Sanctioned Providers from Participation in Maryland...Abell Amanda Personal Care Provider HD...
Transcript of Sanctioned Providers from Participation in Maryland...Abell Amanda Personal Care Provider HD...
Sanctioned Providers from Participation in Maryland
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
1ST RESPONSE MEDICAL TRANSPORT CORP
HHS 11/8/2016 1530 Caton Center Drive Halethorpe, MD, 21227
A & A Medical Supply Company
Business Entity HD 10/29/2015 146 Chartley Drive Ste 100 Reisterstown MD 21136
A&E Home Care I, II Business Entity HD 5/26/2005 1234 Cathedral Drive Glen Burnie MD 21061
Aalai Mehrdad M.D. F 8/15/1994 10524 Democracy Blvd Potomac MD 20854
Abate Shastine MD LB 12/31/2019 7004 Security Blvd, 101 Windsor Mill, MD 21209
Abbas Muhmoud F M.D. F 6/10/1992 5411 Old Frederick Road Baltimore MD 21229
Abell Amanda Personal Care Provider
HD 3/29/2006 19862 Preference Way Callaway MD 20620
Abundant Life Center, Inc. Business Entity HHS 7/5/1989 30 South Broadway Baltimore MD 21231
Acree Virginia V. Nurse HHS 12/20/2009 FPC Alderson, Glen Ray Road, Box A
Alderson WV 24910
Acri Joseph MD HHS 12/22/2017 147 Gettys Street Gettysburg, VA 17325
Action Healthcare Services
9/27/2017
Adam Hakki B. M.D. F 8/24/1983 6172 Oxon Hill Road Oxon Hill MD 20715
Adams Gloria Personal Care Provider
HD 3/16/2014 100 Maryland Avenue Hurlock MD 21643
Adams Charlotte Personal Care Provider
HD 10/24/1994 5313 Barbara Avenue Baltimore MD 21206
Adams Alice MD LB 3/13/2018 4333 Old Branch Temple Hills, MD 20748
Adams Jerry MD LB 9/30/2016 957 National Highway La Vale, MD 21502
Page 1 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Addison Denise Personal Care Provider
HD 9/9/1998 P.O. Box 6014 Baltimore MD 21231
Addison Raven Tyrea Aide F 5/28/2019
Addison Ronetta Aide MCFU-A 5/8/2019 2802 Kentucky Ave Baltimore, MD 21213
Addison-Scott Gloria Individual HHS 7/20/2014 4120 Taylor Avenue Apt. 1 Baltimore MD 21236
Adedapo Abosede Aide HHS 2/11/1999 1471 Hadwick Drive Baltimore MD 21221
Adefolaju Adebowale Nurse HHS 7/20/2009 6405 Seta Drive Lanham MD 207060
Adelanwa Gabriel W. LCPC F 2/18/2007 7100 Chesapeake Road Landover Hills MD 20784
Aderibigbe Victoria O. Individual HHS 5/22/1998 11380 Cherry Hill Road; #20 Beltsville MD 20705
Adewale Soloman P.D. HHS 6/19/2008 4046 Warner Avenue, Apt. D1 Landover Hills, MD 20784
Adeyemi Nancy Individual HHS 8/20/2008 7758 Finns Lane, Apt. 2 New Carrollton MD 20781
Adeyemi Mukaila Individual F 2/28/1997 25 Strawhat Road; 1-C Owings Mills MD 21117
Adeyemo Adeleke M.D. LB 3/26/2014 5267 AL Jones Drive Shady Side MD 20764
Adger Rossanna Personal Care Provider
HD 9/9/1998 2140 Boyd Street Baltimore MD 21223
Adiegwu Nnamdi Aide MFCU-A 11/8/2013 5002 Baltimore National Pike Baltimore MD 21229
Adler Jane M. M.D. HHS 9/20/2001 9812 Falls Road; Ste 114 Potomac MD 20854
Advanced Clinical Associates Inc.
Business Entity F 10/2/1997 201 North Charles Street Baltimore MD 21201
Advanced Walk in Urgent Care
HHS 7/28/2013 10801 Lockwood Drive, Suite 140 Silver Spring, MD, 20901
Agroh Musa Aide MFCU-A 10/2/2012 4403 Silver Brook Lane Apt. A102 Owings Mills MD 21117
Aguzie Happiness MFCU 6/12/2018 1830 York Road, Suite F Timonium, MD 21093
Page 2 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Aiken Stuart D.P.M. HHS 5/5/2006 16 Dartmoor Court Olney MD 20832
Aikens-Afful Nathaniel M.D. F 4/18/1983 3706 Collier Road Randallstown MD 21133
Air Support Therapies Business Entity HD 10/30/2015 P.O. Box 188 Upper Falls MD 21156
Ajimatanrareje, Jr. Femi A. Pharmacy Technician
HHS 3/20/2014 9450 Whiskey Bottom Road Laurel MD 20723
Ajong Eric Aide HHS 6/20/2011 13107 Serpentine Way Silver Spring MD 20904
Ajouh Mekone Aide MFCU-A 7/18/2014 2518 Molton Way Baltimore MD 21224
Ajrawat Paramjit M.D. F 10/17/2015 7327-A Hanover Parkway Greenbelt MD 20770
Ajumobi Chukwudi Individual HHS 8/19/2010 5404 85th Avenue, Apt. T3 New Carrollton MD 20784
Akande Dwanus Nurse HHS 1/20/2008 10849 N. Central Expressway Dallas, TX 75231
Akhigbe Ehigiator M.D. HHS 10/20/2010 FCI Morgantown P.O. Box 1000 Morgantown WV 26507
Akoda Charles MD LB 11/15/2016 7582 Annapolis RD Lanham, MD 20784
Aksoy Yasar M.D. LB 7/17/2001 1423 Cedarcroft Road Baltimore MD 21239
Akthar Waheed U. M.D. LB 9/9/2004 301 S. Theodore Green Blvd White Plains MD 20695
Al-Attar Ali M.D. LB 4/22/2009 4900 Silver Hill Road Suitland MD 20746
Albers Nancy Individual HHS 1/20/2008 750 Farnham Place Bel Air MD 21014
Albrecht Frank M. Counselor HHS 8/20/2003 P.O.Box 877; 725 Elwood Ave Easton MD 21601
Alemnji Cedonne Aide HHS 4/20/2015 9338 Edmonston Road Apt 204 Greenbelt MD 20770
Alexander Harold HHS 11/8/2016 7610 Pennsylvania Avenue Forrestville, MD 20747
Alexander Daniel MD LB 1/11/2017 7445 East Furnace Branch Road, Glen Burnie, MD, 21
Baltimore, MD, 21060
Page 3 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Al-Khatib Susan Nurse HHS 2/20/2008 13014 Winchester Road, SW Cumberland, MD 21502
Al-Khatib Sofian J M.D. LB 10/7/2016 5501 Mariposa Street Phoenix, AZ 85018
Allen Yvonne Aide MFCU-A 10/29/2014 2565 Francis Street Baltimore MD 21217
Allotey John B.K. M.D. LB 11/14/2012 P.O. Box 925MP Manprobi-Accra Ghana
Ally Azad M. D.D.S. F 7/21/2004 1643 Agnes Avenue, S.E. Palm Bay FL 32909
Alperstein Arnold R.Ph HHS 1/20/2004 3202 Walnut Avenue Owings Mills MD 21117
Alpha Clinical Laboratories
Lab HHS 10/18/2016 9 Gwynn Mill CT, Suite F Owings Mills, MD, 21117
Alpha Diagnostic Services, Inc.
Business Entity F 7/30/2016 2700 MLK Jr. Ave. SE, Bld Ct Rm 3 Washington, DC 20032
Alpha Diagnostic Services, Inc.
Business Entity F 7/30/2016 9-F Gwynns Mill Court Owings Mills MD 21117
Alpha Diagnostic Services, Inc.
Business Entity F 7/30/2016 9-F Gwynns Mill Court Owings Mills MD 21117
American Diagnostic Laboratories
Business Entity HD 10/28/2008 15749 Crabbs Branch Way Rockville MD 20855
American Medical Co-Op, LLC
Business Entity HD 4/17/2016 330 Mallory Station Road, Ste. G-26
Franklin TN 37067
Amirgholi Mohammed H. M.D. LB 3/23/1988 9401 Indian Head Hwy Ft. Washington MD 20744
Amoss Willard M.D. LB 6/20/2012 2303 Belair Road Fallston MD 21047
Anderson Susan Nurse HHS 12/19/2002 11554 Buckskin Court Lusby MD 20657
Anderson Tasha M PA-C LB 12/14/2017 1407 York Rd, Suite 310 Lutherville, MD 21093
Anderson Morris Personal Care Provider
HD 7/21/1995 11 W. Baltimore; #1012 Hagerstown MD 21740
Anderson Richard H. M.D. LB 5/26/2001 13 Cedar Waxwing Road Hilton Head Island SC 29928
Page 4 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Andreadis Barbara L. LCSW F 5/20/2003 47 E. Main street Hancock MD 21750
Andrews Lorenzo Nurse HHS 7/20/2004 8341 Canning Terrace Greenbelt MD 20770
Angel Square Business Entity HD 6/28/2005 2306 Breton Drive District Heights MD 20747
Angel's Paradise II Business Entity HD 12/1/2011 7808 Baltimore Annapolis Blvd. Glen Burnie 21060
Anifowose Olufunke Aide MFCU-A 9/20/2012 38 Trout Brook Circle Reisterstown MD 21236
Ankrah Solomon Aide MFCU-A 7/29/2013 3 Korado Court, Apt. 2B Windsor Mill MD 21244
Ann's Loving Care Business Entity HD 9/5/2007 1536 Northgate Road Baltimore MD 21218
Appalachian Wellness Center
F 7/9/2018 507 Henderson Ave Cumberland, MD 21502
Appel Lawrence W. R.Ph HHS 12/20/2004 4 Coachman Ct; Apt. 202 Randallstown MD 21133
Arbogast Rebecca Personal Care Provider
F 1/6/2007 36856 Danny Lane Chaptico MD 20621
ARG Associates, Inc. Business Entity HHS 5/20/2002 8314 Glenmar Road Ellicott City MD 21045
Argos Vision & Eyecare Center
Business Entity LB 9/20/2013 15920 Shady Grove Road Gaithersburg MD 20877
Arian Howard MD LB 6/19/2017 500 Upper Chesapeake Drive Belair, MD 21014
Arrey Pamela P.D. HD 8/15/2008 13850 Kennard Drive Glenelg MD 21737
Arrington James Personal Care Provider
HD 4/17/1996 4138 Woodhaven Avenue; Apt. 1 FL
Baltimore MD 21216
Arriva Medical LLC HHS 11/4/2016 4252 NW 120th Avenue Coral Springs, FL, 33065
Arroyo Jose C. M.D. HHS 6/18/1998 6400 Baltimore Nat'l Pike #512 Baltimore MD 21228
Arroyo Ruy Dan M.D. HHS 9/20/1996 1215 Evesham Ave Baltimore MD 21239
Page 5 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Arung Elizabeth Aide HHS 4/20/2015 1817 Greenwich Wood Drive Apt. 24
Silver Spring MD 20903
Asemani Ghafour B. D.D.S. HHS 7/18/2002 8667 Town & Country Blvd; F Ellicott City MD 21043
Ashimi Karen Aide MFCU-A 5/24/2007 2424 Bridgehampton Drive, #J Parkville MD 21234
Asinyang Raphael Aide MFCU-A 12/7/2013 3546 Carriage Hill Circle, Apt. 303 Randallstown MD 21133
Askins Annie Delois Personal Care Provider
HD 5/4/2006 3301 Ripple Road Baltimore MD 21244
Askins Private Care Home
Business Entity HD 5/4/2006 3301 Ripple Road Baltimore MD 21244
Aslam Mohammad M.D. LB 9/4/2014 501 S. Union Avenue Havre de Grace MD 21078
Aslam Zahid MD LB 5/15/2018 300 East Pulaski Hwy Elkton, MD 21901
Atlanta Institute of Med and Rehab
HHS 6/24/2013 2911 Piedmont Road, Ste E Atlanta, GA, 30305
Atlantic Health Care, Inc. Business Entity HHS 10/7/2007 7640 Fullerton Road Springfield VA 22153
Aurora Hlth Care Services, Inc.
