 Bucksk<strong>in</strong> Court Lusby MD 20657Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 3 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPAndreadis Barbara L. LCSW F 5/20/2003 47 E. Ma<strong>in</strong> street Hancock MD 21750Andrews Lorenzo Nurse HHS 7/20/2004 8341 Cann<strong>in</strong>g Terrace Greenbelt MD 20770Angel Square Corporation HD 6/28/2005 2306 Breton Drive istrict Heights MD 2074Ann's Lov<strong>in</strong>g Care Corporation HD 9/5/2007 1536 Northgate Road Baltimore MD 21218Appel Lawrence W. R.Ph HHS 12/20/2004 4 Coachman Ct; Apt. 202 R<strong>and</strong>allstown MD 21133Arbogast Rebecca PCP F 1/6/2007 36856 Danny Lane Chaptico MD 20621ARG Associates, Inc. Corporation HHS 5/20/2002 8314 Glenmar Road Ellicott City MD 21045Arrey Pamela P.D. HD 8/15/2008 13850 Kennard Drive Glenelg MD 21737Arr<strong>in</strong>gton James PCP HD 4/17/1996 138 Woodhaven Avenue; Apt. 1 F Baltimore MD 21216Arroyo Jose C. M.D. HHS 6/18/1998 6400 Baltimore Nat'l Pike #512 altimore MD 21228‐393Arroyo Ruy Dan M.D. HHS 9/20/1996 1215 Evesham Ave Baltimore MD 21239Arung Mary Aide MFCU‐A 11/21/2010 14251 Oxford Drive Laurel MD 20707Asemani Ghafour B. D.D.S HHS 7/18/2002 8667 Town & Country Blvd; F Ellicott City MD 21043Ashimi Karen Aide MFCU‐A 5/24/2007 2424 Bridgehampton Drive, #J Parkville MD 21234Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 4 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPAsk<strong>in</strong>s Annie Delois PCP HD 5/4/2006 3301 Ripple Road Baltimore MD 21244Ask<strong>in</strong>s Private Care Home Corporation HD 5/4/2006 3301 Ripple Road Baltimore MD 21244Atlantic Health Care, Inc. Corporation HHS 10/7/2007 7640 Fullerton Road Spr<strong>in</strong>gfield VA 22153Aurora Hlth Care Services, Inc Coppedge, Debra A. Corporation HD 5/4/2005 14004 Silver Teal Way pper Marlboro MD 2077Aust<strong>in</strong> Dan E. M.D. LB 4/4/1999 12164 Central Ave Mitchelleville MD 20721Automated Bill<strong>in</strong>g Service Corporation HHS 6/12/1997 4701 R<strong>and</strong>olph Road Rockville MDAwele Treatment <strong>and</strong> Rehab. Corporation HD 2/27/2007 2300 North Calvert Street Baltimore MD 21218Ayers George J. PT HHS 2/20/2006 75 Beatrice Street mberl<strong>and</strong> MD 21502‐74Aziz Ahmed D.D.S. LB 11/26/2003 6117 Marlboro Pike istrict Heights MD 2074Azzato Nicholas M. M.D. HHS 10/4/1989 333 University Blvd; West Kens<strong>in</strong>gton MD 20895Babaturk Hidir M.D. HHS 9/30/1988 6578 Gulford Avenue Clarksville MD 21029Backmon Marquil D. Citizen HHS 2/15/1997 830 N. Kenwood Avenue Baltimore MD 21205Bagby Victoria Citizen HHS 10/20/2008 435 N. Curley Street Baltimore MD 21224Bagheri Farhad D.D.S. LB 8/15/2005 13529 Clopper Road Germantown MD 20874Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 5 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPBagwell Polla Darlene Aide HHS 2/1/1999 3127 Artaban Place Baltimore MD 21216Bah Haja Aide HHS 6/20/2005 3207 Toleda Place; Apt. 203 Hyattsville MD 20782Baker Cynthia Nurse HHS 6/19/2008 5753 Hazelwood Circle, Apt. F Baltimore MD 21206Baker Betty PCP HD 9/9/1998 524 W. Preston Street Baltimore MD 21202Banks Evelyn Citizen F 10/28/1987 2140 P<strong>in</strong>e Avenue Baltimore MD 21207Baptiste Donna D.D.S. HHS 5/20/1998 4205 Liberty Heights Ave Baltimore MD 21207Barahona Leonel M.D. LB 11/19/2009 1101 Maiden Choice Lane Baltimore MD 21229Barb's Mason Dixon Home Corporation HD 7/31/2006 29233‐A West L<strong>in</strong>e Road Delmar MD 21875Barnes Georgia PCP HD 4/14/2003 12 Garrisonridge Court Ow<strong>in</strong>gs Mills MD 21117Barnette Dawn PCP HD 4/1/1994 SR6; Box 277‐13 LaPlata MD 20646Barr Alv<strong>in</strong> Scott Nurse HHS 4/20/2004 8336 Evergreen Drive Lusby MD 20657Bass Mitzi Lucille Nurse HHS 7/18/2002 804 W. Nash Street Terrell TX 75160‐2510Bassett David W. M.D. LB 3/29/2006 ealth, Inc; 500 W. Montgomery Av Rockville MD 20850Bates Robert E. Optician HHS 7/7/1997 11511 Lockhardt Place Silver Spr<strong>in</strong>g MD 20902Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 6 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPBattaile William G. M.D. LB 9/29/1996 Box 273 Gibson Isl<strong>and</strong> MD 21056Battle Jesse Citizen HHS 8/18/2011 6005 Tipton Drive Temple Hills MD 20748Baumann Carol Nurse HHS 4/20/2004 3908 Eighth Street Brooklyn MD 21221Baxter Steven Aide HHS 8/19/2010 1928 Rochell Avenue, Apt. 1213 Forestville MD 20747Beachley Carroll L. Aide HHS 5/13/1998 10420 Bailey Road Hagerstown MD 21740Beaverbrook Corner Corporation HD 2/1/2006 4994 Beaverbrook Road Columbia MD 21044Beck Z<strong>in</strong>a Yvonne PCP HD 6/19/1998 3925 Clark Lane, Apt. D Baltimore MD 21215Beck Jeffrey R. D.O. LB 7/13/2006 22 S. Greene Street Baltimore MD 21201Beck Charlene PCP HD 9/9/1998 Route 1; Box 237 Rock Hall MD 21661Bell Vadney Aide HHS 8/20/2000 16 Brubar Court; Apt. 2‐C Gwynn Oak MD 21207Bell Guy Citizen F 2/27/2008 2712 Tallow Tree Drive Woodstock, MD 21163Benchasil Sakda M.D. LB 10/30/1998 9 Slate Mills Ct Baltimore MD 21228Benchoff Richard R.Ph HHS 9/20/2009 139 E. Baltimore Street Hagerstown MD 21740Benn Stanley Junious Citizen F 7/14/2005 16 Arrowood Court Baltimore MD 21237Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 7 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPBenson, Jr. Fred D.D.S. HHS 6/6/1993 8055 13th Street Silver Spr<strong>in</strong>g MD 20910Bernhard Larry DPM HHS 10/30/2007 446 Colonial Ridge L<strong>and</strong> Arnold MD 21012Best Morris D.D.S. F 9/15/1986 11409 Soward Drive Kens<strong>in</strong>gton MD 20795Beverly Clarence E. M.D. HHS 6/27/1991 PO Box 786 Middletown NY 10940B<strong>in</strong>tou Fofana Aide HHS 8/18/2011 9207 Bluefield Road Spr<strong>in</strong>gdale MD 20774Biscoe Charles M.D. LB 1/26/2007 2200 Garrison Blvd, Ste. 303 Baltimore MD 21216Black Matthew D.O. LB 5/9/2012 1683 Laguna Drive Idaho Falls ID 83404Blackmon Robert C. M.D. LB 7/26/1996 3230 Sequoia Ave Baltimore MD 21215Blancaflor Othneil Citizen HHS 5/22/1985 36 S. Charles Street Baltimore MD 21201Blizzard Judy PCP HD 9/30/1993 1326 Deer Park Road Westm<strong>in</strong>ster MD 21157Blue Star Assisted Liv<strong>in</strong>g Corporation HD 8/31/2006 5415 L<strong>in</strong>coln Street Bethesda MD 20817Bockover Carol Nurse HHS 8/20/2002 29180 Naylor Mill Road Salisbury MD 21811Body Energetics, Inc. Corporation HHS 9/20/2001 9051 Baltimore Nat'l Pike; Ste 3‐E Ellicott City MD 21042Boesen Peter V. M.D. HHS 3/20/2008 07705‐030, USP, P.O. Box 1000 Leavenworth KS 66048Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 8 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPBoggess Del<strong>and</strong> Michelle Ton Nurse HHS 9/20/2005 1789 Roxalana Road Dunbar WV 25064Bohannon Wayne E. Ph.D. LB 9/30/2002 avioral Science Assoc; 10751 Falls R Lutherville MD 21093Bolsh<strong>in</strong>sky Igor PCP HHS 5/19/2005 10948 Whiterim Drive Potomac MD 20854Bonovich Kermit M.D. LB 11/30/2010 754 Hickory Avenue Bel Air MD 21014Bordley Thomas Citizen HHS 12/20/1995 1531 Gleneagle Road Baltimore MD 21239Bowens Michelle PCP HD 7/30/2002 600 N. Bentz St.; Apt. 8 Frederick MD 21701Bowie, Jr. Charles Douglas D.D.S. F 3/20/2003 4205 Liberty Heights Avenue Baltimore MD 21207Boyd Seward D.O. LB 2/11/1991 556 Ingraham St Wash<strong>in</strong>gton DC 20011Boyk<strong>in</strong>s Loretta Penny Citizen HHS 12/20/2001 1212 Whitelock Street Baltimore MD 21217Bradbard Steven L. Ph.D. HHS 7/14/1993 8804 Saddle Lane Potomac MD 20854Bradford Brenda Aide HHS 1/20/2004 2706 Gresham Way; Apt. 303 Baltimore MD 21244Bradley John Nurse LB 3/26/2012 915 Toll House Avenue Frederick MD 21701Bradley William R. M.D. LB 6/27/1997 7505 E. Brushfield Ct Baltimore MD 21237Branch Freddie Citizen HHS 2/15/1997 35 Lor<strong>in</strong>g Court; D Baltimore MD 21219Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 9 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPBranch Kelly Citizen HHS 3/25/1998 749 L<strong>in</strong>nard Street Baltimore MD 21229Branch Bernadette PCP HD 3/20/1993 P. O. Box 33354 Baltimore MD 21218Branton Robert D.O. LB 2/2/2011 1205 Pemberton Dr., Ste. 101 Salisbury MD 21801Braud Joseph M.D. HHS 1/20/2010 P.O. Box 5010 Oakdale LA 71463Breakfield James E. Citizen HHS 11/19/2009 954 Forrest Street Baltimore MD 21202Brenner Myron M.D. LB 10/22/2008 14025 Cuba Road Hunt Valley MD 21030Bresslerman Mark J. D.D.S. LB 5/2/1990 6232 Montrose Road Rockville MD 20852Brice Charlene PCP HD 6/20/1995 8 Patamoke Way Cambridge MD 21613Brigance Troy B. RCP HHS 11/20/2003 851 Park Avenue Baltimore MD 21201Britos‐Bray Anibal M.D. F 7/29/1995 16 Aberdeen Shopp<strong>in</strong>g Pl Aberdeen MD 21001Brock Deon M. Citizen F 5/29/2008 1127 N. Gilmor Street Baltimore MD 21217Bronder Rosemary Nurse HHS 5/18/2000 4421 Saddle River Drive Mitchellville MD 20702Brooks W<strong>and</strong>a PCP HD 6/27/1990 6870 Sturbridge Drive; Apt. B Baltimore MD 21234Brooks Myrtle Citizen HD 7/17/2005 1501 Bayly Road Cambridge MD 21613Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 10 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPBrooks Latosha N. Aide MFCU‐A 2/2/2005 3809 Bonview Avenue Baltimore MD 21213Brooks Care Home Corporation HD 7/17/2005 1501 Bayly Road Cambridge MD 21613Brown Cynthia A. M.D. LB 2/23/1990 16816 5th Ave, SE Buthell WA 98012Brown Shantay T. Aide HHS 7/13/2000 3520 Milford Mill Road Baltimore MD 21207Brown Luwahn PCP HD 3/31/1994 Rt. 2; Box 2259 La Plata MD 20646Brown Louise PCP HD 9/9/1998 5414 Gist Avenue Baltimore MD 21215Brownste<strong>in</strong> Steven A. D.P.M. LB 3/11/1999 420 S. Cra<strong>in</strong> Hgwy Glen Burnie MD 21061Bryant Tonya PCP HD 9/6/1995 3505 Carsdale Avenue Baltimore MD 21207Bryson Rick Van DPM HHS 3/20/2006 15608 Henrietta Drive Accokeek MD 20607Buchanan Elizabeth PCP HD 1/9/1992 4114 Buck<strong>in</strong>gham Road Baltimore MD 21207Buchar Chris R. R.Ph HHS 5/10/2003 26114 Pelham Avenue Baltimore MD 21213Budnichuk Alfred D. Radiation Tech HHS 6/19/2003 1539 Redfield Road Bel Air MD 21015Budnick Jean Citizen HHS 6/30/1994 4700 Leyden Way Ellicott City MD 20142Burge Lisa M. Citizen HHS 2/6/1998 7934 Mayfair Circle Ellicott City MD 21043Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 11 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPBurks Teman L. M.D. HHS 2/19/1998 251 N. Fourth St Oakl<strong>and</strong> MD 21550Butts Shayrie PCP HD 7/19/1991 306 Bishop Avenue Baltimore MD 21225Calhoun Marvita PCP HD 8/19/1994 96 College Park Terrace Annapolis MD 21401Calon Anton<strong>in</strong>o H. M.D. LB 11/6/1998 611 S. Union Ave avre De Grace MD 2107Campbell Peter M.D. LB 10/13/2010 3001 Hospital Drive Cheverly MD 20785Campbell Darlene CRT HHS 11/20/2000 3010 Spauld<strong>in</strong>g Avenue Baltimore MD 21215Cannon Anthony Citizen HHS 8/20/2000 Lewisburg Fed Prison, 5 Lewisburg PA 17837Cardiotel Inc. Laboratory HHS 6/20/2002 19636 Club House Road; Ste 120 Gaithersburg MD 20886Care Plus Ambulance Service, Inc Corporation F 9/13/1999 4 Woostream Court; #9 Ow<strong>in</strong>gs Mills MD 21117Caregivers, LLC Corporation HD 10/20/2008 11405‐103 Little Patuxent Parkway Columbia MD 21044Carpenter Gene P. Aide HHS 5/20/1999 7328 Church Hill Road Chestertown MD 21620Carroll C<strong>and</strong>y PCP HD 1/5/2007 P.O. Box 151 Park Hall ND 20667Carter Janet Citizen F 8/30/2009 11400 Falcon Ridge Court Beltsville MD 20705Carter Thomas N. M.D. LB 7/6/1994 9127 Georgia Ave Silver Spr<strong>in</strong>g MD 20910Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 12 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPCaruana Patricia LCSW LB 9/12/2008 6611 Marietta Avenue Baltimore MD 21214Caulker Alex Nurse HHS 8/20/2002 5445 N. Morgan Street; #203 Alex<strong>and</strong>ria VA 22312Cendo Robert M.D. LB 3/13/2012 940 Seton Drive Cumberl<strong>and</strong> MD 21502Certeza Humberto V. M.D. LB 7/31/1998 8946 Satyr Hill Rd Baltimore MD 21234Chaiet Melv<strong>in</strong> R.Ph HHS 1/18/2001 4606 Barbara Drive Beltsville MD 20705Chaiyupatumpa Nibondh M.D. LB 9/13/2011 517 Scott Street Baltimore MD 21230Chalk Ella PCP HD 3/18/1996 1707 N. Patterson Park Avenue Baltimore MD 21213Chalkley Walter Citizen HHS 11/11/1993 8645 Oak Road Baltimore MD 21234Chalom Albert I. M.D. HHS 8/14/1990 6002 Eastern Ave Baltimore MD 21224Chan Brian Citizen HHS 8/1/1997 8542 Hill Spr<strong>in</strong>g Drive therville MD 21093‐453Chan AKA (Ng Fong) Cynthia Citizen HHS 8/1/1997 8542 Hill Spr<strong>in</strong>g Drive therville MD 21093‐453Chance Irma Rivera M.D. LB 10/23/2002 405 Irel<strong>and</strong> Way Eastham MA 02642Chaney Marlo Citizen HHS 4/20/2010 523 Kerby Parkway ort Wash<strong>in</strong>gton MD 2074Chang Samuel M.D. F 10/28/1987 10005 Hall Rd Potomac MD 20854Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 13 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPCharms One, LLC Corporation HD 9/28/2009 2021 Kennicott Road Baltimore MD 21244Chase, Jr. Charles L. Citizen HHS 4/10/1996 912 S. Baylis Street Baltimore MD 21214Chavez Juan M. M.D. F 6/1/1988 4123 Frederick Ave Baltimore MD 21229Chavis Darlene PCP HD 6/8/1993 619 Carlton Court Cambridge MD 21613Cheeves Deborah Nurse HHS 8/19/2010 4206 Forsythia