Business Entity HD 5/4/2005 14004 Silver Teal Way Upper Marlboro MD 20774
Austin Dan E. M.D. LB 4/4/1999 12164 Central Ave Mitchelleville MD 20721
Automated Billing Service Business Entity HHS 6/12/1997 4701 Randolph Road Rockville MD 20852
Awele Treatment and Rehab.Clinic
Business Entity HD 2/27/2007 2300 North Calvert Street Baltimore MD 21218
Ayers George J. P.T. HHS 2/20/2006 75 Beatrice Street Cumberland MD 21502
Ayinwingong Niba Individual HHS 6/18/2015 7941 Piedmont Avenue Greenbelt MD 20706
Aziz Ahmed D.D.S. LB 11/26/2003 6117 Marlboro Pike District Heights MD 20747
Azzato Nicholas M. M.D. HHS 10/4/1989 333 University Blvd; West Kensington MD 20895
Page 6 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Babaturk Hidir M.D. HHS 9/30/1988 6578 Gulford Avenue Clarksville MD 21029
Babaturk Hasan M.D. LB 2/25/2016 901 Eastern Boulevard, Ste 200 Baltimore MD 21221
Backmon Marquil D. Individual HHS 2/15/1997 830 N. Kenwood Avenue Baltimore MD 21205
Bagby Victoria Individual HHS 10/20/2008 435 N. Curley Street Baltimore MD 21224
Bagheri Farhad D.D.S. LB 8/15/2005 13529 Clopper Road Germantown MD 20874
Bagwell Polla Darlene Aide HHS 2/18/1999 3127 Artaban Place Baltimore MD 21216
Bah Haja Aide HHS 6/20/2005 3207 Toleda Place; Apt. 203 Hyattsville MD 20782
Bailey Andrea MD LB 7/17/2017 3500 Old Washington Road, Suite 101
Waldorf, MD 20602
Bailey, Jr. Purcell M.D. LB 4/16/2015 2600 Liberty Heights Avenue Ste. 103
Baltimore MD 21215
Bakare Oluwatoyin Personal Care Provider
HHS 4/20/2015 8207 Consett Court Severn MD 21144
Baker Betty Personal Care Provider
HD 9/9/1998 524 W. Preston Street Baltimore MD 21202
Baker Cynthia Nurse HHS 6/19/2008 5753 Hazelwood Circle, Apt. F Baltimore MD 21206
Ball Katherine M.D. LB 5/6/2016 30205 Ward Drive Trappe, MD, 21673
Baltatzis Panaytiotis MD LB 9/29/2017 8113 Harford Road, Suite 100 Baltimore, MD 21234
Baltatzis Panayiotis MD LB 10/4/2017 8113 Harford Road suite 100 Baltimore, MD 21234
Baltazar Rodney D.O. HHS 2/6/2009 319 Maloney Road Elkton MD 21921
Banks Evelyn Individual F 10/28/1987 2140 Pine Avenue Baltimore MD 21207
Barahona Leonel M.D. LB 11/19/2009 1101 Maiden Choice Lane Baltimore MD 21229
Baral Daniel LB 6/15/2018 7402 York Rd, Suite 100 Towson, MD 21204
Barber Steven Individual HHS 2/20/2011 4305 Belfield Drive Greensboro NC 27407
Page 7 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Barb's Mason Dixon Home
Business Entity HD 7/31/2006 29233-A West Line Road Delmar MD 21875
Barnes Ronald Aide MFCU-A 6/18/2014 3501 Mayfair Road Baltimore MD 21207
Barnes Georgia Personal Care Provider
HD 4/14/2003 12 Garrisonridge Court Owings Mills MD 21117
Barnes Stephen M.D. HD 10/24/2015 600 N. Wolfe Street Baltimore MD 21287
Barnette Dawn Personal Care Provider
HD 4/1/1994 SR6; Box 277-13 LaPlata MD 20646
Barr Alvin Scott Nurse HHS 4/20/2004 8336 Evergreen Drive Lusby MD 20657
Barto Johnnie Wilson MD LB 2/28/2018 201 Delta Drive Johnstown, PA 15904
Bass Mitzi Lucille Nurse HHS 7/18/2002 804 W. Nash Street Terrell TX 75160
Bassett David W. M.D. LB 3/29/2006 CPC Health, Inc; 500 W. Montgomery Avenue
Rockville MD 20850
Bates Robert E. Optician HHS 7/7/1997 11511 Lockhardt Place Silver Spring MD 20902
Battaile William G. M.D. LB 9/29/1996 Box 273 Gibson Island MD 21056
Battle Jesse Individual HHS 8/18/2011 6005 Tipton Drive Temple Hills MD 20748
Baum Victor M.D. HD 1/3/2016 919 Flordon Drive Charlottesville VA 22901
Baumann Carol Nurse HHS 4/20/2004 3908 Eighth Street Brooklyn MD 21221
Baxter Steven Aide HHS 8/19/2010 1928 Rochell Avenue, Apt. 1213 Forestville MD 20747
Beachley Carroll L. Aide HHS 5/13/1998 10420 Bailey Road Hagerstown MD 21740
Beauford India Aide HHS 8/20/2014 1949 Ewald Avenue Dundalk MD 21222
Beaverbrook Corner Business Entity HD 2/1/2006 4994 Beaverbrook Road Columbia MD 21044
Beck Jeffrey R. D.O. LB 7/13/2006 22 S. Greene Street Baltimore MD 21201
Page 8 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Beck Zina Yvonne Personal Care Provider
HD 6/19/1998 3925 Clark Lane, Apt. D Baltimore MD 21215
Beck Charlene Personal Care Provider
HD 9/9/1998 Route 1; Box 237 Rock Hall MD 21661
Beckles Lukman DDS OIG 10/17/2016 8730 Georgia Avenue, Suite 308 Silver Spring MD 20910
Belfar William M.D. HHS 1/20/2015 633 Westbury Avenue Westbury NY 11590
Belis John MD HD 3/16/2016 PO Box 897 Morgantown, WV 26505
Bell Vadney Aide HHS 8/20/2000 16 Brubar Court; Apt. 2-C Gwynn Oak MD 21207
Bell Guy Individual F 2/27/2008 2712 Tallow Tree Drive Woodstock, MD 21163
Bell, Jr Lawrence DDS LB 6/29/2018 3326 Auchentoroly Ter Baltimore, MD 21217
Bellamy Deitra D.D.S. LB 4/1/2015 6105 Harford Road Baltimore MD 21214
Bellis Edwin M.D. LB 2/27/2013 32071 Beaver Run Drive Ste. B Salisbury MD 21802
Belton Kimberly Shamicka MFCU A 7/14/2017 6201 Commons Rd Baltimore, MD 21237
Benchasil Sakda M.D. LB 10/30/1998 9 Slate Mills Ct Baltimore MD 21228
Benchmark Mobility Inc DME/DMS HHS 9/21/2017 100 West Road, Suite 300 Towson, MD 21204
Benchoff Richard R.Ph HHS 9/20/2009 139 E. Baltimore Street Hagerstown MD 21740
Benn Stanley Junious Individual F 7/14/2005 16 Arrowood Court Baltimore MD 21237
Benson, Jr. Fred D.D.S. HHS 6/6/1993 8055 13th Street Silver Spring MD 20910
Bernhard Larry D.P.M. HHS 10/30/2007 446 Colonial Ridge Land Arnold MD 21012
Berrebi Gabriel M.D. LB 4/15/2015 11904 Darnestown Road Ste F North Potomac MD 20878
Besong Emiline Aide HHS 4/20/2015 1806 Greenwich Wood Drive Silver Spring MD 20903
Page 9 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Best Morris D.D.S. F 9/15/1986 11409 Soward Drive Kensington MD 20795
Beverly Clarence E. M.D. HHS 6/27/1991 PO Box 786 Middletown NY 10940
Bikundi Florence Individual F 8/6/2016 3042 Mitchellville Road Bowie MD 20716
Bikundi Michael Individual F 8/6/2016 3042 Mitchellville Road Bowie MD 20716
Bintou Fofana Aide HHS 8/18/2011 9207 Bluefield Road Springdale MD 20774
Black Matthew D.O. LB 5/9/2012 1683 Laguna Drive Idaho Falls ID 83404
Blancaflor Othneil Individual HHS 5/22/1985 36 S. Charles Street Baltimore MD 21201
Bland-Guary Celeste LCPC F 9/18/2019 3350 Wilkens Ave, suite 301 Baltimore, MD 21229
Blizzard Judy Personal Care Provider
HD 9/30/1993 1326 Deer Park Road Westminster MD 21157
Blue Star Assisted Living Business Entity HD 8/31/2006 5415 Lincoln Street Bethesda MD 20817
BMA Health Care Services, Inc.
Business Entity HD 5/16/2013 13526 Collingwood Terrace Silver Spring MD 20904
BMA Health Care Services, Inc.
Business Entity HD 5/16/2013 12510 Prosperity Drive Ste. 180 Silver Spring MD 20904
Boches Hillari Pharmacy Technician
HHS 3/20/2014 3 Stags Laurel Court Pikesville MD 21208
Bockover Carol Nurse HHS 8/20/2002 29180 Naylor Mill Road Salisbury MD 21811
Body Energetics, Inc. Business Entity HHS 9/20/2001 9051 Baltimore Nat'l Pike; Ste 3-E Ellicott City MD 21042
Boesen Peter V. M.D. HHS 3/20/2008 07705-030, USP, P.O. Box 1000 Leavenworth KS 66048
Bohannon Wayne E. Ph.D. LB 11/9/2001 Behavioral Science Assoc; 10751 Falls Road
Lutherville MD 21093
Boisvert Raymond Nurse HHS 8/20/2015 2701 N.W. 23rd Blvd. Apt. 225 Gainesville FL 32605
Bolshinsky Igor Personal Care Provider
HHS 5/19/2005 10948 Whiterim Drive Potomac MD 20854
Page 10 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Bonovich Kermit M.D. LB 11/30/2010 754 Hickory Avenue Bel Air MD 21014
Bordley Thomas Individual HHS 12/20/1995 1531 Gleneagle Road Baltimore MD 21239
Boussougou Etienne Aide HHS 8/20/2015 1514 Madison Street Apt. 101 Hyattsville MD 20782
Bowens Michelle Personal Care Provider
HD 7/31/2002 600 N. Bentz St.; Apt. 8 Frederick MD 21701
Bowie, Jr. Charles Douglas D.D.S. F 3/20/2003 4205 Liberty Heights Avenue Baltimore MD 21207
Bowman Michael LCSW HD 3/9/2015 2401 E. North Avenue Baltimore MD 21213
Boyce Jesse D.P.M. HHS 1/16/2002 1714 Peachtree Lane Bowie MD 20721
Boyd Seward D.O. LB 2/11/1991 556 Ingraham St Washington DC 20011
Boyd Elizabeth Personal Care Provider
F 8/15/2017 1103 Village Gate Drive MT Airy, MD 21771
Boykins Loretta Penny Individual HHS 12/20/2001 1212 Whitelock Street Baltimore MD 21217
Brackett Mary Jane M.D. HHS 7/20/2015 45 Litchfield Road Watertown CT 06795
Bradbard Steven L. Ph.D. HHS 7/14/1993 8804 Saddle Lane Potomac MD 20854
Bradford Brenda Aide HHS 1/20/2004 2706 Gresham Way; Apt. 303 Baltimore MD 21244
Bradley William R. M.D. LB 6/27/1997 7505 E. Brushfield Ct Baltimore MD 21237
Bradley John Nurse LB 3/26/2012 915 Toll House Avenue Frederick MD 21701
Branch Freddie Individual HHS 2/15/1997 35 Loring Court; D Baltimore MD 21219
Branch Bernadette Personal Care Provider
HD 3/20/1993 P. O. Box 33354 Baltimore MD 21218
Branch Kelly Individual HHS 3/25/1998 749 Linnard Street Baltimore MD 21229
Brathwaite Lindsay M.D. HHS 5/19/2016 434 Turnberry Court Bear DE 19701
Braud Joseph M.D. HHS 1/20/2010 P.O. Box 5010 Oakdale LA 71463
Braxton, Jr. John M.D. LB 8/22/2012 1940 W. Baltimore Street Baltimore MD 21225
Page 11 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Bray Thomas M.D. HD 10/24/2015 600 North Wolfe Street Baltimore MD 21287
Breakfield James E. Individual F 7/10/2009 954 Forrest Street Baltimore MD 21202
Breitenecker Rudiger M.D. LB 7/1/2014 2000 Western Run Road Cockeysville MD 21030
Brenner Myron M.D. LB 10/22/2008 14025 Cuba Road Hunt Valley MD 21030
Breslerman Mark J. D.D.S. LB 5/2/1990 6232 Montrose Road Rockville MD 20852
Brice Charlene Personal Care Provider
HD 6/20/1995 8 Patamoke Way Cambridge MD 21613
Brigance Troy B. RCP HHS 11/20/2003 851 Park Avenue Baltimore MD 21201
Briggs Duriel Aide MFCU-A 10/29/2014 5 West Bend Court, Apt. D Baltimore MD 21207
Britos-Bray Anibal M.D. F 7/29/1995 16 Aberdeen Shopping Pl Aberdeen MD 21001
Brock Deon M. Individual F 5/29/2008 1127 N. Gilmor Street Baltimore MD 21217
Bronder Rosemary Nurse HHS 5/18/2000 4421 Saddle River Drive Mitchellville MD 20702
Brooks Latosha N. Aide MFCU-A 2/2/2005 3809 Bonview Avenue Baltimore MD 21213
Brooks Myrtle Individual HD 7/17/2005 1501 Bayly Road Cambridge MD 21613
Brooks Wanda Personal Care Provider
HD 6/27/1990 6870 Sturbridge Drive; Apt. B Baltimore MD 21234
Brooks Care Home Business Entity HD 7/17/2005 1501 Bayly Road Cambridge MD 21613
Brown Pamela MFCU A 6/5/2018
Brown Andrew Individual F 7/9/2016 43 Gwynnswood Road Owings Mills MD 21117
Brown Cynthia A. M.D. LB 2/23/1990 16816 5th Ave, SE Buthell WA 98012
Brown Louise Personal Care Provider
HD 9/9/1998 5414 Gist Avenue Baltimore MD 21215
Page 12 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Brown Ray-monia Aide HHS 9/18/2014 102 N. Broadway Apt. 8 Baltimore MD 21231
Brown Spencer Individual F 2/8/2013 19 Autumn Blaze Court Woodstock MD 21163
Brown Richard M.D. LB 11/5/2014 128 Kirwans Landing Lane Chester MD 21619
Brown Shantay T. Aide HHS 7/13/2000 3520 Milford Mill Road Baltimore MD 21207
Brown Luwahn Personal Care Provider
HD 3/31/1994 Rt. 2; Box 2259 La Plata MD 20646
Brownstein Steven A. D.P.M. LB 3/11/1999 420 S. Crain Hgwy Glen Burnie MD 21061
Broy Sharon LCSWC LB 1/11/2017 3812 Sequoia Avenue Baltimore, MD 21215
Bruger Peter Physician Assistant HHS 6/19/2014 312 Mill Pond Lane Apt 405 Salisbury MD 21804
Bryant Tonya Personal Care Provider
HD 9/6/1995 3505 Carsdale Avenue Baltimore MD 21207
Bryson Rick Van D.P.M. HHS 3/20/2006 15608 Henrietta Drive Accokeek MD 20607
Buchanan Elizabeth Personal Care Provider
HD 1/9/1992 4114 Buckingham Road Baltimore MD 21207
Buchar Chris R. R.Ph HHS 5/10/2003 26114 Pelham Avenue Baltimore MD 21213
Budnichuk Alfred D. Radiation Tech HHS 6/19/2003 1539 Redfield Road Bel Air MD 21015
Budnick Jean Individual HHS 6/30/1994 4700 Leyden Way Ellicott City MD 20142
Bui Ann DDS LB 6/13/2016 644 University Blvd East Silver Spring, MD, 20901
Burbano Jesus MD LB 1/2/2019 PO Box 13037 Silver Spring, MD 20911
Burge Lisa M. Individual HHS 2/6/1998 7934 Mayfair Circle Ellicott City MD 21043
Butt Amjad MD HHS 11/28/2016 952 Seton Drive Ste 301 Cumberland, MD
Butts Shayrie Personal Care Provider
HD 7/19/1991 306 Bishop Avenue Baltimore MD 21225
Page 13 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Calhoun Marvita Personal Care Provider
HD 8/19/1994 96 College Park Terrace Annapolis MD 21401
Calon Antonino H. M.D. LB 11/6/1998 611 S. Union Ave Havre De Grace MD 21078
Caltrider Robert PA HHS 5/20/1998 212 Juniper Drive Glen Burnie MD 21060
Cambridge Cancer & Infusion Center, LLC
Business Entity HD 7/9/2016 P.O. Box 2729 La Plata MD 20646
Campbell Darlene CRT HHS 11/20/2000 3010 Spaulding Avenue Baltimore MD 21215
Campbell Peter M.D. LB 10/13/2010 3001 Hospital Drive Cheverly MD 20785
Cannon (Gadea) Claudia CRNP HHS 9/2/2016 215 North ST Elkton, MD,21921
Cappelli Stephen R.Ph HHS 10/20/2014 741 Elizabeth Street Utica NY 13501
Cardiotel Inc. Laboratory HHS 6/20/2002 19636 Club House Road; Ste 120 Gaithersburg MD 20886
Care Plus Ambulance Service, Inc.
Business Entity F 9/13/1999 4 Woostream Court; #9 Owings Mills MD 21117
Caregivers, LLC Business Entity HD 10/20/2008 11405-103 Little Patuxent Parkway Columbia MD 21044
Carney-Barry Donna Individual HHS 8/20/2013 21 Bohn Court Rosedale MD 21237
Carpenter Gene P. Aide HHS 5/20/1999 7328 Church Hill Road Chestertown MD 21620
Carroll Candy Personal Care Provider
HD 1/5/2007 P.O. Box 151 Park Hall ND 20667
Carter Janet Individual F 8/30/2009 11400 Falcon Ridge Court Beltsville MD 20705
Carter Thomas N. M.D. LB 7/6/1994 9127 Georgia Ave Silver Spring MD 20910
Carter (Carter-Leak) Darnella F 7/18/2019
Caruana Patricia LCSW LB 9/12/2008 6611 Marietta Avenue Baltimore MD 21214
Caslin Shirley Aide MFCU-A 8/17/2012 8532 Graiden Drive Baltimore MD 21236
Page 14 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Caulker Alex Nurse HHS 8/20/2002 5445 N. Morgan Street; #203 Alexandria VA 22312
Centrad Healthcare LLC DME HHS 2/24/2017 1847 Shuman Blv Ste 130 Naperville, IL 60563
Certeza Humberto V. M.D. LB 7/31/1998 8946 Satyr Hill Rd Baltimore MD 21234
Chaiet Melvin R.Ph HHS 1/18/2001 4606 Barbara Drive Beltsville MD 20705
Chaiyupatumpa Nibondh M.D. LB 9/13/2011 517 Scott Street Baltimore MD 21230
Chalk Ella Personal Care Provider
HD 3/18/1996 1707 N. Patterson Park Avenue Baltimore MD 21213
Chalkley Walter Individual HHS 11/11/1993 8645 Oak Road Baltimore MD 21234
Chalom Albert I. M.D. HHS 8/14/1990 6002 Eastern Ave Baltimore MD 21224
Chaney Marlo Individual HHS 4/20/2010 523 Kerby Parkway Fort Washington MD 20744
Chang Samuel M.D. F 10/28/1987 10005 Hall Rd Potomac MD 20854
Charles Lloyd MD LB 7/7/2017 9692 Pennsylvania Avenue Upper Marlboro, MD 20772
Charms One, LLC Business Entity HD 9/28/2009 2021 Kennicott Road Baltimore MD 21244
Chase, Jr. Charles L. Individual HHS 4/10/1996 912 S. Baylis Street Baltimore MD 21214
Chavez Juan M. M.D. F 6/1/1988 4123 Frederick Ave Baltimore MD 21229
Chavis Darlene Personal Care Provider
HD 6/8/1993 619 Carlton Court Cambridge MD 21613
Cheeves Deborah Nurse HHS 8/19/2010 4206 Forsythia Lane Pasadena MD 21122
Chellappa Mariam Audiologist LB 1/20/2001 7840 Eastern Avenue Baltimore MD 21224
Chen Cecella A. M.D. LB 5/26/2001 603 Stags Head Ct Towson MD 21204
Chertkov Lynn S. LCSW F 4/25/1991 400 East/West Highway Bethesda MD 20814
Chiang Peter MD LB 6/1/2019 2425 Eutaw Place Baltimore, MD 21217
Page 15 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Chigbue Brian M.D. LB 1/14/2008 7943 Central Avenue Capitol Heights MD 20743
Chikvashvili Rafael Individual F 7/30/2016 3100 Stone Cliff Drive Baltimore MD 21209
CHM Medical Supply, Inc. Business Entity F 8/20/2016 26 North Dundalk Avenue Dundalk MD 21222
Cho Jay M.D. HD 10/9/2015 5124 E. Trindle Road Mechanicsburg PA 17050
Choudry Vaqar D.D.S. LB 9/18/2014 301 East Antietam Street Hagerstown MD 21740
Chu Peter L. D.D.S. HHS 11/4/1988 12450 Parklawn Drive Rockville MD 20852
Chu and Chu, Inc. Business Entity HHS 7/20/1988 1200 Annapolis Road Odenton MD 21113
Clair Michael J. D.D.S. LB 10/7/1999 104 Plum Tree; Ste, 100 Belair MD 11014
Clark Norman L. M.D. LB 1/23/2002 Univ of MD Hosp; 22 S. Greene St Baltimore MD 21201
Clark Jimothy P.D. HHS 2/4/1997 4510 Springdale Avenue Baltimore MD 21207
Clark Marva J. D.D.S. HHS 9/3/1997 3900 Bel Pre Road; Ste 1 Silver Spring MD 20906
Clark Ann Personal Care Provider
HD 11/27/2006 4509 Wakefield Road Baltimore MD 21216
Clayton Edith Personal Care Provider
HD 9/9/1993 10518 Marriottsville Road Randallstown MD 21133
Cleary Edward Paul Personal Care Provider
HD 11/10/2005 6723 Eldorado Road Federalburg MD 21632
Cleveland Tamara Jane Nurse HHS 2/19/2004 1003 Girard Street; NE Washington DC 20017
Clopin Wanda Personal Care Provider
HD 9/9/1998 9214 Victoria Drive Ellicott City MD 21043
Coar Jemal Personal Care Provider
HD 6/11/2009 1652 Candlewood Court Edgewood MD 21040
Cochran Cheryl Individual HHS 3/31/1999 639 Riverside Drive Annapolis MD 21403
Cochran Timothy Individual HHS 3/31/1999 639 Riverside Drive Annapolis MD 21403
Page 16 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Cockeysville Pharmacy Business Entity F 7/25/2000 10255 York Road Cockeysville MD 21030
Cohen Adrian M. M.D. LB 3/15/1997 1404 Dennis Avenue Silver Spring MD 20902
Coleman Rita M.D. HHS 2/23/1994 PO Box 9751 Baldwin MD 21013
Coleman Angela Personal Care Provider
HD 9/9/1998 112 Big Chimney Branch Upper Marlboro MD 20772
Colston Burley Phyllis Individual HHS 2/15/1997 2859 Woodbrook Avenue Baltimore MD 21217
Comeau John Personal Care Provider
HD 5/19/2010 218 Philos Avenue Westernport MD 21562
Commodore Patricia W. Individual F 6/23/1997 1910 Barclay Street Baltimore MD 21218
Commodore Josephine Personal Care Provider
HD 11/3/1992 722 E. Preston Street Baltimore MD 21202
Community Care Pharmacy
Pharmacy LB 10/19/2006 2730 Pennsylvania Avenue Baltimore MD 21217
Conerly Rex A. P.D. HHS 6/6/1993 6114 Breezewood Drive; #101 Greenbelt MD 20770
Consistent Care Ambulance
Service Business Entity F 1/21/2000 21 Govenor Court Baltimore MD 21244
Cook Elmer E. D.D.S. HHS 7/20/1999 2300 Paper Mill Road Phoenix MD 21131-1330
Cooke, II Arthur Aide HHS 4/27/1992 1100 Bolton Way; Apt 1408 Baltimore MD 21201
Coombs Clarence M.D. F 10/15/1985 7410 Village Road Sykesville MD 21784
Coplan Robert S. M.D. HHS 12/22/1988 407 Crain Hwy, SE Glen Burnie MD 21061
Cordova Edmund M.D. HHS 3/22/1995 PO Box 1296 Pasadena MD 25096
Corner Michael F. PA HHS 11/29/1989 305 Saybrooke View Dr Gaithersburg MD 20877
Cornfeld Edward M.D. LB 5/23/2005 20428 Boland Farm Road Germantown MD 20876
Page 17 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Cosca, M.D., P.A. Ruben Coporation F 10/30/1989 17529 Redland Road Derwood MD 20855
Costanzo Anthony D.P.M. HHS 11/20/2001 11100 Luttrell Lane Silver Spring, MD 20902
Costley Betty Aide HHS 11/21/2002 6967 Eden Mill Road Woodbine MD 21797
Cothran Dorothy M.D. LB 8/9/1996 1715 D Street, SE Washington DC 20003
Coulter Steven T. M.D. LB 5/28/2003 11140 Rockville Pike; #348 Rockville MD 20852
Council Michael Delroy Aide HHS 6/16/2003 5143 Nelson Avenue Baltimore MD 21215
Cozier Lisa LCPC LB 3/18/2014 119 W. Main Street Westminster MD 21157
CPM Corporation Business Entity F 3/13/2003 5550 Baltimore Nat'l Pikek Baltimore MD 21228
Crawford Steven Personal Care Provider
HD 2/23/2009 170 Hollingsworth Manor Elkton MD 21921
Crawford Gene O. M.D. LB 10/28/1992 401 Rexburg Ave Ft Washington MD 20744
Crawford Tammie Nurse HHS 9/20/2016 4905 Nelson Avenue Baltimore, MD 21213
Crisp Ronald M.D. HHS 6/24/1992 8288 Waterside Court Frederick MD 21701
Crittenden William M.D. LB 3/29/2012 7350 Van Dusen Road Ste 350 Laurel MD 20707
Crowder Veronica Personal Care Provider
HD 2/16/2010 6670 Palmers Mill Road Hurlock MD 21643
Crumitie Audrey Aide HHS 9/25/1995 1616 North Bethel Baltimore Md 21213
Crutchley Valerie Nurse HHS 10/20/2005 20161 Sunnyside Drive Melfa VA 23410
Cudlipp Frederick P.T. HHS 4/20/2006 6865 Snowberry Court Frederick MD 21703
Cummins David D.D.S. HHS 7/8/1993 42 W. Deerpark Road; #101 Gaithersburg MD 20877
Cunningham Dean S. M.D. LB 10/22/2003 Morgantown FCI; POBox 1000 Morgantown WV 26507
Page 18 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Currie Wanda D. LCSW F 4/8/2011 112 Oak Moore Court Bel Air MD 21014
Curtis Derek D.D.S. HHS 12/18/2008 P.O. Box 1000 Lewisburg PA 17837
D & J Personal Care Services
Business Entity HD 11/19/2009 1011 Reverdy Road Baltimore MD 21212
D.C. Medical Supply Business Entity F 8/13/2012 5922 Georgia Avenue, N.W. Washington, DC 20032
Dabney Lillie Personal Care Provider
HD 4/25/2008 112 S. Symington Avenue Catonsville MD 21228
Dabney's Elder Care Business Entity HD 4/25/2008 112 S. Symington Avenue Catonsville MD 21228
Daduk Steven O.D. LB 6/14/1982 36 South Market St. Frederick MD 21701
Dalrymple Anne M. M.D. HHS 6/27/1991 207 N. Manor Circle Takoma Park MD 20912
Daly Lauren M.D. HD 11/14/2015 SCI Muncy P.O. Box 180 Muncy PA 17756
Dando William M.D. LB 6/5/2014 405 Frederick Road Ste. 200 Baltimore MD 21228
Dang Dien Hieu D.D.S. F 4/12/1985 10620 Georgia Avenue Ste 111 Silver Spring MD 20902
Daniel George M.D. HHS 4/23/1990 11610 Milbern Drive Potomac MD 16280
Danquah Gloria E. M.D. F 3/3/1987 6705 Surreywood Lane Bethesda MD 20817
DaShiell Hilda T. Personal Care Provider
HD 10/29/2003 POBox 1148 Hurlock MD 21643
Davis Sigmond E. Aide HHS 5/20/1998 3205 Howard Park Ave Baltimore MD 21207
Davis Patricia Personal Care Provider
HD 10/16/1992 1527 W. Baltimore Street Baltimore MD 21223
Davis Mark MD LB 2/1/2017 McAlpine Center, 9141 Baltimore National Pike
Ellicott City, 21043
Davis Jane Personal Care Provider
HD 2/15/1994 1508 Rawlings Well Road Baltimore MD 21228
Davis Mark M.D. HHS 11/2/1990 PO Box 830 Belair MD 21014
Page 19 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Dawson Robert Individual HHS 7/20/1999 1422 Fernhill Court Forestville MD 20747
Day-tall Deborah A. D.D.S. HHS 2/7/1997 340 Tumbleweed Place Waldorf MD 20601
Dee Rosita H. M.D. LB 8/14/2006 8830 Cameron Street; #206 Silver Spring MD 20910
Deepak Inc. T/A Bhawani Manor Care
Business Entity HD 12/19/2012 9946 Downsville Pike Hagerstown MD 21740
Delcid Ever A. Individual MFCU-A 8/15/2006 2142 Collingwood Lane Frederick MD 21702
Demonte Rose Aide HD 12/16/2008 114 Linwood Avenue Bel Air MD 21014
Deonarine Nelinee Individual F 10/20/2006 1643 Agens Avenue, S.E. Palm Bay FL 32909
Dependable Nursing Care Inc
Business Entity F 4/8/2014 19616 Club Lake Road Montgomery Village MD 20886
Deptula Richard Individual HHS 8/20/2003 1290 Folly Quarter Road Ellicott City MD 21042
Desrosiers Henri CRNA HHS 3/27/2017 12252 Williams Road, Suite 103 Cumberland, MD
Destiny Medical Supply, Inc.