Lane Pasadena MD 21122Chellappa Mariam Audiologist LB 1/20/2001 7840 Eastern Avenue Baltimore MD 21224Chen Cecella A. M.D. LB 5/26/2001 603 Stags Head Ct Towson MD 21204Chertkov Lynn S. LCSW F 4/25/1991 400 East/West Highway Bethesda MD 20814Chigbue Brian M.D. LB 1/14/2008 7943 Central Avenue Capitol HeightsChorbajian James P. D.D.S. HHS 10/6/1994 1410 Peartree Lane Bowie MD 20721Chu Peter L. Corporation HHS 11/4/1988 12450 Parklawn Drive Rockville MD 20852Chu <strong>and</strong> Chu, Inc. Corporation HHS 7/20/1988 1200 Annapolis Road Odenton MD 21113Clair Michael J. D.D.S. LB 10/7/1999 104 Plum Tree; Ste, 100 Belair MD 11014Clark Ann PCP HD 11/27/2006 4509 Wakefield Road Baltimore MD 21216Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 14 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPClark Marva J. D.D.S. HHS 9/3/1997 3900 Bel Pre Road; Ste 1 Silver Spr<strong>in</strong>g MD 20906Clark Norman L. M.D. LB 1/23/2002 Univ of MD Hosp; 22 S. Greene St Baltimore MD 21201Clark Timothy P.D. HHS 2/4/1997 4510 Spr<strong>in</strong>gdale Avenue Baltimore MD 21207Clayton Edith PCP HD 9/9/1993 10518 Marriottsville Road R<strong>and</strong>allstown MD 21133Cleary Edward Paul PCP HD 11/10/2005 6723 Eldorado Road Federalburg MD 21632Clevel<strong>and</strong> Tamara Jane Nurse HHS 2/19/2004 1003 Girard Street; NE Wash<strong>in</strong>gton DC 20017Clop<strong>in</strong> W<strong>and</strong>a PCP HD 9/9/1998 9214 Victoria Drive Ellicott City MD 21043Coar Jemal PCP HD 6/11/2009 1652 C<strong>and</strong>lewood Court Edgewood MD 21040Cochran Cheryl Citizen HHS 3/31/1999 639 Riverside Drive Annapolis MD 21403Cochran Timothy Citizen HHS 3/31/1999 639 Riverside Drive Annapolis MD 21403Cockeysville Pharmacy Pharmacare, Inc. Corporation F 7/25/2000 10255 York Road Cockeysville MDCohen Adrian M. M.D. LB 3/15/1997 1404 Dennis Avenue Silver Spr<strong>in</strong>g MD 20902Coleman Rita M.D. HHS 2/23/1994 PO Box 9751 Baldw<strong>in</strong> MD 21013Coleman Angela PCP HD 9/9/1998 112 Big Chimney Branch pper Marlboro MD 2077Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 15 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPColl<strong>in</strong>s Shireen Citizen HHS 8/20/2009 MR 9121 Autoville Drive College Park MD 20740Colston Burley Phyllis Citizen HHS 2/15/1997 2859 Woodbrook Avenue Baltimore MD 21217Comeau John PCP HD 5/19/2010 218 Philos Avenue Westernport MD 21562Commodore Joseph<strong>in</strong>e PCP HD 11/3/1992 722 E. Preston Street Baltimore MD 21202Commodore Patricia W. Citizen F 6/23/1997 1910 Barclay Street Baltimore MD 21218Community Care Pharmacy Pharmacy LB 10/19/2006 2730 Pennsylvania Avenue Baltimore MD 21217Compassionate Nurs<strong>in</strong>g & He Corporation HD 2/14/2007 8115 Fenton Street, Suite 301 Silver Spr<strong>in</strong>g MD 20910Conerly Rex A. P.D. HHS 6/6/1993 6114 Breezewood Drive; #101 Greenbelt MD 20770Conn<strong>in</strong>e Tad M.D. HHS 5/20/2007 395 N. Perry Parkway, Apt. M6 Perry GA 31069Consistent Care Ambulance Service Corporation F 1/21/2000 21 Govenor Court Baltimore MD 21244Cook Elmer E. D.D.S. HHS 7/20/1999 2300 Paper Mill Road hoenix MD 21131‐1330Cooke, II Arthur Aide HHS 4/27/1992 1100 Bolton Way; Apt 1408 Baltimore MD 21201Coombs Clarence M.D. F 10/15/1985 7410 Village Road Sykesville MD 21784Coplan Robert S. M.D. HHS 12/22/1988 407 Cra<strong>in</strong> Hwy, SE Glen Burnie MD 21061Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 16 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPCordova Edmund M.D. HHS 3/22/1995 PO Box 1296 Pasadena MD 25096Corner Michael F. P.A. HHS 11/29/1989 305 Saybrooke View Dr Gaithersburg MD 20877Cornfeld Edward M.D. LB 5/23/2005 20428 Bol<strong>and</strong> Farm Road Germantown MD 20876Cosca (Corp.) Ruben M.D. F 10/30/1989 6601 Sweetwater Dr Derwood MD 20855Costanzo Anthony DPM HHS 11/20/2001 11100 Luttrell Lane Silver Spr<strong>in</strong>g, MD 20902Costley Betty Aide HHS 11/21/2002 6967 Eden Mill Road Woodb<strong>in</strong>e MD 21797Cothran Dorothy M.D. LB 8/9/1996 1715 D Street, SE Wash<strong>in</strong>gton DC 20003Coulter Steven T. M.D. LB 5/28/2003 11140 Rockville Pike; #348 Rockville MD 20852Council Michael Delroy Aide HHS 6/16/2003 5143 Nelson Avenue Baltimore MD 21215CPM Corporation Corporation F 3/13/2003 5550 Baltimore Nat'l Pikek Baltimore MD 21228Crawford Steven PCP HD 2/23/2009 170 Holl<strong>in</strong>gsworth Manor Elkton MD 21921Crawford Gene O. M.D. LB 10/28/1992 401 Rexburg Ave t Wash<strong>in</strong>gton MD 20744Crisp Ronald M.D. HHS 6/24/1992 8288 Waterside Court Frederick MD 21701Crittenden William M.D. LB 3/29/2012 7350 Van Dusen Road Ste 350 Laurel MD 20707Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 17 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPCrowder Veronica PCP HD 2/16/2010 6670 Palmers Mill Road Hurlock MD 21643Crumitie Audrey Aide HHS 9/25/1995 1616 North Bethel Baltimore Md 21213Crutchley Valerie Nurse HHS 10/20/2005 20161 Sunnyside Drive Melfa VA 23410Cudlipp Frederick P.T. HHS 4/20/2006 6865 Snowberry Court Frederick MD 21703Cumm<strong>in</strong>s David D.D.S. HHS 7/8/1993 42 W. Deerpark Road; #101 Gaithersburg MD 20877Cunn<strong>in</strong>gham Dean S. M.D. LB 10/22/2003 Morgantown FCI; POBox 1000 Morgantown WV 26507Currie W<strong>and</strong>a D. LCSW F 4/8/2011 112 Oak Moore Court Bel Air MD 21014Curtis Derek D.D.S. HHS 12/18/2008 P.O. Box 1000 Lewisburg PA 17837D & J Personal Care Services Corporation HHS 11/19/2009 1011 Reverdy Road Baltimore MD 21212Dabney Lillie PCP HD 4/25/2008 112 S. Sym<strong>in</strong>gton Avenue Catonsville MD 21228Dabney's Elder Care Corporation HD 4/25/2008 112 S. Sym<strong>in</strong>gton Avenue Catonsville MD 21228Daduk Steven O.D. LB 6/14/1982 36 South Market St. Frederick MD 21701Dalrymple Anne M. M.D. HHS 6/27/1991 207 N. Manor Circle Takoma Park MD 20912Dang Dien Hieu D.D.S. F 4/12/1985 Suite 3 Silver Spr<strong>in</strong>g MD 20902Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 18 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPDaniel George M.D. HHS 4/23/1990 11610 Milbern Drive Potomac MD 16280Danquah Gloria E. M.D. F 3/3/1987 6705 Surreywood Lane Bethesda MD 20817DaShiell Hilda T. PCP HD 10/29/2003 POBox 1148 Hurlock MD 21643Davis Patricia PCP HD 10/16/1992 1527 W. Baltimore Street Baltimore MD 21223Davis Sigmond E. Aide HHS 5/20/1998 3205 Howard Park Ave Baltimore MD 21207Davis Mark M.D. HHS 11/2/1990 PO Box 830 Belair MD 21014Davis Jane PCP HD 2/15/1994 1508 Rawl<strong>in</strong>gs Well Road Baltimore MD 21228Dawson Robert Citizen HHS 7/20/1999 1422 Fernhill Court Forestville MD 20747de la Cruz Maureen D.D.S. HHS 2/7/1997 5807 L<strong>in</strong>dar Lane Bethesda MD 20817Debra Kwasi M.D. LB 4/25/2012 12200 Annapolis Road Glen Dale MD 20769Dee Rosita H. M.D. LB 8/14/2006 8830 Cameron Street; #206 Silvler Spr<strong>in</strong>g MD 20910Delcid Ever A. Citizen MFCU‐A 8/15/2006 2142 Coll<strong>in</strong>gwood Lane Frederick MD 21702Demonte Rose Aide HD 12/16/2008 114 L<strong>in</strong>wood Avenue Bel Air MD 21014Deonar<strong>in</strong>e Nel<strong>in</strong>ee Citizen F 10/20/2006 1643 Agens Avenue, S.E. Palm Bay FL 32909Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 19 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPDeptula Richard Citizen HHS 8/20/2003 1290 Folly Quarter Road Ellicott City MD 21042Dewitt Nancy Wanbui Kiman Aide MFCU‐A 9/12/2006 1308 Highl<strong>and</strong> Drive Baltimore MD 21239DeWitt Patrice Nurse HHS 6/20/2007 8247 N. Boundary Road Baltimore, MD 21222Dialysis with Heart Corporation F 6/28/2002 1 Nashua Court; Suite E Baltimore MD 21221Dickerson Ronald G. Citizen HHS 5/20/2008 6728 Vermont Court L<strong>and</strong>over MD 20785Digg<strong>in</strong>s Carolyn L. PCP HD 7/13/2005 3547 Milford Mill Road Baltimore MD 21244Digg<strong>in</strong>s Carolyn PCP HD 4/27/2006 3547 Millford Mill Road Baltimore MD 21207Dishon Lori Ann Citizen F 9/22/1999 3208 Fait Avenue Baltimore MD 21224Diwani Selwa M.D. LB 6/10/2009 4900 Silver Hill Road Suitlant MD 20746Dolly Judy PCP HD 10/16/1995 719 Sylvan Avenue Cumberl<strong>and</strong> MD 21502Donovan James Citizen HHS 11/15/1995 3906 Woodb<strong>in</strong>e Avenue Baltimore MD 21207Dorsey Juanita L. PCP HD 1/10/1995 P. O. Box 42 Bryantown MD 20617Dorsey Cornell PCP HD 4/14/1993 2105 N. Charles Street Baltimore MD 21218Doswell Ronald J. LCSW F 7/12/1997 3311 The Alameda Baltimore MD 21218Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 20 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPDoumbia Fatoumata Nurse HHS 6/20/2011 4637 Colonel Fenwick Place pper Marlboro MD 2077Downes Tabitha Beatrice Aide HD 1/15/2002 1039 Cosby Avenue Cambridge MD 21613Dressel Tammy A. Nurse HHS 1/28/2003 9222 Orbitan Road Baltimore MD 21234Dub<strong>in</strong> Samuel M.D. LB 6/30/1988 17904 Georgia Ave Olney MD 20832Dubroff Seymour J. M.D. LB 12/31/1994 8905 Fairview Rd Silver Spr<strong>in</strong>g MD 20910Dudley‐Richardson Lynnette PCP HD 12/7/2004 5806 Pr<strong>in</strong>ce George Street Baltimore MD 21207Duke Mary Ann M.D. LB 11/30/2004 10220 Democracy Blvd Potomac MD 20854Duke Ellis J. Citizen F 9/14/1984 10231 Carroll Place Kens<strong>in</strong>gton MD 20895Dunham George Corporation HHS 6/23/1989 Route 3, Box 144 Hagerstown MD 21741Dunn James M.D. LB 6/25/2009 419 West Redwood Baltimore MD 21201Dunsworth Joseph Aide MFCU‐A 9/2/2010 218 E. Frankl<strong>in</strong> Street Hagerstown MD 21740Duong L<strong>in</strong>h H. D.D.S. HHS 6/28/1999 8003 Hast<strong>in</strong>gs Hunt Court Severn MD 21144Durry Michael M.D. LB 3/29/2012 2000 W. Baltimore Street Baltimore MD 21223Edwards Arthur Citizen F 3/17/1992 17725 New Hampshire Avenue Ashton MD 20861Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 21 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPEdwards Angela Eliane PCP HD 9/17/1998 2231 Aiken Street Baltimore MD 21218Eisenb<strong>and</strong> Nancy W. Nurse HHS 9/19/2002 100 Harbor View Drive Baltimore MD 21230Eldridge Marguerite L. PCP HD 5/12/1993 7115 Faulkner Road Hanover MD 21076Eleven Cedars of MD, Inc. Pai Corporation HD 10/29/2010 3120 Powder Mill Road Adelphi MD 20783Ell<strong>in</strong> Morton M.D. LB 3/14/2007 5310 Old Court Road #201 R<strong>and</strong>allstown MD 21133Elliott Er<strong>in</strong> Nurse HHS 8/20/2007 926 Hammonds Lane Baltimore MD 21225Ellis Lakeal Citizen HHS 7/20/2011 2300 Blueridge Avenue Apt 5 Wheaton MD 20902Ellis Julia PCP HD 8/14/1995 4701 Hamilton Avenue Baltimore MD 21206Ellis‐Bales Theresa Nurse HHS 3/20/2003 1430 Dundalk Avenue Baltimore MD 21222Ellison Raeford Acupuncture HHS 4/18/2002 8 N. Sacramento Avenue; Apt. A Ventnor City NJ 08406Emamali Ronald Citizen F 5/20/1993 14117 Peartree Lane; #33 Silver Spr<strong>in</strong>g MD 20906Emerson Thomas Nurse HHS 9/20/2007 1911 Thayer Terrace Baltimore MD 21207Ennals Dom<strong>in</strong>ique Aide MFCU‐A 6/3/2010 1431 North Carey Street Baltimore MD 21217Eron's Home Health <strong>and</strong> Pers Corporation HD 11/4/2010 902 Milestone Drive Ste B100 Silver Spr<strong>in</strong>g MD 20904Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 22 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPErv<strong>in</strong> Christopher M.D. LB 3/22/2006 500 Upper Chesapeake Drive Bel Air MD 21014Erv<strong>in</strong> Emma Jean PCP HD 7/15/1992 665 Queenstown Road Severn MD 21144Etheredge Personal Care Corporation HD 9/27/2005 550 Glenn Court Glen Burnie MD 21067Evangelista Gracia Nurse HHS 12/18/2008 Route 37 Danbury CT 06811Evans John Mark Nurse LB 10/28/2002 9000 Frankl<strong>in</strong> Square Drive Baltimore MD 21237Ezeocha Obioma Aide MFCU‐A 1/7/2008 2119 Townhill Road, Apt. F Parkville MD 21234Ezimora Nwakaego Nurse HHS 8/18/2011 559 Mac<strong>in</strong>tosh Circle Joppa MD 21085Ezr<strong>in</strong>e Edw<strong>in</strong> D.D.S. LB 12/31/1998 1811 A S. Cra<strong>in</strong> Hwy Glen Burnie MD 21061Facey Sharon Citizen F 2/12/1997 8244 Church Lane R<strong>and</strong>allstown MD 21144Faf<strong>in</strong>ski Carol Ann Knabb Nurse HHS 9/20/2001 8210 Woodyard Road Cl<strong>in</strong>ton MD 20735‐1969Fakuade Phyllis Demetrice Citizen MFCU‐A 12/19/2005 6611 Parr Avenue Baltimore MD 21215Family & Children Enrichmen Corporation F 8/29/2008 1777 Reisterstown Road, Ste 204 Pikesville MD 21208Family Home Center Corporation F 3/7/2003 5501 Oakl<strong>and</strong> Mills Road Columbia MD 21045Fant Lois Citizen HHS 6/20/2011 7903 Orion Circle, Unit 224A Laurel MD 20724Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 23 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPFarzanfar Mohammad R. M.D. LB 7/27/1994 930 N. Charles St Baltimore MD 21201Fatemi Mohammad Ali T. D.D.S. F 5/5/2004 1730 S. Plantation Drive Dunkirk MD 20754Fauter Harald H. M.D. LB 10/26/1994 8314 Liberty Rd Baltimore MD 21244Federroll Susan W. LCSW LB 2/10/2006 8028 Ritchie Highway; Suite 313 Pasadena MD 21122Feldman Mart<strong>in</strong> J. M.D. LB 12/22/1987 205 E. Joppa Rd; Ste 2001 Towson MD 21204Felsenberg Stanley M.D. LB 7/24/1996 6310 Greenspr<strong>in</strong>g Ave Baltimore MD 21209Ferguson S<strong>and</strong>ra Aide HHS 8/27/1995 9805 Langs Road; Apt. L Baltimore MD 21220Ferrer Romeo M.D. LB 9/8/2010 300 Hospital Drive #128 Glen Burnie MD 21061Fiddermon Maryln Aide HHS 2/20/2000 10555 Campus Way, South pper Marlboro MD 2077Fiedler Kurt M.D. F 10/23/1992 325 Hospital Drive; #109 Glen Burnie 21061Field<strong>in</strong>g Gregory Edward PCP HD 9/14/1994 1503 Adams Street, NE Wash<strong>in</strong>gton DC 20018F<strong>in</strong>gal John Joseph Citizen HHS 9/20/2001 10803 Kencrest Drive Mitchellville MD 20721F<strong>in</strong>ucan, Jr. Thomas E. M.D. LB 1/24/2001 3 Maudl<strong>in</strong> Ave North East MD 21901Flegel Eric M.D. LB 6/22/2007 4994 Beaverbrook Road Columbia MD 21044Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 24 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPFlem<strong>in</strong>g Norene M.D. LB 1/21/2012 9470 Annapolis Road Lanham MD 20706Fletcher Jean Virgie PCP HD 5/29/2004 710 Leonards Lane Cambridge MD 21613Fletcher's Assisted Liv<strong>in</strong>g Corporation HD 5/5/2006 11754 Mansion Street Pr<strong>in</strong>cess Anne MD 21853Floyd Beverly PCP HD 2/23/1995 2583 Edmondson Avenue Baltimore MD 21223Folashade Charles M.D. LB 5/15/2009 108 P<strong>in</strong>e Bluff Road Salisbury MD 21801Forde Richard M.D. LB 11/26/1980 P<strong>in</strong>crest Btc‐Salisbury Center New York NY 13454Foster Robert N. M.R.T. HHS 10/19/2000 4701 Everlea Court Preston MD 21655Foster, Jr. Grady D.D.S. HHS 6/20/2000 c/o 8730 Georgia Avenue; 404 ver Spr<strong>in</strong>g MD 20910‐36Franks Denis M.D. LB 7/19/1997 1900 E. Northern Pkwy Baltimore MD 21239Franz Charles P. D.D.S. LB 2/18/2004 2201 Hammons Ferry Road Baltimore MD 21227Frederick Sp<strong>in</strong>al Care Center Corporation HHS 4/20/1999 101 Baughmans Lane Frederick MD 21702Freedenberg Gerald Citizen F 6/29/1992 7036 Vangough Plano TX 75093Freeman Debra M.D. LB 2/14/2008 2401 W. Belvedere Avenue Baltimore MD 21215French David W. Citizen F 6/24/1999 51 Murphy Avenue Annapolis MD 21401Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 25 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPFr<strong>in</strong>ger Susan D. PCP HD 9/30/1993 1322 Deer Park Lane Westm<strong>in</strong>ster MD 21157Frontera Miguel M.D. LB 11/6/2009 515 Fairmount Avenue Towson MD 21286Frost Rosalyn Citizen HHS 12/20/1995 8200 Autumn Lake Court Severn MD 21144Fuentes Michael M.D. HHS 5/20/2010 32 Lake Drive Darien CT 06820Fulton Cynthia D. Aide HHS 6/27/1991 739 N. Kenwood Avenue Baltimore MD 21205Fuster David E. D.D.S. HHS 6/20/2005 8305 Old Germantown Road Bethesda MD 20814Futterman Steven D.D.S.. HHS 5/20/1999 8901 Shady Grove Court Gaithersburg MD 20877Gaber Tamer M.D. LB 4/20/2012 507 Henderson Avenue Cumberl<strong>and</strong> MD 21502Gambill Col<strong>in</strong> Aide MFCU‐A 1/25/2010 10338 Old Liberty Road Frederick MD 21701Gammill Joan Nurse HHS 11/20/2006 53 Lafayette Avenue Annapolis MD 21401Ganz Joel M.D. LB 6/7/2010 11420 Str<strong>and</strong> Drive, Ste. 206 Rockville MD 20852Gardner Jean Nurse LB 3/29/2012 1 Knoll North Drive Columbia MD 21045Gardner Patr<strong>in</strong>a Y. Aide HHS 3/20/2002 203 Parier Drive; Apt. H Elkton MD 21923Gardner Elmer M.D. HHS 9/10/1996 Box 137 Brookerville MD 20833Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 26 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPGarner Tracy PCP HD 2/17/2011 P.O. Box 604 Lusby MD 20657Garner Wilma J. Aide HHS 6/20/2000 1618 Four Georges Court; #A‐3 Baltimore MD 21222Gdula William J. M.D. HHS 2/20/2011 5920 Glenn Dale Road Glenn Dale, MD 20769Geier Mark M.D. LB 5/5/2011 5616 Shields Drive Bethesda MD 20817Geist, Jr. William C. Citizen F 4/30/2004 1684 Nickerson Way Arnold MD 21012Gentry Samantha Citizen F 4/28/2006 3530 Ald<strong>in</strong>a Road Churchville MD 21029Gershoni Daniel Citizen HHS 6/20/2002 19636 Club House Road; Suite 120Gaithersburg MD 20886Gholl John M.D. LB 11/17/2010 ollywood Firehouse Rt 235 P.O. Bo Hollywood MD 20636Gilbert Timothy M.D. LB 11/3/2011 22 S. Greene Street Baltimore MD 21201Gill William M.D. LB 9/8/2010 26423 Burton Avenue Crisfield MD 21817G<strong>in</strong>n David H. M.D. LB 7/28/2004 10006 Hillgreen Circle; Apt. K Cockeysville MD 21030Girgis Raafat M.D. LB 12/27/2010 724 Maiden Choice Lane Catonsville MD 21228Glenn L<strong>in</strong>nell PCP HD 8/26/1993 4119 Hayward Avenue Baltimore MD 21215Godw<strong>in</strong>‐Hult S<strong>and</strong>ra PCP HD 7/10/1991 3507 Bantry Way Olney MD 20832Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 27 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPGold Medical Corp. Corporation F 6/3/2010 4417 Me<strong>and</strong>erwood Drive Burtonsville MD 20866Goldbaum Henry R. Citizen HHS 5/20/1998 108 Deerfield Place Frederick MD 21702Goldberg Lise Adele M.D. HHS 5/20/1998 1539 Ivystone Court Silver Spr<strong>in</strong>g MD 20904Goldberg Harold L. D.D.S LB 4/21/2000 7501 Liberty Road Baltimore MD 21207Golden Crown Construction Corporation HD 3/18/2005 1007 Call Drive Upper Marlboro MDGoldschmitt Neil Citizen F 6/3/2010 4417 Me<strong>and</strong>erwood Drive Burtonsville MD 20866Goldste<strong>in</strong> Howard R. M.D. HHS 10/12/2010 7300 Wallis Avenue Pikesville MD 21208Goldste<strong>in</strong> Robert B. M.D. LB 9/30/1998 1205 York Rd; Ste 34 ille/Timonium MD 2109Gonsalves Dia PCP HD 8/30/1995 7206 Oakhaven Circle Baltimore MD 21244Gonzalez Ramon L. M.D. LB 5/16/1998 6207 Capella Ave Burke VA 22015Gopalani Hanif A. M.D. LB 6/12/2001 3004 Ohara Place Olney MD 20832Gordan Coral M.D. LB 10/1/1989 2122 Pot Spr<strong>in</strong>g Rd Timonium MD 21093Gordon Robert Chiropractor HHS 4/27/1994 118 W. Market Street Snow Hill MD 21863Grace Pharmacy Pharmacy LB 1/18/2002 8000‐A Mart<strong>in</strong> Luther K<strong>in</strong>g Hwy Glenarden MD 20706Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 28 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPGraham Marva C. M.D. HHS 11/19/1998 One Cooperfield Ct Phoenix MD 21131Graham‐Melv<strong>in</strong> Associates In Corporation F 4/1/1997 7060 Oakl<strong>and</strong> Mills Road; #1 Columbia MD 21046Gran<strong>in</strong>g Harold LCSW LB 7/30/2010 6190 Georgetown Boulevard Eldersburg MD 21784Grant‐Grayton Mir<strong>and</strong>a LCSW HD 8/10/2008 2412 M<strong>in</strong>nesota Avenue, Ste 201 Wash<strong>in</strong>gton DC 20020Grant‐Grayton Urban Suppor Corporation HD 7/18/2008 3611 Branch Avenue; Ste 201 Temple Hills MD 20748Gray Darrell M. M.D. LB 3/5/2000 810 Pa<strong>in</strong>ted Post Ct Baltimore MD 21208Gray Rowena Citizen HD 9/28/2009 2021 Kennicott Road Baltimore MD 21244Grayton James Citizen HD 7/18/2008 9006 Dangerfield Place Cl<strong>in</strong>ton MD 20735Greco William M.D. HHS 12/4/1984 7229 Hanover Pkwy, Ste. B Greenbelt MD 20770Green Donald D.P.M. HHS 1/20/2004 1460 Burbridge Road, SE, FCI Cumberl<strong>and</strong> MD 21502Green Matthew R.Ph. HHS 6/20/2007 6216 Duntley Place Spr<strong>in</strong>gfield VA 22152Green Jacquetta Aide HHS 4/20/2005 4303 Wakefield Road; Apt. 6 Baltimore MD 21216Green Lynaya Nurse HHS 11/20/2000 14159 Castle Blvd; #301 Silver Spr<strong>in</strong>g MD 20904Greenberg Alan S. M.D. HHS 8/20/2001 1537 Jarrettsville Road Jarrettsville MD 21084Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 29 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPGreenberg Eric M.D. LB 4/16/2009 11125 Rockville Pike # 103 Rockville MD 20852Greene Rose M. Citizen F 1/9/1998 2501 W. Fairmount Avenue Baltimore MD 21223Greene Yvonne Nurse HHS 7/20/2011 12530 Willow Spr<strong>in</strong>g Circle Germantown MD 20874Greenway Diane L. PCP HD 9/17/1998 1119 Riggs Avenue Baltimore MD 21217Greer Douglas phthalmologis HHS 3/20/2008 P.O. Box 1000 Cumberl<strong>and</strong> MD 21501Grillo Aderonke A. Aide HHS 5/13/1998 5 Virunga Court; Apt. J Baltimore MD 21244Grimes James M. P.A. HHS 5/18/2000 4620 Magnolia Ave Baltimore MD 21227Grooms Shelie W. Aide MFCU‐A 10/12/2006 1811 Ruxton Avenue Baltimore MD 21216Gross Rhonda Aide HHS 4/10/1995 1809 E. Chase Street Baltimore MD 21213Grossblatt Norton R.Ph F 10/17/2008 3410 Garrison Farms Road Pikesville MD 21208Guerzon Rosario M.D. LB 7/10/1996 8821 Mayberry Ct Potomac MD 20854Gurley Theodore PCP HD 7/14/1995 4804 Hamilton Avenue Baltimore MD 21206Gurley Archie PCP HD 9/23/2011 1520 Sullivan Road Westm<strong>in</strong>ster MD 21157Hackney David M.D. HHS 9/18/2008 3011 Southern Avenue, Apt. 15 Temple Hills MD 20748Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 30 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPHailfmariam Mekuria M. PCP HD 6/10/1996 6159 64th Avenue Riverdale MD 20737Hake Diane Nurse HHS 5/20/2007 815 W. 4th Street, Apt. 313 Williamsport PA 17701Hakim Arcadius H. M.D. LB 10/7/2002 8701 Oxon Hill Road Oxon Hill MD 20744Hall S<strong>and</strong>ra Y. Citizen HHS 2/14/1997 3804 Byfield Road Baltimore MD 21207Hall Lucille PCP HD 9/17/1998 8 E. Adk<strong>in</strong>s Avenue; Parkview Willards MD 21874Hallowitz Robert A. M.D. HHS 4/28/1993 Montgomery Village Ave Gaithersburg MD 20879Hamilton John M. M.D. HHS 4/1/1997 5430 Lynx Lane; #125 Columbia MD 21044Hamm Mary Lou Citizen HD 7/27/2005 8431 Newark Road Newark MD 21841Harden Gerald Anthony Citizen HHS 8/20/2001 16829 Cashell Road Olney MD 20832‐2046Hard<strong>in</strong>g James PCP HD 11/2/2009 Box 835, 421 S. Ma<strong>in</strong> Street, P.O. Cambridge MD 21643Hardy Michelle D. Nurse HHS 3/20/2003 2501 Roslyn Avenue Baltimore MD 21216Harney John M.D. LB 7/29/2009 4000 Annapolis Road Baltimore MD 21227Harper Michael M.D. LB 9/24/2008 5505 Hopk<strong>in</strong>s Bayview Circle Baltimore MD 21224Harris Leonard M.D. HHS 11/10/1992 PO Box 4654 Newark DE 19715Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 31 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPHarris Saba<strong>in</strong>a PCP HD 1/8/2001 1722 Purdy Street; Apt. 4G Bronx NY 21203Harris, Jr. Vernon Citizen HHS 8/20/1998 1244 Gitt<strong>in</strong>gs Ave Baltimore MD 21239Harris‐Ch<strong>in</strong> Cheryl M.D. LB 5/26/2006 1708 W. Rogers Avenue Baltimore MD 21209Hart Velda Bel<strong>in</strong>da Aide HHS 5/20/1998 519 E. 41st Street Baltimore MD 21218Hart Barbara Citizen HHS 9/20/1999 7606 Brightside Avenue Baltimore MD 21237Hatch Judith Louise D.C. HHS 8/20/2001 1220 East West Highway; Apt. 1012Silver Spr<strong>in</strong>g MD 20911Haw Dante Lee M.D. HHS 1/10/1991 6410 La Mirada Ave Hollywood CA 90038Hayford Sheila M. M.D. LB 7/27/2005 550 S. Dupont Hwy; Suite D Milford DE 19963Haynes Carolyn Nurse HHS 11/14/2002 11247 Westport Drive Bowie MD 20720Head Sue A. Citizen MFCU‐A 7/18/2003 995 East New Road Orrtanna PA 17353Health Mngmt Enterprises Corporation F 6/24/1999 211 Ch<strong>in</strong>quap<strong>in</strong> Round Rd Annapolis MD 21401Heath Kera Aide MFCU‐A 10/22/2009 4149 Mountwood Road #4 Baltimore MD 21229Hebeka George M.D. HHS 7/8/1993 7939 Wise Avenue Baltimore MD 21222Hedeman John L. M.D. LB 6/24/1998 1407 Forest Dr Annapolis MD 21403Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 32 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPHegarty Veronica Nurse HHS 1/19/2012 7110 Heathfield Road Baltimore MD 21212Helmick Lori Nurse HHS 8/18/2011 135 Filly Lane Bruceton Mills WV 26525Henderson Charles D.P.M. HHS 1/19/2011 3034 Rem<strong>in</strong>gton Avenue Baltimore MD 21211Henderson Freddie Citizen F 10/1/1992 2062 Harlequ<strong>in</strong> Terrace Silver Spr<strong>in</strong>g MD 20904Henderson Joseph M. Optician F 12/1/1992 P.O. Box 48547 Wash<strong>in</strong>gton DC 20002Hendler Nelson M.D. LB 2/6/2006 1718 Greenspr<strong>in</strong>g Valley Road Stevenson MD 21153Henry Victor E. D.P.M. LB 7/22/2001 1450 Mercantile Lane #151 Largo MD 20774Henry Ricardo Citizen HHS 4/20/2009 P.O. Box 1000, #28577‐016 Cumberl<strong>and</strong> MD 21501Heritage House I & II Corporation HD 5/15/2005 1405 Crockett Lane Silver Spr<strong>in</strong>g MD 20904Herlich Steven Citizen F 5/2/1990 1920 Eastridge Road Timonium MD 21093Herrera Alfredo M.D. F 6/20/2001 10300 A Balt Nat'l Pike Ellicott City MD 21042Hewitt John H. M.D. LB 1/17/2003 150 Baughman's Lane Frederick MD 21702Heyward Donna Maria PCP HD 7/28/1993 319 B Suter Road Baltimore MD 21228Hickory Plaza Pharmacy Pharmacy LB 6/1/2005 10805 Hickory Ridge Road Columbia MD 21044Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 33 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPHicks Ernest<strong>in</strong>e PCP HD 10/1/2008 814 North Brice Street Baltimore MD 21217Hicks, Jr. Willie Howard Aide HHS 5/20/1999 516 W. 8th Street Laurel DE 19956High Ronald Citizen F 1/21/2000 2 Horseman Court R<strong>and</strong>allstown MD 21133Hill Leo M.D. HHS 2/10/1997 1815 61st Ave Cheverly MD 20785Hill Ezell PCP HD 7/27/1994 3722 Ellerslie Avenue Baltimore MD 21228Hill James M.D. HHS 4/14/1994 PO Box 1722; Country Club road Cumberl<strong>and</strong> MD 21502Hill Denise PCP HD 7/23/1992 161 Reedbird Avenue Baltimore MD 21225Hill Brunetta PCP HD 5/3/2001 2409 Jefferson Street Baltimore MD 21205Hillegas Sherry Nurse HHS 2/20/2001 18 S. coll<strong>in</strong>gton Avenue Baltimore MD 21231Hillgard Else M.B. M.D. LB 10/23/1991 8500 Tyspr<strong>in</strong>g St; #320 Vienna VA 22182Hilliard Silas Aide