Business Entity HD 8/20/2016 12200 E Iliff Avenue Ste. C202 Aurora CO 80014
Dewitt Nancy Wanbui Kimani Aide MFCU-A 9/12/2006 1308 Highland Drive Baltimore MD 21239
DeWitt Patrice Nurse HHS 6/20/2007 8247 N. Boundary Road Baltimore, MD 21222
DeWitt Jamal Aide HHS 6/18/2015 1352 Crofton Road Baltimore MD 21239
Dhallan Narender R.Ph F 12/23/2014 5257 River Road Bethesda MD 20816
Dialysis with Heart Business Entity F 6/28/2002 1 Nashua Court; Suite E Baltimore MD 21221
Diamedix Healthcare, LLC
Business Entity HD 10/15/2015 4860 Cox Road Ste 300 Glen Allen VA 23060
Dickerson Ronald G. Individual HHS 5/20/2008 6728 Vermont Court Landover MD 20785
Dickey Robert M.D. LB 7/30/2013 1647 38th Street SE Washington DC 20020
Dickinson Eva MD LB 12/28/2016 201 Hall Highway Crisfield, MD 21817
Page 20 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Diesen Kayla Personal Care Provider
HHS 2/18/2016 16A Skyline Drive Glasgow MT 59230
Diggins Carolyn Personal Care Provider
HD 4/27/2006 3547 Millford Mill Road Baltimore MD 21207
Diggins Carolyn L. Personal Care Provider
HD 7/13/2005 3547 Milford Mill Road Baltimore MD 21244
Dishon Lori Ann Individual F 9/22/1999 3208 Fait Avenue Baltimore MD 21224
Divers Dwanelle Individual HHS 11/20/2013 Glen Ray Road Box A Alderson WV 24910
Diwani Selwa M.D. LB 6/10/2009 4900 Silver Hill Road Suitlant MD 20746
Dolly Judy Personal Care Provider
HD 10/16/1995 719 Sylvan Avenue Cumberland MD 21502
Donovan James Individual HHS 11/15/1995 3906 Woodbine Avenue Baltimore MD 21207
Dooley Thomas M.D. LB 3/26/2016 13671 Georgia Avenue Silver Spring MD 20906
Dorsey Cornell Personal Care Provider
HD 4/14/1993 2105 N. Charles Street Baltimore MD 21218
Dorsey Juanita L. Personal Care Provider
HD 1/10/1995 P. O. Box 42 Bryantown MD 20617
Doswell Ronald J. LCSW F 7/12/1997 3311 The Alameda Baltimore MD 21218
Downes Tabitha Beatrice Aide HD 1/15/2002 1039 Cosby Avenue Cambridge MD 21613
Dressel Tammy A. Nurse HHS 1/28/2003 9222 Orbitan Road Baltimore MD 21234
Drubetskoy Yevgeny Individual HHS 9/18/2014 100 Sunnyking Drive Reisterstown MD 21136
Dubin Samuel M.D. LB 6/30/1988 17904 Georgia Ave Olney MD 20832
Dubroff Seymour J. M.D. LB 12/31/1994 8905 Fairview Rd Silver Spring MD 20910
Dudley-Richardson Lynnette Personal Care Provider
HD 12/7/2004 5806 Prince George Street Baltimore MD 21207
Page 21 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Duke Mary Ann M.D. LB 11/30/2004 10220 Democracy Blvd Potomac MD 20854
Duke Ellis J. Individual F 9/14/1984 10231 Carroll Place Kensington MD 20895
Dunham George Individual HHS 6/23/1989 Route 3, Box 144 Hagerstown MD 21741
Dunham Yolanda Aide HHS 8/20/2014 3907 Yolando Road Baltimore MD 21218
Dunstan Carol Personal Care Provider
F 12/7/2013 1407 NE 56th Street, Apt. 104 Ft. Lauderdale FL 33334
Dunsworth Joseph Aide MFCU-A 9/2/2010 218 E. Franklin Street Hagerstown MD 21740
Duong Linh DMD LB 6/13/2016 644 University Blvd East Silver Spring, MD 20901
Duvall Cheryl Nurse HHS 5/20/2014 2351 Eastbrook Drive Toledo OH 43613
Eastern Shore Ambulance, Inc.
Business Entity HD 10/24/2015 23378 Commerce Drive Accomac VA 23301
Edwards Angela Eliane Personal Care Provider
HD 9/17/1998 2231 Aiken Street Baltimore MD 21218
Edwards Arthur Individual F 3/17/1992 17725 New Hampshire Avenue Ashton MD 20861
Egbert Lawrence M.D. HHS 8/20/2015 814 Powers Street Baltimore MD 21211
Eisenband Nancy W. Nurse HHS 9/19/2002 100 Harbor View Drive Baltimore MD 21230
El-Beshir Abdelmonem M.D. LB 2/26/2015 6512 Clarington Road Baltimore MD 21209
Eldersburg Health Mart Pharmacy
Business Entity HD 10/29/2015 1708 Liberty Road Ste 1 Eldersburg MD 21784
Eldridge Marguerite L. Personal Care Provider
HD 5/12/1993 7115 Faulkner Road Hanover MD 21076
Eleven Cedars of MD, Inc.
Business Entity HD 10/29/2010 3120 Powder Mill Road Adelphi MD 20783
Ella's In-Home Care, Inc. Business Entity HD 9/11/2014 3007 Belair Road Baltimore MD 21213
Page 22 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Ellin Morton M.D. LB 3/14/2007 5310 Old Court Road #201 Randallstown MD 21133
Elliott Erin Nurse HHS 8/20/2007 926 Hammonds Lane Baltimore MD 21225
Ellis Lakeal Individual HHS 7/20/2011 2300 Blueridge Avenue Apt 5 Wheaton MD 20902
Ellis Julia Personal Care Provider
HD 8/14/1995 4701 Hamilton Avenue Baltimore MD 21206
Ellis-Bales Theresa Nurse HHS 3/20/2003 1430 Dundalk Avenue Baltimore MD 21222
Ellison Raeford Acupuncture HHS 4/18/2002 8 N. Sacramento Avenue; Apt. A Ventnor City NJ 08406
Emamali Ronald Individual F 5/20/1993 14117 Peartree Lane; #33 Silver Spring MD 20906
Emerald Medical Services, LLC
Business Entity HD 12/19/2013 4913 Georgia Avenue, NW Washington DC 20011
Emerson Thomas Nurse HHS 9/20/2007 1911 Thayer Terrace Baltimore MD 21207
Empowerment Solutions Business Entity LB 8/1/2014 699 Cottonwood Drive Severna Park 21146
Ennals Dominique Aide MFCU-A 6/3/2010 1431 North Carey Street Baltimore MD 21217
Eppelbaum Lawrence M.D. HHS 8/20/2014 Maxwell AFB, #62646-019 Montgomery AL 36112-0000
Eron's Home Health and Personal Care Services
Business Entity HD 11/4/2010 902 Milestone Drive Ste B100 Silver Spring MD 20904
Ervin Emma Jean Personal Care Provider
HD 7/15/1992 665 Queenstown Road Severn MD 21144
Ervin Christopher M.D. LB 3/22/2006 500 Upper Chesapeake Drive Bel Air MD 21014
Eseme Taba Aide F 4/27/2015 13915 Castle Boulevard Silver Spring 20904
Etheredge Personal Care Business Entity HD 9/27/2005 550 Glenn Court Glen Burnie MD 21067
Evangelista Gracia Nurse HHS 12/18/2008 FCI Danbury Route 37 Danbury CT 06811
Evans Pamela LCSW-C F 11/20/2015 2231 Garrison Boulevard Apt B2 Baltimore MD 21216
Page 23 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Evans John Mark Nurse LB 10/28/2002 9000 Franklin Square Drive Baltimore MD 21237
Ezimora Nwakaego Nurse HHS 8/18/2011 559 Macintosh Circle Joppa MD 21085
Ezrine Edwin D.D.S. LB 12/31/1998 1811 A S. Crain Hwy Glen Burnie MD 21061
Facey Sharon Individual F 2/12/1997 8244 Church Lane Randallstown MD 21144
Fafinski Carol Ann Knabb Nurse HHS 9/20/2001 8210 Woodyard Road Clinton MD 20735
Fakuade Phyllis Demetrice Individual MFCU-A 12/19/2005 6611 Parr Avenue Baltimore MD 21215
Family & Children Enrichment Services, Inc.
Business Entity F 8/29/2008 1777 Reisterstown Road, Ste 204 Pikesville MD 21208
Family Dermatology of Pennsylvania
Business Entity HHS 5/18/2016 902 Washington Road, Suite E Westminster MD 21157
Family Home Center Business Entity F 3/7/2003 5501 Oakland Mills Road Columbia MD 21045
Family Home Medical Equipment & Supplies
Business Entity HD 6/19/2014 7816 Parston Drive Forestville MD 20747
Fant Lois Individual HHS 6/20/2011 7903 Orion Circle, Unit 224A Laurel MD 20724
Faulkner Howard Nurse LB 8/4/2015 208 N. Centre Street Cumberland MD 21502
Fechter Maury D.D.S. LB 12/23/2013 700 N. Linwood Avenue Baltimore MD 21205
Federroll Susan W. LCSW LB 2/10/2006 8028 Ritchie Highway; Suite 313 Pasadena MD 21122
Feeney Andrea Nurse HHS 9/20/2012 12429 West Pima Avondale AZ 85323
Felder Constance Aide MFCU-A 8/20/2016 106 Hawthorne Avenue Pikesville MD 21208
Feldman Lawrence M.D. HD 10/24/2015 902 Washington Road Ste. E Westminster MD 21157
Feldman Martin J. M.D. LB 12/22/1987 205 E. Joppa Rd; Ste 2001 Towson MD 21204
Felsenberg Stanley M.D. LB 7/24/1996 6310 Greenspring Ave Baltimore MD 21209
Fenton Robert M.D. LB 10/24/2012 7112 Crabbury Court Clarksville MD 21029
Page 24 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Ferguson Mary Kate PA-C LB 4/11/2019 1500 Forest Glen Road Silver Spring, MD 20910
Ferguson Sandra Aide HHS 8/27/1995 9805 Langs Road; Apt. L Baltimore MD 21220
Fernandez Rosa LCSW HHS 6/19/2016 15 Haven Drive Georgetown DE 19947
Ferrer Romeo M.D. LB 9/8/2010 300 Hospital Drive #128 Glen Burnie MD 21061
Fiddermon Maryln Aide HHS 2/20/2000 10555 Campus Way, South Upper Marlboro MD 20772
Fiedler Kurt M.D. F 10/23/1992 325 Hospital Drive; #109 Glen Burnie 21061
Fielding Gregory Edward Personal Care Provider
HD 9/14/1994 1503 Adams Street, NE Washington DC 20018
Fingal John Joseph Individual HHS 9/20/2001 10803 Kencrest Drive Mitchellville MD 20721
Finucan, Jr. Thomas E. M.D. LB 1/24/2001 3 Maudlin Ave North East MD 21901
Fioretti Thomas M.D. LB 2/11/2013 103-120th Street Unit J Ocean City MD 21842
Firozvi Tarique M.D. LB 12/21/2015 1576 Merritt Boulevard Ste 14 Baltimore MD 21222
Firozvi and Associates MD
HHS 7/18/2016 223 Eastern Blvd Baltimore, MD 21221
Fleming Norene M.D. LB 1/21/2012 9470 Annapolis Road Lanham MD 20706
Fletcher Jean Virgie Personal Care Provider
HD 5/29/2004 710 Leonards Lane Cambridge MD 21613
Fletcher's Assisted Living Business Entity HD 5/5/2006 11754 Mansion Street Princess Anne MD 21853
Flo-Diamond Health Care Services
Business Entity F 8/6/2016 3042 Mitchellville Road Bowie MD 20716
Floyd Beverly Personal Care Provider
HD 2/23/1995 2583 Edmondson Avenue Baltimore MD 21223
Fobeteh Brandon Aide HHS 9/20/2015 9783 Good Luck Road Apt. 9 Lanham MD 20706
Page 25 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Folkemer Carl M.D. LB 10/23/2014 405 Frederick Road Ste. 200 Baltimore MD 21228
Fon Felix Aide HHS 6/18/2015 6731 New Hampshire Ave., Apt. 412
Takoma Park MD 20912
Foster Robert N. M.R.T. HHS 10/19/2000 4701 Everlea Court Preston MD 21655
Foster, Jr. Grady D.D.S. HHS 6/20/2000 c/o 8730 Georgia Avenue; 404 Silver Spring MD 20910
Four Leaf Clover, Inc. Business Entity HHS 12/3/2013 3200 N. Federal Highway, Ste. 128 Boca Raton FL 33431
Franks Denis M.D. LB 7/19/1997 1900 E. Northern Pkwy Baltimore MD 21239
Franz Mark Individual HHS 10/21/2013 8714 Deer Run Street Lenexa KS 66220
Franz Charles P. D.D.S. LB 2/18/2004 2201 Hammons Ferry Road Baltimore MD 21227
Frederick Spinal Care Center Business Entity HHS 4/20/1999 101 Baughmans Lane Frederick MD 21702
Freedenberg Gerald Individual F 6/29/1992 7036 Vangough Plano TX 75093
Freeman Debra M.D. LB 2/14/2008 2401 W. Belvedere Avenue Baltimore MD 21215
Freland Jessica Personal Care Provider
LB 7/8/2016 1629 Woodlands Run Hagerstown MD 21742
French David W. Individual F 6/24/1999 51 Murphy Avenue Annapolis MD 21401
Fringer Susan D. Personal Care Provider
HD 9/30/1993 1322 Deer Park Lane Westminster MD 21157
Frontera Miguel M.D. LB 11/6/2009 515 Fairmount Avenue Towson MD 21286
Frost Rosalyn Individual HHS 12/20/1995 8200 Autumn Lake Court Severn MD 21144
Fuentes Michael M.D. HHS 5/20/2010 32 Lake Drive Darien CT 06820
Fulton Cynthia D. Aide HHS 6/27/1991 739 N. Kenwood Avenue Baltimore MD 21205
Furth Mary M.D. LB 2/27/2013 1108 W. Joppa Road Towson MD 21204
Fuster David E. D.D.S. HHS 6/20/2005 8305 Old Germantown Road Bethesda MD 20814
Page 26 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Futterman Steven D.D.S. HHS 5/20/1999 8901 Shady Grove Court Gaithersburg MD 20877
Gaber Tamer M.D. LB 4/20/2012 507 Henderson Avenue Cumberland MD 21502
Gaddis Merry Nurse LB 8/27/2013 301 St. Paul Place Baltimore MD 21202
Gallagher Martin M.D. LB 1/12/2015 124 East Baltimore Street Hagerstown MD 21740
Gambill Colin Aide MFCU-A 1/25/2010 10338 Old Liberty Road Frederick MD 21701
Gamez Jesus M.D. HHS 7/19/2012 3409 Olive Branch Drive Silver Spring MD 20719
Gammill Joan Nurse HHS 11/20/2006 53 Lafayette Avenue Annapolis MD 21401
Gardner Patrina Y. Aide HHS 3/20/2002 203 Parier Drive; Apt. H Elkton MD 21923
Gardner Elmer M.D. HHS 9/10/1996 Box 137 Brookerville MD 20833
Gardner Jean Nurse LB 3/29/2012 1 Knoll North Drive Columbia MD 21045
Gardner-Baker Crystal MFCU 1/18/2017 1524 Farm Lane Greencastle, PA, 17225
Garner Tracy Personal Care Provider
HD 2/17/2011 P.O. Box 604 Lusby MD 20657
Garner Wilma J. Aide HHS 6/20/2000 1618 Four Georges Court; #A-3 Baltimore MD 21222
Gbadamosi Ahmed P.A LB 8/29/2019 8118 Good Luck Rd Lanham, MD 20706
Gdula William J. M.D. HHS 2/20/2011 5920 Glenn Dale Road Glenn Dale MD 20769
Geier Mark M.D. LB 5/5/2011 5616 Shields Drive Bethesda MD 20817
Geist, Jr. William C. Individual F 4/30/2004 1684 Nickerson Way Arnold MD 21012
Gelinas Claude M.D. HHS 2/18/2016 11236 Los Lagos NE Albuquerque NW 87111
Gentry Samantha Individual F 4/28/2006 3530 Aldina Road Churchville MD 21029
Page 27 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Ghattas Richard M.D. LB 4/1/2013 7501 Surratts Road #305 Clinton MD 20735
Gholl John M.D. LB 11/17/2010 Old Hollywood Firehouse Rt 235 P.O. Box 39
Hollywood MD 20636
Gill William M.D. LB 9/8/2010 26423 Burton Avenue Crisfield MD 21817
Ginn David H. M.D. LB 7/28/2004 10006 Hillgreen Circle; Apt. K Cockeysville MD 21030
Girgis Raafat M.D. LB 12/27/2010 724 Maiden Choice Lane Catonsville MD 21228
Glenn Linnell Personal Care Provider
HD 8/26/1993 4119 Hayward Avenue Baltimore MD 21215
Global Healthcare Inc. Business Entity F 8/6/2016 806 Jennings Mill Drive Bowie MD 20721
Global Healthcare Services
Business Entity F 8/6/2016 600 Reisterstown Road 300A Pikesville MD 21208
Global Medical Inc. Business Entity HD 10/21/2013 14309 West 95th Street Lenexa KS 66215
Glover Adahlia Marye CC F 7/19/2019 11347 Laurelwalk Drive Laurel, MD 20708
Godwin-Hult Sandra Personal Care Provider
HD 7/10/1991 3507 Bantry Way Olney MD 20832
Gold Alexandra M.D. LB 2/25/2014 4940 Eastern Avenue Baltimore MD 21224
Gold Medical Corp. Business Entity F 6/3/2010 4417 Meanderwood Drive Burtonsville MD 20866
Goldbaum Henry R. Individual HHS 5/20/1998 108 Deerfield Place Frederick MD 21702
Goldberg Harold L. D.D.S. LB 4/21/2000 7501 Liberty Road Baltimore MD 21207
Goldberg Lise Adele M.D. HHS 5/20/1998 1539 Ivystone Court Silver Spring MD 20904
Golden Crown Construction
Business Entity HD 3/18/2005 1007 Call Drive Upper Marlboro MD 20774
Goldschmitt Neil Individual F 6/3/2010 4417 Meanderwood Drive Burtonsville MD 20866
Goldstein Robert B. M.D. LB 9/30/1998 1205 York Rd; Ste 34 Timonium MD 21093
Page 28 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Gonsalves Dia Personal Care Provider
HD 8/30/1995 7206 Oakhaven Circle Baltimore MD 21244
Gonzalez Ramon L. M.D. LB 5/16/1998 6207 Capella Ave Burke VA 22015
Gopalani Hanif A. M.D. LB 6/12/2001 3004 Ohara Place Olney MD 20832
Gordon Esther Aide MFCU-A 12/28/2015 160 D. Willowdale Drive Apt.301 Frederick MD 21702
Gordon Robert Chiropractor HHS 4/27/1994 118 W. Market Street Snow Hill MD 21863
Grace Pharmacy Pharmacy LB 1/18/2002 8000-A Martin Luther King Hwy Glenarden MD 20706
Graham Marva C. M.D. HHS 11/19/1998 One Cooperfield Ct Phoenix MD 21131
Graham-Melvin Associates Inc.