HHS 9/16/1992 522 W. Lanvale Street Baltimore MD 21217H<strong>in</strong>ds S<strong>and</strong>ra Marcia Aide HHS 5/19/2005 920 Kenbrook Drive Wheaton MD 20902H<strong>in</strong>es Larry Citizen F 2/24/1994 735 Reservoir Street; 2nd Floor Baltimore MD 21217Hiotis Michael P. P.D. F 6/9/1993 1612 Gray Haven Court Baltimore MD 21222Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 34 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPHisco Pharmacy Pharmacy F 12/7/2003 5613 Bel Air Road Baltimore MD 21206Hitzig Pietr M.D. LB 2/4/1999 15 Charles Plaza Baltimore MD 21201Hobelmann Joseph M.D. LB 8/11/2011 8322 Bellona Avenue, Ste 330 Towson MD 21204Hodges Corvalis Gail Citizen HHS 9/20/2005 2136 Alice Avenue; Apt #302 Oxon Hill MD 20745Hodjati Hassan H. M.D. LB 3/20/2002 6192 Oxon Hill Road; Ste 507 Oxon Hill MD 20745Holl<strong>and</strong> Dannielle PCP HD 5/4/2009 99 Greystone Road North East MD 21901Holl<strong>and</strong> Rosetta Franc<strong>in</strong>e PCP HD 5/28/1993 9 Mt. Harmony Lane; P.O. Box 400 Ow<strong>in</strong>gs MD 20736Holl<strong>and</strong> Richard W. M.D. LB 6/20/1999 13700 Ivywood Lane Silver Spr<strong>in</strong>g MD 20904Holliday Mary PCP HD 3/31/2001 904 Central Avenue Cambridge MD 21613Holman Anto<strong>in</strong>ette Nurse HHS 1/20/2010 853 St. Nicholas Avenue, Apt. 302 New York, NY 10031Holmes Teresa PCP HD 10/13/1994 901 Druid Lake Drive; Apt. 1‐B Baltimore MD 21217Holum Nahid I. M.D. LB 6/2/1981 9605 Burgess Lane Silver Spr<strong>in</strong>g MD 20901Home Feet Podiatric Home C Corporation HD 2/8/2007 448 Luzerne Avenue Baltimore MD 21224Home Medical Equip Corporation HHS 8/11/1997 1800 Belair Road; Ste. 4 Benson MD 21018Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 35 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPHooper James M.D. LB 11/17/2010 3506 N. Calvert Street Baltimore MD 21218Hope Senior Assisted Liv<strong>in</strong>g Corporation HD 5/23/2005 4825 Ellicott Woods Lane Ellicott City MD 21043Hopk<strong>in</strong>s Tracey PCP HD 9/24/2001 2536‐B North Edgecombe Circle Baltimore MD 21215Hopson Jessica PCP HD 2/13/2008 30 E. Baltimore Street Taneytown MD 21787Horn Thomas Citizen HHS 8/19/2010 1620 Brimfield Circle Sykesville MD 21784Horton Robert T. M.D. LB 1/9/2002 6501 N. Charles Street Baltimore MD 212285Horvath Edward DPM F 11/26/2009 8118 Clifford Court Laurel MD 20708Houck Donna PCP HD 11/13/2000 1498 W. 9 th Street Frederick MD 21702Houck Romulus M.D. LB 6/1/1994 6500 Panorama Drive Sykesville MD 21784Hremt Pharmacy Pharmacy LB 5/14/2003 7701 Qua<strong>in</strong>t Court Bowie MD 20720Hughes, Jr. Charles E. Chiropractor HHS 9/8/1993 811 Wood<strong>in</strong>gton Road Baltimore MD 21229Human Development Assoc t Corporation HD 3/1/2005 2700 Rambler Place Adelphi MD 20783Humphries Sharon Nurse HHS 4/20/2004 P.O. Box 228 Chester MD 21619Hunt Jerry M.D. LB 2/23/2011 2009 Druid Hill Avenue Baltimore MD 21217Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 36 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPHunt Michael Citizen F 3/17/1992 401 Christopher Avenue; Apt. Gaithersburg MD 20879Hunter Thelma Citizen F 12/24/2003 335 S. Ballou Court Baltimore MD 21231Hurey Jacquel<strong>in</strong>e Citizen HHS 2/15/1997 6106 Carswell Terrace Suitl<strong>and</strong> MD 20746Husa<strong>in</strong> Tasaduq Citizen HHS 7/6/1995 3126 Nestl<strong>in</strong>g P<strong>in</strong>e Court Ellicott City MD 21042Hussa<strong>in</strong> Yas<strong>in</strong> M. Citizen F 6/10/1996 11646 Sun Circle Way Columbia MD 21044Hutt<strong>in</strong>ger Carol Ann Nurse HHS 5/20/1999 RD #3; Box 38A Hanover PA 17331Hyde David Jefferson D.D.S. LB 7/12/2004 1009 University Blvd E Silver Spr<strong>in</strong>g MD 20903Hyson Rodney Citizen HHS 6/12/1997 2413 Haddenhurst Court Falston MD 21047‐1361Hyson Bradford A. Citizen HHS 6/12/1997 3148 S<strong>and</strong>y Hook Road Street MD 21154‐1807Hyson Mary Citizen HHS 6/12/1997 1012 Shaffner Drive Bel Air MD 21014‐2581Ibeh Cyriacus Chidi Nurse HHS 6/20/2006 13625 Avebury Drive; Apt. 24 Laurel MD 20708Idowu Olusola A. Nutritionist F 11/19/2008 11047 Sani Lane Hagerstown MD 21742Ige Moses Citizen HHS 2/20/2007 9005 Tarpleys Circle Baltimore MD 21237Igwacho Florence N. Citizen HHS 4/20/2000 9127 Edmonton Terrace; #304 Greenbelt MD 20770Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 37 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPImperial Rol<strong>and</strong> M.D. LB 12/10/1999 4977 Battery Lane Bethesda MD 20814Inocencio Narciso M.D. LB 4/14/2004 1400 Mercantile Ln; #180 L<strong>and</strong>over MD 20785Izat Sarah C. Aide HHS 7/27/1996 216 Maryl<strong>and</strong> Avenue Cumberl<strong>and</strong> MD 21502Izzo Jaime Nurse HHS 1/18/2007 3161 Freestone Court Ab<strong>in</strong>gdon, MD 21009Jack Joseph M.D. LB 4/15/1994 620 Towne Center Drive Jopp, MD 21085Jackson Lionel Aide HHS 2/23/1997 4728 Wakefield Road; Apt. 30 Baltimore MD 21215Jackson Theresa Citizen MFCU‐A 8/28/2005 2620 Greenmount Avenue Baltimore MD 21218Jackson Howlett M.D. LB 11/7/2007 611 South Union Avenue avre de Grace MD 2107Jacobs Joe L. Citizen HHS 3/7/1986 1422 Cra<strong>in</strong> Hwy South Glen Burnie MD 21061Jacobs Davita Citizen MFCU‐A 12/6/2006 8135 Scotts Level Road Pikesville MD 21208Jacobs Virg<strong>in</strong>ia L. Chiropractor HHS 7/4/1997 555 Thayer Avenue Silver Spr<strong>in</strong>g MD 20901Janati Abdorasool M.D. HHS 9/20/2005 berl<strong>and</strong>; Federal Correctl Inst; PO BCumberl<strong>and</strong> MD 21501Jarboe James M.D. LB 8/11/2011 24035 Three Notch Road Hollywood MD 20636Jefferson Gary Citizen F 9/13/1999 7202 Chippenham Place; #303 Baltimore MD 21244Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 38 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPJenk<strong>in</strong>s Sheretta PCP HD 7/29/2002 5615 Thompson Town Road st New Market MD 2163Jiggetts Wayne R. Nurse F 1/9/1998 3010 Fallstaff Manor Court Baltimore MD 21209Jobes Philip Aide MFCU‐A 11/8/2004 2007 Frames Road Dundalk MD 21222Johnson Constance PCP HD 2/1/1996 3703 Stoneybrook Road R<strong>and</strong>allstown MDJohnson Leslie Aide HHS 11/8/1994 123 Lewis Street Marks MS 38646Johnson Darice PCP HD 5/14/1996 P. O. Box 35 St. Michaels MD 21663Johnson Craig L. Citizen HHS 11/24/1991 1604 E. Chase Street Baltimore MD 21213Johnson Heather A. PCP HD 2/13/2002 810 North Maple Avenue Brunswick MD 21716Johnson Andrea M. Nurse HHS 3/18/2004 1360 Runn<strong>in</strong>g Deer Drive Keswick VA 22947Johnson Subr<strong>in</strong>a Aide HHS 5/19/1992 4918 Pallmer Avenue Baltimore MD 21215Johnson Mark D.D.S. HHS 11/21/1993 c/o 6424 Elliot Place Hyattsville MD 20783Johnson Constance S. PCP HD 12/11/2001 810 North Maple Avenue Brunswick MD 21716Johnson Frederick M.D. LB 11/21/2000 201 Howard Street La Plata MD 20646Johnston R<strong>and</strong>olph M.D. LB 4/24/2009 6501 N. Charles Street Baltimore MD 21285Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 39 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPJones Yvonne M.D. HHS 7/19/2001 146‐A Barr<strong>in</strong>gton Road Upper Darby, PA 19082Jones Tania PCP HD 3/12/1998 902 N. Durham Street Baltimore MD 21205Jones Mary PCP HD 3/1/1994 P. O. Box 67453 Baltimore MD 21215Jones Estella Louise PCP HD 6/30/1998 417 Naylor Street Salisbury MD 21801Jones Diane I. Aide HHS 12/6/1992 3051 Ascension Street Baltimore MD 21225Jones Ronald PCP HD 8/3/2002 6227 Jones Village Road Hurlock MD 21643Jones Roderick L. Citizen HHS 3/25/1990 3739 Parkfield Road Baltimore MD 21208Joyce David M.D. LB 12/12/1997 2003 Medical Pkwy; Ste 210 Annapolis MD 21401Jung Ha Yong M.D. F 9/15/1993 8534 Harvest View Ct Ellicott City MD 21043Kahntroff Bridget C. M.D. LB 3/30/2005 2401 W. Belvedere Avenue Baltimore MD 21215Karlsberg Robert M.D. HHS 2/20/2008 14406 Coral Gables Way orth Potomas MD 2087Karmo Roosevelt Citizen HHS 11/15/1995 6655 Knottwood Court Baltimore MD 21214Keefer Angela PCP HD 3/3/1997 736 W. Frankl<strong>in</strong> Street; 2nd Fl Hagerstown MD 21742Keenan Robert M. M.D. LB 3/9/2004 1400 Generals Highway Crownsville MD 21032Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 40 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPKeithley Mary Nurse HHS 6/20/2011 501 Bush Chapel Road Aberdeen MD 21001Kelly Sarah LCSW LB 9/12/2008 16 K Sp<strong>in</strong>drift Circle Baltimore MD 21234Kelly Jo‐Anne B. M.D. LB 6/25/2003 2401 Research Blvd; #330 Rockville MD 20850Kelly W<strong>and</strong>a PCP HD 4/11/1994 8134 Hog Neck Road Pasadena MD 21122Kelly's Kids Corporation HD 9/11/2006 6955 Castle Court; Apt. 205 Frederick MD 21703Kennedy Jeffrey D. Nurse HHS 6/20/2006 4025 Belvoir P<strong>in</strong>es Drive Chattanooga TN 37412Kennedy Damion Citizen HHS 6/20/2011 3910 Noyes Circle, Apt. 101 R<strong>and</strong>allstown MD 21133Kennedy Damion Aide MFCU‐A 3/11/2011 3910 Noyes Circle, Apt. 101 R<strong>and</strong>allstown MD 21133Kenson Nurs<strong>in</strong>g Home Corporation F 5/12/1988 2922 Arunah Avenue Baltimore MD 21216Kessler James P.D. F 7/25/2000 25 Tenby Court Timonium MD 21093Keyes Kather<strong>in</strong>e H. Aide HHS 3/12/1992 6005‐A Old Frederick Road Baltimore MD 21228Kh<strong>and</strong>angle (Sadan<strong>and</strong>) Eric Citizen HD 2/28/2006 101 Carlisle Drive Silver Spr<strong>in</strong>g MD 20904Kharod Prabhakar M.D. LB 9/17/1997 8031 Ritchie Hwy Pasadena MD 21122Khayat Marwan Citizen HHS 5/20/2010 1715 15th Street, N.W., Apt. 19 Wash<strong>in</strong>gton, D.C. 20009Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 41 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPKiarie Patrick Aide MFCU‐A 9/27/2005 1407 Mcculloh Street Baltimore MD 21217K<strong>in</strong>g Kentr<strong>in</strong>a Citizen HHS 2/16/1997 7101 Burshire Drive Temple Hillsl MD 20748Kioko Gideon M.D. LB 11/1/2005 3311 Todeddo Terrace Hyattsville, MD 20782Kirby Richard David Aide HHS 6/18/1998 116 W. University Pkwy, A3 Baltimore MD 21210Kirk Lisa Nurse HHS 5/20/2012 Glen Ray Road Box A Alderson WV 24910Kirkl<strong>and</strong> Mattie Aide F 3/6/2002 1017 V<strong>and</strong>erwood Road Catonsville MD 21228Kirven Lisa M.D. LB 5/2/1998 4018 Seton Avenue Bronx, NY 10466Kittrell Pamela PCP HD 3/28/1997 504 Cl<strong>in</strong>ton Street Cambridge MD 21613Klimczak Robert Respiratory Pra HHS 10/20/2011 524 Goldsborough Street Easton MD 21601Kl<strong>in</strong>genste<strong>in</strong> Keith G. R.Ph HHS 12/5/1994 9115 49th Place College Park MD 20740Knight Jessie Mae Citizen MFCU‐A 6/18/2004 5102 Oaklawn Road Baltimore MD 21207Knott William Citizen HD 4/1/2010 1401 West Joppa Road Towson MD 21204Kol<strong>and</strong>er Tr<strong>in</strong>a Nurse HHS 5/20/2010 809 Tyd<strong>in</strong>gs Road #RS avre De Grace MD 2107Kordon Melv<strong>in</strong> M.D. LB 5/26/2010 9501 Old Annapolis Road; Ste. 302 Ellicott City MD 21042Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 42 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPKorman William M.D. F 11/28/1989 2 High Stepper Court; #201 Baltimore MD 21208Koroma Nyamakoro Nurse HHS 1/20/1998 PO Box 382 Bladensburg MD 20710Krall Joseph D.D.S. HHS 12/20/1995 1318 Broadview Blvd Glen Burnie ME 21061Krektyshev Sergey PCP HD 4/1/2003 281 Norht Van Buren Street Rockville MD 20850Krulevitz Keaciel Kenneth M.D. F 5/16/1988 3306 Clar<strong>in</strong> Road Baltimore MD 21215Kundratic Diahann PCP HD 11/18/2002 17 Purple Plum Court Perry Hall MD 21236Labertson Heather N. PCP HD 9/20/2004 31177 Rehobeth Road Westover MD 21871Laboratory Management Ser Corporation F 10/24/1988 1008 Roxleigh Road Towson MD 21204Lagmay Manuel R. Nurse HHS 6/20/2006 604 Menteth Po<strong>in</strong>t Drive Millersville MD 21108Lake Anna Marie PCP HD 10/19/1996 L4976 P<strong>in</strong>tail Court Frederick MD 21701Lakner Geroge S. M.D. LB 8/29/2005 70185 Fort McNair Wash<strong>in</strong>gton DC 20024Lambertson Heather Nicole Aide HD 9/20/2004 31177 Rehobeth Road Westover MD 21871L<strong>and</strong>esman Renee K M.D. HHS 9/20/1996 11073 Gaither Farm Rd ioctt City MD 21042‐612Lane Denise Wash<strong>in</strong>gton Citizen F 10/11/1997 1025 Webb Court Baltimore MD 21202Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 43 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPLane Angela P. Citizen HHS 2/16/1997 5933 Ch<strong>in</strong>quap<strong>in</strong> Parkway Baltimore MD 21239Lang Joel J. D.P.M. HHS 3/20/2001 6839 Riverdale Rd Riverdale MD 20737Lange Paul A. M.D. LB 6/26/1997 1706 S. St, NE; #1 Wash<strong>in</strong>gton DC 20009Lankford, Jr. James E. Citizen HHS 8/14/1995 15309 Old Hanover Road Upperco MD 21155Lantz Denise Nurse HHS 8/18/2011 15 Hidden Cove Court Middle River MD 21220Laurel Park Pharmacy Pharmacy F 6/10/1996 11646 Sun Circle Way Columbia MD 21044Lazaro Benigno M.D. HHS 1/19/2012 822 Sidehill Drive Bel Air MD 21015Lebow Frank L. D.P.M. HHS 8/17/1989 6611 Edenvale Road Baltimore MD 21209Lebson Arthur M.D. F 6/24/1991 3640 Fords Lane Baltimore MD 21215Lee Terri Sha‐Nae Aide MFCU‐A 2/2/2005 3201 Lawnview Avenue Baltimore MD 21213Lee Michael Aide HHS 8/19/1999 512 Qu<strong>in</strong>cy Street, N.W. Wash<strong>in</strong>gton DC 20011Lee Nad<strong>in</strong>e