Business Entity F 4/1/1997 7060 Oakland Mills Road; #1 Columbia MD 21046
Graning Harold LCSW LB 7/30/2010 6190 Georgetown Boulevard Eldersburg MD 21784
Grant Deanne Individual F 4/8/2014 19616 Club Lake Road Montgomery Village MD 20886
Grant-Grayton Miranda LCSW HD 8/10/2008 2412 Minnesota Avenue, Ste 201 Washington DC 20020
Grant-Grayton Urban Supports, Inc.
Business Entity HD 7/18/2008 3611 Branch Avenue; Ste 201 Temple Hills MD 20748
Gray Rowena Individual HD 9/28/2009 2021 Kennicott Road Baltimore MD 21244
Gray Darrell M. M.D. LB 3/5/2000 810 Painted Post Ct Baltimore MD 21208
Grayton James Individual HD 7/18/2008 9006 Dangerfield Place Clinton MD 20735
Greco William M.D. HHS 12/4/1984 7229 Hanover Pkwy, Ste. B Greenbelt MD 20770
Green J Alex MFCU 6/12/2018 2115 N Charles Street, Suite 200 Baltimore, MD 21218
Green Jacquetta Aide HHS 4/20/2005 4303 Wakefield Road; Apt. 6 Baltimore MD 21216
Green Donald D.P.M. HHS 1/20/2004 1460 Burbridge Road, SE, FCI Cumberland MD 21502
Page 29 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Green Lynaya Nurse HHS 11/20/2000 14159 Castle Blvd; #301 Silver Spring MD 20904
Greenberg Eric M.D. LB 4/16/2009 11125 Rockville Pike # 103 Rockville MD 20852
Greenberg Alan S. M.D. HHS 8/20/2001 1537 Jarrettsville Road Jarrettsville MD 21084
Greene Rose M. Individual F 1/9/1998 2501 W. Fairmount Avenue Baltimore MD 21223
Greene Yvonne Nurse HHS 7/20/2011 12530 Willow Spring Circle Germantown MD 20874
Greenway Diane L. Personal Care Provider
HD 9/17/1998 1119 Riggs Avenue Baltimore MD 21217
Greer Douglas Opthalmologist HHS 3/20/2008 P.O. Box 1000 Cumberland MD 21501
Griffin Dione MFCU A 5/9/2018
Grillo Aderonke A. Aide HHS 5/13/1998 5 Virunga Court; Apt. J Baltimore MD 21244
Grimes Claude DME HHS 10/23/2016 4303 Dawn Place Baltimore, MD 21229
Grimes James M. PA HHS 5/18/2000 4620 Magnolia Ave Baltimore MD 21227
Grimes IV Claude Individual F 8/20/2016 4303 Dawn Place Baltimore MD 21229
Grooms Shelie W. Aide MFCU-A 10/12/2006 1811 Ruxton Avenue Baltimore MD 21216
Gross Rhonda Aide HHS 4/10/1995 1809 E. Chase Street Baltimore MD 21213
Grossblatt Norton R.Ph F 10/17/2008 3410 Garrison Farms Road Pikesville MD 21208
Guerzon Rosario M.D. LB 7/10/1996 8821 Mayberry Ct Potomac MD 20854
Gunter Shawna Individual F 7/23/2015 FMC Carswell Naval Air Station Fort Worth TX 76127
Gurdon Rodger Pharm. Tech HHS 9/20/2016 P.O. Box 8000 Bradford PA 16701
Gurley Archie Personal Care Provider
HD 9/23/2011 1520 Sullivan Road Westminster MD 21157
Gurley Theodore Personal Care Provider
HD 7/14/1995 4804 Hamilton Avenue Baltimore MD 21206
Page 30 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Guruvareddy Ramakrishnan Individual F 12/23/2014 4207 Lytle Way Belcamp MD 21017
Hailfmariam Mekuria M. Personal Care Provider
HD 6/10/1996 6159 64th Avenue Riverdale MD 20737
Hakim Arcadius H. M.D. LB 10/7/2002 8701 Oxon Hill Road Oxon Hill MD 20744
Hall Lucille Personal Care Provider
HD 9/17/1998 8 E. Adkins Avenue; Parkview Willards MD 21874
Hall Sandra Y. Individual HHS 2/14/1997 3804 Byfield Road Baltimore MD 21207
Hall Vontina LCSW F 8/17/2012 1872 S. Queen Street York PA 17403
Hallowitz Robert A. M.D. HHS 4/28/1993 Montgomery Village Ave Gaithersburg MD 20879
Halstead Philip MD LB 6/24/2019 602 South Atwood Rd, Suite 101 Belair, MD 21014
Hamilton John M. M.D. HHS 4/1/1997 5430 Lynx Lane; #125 Columbia MD 21044
Hamm Mary Lou Individual HD 7/27/2005 8431 Newark Road Newark MD 21841
Harden Gerald Anthony Individual HHS 8/20/2001 16829 Cashell Road Olney MD 20832-2046
Harding James Personal Care Provider
HD 11/2/2009 P.O. Box 835, 421 S. Main Street, P.O. 835
Cambridge MD 21643
Hardy Michelle D. Nurse HHS 3/20/2003 2501 Roslyn Avenue Baltimore MD 21216
Harney John M.D. LB 7/29/2009 4000 Annapolis Road Baltimore MD 21227
Harper William M.D. LB 12/18/2013 100 S. Center Street Thurmont MD 21788
Harring James MD HHS 1/15/2014 40499 Port Place Leonardtown, MD 20650
Harris Leonard M.D. HHS 11/10/1992 PO Box 4654 Newark DE 19715
Harris Sabaina Personal Care Provider
HD 1/8/2001 1722 Purdy Street; Apt. 4G Bronx NY 21203
Harris, Jr. Vernon Individual HHS 8/20/1998 1244 Gittings Ave Baltimore MD 21239
Harris-Chin Cheryl M.D. LB 5/26/2006 1708 W. Rogers Avenue Baltimore MD 21209
Page 31 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Hart Barbara Individual HHS 9/20/1999 7606 Brightside Avenue Baltimore MD 21237
Hart Velda Belinda Aide HHS 5/20/1998 519 E. 41st Street Baltimore MD 21218
Hatch Judith Louise Chiropractor HHS 8/20/2001 1220 East West Highway; Apt. 1012
Silver Spring MD 20911
Hatchett Maureen Nkolika MFCU 12/7/2017 6619 English Oak Rd, Apt E Parkville, MD 21234
Hatchett Maureen Aide F 7/11/2013 2210 Pinewood Avenue, Apt. C1 Baltimore MD 21214
Havens Deborah Individual HHS 1/20/2014 FPC Alderson Glen Ray Road Box A
Alderson WV 24910
Haw Dante Lee M.D. HHS 1/10/1991 6410 La Mirada Ave Hollywood CA 90038
Hayford Sheila M. M.D. LB 7/27/2005 550 S. Dupont Hwy; Suite D Milford DE 19963
Head Sue A. Individual MFCU-A 7/18/2003 995 East New Road Orrtanna PA 17353
Health Management Enterprises
Business Entity F 6/24/1999 211 Chinquapin Round Rd Annapolis MD 21401
Heath Kera Aide MFCU-A 10/22/2009 4149 Mountwood Road #4 Baltimore MD 21229
Hebeka George M.D. HHS 7/8/1993 7939 Wise Avenue Baltimore MD 21222
Hegarty Veronica Nurse HHS 1/19/2012 7110 Heathfield Road Baltimore MD 21212
Helmick Lori Nurse HHS 8/18/2011 135 Filly Lane Bruceton Mills WV 26525
Henderson Joseph M. Optician F 12/1/1992 P.O. Box 48547 Washington DC 20002
Henderson Freddie Individual F 10/1/1992 2062 Harlequin Terrace Silver Spring MD 20904
Hendler Nelson M.D. LB 2/6/2006 1718 Greenspring Valley Road Stevenson MD 21153
Henry Victor D.P.M. HHS 7/19/2012 4000 Albemarle Street NW Washington DC 20016
Henry Victor E. D.P.M. LB 7/22/2001 1450 Mercantile Lane #151 Largo MD 20774
Page 32 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Henry Ricardo Individual HHS 4/20/2009 P.O. Box 1000, #28577-016 Cumberland MD 21501
Heritage House I & II Business Entity HD 5/15/2005 1405 Crockett Lane Silver Spring MD 20904
Herlich Steven Individual F 5/2/1990 1920 Eastridge Road Timonium MD 21093
Herrera Alfredo M.D. F 6/20/2001 10300 A Balt Nat'l Pike Ellicott City MD 21042
Hewitt John H. M.D. LB 1/17/2003 150 Baughman's Lane Frederick MD 21702
Heyward Donna Maria Personal Care Provider
HD 7/28/1993 319 B Suter Road Baltimore MD 21228
Hicks Ernestine Personal Care Provider
HD 10/1/2008 814 North Brice Street Baltimore MD 21217
Hicks, Jr. Willie Howard Aide HHS 5/20/1999 516 W. 8th Street Laurel DE 19956
High Ronald Individual F 1/21/2000 2 Horseman Court Randallstown MD 21133
Hill Denise Personal Care Provider
HD 7/23/1992 161 Reedbird Avenue Baltimore MD 21225
Hill Ezell Personal Care Provider
HD 7/27/1994 3722 Ellerslie Avenue Baltimore MD 21228
Hill Brunetta Personal Care Provider
HD 5/3/2001 2409 Jefferson Street Baltimore MD 21205
Hill James M.D. HHS 4/14/1994 PO Box 1722; Country Club road Cumberland MD 21502
Hill Leo M.D. HHS 2/10/1997 1815 61st Ave Cheverly MD 20785
Hillegas Sherry Nurse HHS 2/20/2001 18 S. collington Avenue Baltimore MD 21231
Hillgard Else M.B. M.D. LB 10/23/1991 8500 Tyspring St; #320 Vienna VA 22182
Hilliard Silas Aide HHS 9/16/1992 522 W. Lanvale Street Baltimore MD 21217
Himberger Faith LCSW LB 3/19/2013 11235 Oak Leaf Drive #110 Silver Spring MD 20901
Page 33 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Hinds Sandra Marcia Aide HHS 5/19/2005 920 Kenbrook Drive Wheaton MD 20902
Hines Larry Individual F 2/24/1994 735 Reservoir Street; 2nd Floor Baltimore MD 21217
Hiotis Michael P. P.D. F 6/9/1993 1612 Gray Haven Court Baltimore MD 21222
Hippler Joshua Individual HHS 5/20/2015 185 Alliance Loop Many LA 71449
Hisco Pharmacy Pharmacy F 12/7/2003 5613 Bel Air Road Baltimore MD 21206
Hitzig Pietr M.D. LB 2/4/1999 15 Charles Plaza Baltimore MD 21201
Hodges Corvalis Gail Individual HHS 9/20/2005 2136 Alice Avenue; Apt #302 Oxon Hill MD 20745
Hodjati Hassan H. M.D. LB 3/20/2002 6192 Oxon Hill Road; Ste 507 Oxon Hill MD 20745
Holland Richard W. M.D. LB 6/20/1999 13700 Ivywood Lane Silver Spring MD 20904
Holland Rosetta Francine Personal Care Provider
HD 5/28/1993 59 Mt. Harmony Lane; P.O. Box 400
Owings MD 20736
Holland Dannielle Personal Care Provider
HD 5/4/2009 99 Greystone Road North East MD 21901
Holliday Mary Personal Care Provider
HD 3/31/2001 904 Central Avenue Cambridge MD 21613
Hollywood Pavilion, LLC Business Entity HD 10/24/2015 1201 N. 37th Avenue Hollywood FL 33021
Holman Antoinette Nurse HHS 1/20/2010 853 St. Nicholas Avenue, Apt. 302 New York, NY 10031
Holmes Teresa Personal Care Provider
HD 10/13/1994 901 Druid Lake Drive; Apt. 1-B Baltimore MD 21217
Holum Nahid I. M.D. LB 6/2/1981 9605 Burgess Lane Silver Spring MD 20901
Home Feet Podiatric Home Care Inc.
Business Entity HD 2/8/2007 448 Luzerne Avenue Baltimore MD 21224
Home Medical Equip Business Entity HHS 8/11/1997 1800 Belair Road; Ste. 4 Benson MD 21018
Hooker Patricia Individual HD 9/11/2014 3007 Belair Road Baltimore MD 21213
Page 34 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Hope Senior Assisted Living
Business Entity HD 5/23/2005 4825 Ellicott Woods Lane Ellicott City MD 21043
Hopson Jessica Personal Care Provider
HD 2/13/2008 30 E. Baltimore Street Taneytown MD 21787
Horizon Respiratory Medical Supply,LLC
Business Entity HD 10/10/2015 1997 Annapolis Exchange Parkway Ste 300
Annapolis MD 21401
Horn Thomas Individual HHS 8/19/2010 1620 Brimfield Circle Sykesville MD 21784
Horton Robert T. M.D. LB 1/9/2002 6501 N. Charles Street Baltimore MD 212285
Horvath Edward D.P.M. F 11/26/2009 8118 Clifford Court Laurel MD 20708
Houck Donna Personal Care Provider
HD 11/13/2000 1498 W. 9 th Street Frederick MD 21702
Howe Tina Nurse HHS 1/19/2002 8 North Point Terrace Dundalk MD 21222
Hremt Pharmacy Pharmacy LB 5/14/2003 7701 Quaint Court Bowie MD 20720
Hsu Jui-Chih MD LB 12/20/2017 223 W Main Street Elkton, MD 21921
Hughes, Jr. Charles E. Chiropractor HHS 9/8/1993 811 Woodington Road Baltimore MD 21229
Human Development Assoc t/a Adelphia House III
Business Entity HD 3/1/2004 2700 Rambler Place Adelphi MD 20783
Human Services, Inc. Business Entity HD 2/28/2015 1215 Annapolis Road, Ste 202 Odenton MD 21113
Hummer Jessica Aide HHS 10/20/2015 321 E. Church Street Hebron MD 21830
Humphries Sharon Nurse HHS 4/20/2004 P.O. Box 228 Chester MD 21619
Hunt Robert MD HHS 10/20/2014 1140 Proffesional Court Hagerstown, MD 21740
Hunt Michael Individual F 3/17/1992 401 Christopher Avenue; Apt. Gaithersburg MD 20879
Hunt Carl D.O. LB 7/24/2013 13605 Baden Westwood Road Brandywine MD 20613
Hunter Thelma Individual F 12/24/2003 335 S. Ballou Court Baltimore MD 21231
Page 35 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Hurey Jacqueline Individual HHS 2/15/1997 6106 Carswell Terrace Suitland MD 20746
Husain Tasaduq Individual HHS 7/6/1995 3126 Nestling Pine Court Ellicott City MD 21042
Hussain Yasin M. Individual F 6/10/1996 11646 Sun Circle Way Columbia MD 21044
Huttinger Carol Ann Nurse HHS 5/20/1999 RD #3; Box 38A Hanover PA 17331
Hyde David Jefferson D.D.S. LB 7/12/2004 1009 University Blvd E Silver Spring MD 20903
Hyson Bradford A. Individual HHS 6/12/1997 3148 Sandy Hook Road Street MD 21154
Hyson Rodney Individual HHS 6/12/1997 2413 Haddenhurst Court Falston MD 21047
Hyson Mary Individual HHS 6/12/1997 1012 Shaffner Drive Bel Air MD 21014
Ibeh Cyriacus Chidi Nurse HHS 6/20/2006 13625 Avebury Drive; Apt. 24 Laurel MD 20708
Idowu Olusola A. Nutritionist F 11/19/2008 11047 Sani Lane Hagerstown MD 21742
Ige Moses Individual HHS 2/20/2007 9005 Tarpleys Circle Baltimore MD 21237
Igwacho Florence N. Individual HHS 4/20/2000 9127 Edmonton Terrace; #304 Greenbelt MD 20770
Infinite DME Services, LLC
Business Entity HD 10/30/2015 1200 G. St. NW Ste 815 Washington DC 20005
Inocencio Narciso M.D. LB 4/14/2004 1400 Mercantile Ln; #180 Landover MD 20785
Izat Sarah C. Aide HHS 7/27/1996 216 Maryland Avenue Cumberland MD 21502
Izzo Jaime Nurse HHS 1/18/2007 3161 Freestone Court Abingdon, MD 21009
Jackson Lionel Aide HHS 2/23/1997 4728 Wakefield Road; Apt. 30 Baltimore MD 21215
Jackson Theresa Individual MFCU-A 8/28/2005 2620 Greenmount Avenue Baltimore MD 21218
Jackson Howlett M.D. LB 11/7/2007 611 South Union Avenue Havre de Grace MD 21078
Jackson-White Tina Individual HHS 6/14/2014 13200 14th Street Bowie MD 20715
Page 36 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Jacobs Virginia L. Chiropractor HHS 7/4/1997 555 Thayer Avenue Silver Spring MD 20901
Jacobs Davita Individual MFCU-A 12/6/2006 8135 Scotts Level Road Pikesville MD 21208
Jacobs Joe L. Individual HHS 3/7/1986 1422 Crain Hwy South Glen Burnie MD 21061
Jalali Kuehak MD LB 3/8/2018
James Malika Aide HHS 8/20/2014 8 Debkay Court Essex MD 21221
Janati Abdorasool M.D. HHS 9/20/2005 FCI Cumberland; Federal Correctl Inst; PO Box 1000
Cumberland MD 21501
Jefferson Gary Individual F 9/13/1999 7202 Chippenham Place; #303 Baltimore MD 21244
Jenkins Sheretta Personal Care Provider
HD 7/29/2002 5615 Thompson Town Road East New Market MD 21631
Jeter Breonna Lashell MFCU 2/3/2017 1224 Brigadoon Trial Gwynn Oak, MD 21207
Jiggetts Wayne R. Nurse F 1/9/1998 3010 Fallstaff Manor Court Baltimore MD 21209
Joachim Dan M.D. HHS 8/20/2012 P.O. Box 26020 Beaumont TX 77720
Jobes Philip Aide MFCU-A 11/8/2004 2007 Frames Road Dundalk MD 21222
Johnson Joyce Aide HHS 8/20/2014 6948 Myersview Drive Middle River MD 21220
Johnson Subrina Aide HHS 5/19/1992 4918 Pallmer Avenue Baltimore MD 21215
Johnson Spencer MD LB 8/8/2019 4710 Auth Place, Suite 510 Camps Springs, MD 20746
Johnson Craig L. Individual HHS 11/24/1991 1604 E. Chase Street Baltimore MD 21213
Johnson Mark D.D.S. HHS 11/21/1993 c/o 6424 Elliot Place Hyattsville MD 20783
Johnson Constance S. Personal Care Provider
HD 12/11/2001 810 North Maple Avenue Brunswick MD 21716
Johnson Constance Personal Care Provider
HD 2/1/1996 3703 Stoneybrook Road Randallstown MD 21133
Page 37 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Johnson Darice Personal Care Provider
HD 5/14/1996 P. O. Box 35 St. Michaels MD 21663
Johnson Heather A. Personal Care Provider
HD 2/13/2002 810 North Maple Avenue Brunswick MD 21716
Johnson Andrea M. Nurse HHS 3/18/2004 1360 Running Deer Drive Keswick VA 22947
Johnson Leslie Aide HHS 11/8/1994 941 Brooks Lane, Apt. 3 Baltimore MD 21217
Johnson John H. MD HHS 8/21/2017 217 Glenn Street, Suite 400 Cumberland, MD 21502
Johnston Randolph M.D. LB 4/24/2009 6501 N. Charles Street Baltimore MD 21285
Jones Tania Personal Care Provider
HD 3/12/1998 902 N. Durham Street Baltimore MD 21205
Jones Roderick L. Individual HHS 3/25/1990 3739 Parkfield Road Baltimore MD 21208
Jones Mary Personal Care Provider
HD 3/1/1994 P. O. Box 67453 Baltimore MD 21215
Jones Yvonne M.D. HHS 7/19/2001 146-A Barrington Road Upper Darby, PA 19082
Jones Andrea Individual HHS 5/20/2015 FCI Danbury Route 37 Danbury CT 06811
Jones Diane I. Aide HHS 12/6/1992 3051 Ascension Street Baltimore MD 21225
Jones Estella Louise Personal Care Provider
HD 6/30/1998 417 Naylor Street Salisbury MD 21801
Jones Ronald Personal Care Provider
HD 8/3/2002 6227 Jones Village Road Hurlock MD 21643
Jones (Warrick) Shavon Anissa LCSW F 8/14/2018 10204 Eyelet Court Clinton, MD 20735
Joseph Anthony MD LB 1/8/2020 1940 West Baltimore St, 1st Floor Baltimore, MD 21223
Joyce David M.D. LB 12/12/1997 2003 Medical Pkwy; Ste 210 Annapolis MD 21401
Jung Ha Yong M.D. F 9/15/1993 8534 Harvest View Ct Ellicott City MD 21043
Jurand Joseph M.D. LB 9/11/2015 123 B South Duke Street Shepherdstown WV 25443
Page 38 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Kahntroff Bridget C. M.D. LB 3/30/2005 2401 W. Belvedere Avenue Baltimore MD 21215
Kamara Zainab Individual F 9/11/2015 13400 Dille Drive Upper Marlboro MD 20772
Karlsberg Robert M.D. HHS 2/20/2008 14406 Coral Gables Way North Potomas MD 20878
Karmo Roosevelt Individual HHS 11/15/1995 6655 Knottwood Court Baltimore MD 21214
Karsh Richard M.D. HD 11/7/2015 1460 Mesa Road Colorado Springs CO 80904
Katiby Safiullah M.D. LB 2/28/2014 2682 Darwin Street Hayward CA 94545
Keefer Angela Personal Care Provider
HD 3/3/1997 736 W. Franklin Street; 2nd Fl Hagerstown MD 21742
Keenan Robert M. M.D. LB 3/9/2004 1400 Generals Highway Crownsville MD 21032
Kehler James MD LB 2/20/2018 99 Cathedral Street Annapolis, MD 21401
Keithley Mary Nurse HHS 6/20/2011 501 Bush Chapel Road Aberdeen MD 21001
Kelly Jo-Anne B. M.D. LB 6/25/2003 2401 Research Blvd; #330 Rockville MD 20850
Kelly Sarah LCSW LB 9/12/2008 16 K Spindrift Circle Baltimore MD 21234
Kelly Wanda Personal Care Provider
HD 4/11/1994 8134 Hog Neck Road Pasadena MD 21122
Kelly's Kids Business Entity HD 9/11/2006 6955 Castle Court; Apt. 205 Frederick MD 21703
Kennedy Damion Individual HHS 6/20/2011 3910 Noyes Circle, Apt. 101 Randallstown MD 21133
Kennedy Jeffrey D. Nurse HHS 6/20/2006 4025 Belvoir Pines Drive Chattanooga TN 37412
Kennedy Damion Aide MFCU-A 3/11/2011 3910 Noyes Circle, Apt. 101 Randallstown MD 21133
Kenson Nursing Home Business Entity F 5/12/1988 2922 Arunah Avenue Baltimore MD 21216
Kessler James P.D. F 7/25/2000 25 Tenby Court Timonium MD 21093
Page 39 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Keyes Katherine H. Aide HHS 3/12/1992 6005-A Old Frederick Road Baltimore MD 21228
Khandangle (Sadanand) Eric Individual HD 2/28/2006 101 Carlisle Drive Silver Spring MD 20904
Kharod Prabhakar M.D. LB 9/17/1997 8031 Ritchie Hwy Pasadena MD 21122
Khayat Marwan Individual HHS 5/20/2010 1715 15th Street, N.W., Apt. 19 Washington, D.C. 20009
Kiarie Patrick Aide MFCU-A 9/27/2005 1407 Mcculloh Street Baltimore MD 21217
Kiely John M.D. HHS 3/13/2014 305 Chapelwood Lane Timonium MD 21093
King Kentrina Individual HHS 2/16/1997 7101 Burshire Drive Temple Hillsl MD 20748
Kirby Richard David Aide HHS 6/18/1998 116 W. University Pkwy, A3 Baltimore MD 21210
Kirk Lisa Nurse HHS 5/20/2012 Glen Ray Road Box A Alderson WV 24910
Kirkland Mattie Aide F 3/6/2002 1017 Vanderwood Road Catonsville MD 21228
Kirven Lisa M.D. LB 5/2/1998 4018 Seton Avenue Bronx, NY 10466
Kittrell Pamela Personal Care Provider
HD 3/28/1997 504 Clinton Street Cambridge MD 21613
Klimczak Robert Respiratory Therapist
HHS 10/20/2011 524 Goldsborough Street Easton MD 21601
Klingenstein Keith G. R.Ph HHS 12/5/1994 9115 49th Place College Park MD 20740
Knight Jessie Mae Individual MFCU-A 6/18/2004 5102 Oaklawn Road Baltimore MD 21207
Knight Joseph MD HHS 3/27/2017 455 South Mineral Street Keyser, WV,26726
Knight Terome LCPC F 4/7/2013 1005 8th Street Laurel MD 20707
Knott William Individual HD 4/1/2010 1401 West Joppa Road Towson MD 21204
Kohn Nelson M.D. LB 9/25/2012 110 Hospital Road Prince Frederick 20678
Page 40 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Kolander Trina Nurse HHS 5/20/2010 809 Tydings Road #RS Havre De Grace MD 21078
Kordon Melvin M.D. LB 5/26/2010 9501 Old Annapolis Road; Ste. 302 Ellicott City MD 21042
Korman William M.D. F 11/28/1989 2 High Stepper Court; #201 Baltimore MD 21208
Koroma Issa Pharm. Tech HHS 9/20/2016 P.O. Box 1000 Morgantown WV 26501
Koroma Nyamakoro Nurse HHS 1/20/1998 PO Box 382 Bladensburg MD 20710
Kotouc Joshua M.D. LB 5/14/2010 935 Whitehall Parkway Montgomery AL 36109
Koumbis Carolyn Nurse HHS 1/20/2015 290 Berlin Street, Apt.10 Clinton MD 01510
Krall Joseph D.D.S. HHS 12/20/1995 1318 Broadview Blvd Glen Burnie ME 21061
Kreger Laurie M.D. HHS 4/16/2015 4922 LaSalle Road Hyattsville MD 20782
Krektyshev Sergey Personal Care Provider
HD 4/1/2003 281 Norht Van Buren Street Rockville MD 20850
Kromah Margaret D.D.S. LB 3/31/2016 4403 Moravia Road Ste. 2 Baltimore MD 21206