PCP HD 6/30/2006 310 Crusader Road Cambridge MD 21613Lee Yung M. M.D. LB 7/6/2000 4414 Langtry Dr len Arm MD 21057‐963Lester Andrew Todd Citizen HHS 8/20/1998 12402 Lime Kiln Rd Fulton MD 20759Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 44 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPLevi Ellis D.D.S. HHS 3/22/1995 17 Millstone Road R<strong>and</strong>allstown MD 21133Levitsky Leon R. M.D. LB 1/15/2008 8100 Good Luck Road Lanham MD 20706Levitt Keith M.D. LB 12/1/2009 22 S. Greene Street Baltimore MD 21201Levitt Jeffrey M. M.D. LB 2/24/1993 11415 Orleans Way Kens<strong>in</strong>gton MD 20895Lewis Samuel R. M.D. F 5/12/1989 11102 Hudee Court Mitchellville MD 20716Libre Eugene MD LB 12/15/2010 10400 Connecticut Avenue #606 Kens<strong>in</strong>gton MD 20895Lightfoote, II William E. M.D. HHS 11/20/2000 1328 Southern Avenue, S. E. Wash<strong>in</strong>gton DC 20032L<strong>in</strong> Tsu‐Chun M.D. LB 3/20/2002 377‐B Gambrills Road Gambrills MD 21054L<strong>in</strong>demann Keith Jan M.D. LB 8/30/2005 23140 Moakley St; Suite 2 Leonardtown MD 20650L<strong>in</strong>dsey Glenda L. D.D.S. HHS 6/1/1997 7819 Liberty Rd Baltimore MD 21244Lipnick Robert M.D. HHS 12/19/2002 6238 29th Street, NW Wash<strong>in</strong>gton DC 20015Lipscomb Bernadette Aide HHS 8/10/1994 1837 Bolton Street; Apt. #3 Baltimore MD 21217Little Albert G. M.D. LB 12/31/2008 9505 Reisterstown Road, Ste 25 Ow<strong>in</strong>gs Mills MD 21117Logsdon Kather<strong>in</strong>e PCP HD 7/10/1997 310 N. Cannon Avenue Hagerstown MD 21740Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 45 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPLonda Saleh Aide HHS 8/18/2005 4202 Kaywood Drive; Apt. 8 Mount Ra<strong>in</strong>ier MD 20712Loot‐Gayoso Ofelia M.D. LB 7/22/2009 5411 Old Frederick Road Baltimore MD 21229Loveman Joseph Citizen HHS 11/25/1983 333 Harlem Lane Baltimore MD 21228Loya Florent<strong>in</strong>o M.D. LB 12/29/2007 6400 Marlboro Pike istrict Heights MD 2074Lucas Dorothy PCP HD 4/15/1998 908 E. Valley Street; #11 Baltimore MD 21202Luckey Willie PCP HD 9/1/2001 6709 K<strong>in</strong>cheloe Avenue Baltimore MD 21207Luy<strong>and</strong>a Angel Citizen MFCU‐A 1/11/2012 3304 Auchentoroly Terrace #B Baltimore MD 21217Lyles Delores PCP HD 12/1/2007 400 W. South Street Apt. B Frederick MD 21701Lynch Ray A. M.D. HHS 4/22/1997 9559 W<strong>and</strong>er<strong>in</strong>g Way Columbia MD 21045Lynch Kev<strong>in</strong> P. R.Ph HHS 10/20/2003 14601 Burbridge Road, S.E. Cumberl<strong>and</strong> MD 21502Mack Bel<strong>in</strong>da Ann PCP HD 11/26/2001 7812 South Hampton Drive; Apt. 1 Glen Burnie MD 21060Macrey Angela V. PCP HD 9/26/1996 6002 Moravia Park Drive; #C‐2 Baltimore MD 21206Madison Stanley M.D. F 2/28/1990 1529 E North Ave; PO Box 23231 Baltimore MD 21203Mahase Vidhyan<strong>and</strong> R.Ph HHS 12/20/2009 Fort Dix FCI, P.O. Box 2000 Fort Dix NJ 08640Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 46 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPMajor Godfrey W. M.D. LB 6/20/2007 7801 York Road Towson MD 21801Makker Ram S M.D. LB 10/14/2009 500 Upper Chesapeake Drive Bel Air MD 21014Malamud Yasm<strong>in</strong> Redon M.D. HHS 9/20/1998 110 Irv<strong>in</strong>g St, NW Wash<strong>in</strong>gton DC 20010Malekzodeh Assadullah Citizen F 6/8/1993 12221 Park Lawn Drive; Ste. 170 Rockville MD 20850Mallory, III Herman C. Citizen F 2/16/1997 615 N. Rose Street Baltimore MD 21205Manasan Eloida M.D. LB 4/9/1997 9602 Shipwright Drive Burke VA 22015Manek<strong>in</strong> Steven F. M.D. LB 5/18/2005 1049 S. Charles St Baltimore MD 21230Marcalus Steven R.Ph LB 9/9/1987 12312 Savanna Court Bishopville MD 21813Margolius Jane Citizen F 6/21/1991 17 Tivoli Lake Court Silver Spr<strong>in</strong>g MD 20906Marion Robert Aide MFCU‐A 10/7/2004 2548 Loyola Northway Baltimore MD 21215Marsh Arthur M.D. LB 7/16/2010 700 East Ma<strong>in</strong> Street Ste. 102 Salisbury MD 21804Marshall Ashley PCP HD 4/15/2002 207 Wakefield Road Hagerstown MD 21740Marshall Peter Citizen F 11/3/1993 3114 S. E. 17th Place Cape Coral FL 33904Marshall T<strong>in</strong>nie PCP HD 10/1/1997 4121 Woodhaven Baltimore MD 21216Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 47 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPMarshall‐Adams Tyvernica Pharmacy Tech LB 10/22/2011 1536 Northbourne Road Baltimore MD 21239Mart<strong>in</strong> Janet S. M.D. LB 12/8/2005 6510 Kenilworth Avenue #2400 Riverdale MD 20737Mart<strong>in</strong>ez Christ<strong>in</strong>e PCP HD 6/30/2003 6604 Maple Avenue Baltimore MD 21215Mart<strong>in</strong>ez‐O'Hara Joseph J. M.D. LB 7/19/1997 1203 E. Ferguson Pharr TX 78577Mary Lou's Assisted Liv<strong>in</strong>g Corporation HD 7/27/2005 8431 Newark Road Newark MD 21841Mason, III Samuel M. Citizen HHS 10/20/2003 20 BON Oak Court sterstown MD 21136‐17Massey Dean D.D.S. HHS 8/24/1987 320 West Ma<strong>in</strong> Street Crisfield MD 21817Mathur Rakesh M.D. LB 2/28/2012 2112 Bel Air Road #1 Fallston MD 21047Matthews Sh<strong>and</strong>ell Aide MFCU‐A 1/21/2003 3822 Regency Parkway Suitl<strong>and</strong> MD 20746Matthews Thomas<strong>in</strong>a Citizen HHS 7/20/2005 8019 Mollye Road; Apt. F Pikesville MD 21208McAllister Katr<strong>in</strong>a Citizen F 12/20/1995 428 E. North Avenue; 3rd Floor Baltimore MD 21202McAnally Bryan M. Aide HHS 1/28/2003 139 Lassiter Circle F<strong>in</strong>ksburg MD 21048McBride Margo Shelia M.D. LB 4/12/2005 54 Regatta Bay Court Annapolis MD 21401McCargo Lonnia Nurse LB 3/15/2012 3211 Batavia Avenue Baltimore MD 21214Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 48 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPMcCla<strong>in</strong> Vivian Reg<strong>in</strong>a PCP HD 4/28/1998 2227 W. Saratoga Street Baltimore MD 21223McClary Rhonda Aide MFCU‐A 2/14/2006 4803 Overton Court Baltimore MD 21229McCoy Julius Aide HHS 2/20/2011 2515 Boones Lane Forestville MD 20747McCrary Bernard Citizen HD 4/1/2010 1416 Clarkview Road Baltimore MD 21209McCready Leah T. Citizen HD 7/12/2006 5651 Burnstville Road Marion MD 21838McDonald Allan D. D.D.S. HHS 9/20/1998 109 Wright Street Frostburg MD 21532McGregor Cl<strong>in</strong>ton Aide HHS 11/4/2000 7930 Brock Bridge Road Jessup MD 20794McKenna Karen Nurse HHS 8/20/2007 843 Kellogg Road Lutherville MD 21093McKenzie Deana Citizen HHS 9/20/1999 19 Marview Drive Berl<strong>in</strong> MD 21811McLaren Mart<strong>in</strong> M.D. HHS 12/20/2009 FCI Petersburg Low, P.O. Box 1000 Petersburg VA 23804McLean Nakita S. Aide MFCU‐A 8/8/2005 6612 Eberle Drive Baltimore MD 212115McNeil Robert D.D.S. LB 5/16/1998 6721 Ritchie Hwy Glen Burnie MD 21021Mehlman Susan K. Ph.D. F 5/24/2007 12103 Ridge Valley Road Ow<strong>in</strong>gs Mills MD 21117Mehta Barry (Bahrat M.) Citizen F 3/13/2003 5501 Oakl<strong>and</strong> Mills Road Columbia MD 21045Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 49 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPMeiller Morris M.D. LB 6/13/2005 9015 Woodyard Road; Suite 209 Cl<strong>in</strong>ton MD 20735Meldrom Carole J. Nurse HHS 10/20/2002 1145 Oakview Drive Crownsville MD 21032Melv<strong>in</strong>‐Hodge Fayanna Citizen F 9/24/1997 2907 Rosal<strong>in</strong>d Avenue Baltimore MD 21215Merend<strong>in</strong>o, Sr. John J. M.D. HHS 6/12/1997 4701 R<strong>and</strong>olph Road Rockville MD 20852Merillat Suzanne Marie Nurse HHS 12/20/2004 105 Rockdale Drive Silver Spr<strong>in</strong>g MD 20901Merriweather Sue Grace Aide F 10/28/1999 6405 Brays Street Lanham MD 20706Mid‐Atlantic Compassionate Corporation HD 2/4/2005 7277 Wiscons<strong>in</strong> Ave; Ste 300 Bethesda MD 20814Middleton William F. Citizen F 1/22/1993 21 Fencel<strong>in</strong>e Drive Gaithersburg MD 20877Middleton Barbara PCP HD 8/19/1994 420 A. Capta<strong>in</strong> Circle Annapolis MD 21401Midei Mark M.D. LB 7/13/2011 7505 Olser Drive #103 Towson MD 21204Milan Jose Antonio Olivari M.D. HHS 4/18/2002 Villa Olimpia 2: #A‐12 Yauco PR 00690Miller Keith B. Chiropractor LB 11/30/2001 11618 Reisterstown Road Reisterstown MD 21136Miller Jewel Lynne Aide HHS 6/27/1991 3026 Tennessee Avenue Baltimore MD 21227Miller Oram D.O. HHS 4/20/2004 P.O. Box 2223 Fairfield IOWA 52556Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 50 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPMiller Carol D. P.D. F 4/19/2001 46 Cannon Drive Berl<strong>in</strong> MD 21811Miller Gerald A. M.D. HHS 2/1/1994 3455 Wilkens Ave Baltimore MD 21229Miller Louis M.D. LB 12/10/2007 1838 Greene Tree Road, Suite 300 Pikesville, MD 21208Miller Edw<strong>in</strong> R. Citizen HHS 8/20/2001 4601 E. Monument St Baltimore MD 21205Miller, Jr. Thomas Aide HHS 4/8/1997 1217 R<strong>and</strong>alia Road esapeake City, MD 219Mills Ronald J. Citizen F 3/17/1992 17 Water Street; Apt. #6 Gaithersbur MD 20877M<strong>in</strong>g Bernell LMSW HHS 1/18/2007 294 Putnam Avenue Brooklyn NY 11216Mir<strong>and</strong>a‐Solari Artemio M.D. LB 7/31/2000 889 W. Lombard St Baltimore MD 21201Mireille Noumi N. PCP HD 11/23/2003 6800 Highview Terrace; #301 Hyattsville MD 20782Mistysyn Christ<strong>in</strong>e J. Aide HHS 6/20/2000 417 E. Miffl<strong>in</strong> Street Orwigsburg PA 17961Mitchell Terita Aide HHS 7/7/1992 2756 Tivoly Avenue Baltimore MD 21218Mitchell Joshua M.D. LB 5/18/2010 2202 Garrison Blvd Baltimore MD 21216Moaddab Mohammed B. D.D.S. LB 5/20/2003 5905 Ipswich Road Bethesda MD 20814Mol<strong>in</strong>a Gerardo Citizen HHS 9/19/2002 DuQuesa St; Montibello DevelopmHormiguero PR 00660Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 51 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPMolly's House of Hope Corporation HD 6/6/2006 12801 Meadowbrook Lane Waldorf MD 20601Momah Clement I. M.D. LB 12/20/2000 8301 Ashford Blvd Laurel MD 20707‐5640Monroe Charles A. Citizen HHS 9/15/1992 1109 Ashburton St Baltimore MD 21216Montgomery Jessica E. Aide HHS 7/20/2006 304 Crusader Road; Apt. 103 Cambridge MD 21613Montgomery Co. Family Life Ctr. Corporation F 4/25/1991 7101 Wiscons<strong>in</strong> Avenue; #1404 Bethesda MD 20814Montgomery County Taxi Corporation HHS 6/30/1994 806 S. Frederick Road aithersburg MD 2087Moore Lillie Ruth Citizen HHS 10/20/2002 353 S. Center St.; Apt. 19A Orange NJ 07050Morgan Rosa E. PCP HD 7/19/1991 2732 Parkwood Avenue Baltimore MD 21217Morris Andrea PCP HD 7/15/1997 8978 Centerway Road; Court IV Gaithersburg MD 20879Morris Janice PCP HD 3/4/1991 4106 W. Forest Park Avenue Baltimore MD 21207Morrison Sharese I. Aide HHS 10/18/1993 802 Dartmouth Baltimore MD 21212Morton Charles Nurse HHS 4/12/1993 9108 Abigail Drive Crisfield MD 21237Morton Denise Bell Aide HHS 6/30/1994 1305 Kitmore Road Baltimore MD 21239Moss Brian Leslie Citizen F 3/17/1992 19731Fram<strong>in</strong>gham Drive Gaithersburg MD 20879Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 52 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPMotley Rob<strong>in</strong> Aide HHS 8/20/2008 1549 Southview Dr Apt. 102 Oxon Hill MD 20745Mueller Annemarie RDH HHS 10/20/2004 5260 Duke Street; Apt. 411 Alexnadra VA 22304Muhlhan Evelyn Nurse LB 10/6/2011 4 East Roll<strong>in</strong>g Crossroads #207 Catonsville MD 21228Mullan Paul A. M.D. LB 8/23/2000 7401 Olser Dr Towson MD 21204Muller Alfred M.D. LB 2/27/2002 1396 Piccard Drive Rockville MD 20850Mull<strong>in</strong>gs Rohan Sa<strong>in</strong>t‐Aubyn M.D. LB 2/14/2011 600 Memorial Avenue, Ste. 307 Cumberl<strong>and</strong> MD 21502Murphy Leslie A. PCP F 2/28/2009 143 Haverhill Road Joppa MD 21085Musikabhumma Anchaleee M.D. LB 6/28/2006 2300 Garrison Boulevard Baltimore MD 21216Naranjo Ynocencio Corporation HHS 10/29/1990 14720 Homecrest Road Silver Spr<strong>in</strong>g MD 20906Nash Roderick PCP HD 12/20/1991 1536 Pentwood Road Baltimore MD 21239Nathanson Barry M.D. LB 10/18/1993 2200 Defense Hwy; #103 Crofton MD 21114Nathenson Lucille D.D.S. LB 3/6/2002 6901 Security Boulevard Baltimore MD 21244National Cardio Labs, LLC Corporation HHS 4/20/2010 1601 Alton Parkway Irv<strong>in</strong>e CA 92606Newcare Home Health Servic Pharmacy LB 1/5/2007 3027 E. Madison Street Baltimore MD 21205Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 53 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPNgang Ita Nurse F 8/28/2004 9482 Ridgeview Drive Columbia MD 21046Ngati Denetria Nurse HHS 7/20/2011 11406 Hawk Ridge Court Beltsville MD 20705Ngatia Gladys Citizen F 2/22/2012 20231 Red Buckeye Court Germantown MD 20876Ngatia Hellen Nurse F 2/22/2012 20231 Red Buckeye Court Germantown MD 20876Nguyen James An M.D. F 8/28/2005 5601 Loch Raven Blvd; Ste 301 Baltimore MD 21239Nguyen Tuoc Kim D.D.S. HHS 6/17/1999 8003 Hasitng Hunt Court Severn MD 21144Nimley Lucia PCP HD 8/27/1996 350 Childress Terrace Burtonsville MD 20886Norris Diana Lynn Dee Aide HD 6/5/2005 1022 Grove Hill Road Halethorpe MD 21227North Cather<strong>in</strong>e M.D. LB 12/10/2007 1100 Copper Hill Road Baltimore MD 21209Nukks Shelley Lynn PCP HD 3/5/2001 1088 Wadsworth Way Baltimore MD 21239Nurse Express, LLC Corporation HD 1/15/2005 10 East Lee St; Ste 2406 Baltimore MD 21202Nwaehiri Callixtus P.D. LB 