Krulevitz Keaciel Kenneth M.D. F 5/16/1988 3306 Clarin Road Baltimore MD 21215
Kundratic Diahann Personal Care Provider
HD 11/18/2002 17 Purple Plum Court Perry Hall MD 21236
Kwiatkowski David Radiology Technician
HHS 3/20/2014 FDC Philadelphia P.O. Box 562 Philadelphia MD 19105
Labertson Heather N. Personal Care Provider
HD 9/20/2004 31177 Rehobeth Road Westover MD 21871
Laboratory Management Service
Business Entity F 10/24/1988 1008 Roxleigh Road Towson MD 21204
Lagmay Manuel R. Nurse HHS 6/20/2006 604 Menteth Point Drive Millersville MD 21108
Lake Anna Marie Personal Care Provider
HD 10/19/1996 L4976 Pintail Court Frederick MD 21701
Page 41 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Lake Shore Physicians, PA
Business Entity HD 1/16/2016 4231 Postal Court Ste 103 Pasadena MD 21122
Lambertson Heather Nicole Aide HD 9/20/2004 31177 Rehobeth Road Westover MD 21871
Lane Craig HHS 11/20/2018 911 N Carey Steet Baltimore, MD 21217
Lane Angela P. Individual HHS 2/16/1997 5933 Chinquapin Parkway Baltimore MD 21239
Lane Denise Washington Individual F 10/11/1997 1025 Webb Court Baltimore MD 21202
Lang Joel J. D.P.M. HHS 3/20/2001 6839 Riverdale Rd Riverdale MD 20737
Lange Paul A. M.D. LB 6/26/1997 1706 S. St, NE; #1 Washington DC 20009
Lankford, Jr. James E. Individual HHS 8/14/1995 15309 Old Hanover Road Upperco MD 21155
Lantz Denise Nurse HHS 8/18/2011 15 Hidden Cove Court Middle River MD 21220
Lashell Jeter Breonna MFCU 2/3/2017 900 Walker Avenue Baltimore, MD, 21228
Laurel Park Pharmacy Pharmacy F 6/10/1996 11646 Sun Circle Way Columbia MD 21044
Lazaro Benigno M.D. HHS 1/19/2012 822 Sidehill Drive Bel Air MD 21015
Leaverton David M.D. LB 8/20/2015 1331 Kinloch Circle Baltimore MD 21012
Lebow Frank L. D.P.M. HHS 8/17/1989 6611 Edenvale Road Baltimore MD 21209
Lebson Arthur M.D. F 6/24/1991 3640 Fords Lane Baltimore MD 21215
Lee Dijon MFCU A 5/9/2018
Lee Michael Aide HHS 8/19/1999 1820 Madison Avenue Baltimore MD 21217
Lee Terri Sha-Nae Aide MFCU-A 2/2/2005 3201 Lawnview Avenue Baltimore MD 21213
Lee Joshua LCSW F 12/10/2018 2115 N Charles Street Baltimore, MD 21218
Lester Andrew Todd Individual HHS 8/20/1998 12402 Lime Kiln Rd Fulton MD 20759
Levi Ellis D.D.S. HHS 3/22/1995 17 Millstone Road Randallstown MD 21133
Page 42 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Levitsky Leon R. M.D. LB 1/15/2008 8100 Good Luck Road Lanham MD 20706
Levitt Keith M.D. LB 12/1/2009 22 S. Greene Street Baltimore MD 21201
Levitt Jeffrey M. M.D. LB 2/24/1993 11415 Orleans Way Kensington MD 20895
Lewis James J. Nurse LB 2/25/2014 22 South Greene Street Baltimore MD 21201
Lewis Samuel R. M.D. F 5/12/1989 11102 Hudee Court Mitchellville MD 20716
Liao Jennifer MD LB 2/22/2017 1235 East Monument Street Baltimore, MD, 21202
Libre Eugene M.D. LB 12/15/2010 10400 Connecticut Avenue #606 Kensington MD 20895
Liegeois Nanette M.D. HHS 12/20/2015 120 Oakborok Center, Ste. 220 Oak Brook IL 60523
Lightfoote, II William E. M.D. HHS 11/20/2000 827 Swinks Mill Road McLean VA 22102
Lighthouse Medical LLC MD HHS 8/21/2017 217 Glenn Street, Suite 400 Cumberland, MD 21502
Lilly Elizabeth MD LB 10/16/2019 1306 Eva Gude Dr Crownsville, MD 21032
Lin Tsu-Chun M.D. LB 3/20/2002 377-B Gambrills Road Gambrills MD 21054
Lindemann Keith Jan M.D. LB 8/30/2005 23140 Moakley St; Suite 2 Leonardtown MD 20650
Lindsey Glenda L. D.D.S. HHS 6/1/1997 7819 Liberty Rd Baltimore MD 21244
Lindsey Daniels F 4/12/2018 711 W 40th Steet, Suite 454A Baltimore, MD 21211
Linksz Justin LB 9/27/2016 1290 Bay Dale Drive Arnold, MD 21012
Lipnick Robert M.D. HHS 12/19/2002 6238 29th Street, NW Washington DC 20015
Lipscomb Bernadette Aide HHS 8/10/1994 1837 Bolton Street; Apt. #3 Baltimore MD 21217
Little Paul Gregory MD HHS 9/20/2017 501 South Union Street Havre De Grace, MD 21078
Page 43 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Locati-Boucher Kimberly O.T. LB 7/18/2014 600 Reisterstown Road Ste 200 Pikesville MD 21208
Lodmell John G. M.D. LB 2/27/2013 2901 Olney-Sandy Spring Road Olney MD 20832
Loftus Andrew M.D. LB 10/30/2015 1343 Q. St. NW Unit A Washington DC 20009
Logsdon Katherine Personal Care Provider
HD 7/10/1997 310 N. Cannon Avenue Hagerstown MD 21740
Londa Saleh Aide HHS 8/18/2005 4202 Kaywood Drive; Apt. 8 Mount Rainier MD 20712
Loot-Gayoso Ofelia M.D. LB 7/22/2009 5411 Old Frederick Road Baltimore MD 21229
Loya Florentino M.D. LB 12/29/2007 6400 Marlboro Pike District Heights MD 20747
Loyd Crystal Individual F 2/21/2013 118 West Edgevale Road Baltimore MD 21225
Lucas Dorothy Personal Care Provider
HD 4/15/1998 908 E. Valley Street; #11 Baltimore MD 21202
Luckey Willie Personal Care Provider
HD 9/1/2001 6709 Kincheloe Avenue Baltimore MD 21207
Lutz Margaret Nurse LB 11/4/2015 720 S. Stokes Street Havre de Grace MD 21078
Luyanda Angel Individual MFCU-A 1/11/2012 3304 Auchentoroly Terrace #B Baltimore MD 21217
Lyles Delores Personal Care Provider
HD 12/1/2007 400 W. South Street Apt. B Frederick MD 21701
Lynch Kevin P. R.Ph HHS 10/20/2003 14601 Burbridge Road, S.E. Cumberland MD 21502
Lynch Ray A. M.D. HHS 4/8/1997 9559 Wandering Way Columbia MD 21045
Lyons Ian LCSW LB 2/13/2015 37 Foxglove Row Riverhead NY 11901
Mack Belinda Ann Personal Care Provider
HD 11/26/2001 7812 South Hampton Drive; Apt. 1 Glen Burnie MD 21060
Mackey Aishi Individual HHS 6/20/2013 703 Newington Avenue Apt. 1 Baltimore MD 21217
Page 44 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Macrey Angela V. Personal Care Provider
HD 9/26/1996 6002 Moravia Park Drive; #C-2 Baltimore MD 21206
Madison Stanley M.D. F 2/28/1990 1529 E North Ave; PO Box 23231 Baltimore MD 21203
Mahase Vidhyanand R.Ph HHS 12/20/2009 Fort Dix FCI, P.O. Box 2000 Fort Dix NJ 08640
Major Godfrey W. M.D. LB 6/20/2007 7801 York Road Towson MD 21801
Makker Ram S M.D. LB 10/14/2009 500 Upper Chesapeake Drive Bel Air MD 21014
Malekzodeh Assadullah Individual F 6/8/1993 12221 Park Lawn Drive; Ste. 170 Rockville MD 20850
Mallory, III Herman C. Individual F 2/16/1997 615 N. Rose Street Baltimore MD 21205
Manekin Steven F. M.D. LB 5/18/2005 1049 S. Charles St Baltimore MD 21230
Mannava Venkata R.Ph F 9/19/2015 3300 East West Highway Apt 706 Hyattsville MD 20783
Manzer Ronald DDS LB 11/1/2017 PO Box, 306 Ridgeville Blvd Mt Airy, MD 21771
Marcus Tekia Pharmacy Technician
HHS 8/20/2013 803 E. 22nd Street Baltimore MD 21218
Margolius Jane Individual F 6/21/1991 17 Tivoli Lake Court Silver Spring MD 20906
Marion Robert Aide MFCU-A 10/7/2004 2548 Loyola Northway Baltimore MD 21215
Markovitz Lawrence M.D. LB 10/24/2012 8180 Greensboro Drive, #1015 McLean VA 22102
Marsh Arthur M.D. LB 7/16/2010 700 East Main Street Ste. 102 Salisbury MD 21804
Marshall Ashley Personal Care Provider
HD 4/15/2002 207 Wakefield Road Hagerstown MD 21740
Marshall Peter Individual F 11/3/1993 3114 S. E. 17th Place Cape Coral FL 33904
Marshall Tinnie Personal Care Provider
HD 10/1/1997 4121 Woodhaven Baltimore MD 21216
Marshall-Adams Tyvernica Pharmacy Technician
LB 10/22/2011 1536 Northbourne Road Baltimore MD 21239
Martin Janet S. M.D. LB 12/8/2005 6510 Kenilworth Avenue #2400 Riverdale MD 20737
Page 45 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Martinez Christine Personal Care Provider
HD 6/30/2003 6604 Maple Avenue Baltimore MD 21215
Martinez-O'Hara Joseph J. M.D. LB 7/19/1997 1203 E. Ferguson Pharr TX 78577
Mary Lou's Assisted Living
Business Entity HD 7/27/2005 8431 Newark Road Newark MD 21841
Mashali Fathalla M.D. HHS 4/20/2014 153 Pine Street Dover MA 02030
Mason, III Samuel M. Individual HHS 10/20/2003 20 BON Oak Court Reisterstown MD 21136
Massey Theodosia Individual - Caretaker
MFCU 9/25/2017 6 Driftowod Court Essex, MD 21221
Mathew Rex MD HHS 5/1/2017 200 Memorial Avenue Westminister, MD 21157
Mathews George M.D. F 3/22/2014 110 Hospital Drive Ste. 301 Prince Frederick MD 20678
Mathur Rakesh M.D. HD 11/28/2015 2112 Bel Air Road #1 Fallston MD 21047
Matthews Shandell Aide MFCU-A 1/21/2003 3822 Regency Parkway Suitland MD 20746
Matthews Latia Aide HHS 3/19/2015 323 Holly Manor Road Baltimore MD 21228
Matthews Thomasina Individual HHS 7/20/2005 8019 Mollye Road; Apt. F Pikesville MD 21208
Maximum Choice Medical Supply, LLC
Business Entity HD 10/10/2015 21 Main Street Ste E Reisterstown MD 21136
McAllister Katrina Individual F 12/20/1995 428 E. North Avenue; 3rd Floor Baltimore MD 21202
McAnally Bryan M. Aide HHS 1/28/2003 139 Lassiter Circle Finksburg MD 21048
McBride Margo Shelia M.D. LB 4/12/2005 54 Regatta Bay Court Annapolis MD 21401
McCargo Lonnia Nurse LB 3/15/2012 3211 Batavia Avenue Baltimore MD 21214
McClain Vivian Regina Personal Care Provider
HD 4/28/1998 2227 W. Saratoga Street Baltimore MD 21223
McClary Rhonda Aide MFCU-A 2/14/2006 4803 Overton Court Baltimore MD 21229
Page 46 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
McClosky Robin Individual HHS 7/20/2016 Alderson FPC Glen Ray Road Alderwson WV 24910
McCoy Julius Aide HHS 2/20/2011 2515 Boones Lane Forestville MD 20747
McCrary Bernard Individual HD 4/1/2010 1416 Clarkview Road Baltimore MD 21209
McCready Leah T. Individual HD 7/12/2006 5651 Burnstville Road Marion MD 21838
McDonald Allan D. D.D.S. HHS 9/20/1998 109 Wright Street Frostburg MD 21532
McGavin Cameron M.D. HHS 1/20/2015 417 Boyd Street Turtle Creek PA 15145
McGinnis Kevin MD HHS 8/1/2015 101 Stadium Drive Morgantown, WV 26506
Mcginty Crystal MD LB 1/3/2019 4314 Montgomery Ave Bethesda, MD 20814
McGregor Clinton Aide HHS 11/4/2000 7930 Brock Bridge Road Jessup MD 20794
McKenna Karen Nurse HHS 8/20/2007 843 Kellogg Road Lutherville MD 21093
McKenzie Deana Individual HHS 9/20/1999 19 Marview Drive Berlin MD 21811
McLaren Martin M.D. HHS 12/20/2009 FCI Petersburg Low, P.O. Box 1000
Petersburg VA 23804
McLean John M.D. HHS 11/20/2013 P.O. Box 8908801 Oklahoma City OK 73189
Meagher H. Michael M.D. HHS 2/20/2013 2519 69th Avenue, S St. Petersburg FL 33712
Medalie G. Robert M.D. LB 10/1/2012 7601 Osler Drive Towson MD 21204
Mediquest Business Entity HD 10/24/2015 200-202 S. 24th Street Rogers AR 72758
Medpark Pharmacy Business Entity HD 6/3/2016 2002 Medical Parkway Ste 170 Annapolis MD 21401
Mehlman Susan K. Ph.D. F 5/24/2007 12103 Ridge Valley Road Owings Mills MD 21117
Mehta Barry (Bahrat M.) Individual F 3/13/2003 5501 Oakland Mills Road Columbia MD 21045
Meiller Morris M.D. LB 6/13/2005 9015 Woodyard Road; Suite 209 Clinton MD 20735
Page 47 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Meldrom Carole J. Nurse HHS 10/20/2002 1145 Oakview Drive Crownsville MD 21032
Melvin-Hodge Fayanna Individual F 9/24/1997 2907 Rosalind Avenue Baltimore MD 21215
Merillat Suzanne Marie Nurse HHS 12/20/2004 105 Rockdale Drive Silver Spring MD 20901
Merriweather Sue Grace Aide F 10/28/1999 6405 Brays Street Lanham MD 20706
Midatlantic Cardiovascular Associates, P.A.