1/5/2007 1439 Huntfield Way Jarrettsville MD 21084Obeahon Alex<strong>and</strong>er C. Aide HHS 6/22/1998 34 Chapel Town Circle Baltimore MD 21236Obeng Esther Aide HHS 9/20/2006 6717 Tower Drive; Apt. 104 Alex<strong>and</strong>ria VA 22306Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 54 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPO'Berry Christ<strong>in</strong> Nurse HHS 3/20/2008 21 Bridgeview Court Baltimore MD 21236Ogbonna Ch<strong>in</strong>onso Ndidi Aide HHS 9/22/2003 36 Heraldry Court Baltimore MD 21244Oglesbee Megan Aide MFCU‐A 12/18/2005 204 Airport Street Keyser WV 26726Ogundele Gbengo Benson Aide HHS 9/19/2002 800 Fairlawn Avenue; #2 Laurel MD 20707‐0000Ogundeyi Aboyomi Aide MFCU‐A 9/9/2010 5221 Harford Road, #3 Baltimore MD 21214Ohiokpehai Tajudeen M.D. LB 12/29/2006 2600 Liberty Heights Avenue Baltimore MD 21215Ojewoye Paul R.Ph HHS 6/20/2007 218 Kar<strong>in</strong> Boulevard Townsend DE 19734Ojuko Absayo Citizen F 4/28/2007 16 Liberty Place Road, Apt. 8 Baltimore MD 21244Okafor Ndubuisi M.D. HHS 3/19/2009 P.O. Box 759 M<strong>in</strong>ersville PA 17954Okafor August<strong>in</strong>e Nurse HHS 4/20/2006 3420 Maryvale Road Baltimore MD 21244Oke Oluwole Citizen HHS 3/20/2007 P.O. Box 31902 apitol Heights MD 2073Ok<strong>in</strong>e Kater<strong>in</strong>a PCP HD 1/3/2007 47 Squanto Court Middle River MD 21220Okoye Godw<strong>in</strong> R.Ph HHS 8/20/2003 omery FPC; Montgomery Air ForceMontgomery AL 36112Olw<strong>in</strong>e Robert M.D. LB 5/1/2012 10611 St. Paul Avenue Woodstock MD 21163Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 55 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPOmer Tarig A. Citizen HHS 7/20/2005 6337 K<strong>in</strong>sey Terrace Lanham MD 20706Open Arms Assisted Liv<strong>in</strong>g Corporation HD 5/18/2005 104 Charles Street Sudlersville MD 21668Oppenheim Steven Citizen HHS 9/26/1990 6 Sour Cherry Court Darnestown MD 20878Optimum Care Medical Cent Medical Ctr. Corporation HHS 9/20/2001 444 N. Frederick Ave; #307 Gaithersburg MD 20877Orem Medical Corp Corporation HHS 6/12/1997 2413 Haddenhurst Court Fallston MD 21047‐1361Orneus Renald Aide MFCU‐A 11/27/2008 765 Division Street Salisbury MD 21804Orth Debra C. Aide HHS 10/18/2001 4300 Stanwood Avenue Baltimore MD 21206Ortiz Arm<strong>and</strong>o L. Citizen HHS 2/20/2000 7082 MacBeth Way Sykesville MD 21784Osborne Tamara PCP HD 11/7/2005 73 Swan Street Aberdeen MD 21001O'Shaughnessy Timothy J. Citizen HHS 5/24/1999 6106 P<strong>in</strong>e Branch Rd Bethesd, MD 20816O'Shea Frank M. M.D. LB 8/9/2000 3901 Fox Hill Dr icott City MD 21042‐531Oshodi Eunice R.Ph HHS 7/20/2008 2730 Pennsylvania Avenue Baltimore MD 21217Osrud V<strong>in</strong>cent J. Nurse HHS 9/20/2000 R. R. 1; box 782 Hollywood MD 20636Ostrovsky Roman M.D. F 8/16/2006 5018 Dorsey Hall Drive Ellicott City MD 21042Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 56 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPOwens Eugene M.D. HHS 12/31/1993 1735 E. Federal St Baltimore MD 21213Oyler George A. M.D. LB 11/18/2003 2924 Guilford Avenue Baltimore MD 21218Pagalunan Gertrude Corporation HD 5/15/2005 9515 Lawnsberry Terrace Silver Spr<strong>in</strong>g MD 20901Pagano Dwight M.D. HHS 5/19/2005 444 E. 20th Street; Apt. 3D New York NY 10009Page Bobbi Jo Aide HHS 1/20/2010 P.O. Box 105 Barnes City, IA 50027Pak Jim Su P.D. LB 4/7/2005 Plaza Pharmacy; 10805 Hickory Rid Columbia MD 21044Pal Bimal K. M.D. F 9/30/1995 3750 Chateau Ridge Dr Ellicott City MD 21042Palladeno Angela K. Aide HHS 2/27/1992 3‐D BywaySouth Baltimore MD 21221Panteleakis Peter Citizen F 10/24/1988 1008 Roxleigh Road Towson MD 21204Park Kyung S. M.D. LB 5/17/2000 1823 Duffield Lane Alex<strong>and</strong>ria VA 22307Park Do Sun M.D. HHS 4/10/1995 13805 Turnmore Rd Silver Spr<strong>in</strong>g MD 20906Parker April R. Aide HHS 9/20/2000 3515 Madison Place Hyattsville MD 20782Patel Ketankumar P.D. LB 7/14/2009 5951 Cecil Way Eldersburg MD 21784Pathak Arv<strong>in</strong>d K. M.D. LB 7/18/2001 6930 Little River Turnpike Ann<strong>and</strong>ale VA 22003Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 57 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPPaul Haendel Aide MFCU‐A 2/27/2008 10553 Jason Lane Columbia, MD 21044Paulson John M.D. LB 4/14/2011 8330 Cameron Street #206 Silver Spr<strong>in</strong>g MD 20910Paye Isiwatu Aide HHS 3/20/2007 3 Maidstone Court, Apt. M Rosedale MD 21237Payne, Jr. Arnold R.Ph HHS 5/20/2001 3549 Greenmount Avenue; #2 Baltimore MD 21203Pediatric Plus Corporation HD 1/15/2005 10 East Lee St; Ste 2406 Baltimore MD 21202Perez Yol<strong>and</strong>a Aide HHS 12/18/2001 1752 Gorsuch Avenue Baltimore MD 21218Perry Deborah Citizen HHS 2/11/1993 604 McCabe Ave Baltimore MD 21212Pers<strong>in</strong>ger Virg<strong>in</strong>ia PCP HD 8/25/1993 Route 2; Box 179 Newberg MD 20664Pertnooy Allen B. D.D.S. LB 10/23/2002 821 Eastern Boulevard Baltimore MD 21221Peters Colleen Nurse HHS 11/20/2007 288 Wye Knot Court Queenstown MD 21658Peterson Patricia M. Citizen HHS 4/13/1994 1856 Beth Ridge Circle Forest Hill MD 21050Peterson Jocelyn M. Citizen F 11/3/2005 29581 Bright Spot Road Highl<strong>and</strong> CA 92346Peterson Ralph M. Citizen F 11/3/2005 29581 Bright Spot Road Highl<strong>and</strong> CA 92346Petway Dena Joan PCP HD 8/26/1996 6309 Elliott Street Baltimore MD 21224Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 58 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPPhalsaphie Mansour M.D. LB 3/25/1998 4003 Hidden Creek Henderson KY 42420Pharmacare, Inc. Cockeysville Pharmac Pharmacy F 7/25/2000 10255 York Road Cockeysville MDPhattiyakul Pricha M.D. LB 9/19/2001 00 Hospital Road; Calvert Memoria<strong>in</strong>ce Frederick MD 2067Phillips Patricia A. Aide HHS 10/18/2001 2325 Barclay Street Baltimore MD 21218Pittman Thomas A. M.D. HHS 7/17/1991 7498 Sea Change Columbia MD 21045Pitts Mark D.D.S. LB 2/10/2009 2100 Old Farm Drive Frederick MD 21702Pleas Barbara A Aide HHS 8/11/1997 3267 Queenstown Dr Mt Ranier MD 20712Po<strong>in</strong>ter Brenda Denise Aide HHS 9/19/2001 15 N. Calhoun St Baltimore MD 21223Pollock Natasha Nurse HHS 2/18/2010 17008 Down<strong>in</strong>g Street Gaithersburg MD 20877Pollock Hamilton Citizen HHS 12/20/1995 211 E. Lombard Street Baltimore MD 21201Pols<strong>in</strong> Michael J. Nurse HHS 3/18/2004 34602 Blakistone Road Hollywood MD 20636Poole Milton L. Citizen HHS 6/20/2006 3916 23rd Parkway; #22 Temple Hills MD 20748Pooya Manoochehr M.D. LB 11/7/2007 700 7th Street SW #2 Wash<strong>in</strong>gton DC 20024Potash Michael M.D. LB 12/16/2009 2331 Old Court Road, Apt. 409 Baltimore MD 21208Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 59 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPPototsky Ronald M.D. LB 11/21/2011 821 N. Eutaw Street Baltimore MD 21201Powell Nicheia Aide HHS 9/19/2002 704 W<strong>in</strong>ston Avenue Baltimoe MD 21212Powell Toni Darnell PCP HD 9/18/1995 2519 Marbourne Avenue Baltimore MD 21230Powell Velma E. L. M.D. HHS 1/23/1992 6201 Greenbelt Road College Park MD 20740Powell Jack M.D. LB 1/26/2007 23704 Ocean Gateway Mardela Spr<strong>in</strong>gs 21837Powell Richard M.D. LB 8/25/2004 6501 N. Charles Street Baltimore MD 21285Prager Harris J. D.P.M. HHS 10/27/1993 420 S. Crane Hgwy; #1 Glen Burnie MD 21061Prescimone Doreen Nurse HHS 10/20/2003 4806 Berry Hill Circle; Apt. 103 Perry Hall MD 21128Press Zachary D.D.S. HHS 1/4/1995 4805 Garrison Blvd Baltimore MD 21215Pribadi Jean W. M.D. LB 6/13/2008 10632 Little Patuxent Parkway Columbia MD 21044Price Paula Citizen HHS 5/20/2012 2009 Brae Trail Birm<strong>in</strong>gham AL 35242Progressive Care Ambulance Corporation F 4/27/2000 c/o P.O. Box 536 Jessup MD 20794Pullen Sonia A. Citizen HHS 2/15/1996 308 N. Kenwood Avenue; 2nd Floo Baltimore MD 21213Pulliam's Contract<strong>in</strong>g Corporation HD 10/20/2009 45464 Stoney Run Drive Great Mills MD 20634Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 60 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPPurdum Pharmacy Pharmacy F 10/17/2008 6901 York Road Baltimore MD 21212Purnell Elmer A. M.D. LB 12/11/1992 652 W. Ma<strong>in</strong> Street Salisbury MD 21801Qaiyumi Waheeda M.D. LB 2/5/2004 9650 Santiago Road; #110 Columbia MD 21045QRSS Corporation HHS 6/12/1997 4701 R<strong>and</strong>olph Road Rockville MDQueen Jennifer PCP HD 5/16/2005 4527 Northwood Drive Baltimore MD 21239Rabb Willie DPM LB 8/1/2006 420 S. Cra<strong>in</strong> Highway; #2 Glen Burnie MD 21061Radulski Joanne B. Citizen F 7/8/2010 2124 Oaklyn Drive Fallston MD 21047Radvan‐Ziem Stanley A. M.D. HHS 11/1/1990 9400 Old Georgetown Road Bethesda MD 20814Ra<strong>in</strong>es Bannister L. M.D. LB 1/27/2005 660 Kenilworth Dr.; #206 Towson MD 21204Rakhunov Izabella PCP HD 12/17/2002 1 Russern Court; 2A Baltimore MD 21215Ramirez Oscar M.D. LB 7/15/2011 1212 York Road Ste B101 Lutherville MD 21093Rancocas Valley Anesthesia A Corporation HHS 11/14/2002 Sunset Road Will<strong>in</strong>gboro NJ 08046Rapk<strong>in</strong> Harvey R.Ph F 12/19/2008 2207 Sheffl<strong>in</strong> Court Baltimore MD 21209Ray Douglas M.D. HHS 4/6/1992 10208 Pr<strong>in</strong>ce Place Largo MD 20775Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 61 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPRegency Hlth Services, Inc. Corporation HHS 5/6/2004 7420 Marlboro Pike Forestville MD 20028Reid Jesse Aide HHS 9/20/1999 3806 Brighton Street Baltimore MD 21216Reilly Elizabeth Citizen HD 9/15/2008 3100 North Ridge Road Ellicott City MD 21043Rermgosakul Adul M.D. F 9/30/1995 5632 Annapolis Rd‐Suite 8 Bladensburg MD 20710Resolutions Unlimited, Inc. Corporation F 3/2/2004 204 E. Joppa Road Towson MD 21286Reynolds Angelo PhD F 7/14/2007 1027 Savvanna Drive LaPlata, MD 20646Reynolds (Mull<strong>in</strong>s) Debbye Lynn Nurse HHS 11/20/2006 P.O. Box 7612 Hyattsville MD 20787Rhee Aphonso Y. M.D. LB 12/4/1998 1224 Brook Hollow Road Towso, MD 21286‐1708Ricci Renzo M.D. LB 1/26/2007 3125 Baltimore Blvd, Box 500 F<strong>in</strong>ksburg MD 21048Richardson Cheryl E. M.D. HHS 9/19/1999 84 Willis Street Westm<strong>in</strong>ster MD 21157Richardson Joseph M. D.D.S. HHS 1/6/1995 1407 Dilston Road Silver Spr<strong>in</strong>g MD 20903Richardson Gravney A. M.D. HHS 8/10/1994 40 Joyceton Way pper Marlboro MD 2077Riley Kenneth D.D.S. HHS 5/20/2012 P.O. Box 100 Cumberl<strong>and</strong> MD 21501Ritch Sherry Aide HHS 1/10/2002 5504 W<strong>in</strong>dsor Mill Road Baltimore MD 21207Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 62 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPRivera Rose M. Nurse HHS 6/17/2004 500 Wick Lane Blue Bell PA 19422Riverview Nurs<strong>in</strong>g Ctr, Inc. Corporation HHS 10/18/2001 1 Eastern Boulevard Baltimore MD 21221Roane Donald M.D. LB 5/21/2010 1616 Forest Drive Annapolis MD 21403Roark David Nurse HHS 4/20/2010 277 Geremma Drive, Apt. B Ballw<strong>in</strong> MO 63011Roberts Isaac Aide MFCU‐A 1/18/2007 8500 Goshen View Drive Gaithersburg MD 20882Roberts, Jr. Leroy Citizen HHS 3/7/1991 6 Papago Court R<strong>and</strong>allstown MD 21133Rob<strong>in</strong>son Lawrence PCP HD 5/3/1996 8806 Lanier Drive; #101 Silver Spr<strong>in</strong>g MD 20910Roby Neil O. Citizen HHS 5/20/1998 13190 L<strong>in</strong>den Station Clarksville MD 21209Rodkey Jeffrey Lee Pharmacy HHS 8/18/2005 23621 Cemetery Road Chance MD 21821Rodrigues Cheryl PCP HD 5/25/2005 23249 Colton Po<strong>in</strong>t Road Avenue MD 20609Rodwell D<strong>in</strong>o Corporation HHS 6/20/2002 8314 Glenmar Road Ellicott city MD 21045Roffman Benjam<strong>in</strong> Citizen HHS 8/17/1987 6314 Greenspr<strong>in</strong>g Ave; Apt. 6 Baltimore MD 21207Rogers Tena Citizen F 5/8/2003 2905 Garrison Boulevard Baltimore MD 21216Romero Yol<strong>and</strong>a O.T. HHS 1/20/2004 P.O. Box 2784 Baltimore MD 21225Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 63 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPRorie Valerie R. PCP HD 6/9/2004 5506 Wayne Avenue Baltimore MD 21207Rose Manor Assisted Liv<strong>in</strong>g Corporation HD 9/15/2008 3100 North Ridge Road Ellicott City MD 21043Rosen Nancy Citizen F 5/26/2001 8330 Greensboro Drive; #423 McLean VA 22102Rosov Howard L. D.D.S. HHS 10/20/2004 1106 Spy Glass Drive Arnold MD 21012Ross Bradford A. M.D. LB 4/27/1998 200 Milton Avenue Fallston MD 21047Rothelder David D.D.S. HHS 5/18/1979 620 Aisquith Street Baltimore MD 21202Rothman Leonard M.D. LB 4/24/1996 PO Box 5716 ncl<strong>in</strong>e Village NV 89450Rothste<strong>in</strong> B<strong>in</strong>yam<strong>in</strong> D.O. LB 5/25/2005 r<strong>in</strong>g Shopp<strong>in</strong>g Ctr; 2835 Smith Ave Baltimore MD 21209Roundtree Silverrene P M.D. HHS 6/28/1999 200 Oak St Mt. Pocono PA 18344Rowlette Bertha PCP HD 7/22/1998 8618 Bramble Lane R<strong>and</strong>allstown MD 21133Rowley Bethany Aide MFCU‐A 6/8/2008 P.O. Box 632, 203 Clarence Street Hyndman PA 15545Royal Jeffrey L. Radiologist HHS 9/20/2000 4309 Glenrose Street Kens<strong>in</strong>gton MD 20895Rub<strong>in</strong> Seymour H. M.D. HHS 7/22/1991 7111 Park Heights Avenue Baltimore MD 21208Rucyamuzi Kenny Aide HHS 4/20/2006 11700 Old Coumbia Pike #1905 Silver Spr<strong>in</strong>g MD 20904Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 64 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPRuddock Thaddeus Citizen HHS 2/19/2009 7901 Bon Air Road Baltimore MD 21234Rudman Michael M.D. HHS 8/22/2007 J Elmer Harp Medical Ctr Middletown MD 21769Rudo Howard F. D.D.S. LB 8/24/2000 420 S. Cra<strong>in</strong> Hwy; Ste 6 Glen Burnie MD 21061Ryan Michael LCSW F 1/14/2011 12417 Seabury Lane Bowie MD 20715Sadan<strong>and</strong> Home, Inc. Corporation HD 2/28/2006 101 Carlisle Drive Silver Spr<strong>in</strong>g MD 20904Sadri Manouchehr M.D. F 11/30/1996 2 P<strong>in</strong>ey Meet<strong>in</strong>ghouse Ct otomac MD 20854‐136Samie Abdul Citizen HD 5/19/2006 4918 Gr<strong>in</strong>don Avenue Baltimore MD 21214Sampson Michelle PCP HD 4/3/1996 1015 Wash<strong>in</strong>gton Street Cambridge MD 21613Sanborn Michele R. Nurse HHS 2/20/2001 772 Fairview Avenue; Apt. C Annapolis MD 21403Sanchuk Daniel Paul Citizen F 7/12/2000 9487 Canary Drive Bel Alton MD 20611S<strong>and</strong>ers Kendall Aide HHS 2/15/2002 726 N. Carey Street Baltimore MD 21217Sang Evadne M.D. LB 12/24/1991 Mart<strong>in</strong> Luther K<strong>in</strong>g Ave Wash<strong>in</strong>gton DC 20032Sanghera Anil M.D. LB 11/28/2007 6919 Harford Road Baltimore MD 21234Santana Maria Citizen HD 5/24/2006 8511 Allenswood Road R<strong>and</strong>allstown MD 21133Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 65 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPSantiago Feliciana PCP HD 3/1/2001 10920 Connecticut Avenue Kens<strong>in</strong>gton MD 20895Santos Rene M.D. LB 1/15/2009 2835 Churchville Road Churchville MD 21028Sarabia Erl<strong>in</strong>da S. Citizen F 8/12/2006 8316 Elvation Road Millersville MD 21108Satogkit Supoj M.D. LB 12/11/1990 101 Medical Blvd Stockbridge GA 30281Sc<strong>and</strong>altato Frank PCP HD 2/10/1998 102 Palmetto Drive Edgewood MD 21040Schade John Chiropractor HHS 10/20/1998 103 Baughmans Lane; #204 Frederick MD 21702Schauber Michael M.D. LB 4/25/2007 505 Dutchmans Lane, Suite B Easton MD 21601Scheibe Melissa Lynn Aide HHS 6/20/2000 1111 St. Paul Place Baltimore MD 21221Schles<strong>in</strong>ger Richard S. M.D. LB 6/2/2005 50 L Pa<strong>in</strong>ters Mill Road Ow<strong>in</strong>gs Mills MD 21117Schott Alan J. D.D.S. HHS 2/4/1997 8016 Nighw<strong>in</strong>d Court Baltimore MD 21227Schwartz Lyndell K. D.D.S. LB 11/15/2006 795 Aquahart Road Glen Burnie MD 21061Schwarzberg Allan M.D. LB 11/28/2011 9021 Shady Grove Court Gaithersburg MD 20877Scott Delores Ela<strong>in</strong>e Nurse F 7/13/2006 11 Rebecca Lane Ow<strong>in</strong>gs Mills MDScott Bernita E. Aide HHS 12/15/1993 602 Gibson Road Baltimore MD 21229Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 66 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPSearcey Vicky C. Nurse HHS 9/19/2002 3146 Middlesex Drive Toledo OH 43606Senior Connections d/b/a SK Corporation HD 4/1/2010 1401 West Joppa Road Towson, MD 21204Sera Carlos C. M.D. LB 9/30/1998 12000 Longridge Lane Bowie MD 20715Setaro John L. Psychologist HHS 3/10/1997 19 Melanie Court Baltimore MD 21234Setlen Williams Citizen HHS 4/19/1985 4527 Tapscott Road Pikesville MD 21208Settles Diane Aide HHS 9/29/1996 11919 L Tarragon Road Reisterstown MD 21136Shade David M.D. F 6/20/1984 14 Warfield Avenue La Vale MD 21502Shah D<strong>in</strong>esh M.D. LB 9/23/2010 2327 Pulaski Highway, Ste. 101A North East, MD 21901Shamaeizadeh Ali M.D. LB 3/3/2004 710 Lisbon Center Dr; Ste H Woodb<strong>in</strong>e MD 21797Sh<strong>and</strong>ler Melv<strong>in</strong> LCSW HHS 4/20/2009 P.O. Box 1000 Cumberl<strong>and</strong> MD 21501Shelton Pam PCP HD 4/26/1995 183 Fairfield Drive Frederick MD 21702Shepherd Family Services, Inc Corporation HD 2/6/2007 3450 Laurel Fort Meade Road Laurel MD 20724Sheppard Shirleen Aide MFCU‐A 3/23/2012 938 Argonne Drive Baltimore MD 21218Sheppard Millard C. Citizen F 4/27/2000 c/o P.O. Box 536 Jessup MD 20794Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 67 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPSheridan Todd M.D. LB 9/28/2009 600 N. Wolfe Street Baltimore MD 21287Sherwood Shannon Dental Tech. HHS 12/20/2009 855 Aurora Road Ernul NC 28527Shiraldi Teresa Nurse HHS 6/20/2005 3700 Misty Valley Court Ab<strong>in</strong>gdon MD 21009Shirazi Mahmaud M.D. LB 6/18/2007 5671 Royal Mile Blvd Salisbury MD 21801Showell Cora Louise Aide MFCU‐A 12/6/2004 509 Bay Street Berl<strong>in</strong> MD 21811Shpigelman Mikhail PCP HD 5/13/2002 2 Ameeht Court; 1C Baltimore MD 21215Shpritz Louis M.D. LB 3/28/2012 24 Caveswood Lane Ow<strong>in</strong>gs Mills MD 21117Shraga Inessa PCP HD 5/30/2003 5 W<strong>in</strong>d Blown Court; Apt. 102 Baltimore MD 21209Sich<strong>in</strong>ava Inga PCP HD 3/7/2005 2001 Allanwood Court Silver Spr<strong>in</strong>gs MD 20906Siegel Irv<strong>in</strong>g Optometrist HHS 9/10/1996 4251 Wilson Blvd Arl<strong>in</strong>gton VA 22203Sierra Myrna Luz Vigo M.D. HHS 4/18/2002 67 Toledo Street Monte, Mayaguez, PR 00Silverman David M.D. HHS 2/18/2010 17164 Braxton Street Granada Hills CA 91344Simmons Stephanie Citizen HHS 3/20/2001 2712‐A Gatehouse Drive Baltimore MD 21207Simmons Kev<strong>in</strong> Citizen F 5/27/2006 10356 Kentsdale Drive Waldorf MD 20603Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 68 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPSimms Rena C. PCP HD 5/12/1993 3705 W. Forest Park Ave Baltimore MD 21215Simon Jock M.D. LB 11/5/2008 30686 Satterfield Court Salisbury MD 21804Simons Evelyn Nurse HHS 12/20/1998 13631 Colgate Way Silver Spr<strong>in</strong>g MD 20904Simpson Clevel<strong>and</strong> Cole PCP HD 2/20/1998 3019 Garrison Blvd Baltimore MD 21216S<strong>in</strong>gh Mah<strong>in</strong>dra Nurse HHS 6/19/2008 2 Pissaro Court orth Potomac MD 2087S<strong>in</strong>gh Bhup<strong>in</strong>der M.D. LB 6/27/2008 200 Hospital Drive, Suite 500 Glen Burnie MD 21061S<strong>in</strong>gletary Mitchell Aide HHS 9/1/1992 6646 Coll<strong>in</strong>sdale Road Baltimore MD 21234S<strong>in</strong>gleton Faith R. Citizen HHS 6/11/1990 4408 Old Frederick Road Baltimore MD 21229S<strong>in</strong>gleton Celestyne Aide HHS 9/2/1992 17 Orenco Court Baltimore MD 21220Sk<strong>in</strong>ner Hubert G. M.D. LB 5/8/2006 1085 Little Patuxent Pkwy; Suite 20 Columbia MD 21044Skipworth Robert D. M.D. LB 10/31/1999 P O BOX 6 Laurel MD 20707Skr<strong>in</strong>skaya Natailya PCP F 10/1/2002 3720 Bel Pre Road; Apt. 9 Silver Spr<strong>in</strong>g MD 20906Slav<strong>in</strong> Carl J. M.D. LB 7/26/2006 3231 Superior Lane; #A2 Bowie MD 20715Sliger Traci PCP HD 11/28/2000 8505 George Wash<strong>in</strong>gton Hwy Oakl<strong>and</strong> MD 21550Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 69 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPSMCHD Assignee of A. Abell PCP HD 3/29/2006 19862 Preference Way Callaway MD 20620Smith Tammara Aide HHS 6/17/1999 6466 Roots Drive Glen Burnie MD 27061Smith Tammy LCSW F 8/29/2008 4228 Huntshire Road Foxridge MD 21133Smith Joyce Nurse HHS 6/17/1999 26 Dowl<strong>in</strong>g Circle Baltimore MD 21234Smith Anthony Citizen F 8/29/2008 4228 Huntshire Road Foxridge MD 21133Smith Joseph H. M.D. HHS 5/16/1993 4705 Locust Hill Court Bethesda MD 20014Smith Dale A. Aide HHS 2/19/1998 6010 Valley Court x<strong>in</strong>gton Park MD 2055Smith Lance C. Citizen F 10/1/1992 18800 Walkers Choice Road Gaithersburg MD 20879Smith William M.D. LB 2/23/2012 1900 E. Northern Parkway #210 Baltimore MD 21239Smith Elizabeth Ann Citizen MFCU‐A 11/8/2003 6102 Alta Avenue Baltimore MD 21206Smith Dorothy Julia Aide HHS 9/13/1997 912 Thompson Blvd Baltimore MD 21221Smith Donny W. LCSW F 8/28/2005 3745 Maple Crest Drive Knoxville MD 21758Smith Kev<strong>in</strong> P. Citizen HD 5/19/2006 9 Greenbrush Court Baltimore MD 21244Smith Carla Y. PCP HD 5/19/2006 9 Greenbrush Court Baltimore MD 21244Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 70 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPSmithpeter Daniel M.D. LB 1/21/2012 29466 P<strong>in</strong>tail Drive, Ste. 9 Easton MD 21601Smoot Melanie PCP HD 8/25/1993 Route 3; Box 120 Oak Avenue La Plata MD 20646Snead Paul Nurse HHS 2/20/2001 2108 Callow Avenue; Apt. #1 Baltimore MD 21217Snell Sherman Leon Citizen HHS 7/22/1991 P.O. Box 549 Jessup MD 20794Sodipo Steven P.D. LB 1/5/2007 2403 Nora Court Forest Hill MD 21050Solomon Larry Citizen F 10/24/1988 613 19th Street, N.E. Wash<strong>in</strong>gton DC 20002Solomon Neil M.D. HHS 6/30/1994 901 Dulaney Valley Rd; Ste 602 Towson MD 21204Somaiya Mamta D. M.D. LB 11/16/2005 1 Trillium Circle; Apt. 1702 Dothan AL 36301Soriano Asuncion M.D. LB 5/23/2007 119 Capitol Hgts Boulevard apitol Heights MD 2074Soriano, Jr. Cesar M.D. LB 7/3/2004 119 Capitol Heights Blvd apitol Heights MD 2074Soudah Truman F. M.D. LB 6/1/2010 813 Waltham Woods Road, Ste. 10 Baltimore MD 21234Spencer Deborah PCP HD 2/27/2007 429 Merryman Road Annapolis MD 21401Sr<strong>in</strong>ivasan Sridhar Citizen HD 4/1/2010 720 Ft. Wash<strong>in</strong>gton Avenue New York, NY 10040Srivastava Pradeep M.D. LB 12/27/2010 7227‐B Hanover Parkway Greenbelt MD 20770Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 71 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPSSS Nutrition & Dietetic Srvcs Corporation F 11/19/2008 235 Mill Street, Ste. 3 Hagerstown MD 21740Stachowski G<strong>in</strong>a Nurse HHS 4/19/2012 1645 Manor Road Dundalk MD 21222Stall<strong>in</strong>g Reg<strong>in</strong>al W. M.D. LB 11/17/1999 9211 S. Normal Street Chicago IL 60620Stark Thomas R.Ph. HHS 10/20/2010 P.O. Box 1000 Cumberl<strong>and</strong> MD 21501Starl<strong>in</strong>g Greg Citizen HHS 2/20/2008 3918 Elite Street Bowie MD 20716Staton Kimberly V. Citizen HHS 6/11/1990 10 Duke of W<strong>in</strong>dsor Ct; T4 Baltimore MD 21207Steckler Scott D.D.S. F 2/15/2004 4002 Thistlebridge Way Rockville MD 20853Stepney Glenda PCP HD 8/18/1991 P.O. Box 535; Hunt<strong>in</strong>g Creek RoadHunt<strong>in</strong>gtown MD 20639Stevens April Citizen MFCU‐A 1/8/2008 1723 Crimson Tree Way, Apt D Edgewood MD 21040Stevenson Lawrence PCP HD 3/18/1996 6063 Marquette Road Baltimore MD 21206Stewart Kev<strong>in</strong> R. Aide HHS 4/27/1992 5211 Goodnow Road; Apt. D Baltimore MD 21206Stocks Gregory Nurse LB 3/23/2004 140 E. Centre Street Baltimore MD 21202Stone Nancy Nurse MFCU‐A 2/17/2006 502 Francis Nicholson Way Annapolis MD 21401Stoner Alfred Citizen F 3/17/1992 511 S. Frederick Avenue; #10 Gaithersburg MD 20879Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 72 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPStorck Frederick D.D.S. HHS 11/25/1983 5220 Ten Oaks Road Clarksville MD 21029Stratton Judith Z. Nurse HHS 4/20/2003 12308 Featherwood Drive; Apt. 13Silver Spr<strong>in</strong>g MD 20904Stubbs Darryl Aide HHS 2/10/2002 4311 23rd Avenue; Apt. 1006 Temple Hills MD 20748Stumpfel Ernest Ronald PCP HD 12/7/1993 8411 Morven Road; Apt. I Baltimore MD 21234Sumler Robert A. Aide HHS 11/12/1990 500 E. Madison Street Baltimore MD 21202Summers Holly R. D.D.S. LB 3/1/2005 221 Montgomery Village ProfessioGaithersburg MD 20789Sungenis Albert M.D. LB 6/15/2006 5179 Harpers Farm Road Columbia MD 21044Supreme Health Systems, Inc. Corporation HD 3/30/2008 4801 York Road Baltimore MD 21212Sutton Veronica PCP HD 12/11/2009 1215 Ett<strong>in</strong>g Street Baltimore MD 21217Sviriduk Ella PCP F 3/4/2007 18923 Lark Song Terrace Germantown MD 20874Swartz L<strong>in</strong>da PCP HD 8/17/1995 116 Columbia Street Cumberl<strong>and</strong> MD 21502Tall Deborah A.Day D.D.S. HHS 2/7/1997 340 Tumbleweed Place Waldorf MD 20601Tanna Peter M.D. F 12/31/1995 12708 Serpent<strong>in</strong>e Way; #307 Silver Spr<strong>in</strong>g MD 20904Tasher Jacob M.D. LB 5/26/2004 26 Erie Drive Sl<strong>in</strong>gerl<strong>and</strong>s NY 12159Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 73 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPTasker Nelda L. Aide HD 6/10/2005 P.O. Box 1 Oakl<strong>and</strong> MD 21550Tauraso Nicola M.D. LB 8/12/2010 7051 Poole Jones Road Frederick MD 21702Taylor Hester Ann PCP HD 5/2/1996 104 S. Somerset Avenue Crisfield MD 21817Taylor Lafenus Donnell Aide MFCU‐A 4/13/2004 3002 Spauld<strong>in</strong>g Avenue Baltimore MD 21215Temk<strong>in</strong> Diane PCP HD 12/15/2004 12005 Tarragon Road; Apt. G Reisterstown MD 21136Temple Marion B. LCSW F 7/5/1989 14512 S<strong>and</strong>y Ridge Road Silver Spr<strong>in</strong>g MD 20904Teves‐Upshur Maria Citizen HHS 2/20/2008 P.O. Box 44714 rt Wash<strong>in</strong>gton MD 2074Than‐Riddle Kh<strong>in</strong> Cho Cho M.D. LB 7/28/2004 1520 Crownsvile Road Crownsville MD 21032Thaung Phone Citizen F 3/17/1992 12636 Falconbridge Drive Darnestown MD 20878The Dixon Home Corporation HD 9/28/2009 409 North Lakewood Avenue Baltimore MD 21224The Medic<strong>in</strong>e Shoppe Corporation HD 8/15/2008 5900 Reisterstown Road Baltimore MD 21215The Medic<strong>in</strong>e Shoppe Corporation HD 8/15/2008 8035 A Liberty Road Baltimore MD 21244The Medic<strong>in</strong>e Shoppe Corporation HD 8/15/2008 8035 A Liberty Road Baltimore MD 21244The Medic<strong>in</strong>e Shoppe Corporation HD 11/15/2006 Frostburg Village Shopp<strong>in</strong>g Center Frostburg MD 21532Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 74 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPThe Medic<strong>in</strong>e Shoppe Corporation LB 11/15/2006 Frostburg Village Shopp<strong>in</strong>g Center Frostburg MD 21532The Medic<strong>in</strong>e Shoppe Corporation LB 7/14/2009 11813 1/2 Reisterstown Road Reisterstown MD 21136The Smith House Corporation HD 1/1/2007 7117 Campfield Road Baltimore MD 21207Thomas Patricia F. Aide HHS 9/19/1999 Correctional Inst‐Women; P.O. Bo Jessup MD 20794Thomas Tamara PCP HD 12/8/1997 90 Waverly Drive; #JJ102 Frederick MD 21702Thomas Dwight N. PCP HD 9/17/1998 7049 Caldwell Road Pasadena MD 21122Thomas Henry Maurice Aide HHS 9/20/1999 3426 Edmondson Avenue Baltimore MD 21229Thomas L<strong>in</strong>dwall D.D.S. HHS 6/5/1995 10912 Lockwood Drive Silver Spr<strong>in</strong>g MD 20901Thomas Barbara Citizen HHS 12/5/1994 2135 Freemantle Court Waldorf MD 20601Thomas Liston Citizen HHS 10/20/1998 14601 Burnside Southwest Cumberl<strong>and</strong> MD 21502Thompson Yvonne PCP HD 3/27/1996 914 E. Biddle Street Baltimore MD 21202Thompson Carl N. PCP HD 7/24/1992 7412 Beech Avenue Baltimore MD 21206Thompson Stephanie Aide HHS 2/18/2010 3008 Gallery Place, Apt. 33 Waldorf MD 20602Thompson Reg<strong>in</strong>a PCP HD 5/7/2003 524 Cedar Street Cambridge MD 21613Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 75 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPThompson Colleen Nurse MFCU‐A 5/17/2005 312 Boardwood Drive Rockville MD 20850Thornton Martha PCP HD 6/16/1993 402 Cedar Street Pocomoke MD 21851Thornton Keisha PCP HD 3/12/2002 307 Barclay Street Salisbury MD 21853Tilghman Anitra Citizen HHS 12/20/1995 3 Valley Arbor Court Essex MD 21221T<strong>in</strong>n<strong>in</strong> Louis Watson M.D. HHS 3/27/2006 RR 1; Box 215 rucetonw Mill WV 2652Tolliver John M.D. HHS 8/20/1998 8629 Cross Chase Court airfax Station VA 23039Tom Victoria PCP HD 12/10/2004 201 Poplar Spr<strong>in</strong>gs Road; Apt. I Rockville MD 20850Tomboyeke Idrisa Aide MFCU‐A 7/25/2005 408 Torr<strong>in</strong>gton Place Silver Spr<strong>in</strong>g MD 20901Tora<strong>in</strong> Doris Citizen HHS 5/6/1988 2359 Sundew Terrace Baltimore MD 21209Towers, Jr. Earl Madison P.D. LB 10/15/1990 214335 E C I; Route 1, Box 500 Westover MD 21871Towns Charles D.D.S. HHS 11/25/1983 6400 Rossville Blvd Baltimore MD 21237Treece Thaddeus R. PCP HD 3/15/1994 2628 E. Madison Street Baltimore MD 21205Truby Derrick P.D. HHS 10/20/2010 7018 Hamlet Avenue Parkville MD 21234Tuason Rhonda Nurse HHS 9/19/2002 25 Halfpenny Lane Baltimore MD 21228Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 76 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPTullner William W. M.D. LB 1/27/2006 9901 Medical Center Drive Rockville MD 20850Turner Joseph Citizen F 9/16/1993 807 Benn<strong>in</strong>ghouse Road Baltimore MD 21212Twenty Four Seven Home He Corporation HD 7/28/2005 905 W. Seventh Street; PMB 302 Frederick MD 21702Tyco Cl<strong>in</strong>ical Lab. T. Husa<strong>in</strong> Citizen F 3/1/1995 405 Frederick Road; #158 Catonsville MD 21228Tymiuk Wasyl P.D. LB 7/21/1993 2405 Mayfield Avenue Baltimore MD 21213Uche Hyac<strong>in</strong>th R.Ph F 12/7/2003 1413 K<strong>in</strong>g William Drive Baltimore MD 21228Udebiuwa Oparaugo M.D. F 11/30/2006 450 West Central Avenue Davidsonville MD 21035United Medical, Inc. Corporation HHS 1/7/1998 639 Riverside Drive Annapolis MD 21403Uplift Medical Corporation HD 3/22/2011 3710 Riviera Street, Suite 1A Temple Hills MD 20748Valent<strong>in</strong>e Eugene Citizen HHS 10/20/2002 P. O. Box 867 Arnold MD 21012Valent<strong>in</strong>e Lisa D.D.S. HD 11/1/2010 111 Park Avenue Baltimore MD 21201Valerie's Assisted Liv<strong>in</strong>g Corporation HD 3/24/2004 5506 Wayne Avenue Baltimore MD 21207Valove Paul M.D. LB 1/24/2007 11085 Little Patuxent Pkwy. Columbia MD 21044Van Horn Eugean C. Corporation HHS 9/15/1989 8163 Murry Hill Drive Fort Wash<strong>in</strong>gton MDSanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 77 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPV<strong>and</strong>i Solomon Daniel Aide HHS 1/20/2006 9340 Edmonston road; Apt. 201 Greenbelt MD 20770Varga Pal M.D. HHS 12/31/1991 213 Philadelphia Avenue Salisbury MD 20801Vasiliades M<strong>in</strong>us M.D. LB 11/3/2011 9101 Frankl<strong>in</strong> Square Drive Baltimore MD 21237Vassallo Anthony Michael PCP HD 11/1/2006 455 N. Centre Street Cumberl<strong>and</strong> MD 21502Vaters Willa J. Corporation HHS 5/2/1989 Route 3, Box 144 Hagerstown MD 21741Vaughn Hope L. Aide HHS 10/18/1993 1940 W. North Avenue Baltimore MD 21217Vegetarian Institute Corporation F 11/3/2005 7185 Columbia‐Gateway Drive Columbia MD 21046Villars Maureen PCP HD 5/10/1996 11308 Gilsan Street Silver Spr<strong>in</strong>g MD 20902Villaruz Rogelio M.D. F 6/28/1988 576 Stocketts Run Road Davidsonville MD 21035Wagner Keith Citizen F 6/5/1991 9304 Warren Street Silver Spr<strong>in</strong>g MD 20910Waison Marion Smith M.D. LB 9/16/2005 to Woman Comp Care; Hickory Rid Columbia MD 21044Waites Reg<strong>in</strong>a Marie Nurse F 8/2/2002 16425 Calla Hill Road NW Mount Savage MD 21545Walker Tonya Aide HHS 3/13/1999 3416 Br<strong>in</strong>kley Road; #402 Temple Hills MD 20748Wallace Michelle PCP HD 12/27/2002 9409 Jolean Road R<strong>and</strong>allstown MD 21133Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 78 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPWallach Daniel E. M.D. F 12/21/1992 90‐B Pa<strong>in</strong>ters Mill Road Ow<strong>in</strong>gs Mills MD 21117Ward David C. M.D. HHS 2/19/1999 3317 Mondawm<strong>in</strong> Avenue Baltimore MD 21216Warren V<strong>in</strong>ita Citizen HHS 12/20/1995 2003 Georgian Wood Place Wheaton MD 20902Watk<strong>in</strong>s Rose PCP HD 9/30/2008 1027 Cosby Avenue Cambridge MD 21613Watk<strong>in</strong>s Mildred PCP HD 8/7/2008 412 South Cedar Street, Apt #2 Cumberl<strong>and</strong> MD 21502Wattay Ellen G. P.T. LB 1/17/2006 408 Parkwood Drive Salisbury MD 21804Watts Sherrie Citizen F 10/28/1987 1907 Forest Park Apt; 53 Baltimore MD 21207Waxler Richard M. Citizen HHS 6/19/2003 6015 Middewater Court Columbia MD 21044Weaver Darlynn PCP HD 8/6/1997 1503 East 29th Street Baltimore MD 21218Weaver Brian M.D. LB 4/29/2010 1124 N. Ma<strong>in</strong> Street Sikeston MO 63801Webster Dewitt D.D.S. LB 8/1/1990 6409 Ager Road Hyattsville MD 20782Weems George M.D. LB 7/1/1994 BOX 262‐C <strong>in</strong>ce Frederick MD 2067Wehren Lois M.D. LB 3/13/1997 4098 Fragile Sail Way Ellicott City MD 21042Weiss Sam Arthur Aide HD 6/11/2004 3506 Glen Avenue Baltimore MD 21215Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 79 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPWeissfuss Meaghan N. Citizen MFCU‐A 12/7/2005 11934 North Street; Apt. 5‐3 Libertown MD 21762Weitzman Warren Citizen HHS 10/20/2002 7107 Thomas Branch Drive Bethesda MD 20817Welch Barbara Jean Nurse HHS 6/20/2006 8 E. Southern Avenue; Bldg 9 PMB Tempe AZ 85282Wells Luititia D. PCP HD 7/1/2002 P.O. Box 205 Newburg MD 20664Weneck Bruce M.D. F 8/27/1986 303 Memorial Blvd Hagerstown MD 21740Werner Stephanie A. Nurse HHS 4/20/2004 423 L<strong>in</strong>coln Avenue Glen Burnie MD 21061Weston Danly P. D.D.S. HHS 4/22/1997 12821 Old Fort Road rt Wash<strong>in</strong>gton MD 2074Wetmore Thomas LCSW LB 4/8/2011 420‐K Ch<strong>in</strong>quap<strong>in</strong> Round Road Annapolis MD 21401Wheeler, Jr. Rudolph D. Citizen F 2/14/1997 2007 Mayfield MD Baltimore MD 21213White Puanani J. Citizen HHS 10/20/2004 405 Parsonage Lane a<strong>in</strong>t Michaels MD 21663White S<strong>and</strong>ra E. Aide HHS 4/12/1993 4604 Bromley Ave Suitl<strong>and</strong> MD 20746White, Jr. Charles Edward P.A. HHS 9/26/1990 2921 Pulaski Highway Baltimore MD 21224Whitehead Jessica PCP HD 5/16/1996 6713 Newport Road Hyattsville MD 20784Wiesman Albert M.D. HHS 4/12/1993 12605 Orchard Brook Terrace Rockville MD 20854Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 80 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPWilborne Victor G. Citizen HHS 9/2/1992 5606 McClean Blvd; Apt. C Baltimore MD 21212Wilder Craig R. M.D. HHS 7/20/2010 2510 Moores Plans Boulevard pper Marlboro MD 2077Wilkes Darryl Ivan Citizen HD 9/21/2005 12428 Gable Lane t. Wash<strong>in</strong>gton MD 2074Wilk<strong>in</strong>son Morris A. M.D. HHS 4/13/1993 7815 Old Reciever Rd Frederick MD 21702Wilks Deborah Citizen HHS 11/15/1995 2023 Woodlawn Drive; Apt. B Baltimore MD 21207Williams Carter M.D. F 4/14/1993 3104 Woodholme Ave Baltimore MD 21234Williams Thomas C. Aide MFCU‐A 3/2/2004 1113 Bonaparte Avenue Baltimore MD 21218Williams Olivette PCP HD 1/6/1998 6237 Maxwell Drive Camp Spr<strong>in</strong>gs MD 20746Williams Joanie L<strong>in</strong>den PCP HD 9/26/1997 901 Greenmount Avenue; 2nd Floo Baltimore MD 21218Williams Sharon PCP HD 10/7/1996 P. O. Box 316; Peabody Street Leonardtown MD 20650Williams Arnita L. PCP HD 2/18/1998 1025 Webb Court Baltimore MD 21202Williams Deborah PCP HD 9/17/1998 5409 Schley Avenue Baltimore MD 21213Williams Daniella Citizen F 4/23/2003 1523 Ellamont Avenue Baltimore MD 21206Williams Fortune J. M.D. HHS 9/20/2005 5010 York Road Baltimore MD 21212Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 81 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPWilliams Lillian Nurse HHS 4/20/2003 8925 Footed Ridge Columbia MD 21045Williams Clevel<strong>and</strong> M.D. LB 8/20/1991 1111 Spr<strong>in</strong>g St; Ste 103 Silver Spr<strong>in</strong>g MD 20910Williams Barbara L. Aide HHS 11/10/1992 6934 Walker Rd; #B‐1 apitol Heights MD 2074Williams Joanie PCP HD 9/26/1997 901 Greenmount Avenue; 2nd Floo Baltimore MD 21218Williams, III Robert X. M.D. HHS 10/19/2006 3913 Fleetwood Avenue Baltimore MD 21206Willis Vida Marie Aide HHS 5/21/1997 3816 Tow<strong>and</strong>a Ave; 1st Floor Baltimore MD 21215Wilson Tamela PCP HD 9/27/1995 751 Woods Road Cambridge MD 21613Wilson Tasha Aide MFCU‐A 3/11/2011 33 Deepspr<strong>in</strong>g Court Reisterstown MD 21136Wilson Stuart K. M.D. LB 12/20/2000 717 Oyster Cove Dr Grasonville MD 21638Wilson Rose PCP HD 5/15/1998 2926 Miles Avenue Balitmore MD 21211Wilson Donisha Aide MFCU‐A 6/16/2006 11031 Krist<strong>in</strong> Way Worten MD 21678W<strong>in</strong>der Tyrone Citizen HHS 12/20/1995 4608 Marble Hall Road Baltimore MD 21239W<strong>in</strong>dsor Respite Corporation HD 9/20/2005 7407 Castlemoore Road W<strong>in</strong>dsor Mill MD 21244W<strong>in</strong>gate Shonelle PCP HD 11/27/2009 8601 Greens Lane Baltimore MD 21224Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 82 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPWischer Noreen Ann PCP HD 3/19/2005 311 S. Rob<strong>in</strong>son St. Baltimore MD 21224Witriol Sol M.D. LB 9/26/2001 8679 Ft. Smallwood Road Pasadena MD 21122Wongus Rosalie Citizen F 11/27/1999 530 N. Curley Street Baltimore MD 21205Woodard Dale Avery Aide MFCU‐A 12/30/2003 206 Slitt<strong>in</strong>g Mill Place Baltimore MD 21228Woods Joyce V. Ph.D. HHS 5/8/1991 17525 Sir Galahad Way Ashton MD 20861Wooldridge Judith Nurse HHS 9/19/2003 1306 Willow Oak Drive Frederick MD 21701Wright Stephanie Aide HHS 2/27/2000 P. O. Box 11949 altimore MD 21207‐094Wright Cynthia McG<strong>in</strong>nis Nurse HHS 10/19/2006 42825 Shaler Street Chantilly VA 20152Yarborough Pamela PCP HD 3/22/2004 137 Faywood Court; Apt. 5 Glen Burnie MD 21060Yazdani Farshad M.D. LB 4/4/1999 339 E. Antietam St Hagerstown MD 21740Yoshabell's House, I,II, III Corporation HD 5/24/2006 8511 Allenswood Road, etc. R<strong>and</strong>allstown MDYoumatz Henry F. D.D.S. F 12/11/1981 1503 West Lombard Street Baltimore MD 21223Young Sara PCP HD 5/16/1995 381‐D Willows Road ex<strong>in</strong>gton Park MD 2065Young Jennifer PCP HD 3/3/2005 26771 Johnson Creek Road Crisfield MD 21817Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 83 of 84
LAST NAME FIRST NAME SPECIALTY SANCTIONTYPESANCTION DATE ADDRESS CITY/STATE/ZIPYoung Leonard H. Citizen HHS 8/20/2009 7003 Targu<strong>in</strong> Avenue Temple Hills MD 20748Young Henry A. M.D. HHS 2/13/1995 901 Eastern Avenue Baltimore MD 21221Yu Young H. M.D. LB 9/21/2001 1205 York Place; Ste. 30A Towson MD 21204Zakrzeski Paul Nurse F 6/28/2002 210 S. Sunset Drive Shrewsbury PA 17361Zazo Loretta Nurse HHS 12/18/2008 O. Box 219 4 Water St. Pier A, #13Charlestown MD 21914Ziscovici Silviu M.D. LB 12/1/2010 11400 Rockville Pike Ste. 513 Rockville MD 20852Zuckerman David M.D. LB 7/29/2009 9715 Medical Center Drive #530 Rockville MD 20850Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Contol LB = Licens<strong>in</strong>g Board HD = Health DepartmentHHS = Department of Health <strong>and</strong> Human Services ‐ Medicare Exclusion F = Individual or Entity Convicted of Medicaid FraudTuesday, May 22, 2012 Page 84 of 84
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