Business Entity HD 8/16/2011 1838 Greene Tree Road Ste. 535 Baltimore MD 21208
Middleton William F. Individual F 1/22/1993 21 Fenceline Drive Gaithersburg MD 20877
Middleton Barbara Personal Care Provider
HD 8/19/1994 420 A. Captain Circle Annapolis MD 21401
Midei Mark M.D. LB 7/13/2011 7505 Olser Drive #103 Towson MD 21204
Mihaescu Edith MD LB 1/24/2018 902 Washington Rd, #G Westminister, MD 21157
Milan Jose Antonio Olivari M.D. HHS 4/18/2002 Villa Olimpia 2: #A-12 Yauco PR 00690
Miller Gerald A. M.D. HHS 2/1/1994 3455 Wilkens Ave Baltimore MD 21229
Miller Oram D.O. HHS 4/20/2004 P.O. Box 2223 Fairfield IA 52556
Miller Carol D. P.D. F 4/19/2001 46 Cannon Drive Berlin MD 21811
Miller Jewel Lynne Aide HHS 6/27/1991 3026 Tennessee Avenue Baltimore MD 21227
Miller Edwin R. Individual HHS 8/20/2001 4601 E. Monument St Baltimore MD 21205
Miller Joseph MD LB 4/13/2018 3455 Wilkins Avenue, Suite 203 Baltimore, MD 21229
Miller, Jr. Thomas Aide HHS 4/8/1997 1217 Randalia Road Chesapeake City MD 21915
Mills Mickey O. MD LB 12/15/2017 6334 Cedar Lane Columbia, MD 21044
Mills Ronald J. Individual F 3/17/1992 17 Water Street; Apt. #6 Gaithersburg MD 20877
Page 48 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Ming Bernell LCSW HHS 1/18/2007 294 Putnam Avenue Brooklyn NY 11216
Miranda-Solari Artemio M.D. LB 7/31/2000 889 W. Lombard St Baltimore MD 21201
Mireille Noumi N. Personal Care Provider
HD 11/23/2003 6800 Highview Terrace; #301 Hyattsville MD 20782
Mirza Rehman Chiropractor F 7/23/2015 4509 Mosser Mill Court Woodbridge VA 22192
Mistysyn Christine J. Aide HHS 6/20/2000 417 E. Mifflin Street Orwigsburg PA 17961
Mitchell Joshua M.D. LB 5/18/2010 2202 Garrison Blvd Baltimore MD 21216
Mitchell Terita Aide HHS 7/7/1992 2756 Tivoly Avenue Baltimore MD 21218
Moaddab Mohammed B. D.D.S. LB 5/20/2003 5905 Ipswich Road Bethesda MD 20814
Molina Gerardo Individual HHS 9/19/2002 C-31 DuQuesa St; Montibello Development
Hormiguero PR 00660
Molly's House of Hope Business Entity HD 6/6/2006 12801 Meadowbrook Lane Waldorf MD 20601
Momah Clement I. M.D. LB 12/20/2000 8301 Ashford Blvd Laurel MD 20707-5640
Monique Ford MFCU 6/12/2018 1513 Clifton Avenue Baltimore, MD 21217
Monroe Charles A. Individual HHS 9/15/1992 1109 Ashburton St Baltimore MD 21216
Montgomery Jessica E. Aide HHS 7/20/2006 304 Crusader Road; Apt. 103 Cambridge MD 21613
Montgomery Co. Family Life Ctr.
Business Entity F 4/25/1991 7101 Wisconsin Avenue; #1404 Bethesda MD 20814
Montgomery County Taxi Business Entity HHS 6/30/1994 806 S. Frederick Road Gaithersburg MD 20877
Moon Youngsik MD LB 2/15/2018 24435 Mervell Dean Road Hollywood, MD 20636
Moore Mariah Larease F 8/8/2019
Moore Lillie Ruth Individual HHS 10/20/2002 353 S. Center St.; Apt. 19A Orange NJ 07050
Page 49 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Morgan Rosa E. Personal Care Provider
HD 7/19/1991 2732 Parkwood Avenue Baltimore MD 21217
Moriarty Michael M.D. LB 2/15/2013 4 E. Rolling Crossroads Catonsville MD 21228
Morris Andrea Personal Care Provider
HD 7/15/1997 8978 Centerway Road; Court IV Gaithersburg MD 20879
Morris Janice Personal Care Provider
HD 3/4/1991 4106 W. Forest Park Avenue Baltimore MD 21207
Morrison Sharese I. Aide HHS 10/18/1993 802 Dartmouth Baltimore MD 21212
Morton Denise Bell Aide HHS 6/30/1994 1305 Kitmore Road Baltimore MD 21239
Morton Charles Nurse HHS 4/12/1993 9108 Abigail Drive Crisfield MD 21237
Moss Brian Leslie Individual F 3/17/1992 19731Framingham Drive Gaithersburg MD 20879
Mosuro Yusef MD HD 4/20/2016 3401 North Broad Street Philadelphia, PA 19140
Motley Robin Aide HHS 8/20/2008 1549 Southview Dr Apt. 102 Oxon Hill MD 20745
Moulsdale James M.D. LB 7/28/2016
Mozee Delize Aide LB 1/7/2016 7414 W. Park Drive Hyattsville MD 20783
Mueller Annemarie Dental Technician HHS 10/20/2004 5260 Duke Street; Apt. 411 Alexnadra VA 22304
Muhlhan Evelyn Nurse LB 10/6/2011 4 East Rolling Crossroads #207 Catonsville MD 21228
Mukala Eric Aide HHS 8/20/2015 4313 57th Avenue Apt. 11 Bladensburg MD 20710
Mukum Mirabel Aide HHS 6/18/2015 9003 Brightlea Court Lanham MD 20706
Muller Alfred M.D. LB 2/27/2002 1396 Piccard Drive Rockville MD 20850
Mullings Rohan Saint-Aubyn M.D. LB 2/14/2011 600 Memorial Avenue, Ste. 307 Cumberland MD 21502
Murphy Christopher MD LC 3/28/2017 200 Memorial Avenue Westminster, MD, 21157
Page 50 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Murphy Leslie A. Personal Care Provider
F 2/28/2009 143 Haverhill Road Joppa MD 21085
Musikabhumma Anchaleee M.D. LB 6/28/2006 2300 Garrison Boulevard Baltimore MD 21216
Mvemba Willie M.D. LB 5/5/2014 413 Commonwealth Avenue Baltimore MD 21215
Najera Rolando MD LB 6/20/2017 138 Cathedral Street Elkton, MD, 21921
Namisango Teddy Nurse HHS 5/20/2014 7907 Mandan Road Aot, 201 Greenbelt MD 20770
Nanton Colleen LB 8/10/2018 3460 Old Washington Rd, Suite 300
Waldorf, MD 20602
Naranjo Ynocencio Individual HHS 10/29/1990 14720 Homecrest Road Silver Spring MD 20906
Nash Roderick Personal Care Provider
HD 12/20/1991 1536 Pentwood Road Baltimore MD 21239
Nathanson Barry M.D. LB 10/18/1993 2200 Defense Hwy; #103 Crofton MD 21114
Nathenson Lucille D.D.S. LB 3/6/2002 6901 Security Boulevard Baltimore MD 21244
National Cardio Labs, LLC
Business Entity HHS 4/20/2010 P.O. Box 5460 Stateline NV 89449
Neal Felicite LCSW F 9/14/2018 8629 Liberty Rd Randallstown, MD 21133
Nelson Paula M.D. HHS 5/18/2016 4499 Garmon Road, NW Atlanta GA 30327
Neodiagnostix Inc HHS 4/21/2016 9700 Great Seneca Highway Rockville, MD 20850
Neurology Institute for Brain Health and Fitness
HD 7/2/2016 8280 Greensboro Drive Ste 240 McLean VA 22102
Newcare Home Health Services, Inc.
Pharmacy LB 1/5/2007 3027 E. Madison Street Baltimore MD 21205
Newton Lorraine Nurse HHS 6/19/2014 2900 Valerian Lane Upper Marlboro MD 20774
Ngati Denetria Nurse HHS 7/20/2011 11406 Hawk Ridge Court Beltsville MD 20705
Ngatia Gladys Individual F 2/22/2012 20231 Red Buckeye Court Germantown MD 20876
Page 51 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Ngatia Hellen Nurse F 2/22/2012 20231 Red Buckeye Court Germantown MD 20876
Nguyen James An M.D. F 8/28/2005 5601 Loch Raven Blvd; Ste 301 Baltimore MD 21239
Nguyen Tuoc Kim D.D.S. HHS 6/17/1999 8003 Hasitng Hunt Court Severn MD 21144
Nimetz Allen MD LB 7/19/2019 5530 Wisconsin Ave, Suite 700 Chevy Chase, MD 20814
Nimley Lucia Personal Care Provider
HD 8/27/1996 350 Childress Terrace Burtonsville MD 20886
Nkongsah Ernest Aide HHS 4/20/2015 7851 Riverdale Road Apt. 202 New Carrollton MD 20784
Noar Mark MD LB 5/10/2019 7402 York Rd, Suite 100 Towson, MD 21204
Nolan Serena MD LB 1/29/2019 8831 Satyr Hill Rd, Suite 100 Baltimore, MD 21234
Norris Rebecca LCPC F 7/9/2018 507 Henderson Ave Cumberland, MD 21502
Norris Diana Lynn Dee Aide HD 6/5/2005 1022 Grove Hill Road Halethorpe MD 21227
Norris Counseling Services
F 7/9/2018 126 West High Street Hancock, MD 21750
Norris Counseling Services
F 7/9/2018 507 Henderson Ave Cumberland, MD 21502
Norris Counseling Services
F 7/9/2018 90 West Main Street Western Port, MD 21562
North Catherine M.D. LB 12/10/2007 1100 Copper Hill Road Baltimore MD 21209
Nukks Shelley Lynn Personal Care Provider
HD 3/5/2001 1088 Wadsworth Way Baltimore MD 21239
Nurse Express, LLC Business Entity HD 1/15/2005 10 East Lee St; Ste 2406 Baltimore MD 21202
Nwaehiri Callixtus P.D. LB 1/5/2007 1439 Huntfield Way Jarrettsville MD 21084
Nwanna Ethel Individual HD 5/16/2013 13526 Collington Terrace Silver Spring MD 20904
Page 52 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Nwoga Susan Owner F 5/21/2019
Nwoke Franklin MD LB 5/9/2019 1001 Aliceanna Street, apt 907 Baltimore, MD 21202
Nyman Gary MD LB 12/13/2017 600 North Wolfe Street Baltimore, MD 21287
Obeahon Alexander C. Aide HHS 6/22/1998 34 Chapel Town Circle Baltimore MD 21236
O'Berry Christin Nurse HHS 3/20/2008 21 Bridgeview Court Baltimore MD 21236
Odunzeh Uche Individual HHS 12/19/2013 P.O. Box 630 #54731-037 Winton NC 27986
Ogbonna Chinonso Ndidi Aide HHS 9/22/2003 36 Heraldry Court Baltimore MD 21244
Oglesbee Megan Aide MFCU-A 12/18/2005 204 Airport Street Keyser WV 26726
Ogundeyi Aboyomi Aide MFCU-A 9/9/2010 5221 Harford Road, #3 Baltimore MD 21214
Ohiokpehai Tajudeen M.D. LB 12/29/2006 2600 Liberty Heights Avenue Baltimore MD 21215
Ojuko Absayo Individual F 4/28/2007 16 Liberty Place Road, Apt. 8 Baltimore MD 21244
Okafor Augustine Nurse HHS 4/20/2006 3420 Maryvale Road Baltimore MD 21244
Oke Oluwole Individual HHS 3/20/2007 P.O. Box 31902 Capitol Heights MD 20731
Okine Katerina Personal Care Provider
HD 1/3/2007 47 Squanto Court Middle River MD 21220
Okoye Godwin R.Ph HHS 8/20/2003 Montgomery FPC; Montgomery Air Force Base
Montgomery AL 36112
Olwine Robert M.D. LB 5/1/2012 10611 St. Paul Avenue Woodstock MD 21163
Omer Tarig A. Individual HHS 7/20/2005 6337 Kinsey Terrace Lanham MD 20706
Omojola Tolulope Personal Care Provider
HHS 6/19/2014 8023 Molley Road Apt E Pikesville MD 21208
Onyeka Roy Aide F 4/27/2015 9083 Meadow Heights Road Randallstown MD 21133
Open Arms Assisted Living
Business Entity HD 5/18/2005 104 Charles Street Sudlersville MD 21668
Page 53 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Oppenheim Steven Individual HHS 9/26/1990 6 Sour Cherry Court Darnestown MD 20878
OptimumCare Medical Center
Business Entity HHS 9/20/2001 444 N. Frederick Ave; #307 Gaithersburg MD 20877
Orem Medical Corp Business Entity HHS 6/12/1997 2413 Haddenhurst Court Fallston MD 21047
Orlino Robert J. MD LB 11/22/2017 315 Locust St, Suite 5B Johnstown, PA 15901
Orneus Renald Aide MFCU-A 11/27/2008 765 Division Street Salisbury MD 21804
Orth Debra C. Aide HHS 10/18/2001 4300 Stanwood Avenue Baltimore MD 21206
Ortiz Armando L. Individual HHS 2/20/2000 7082 MacBeth Way Sykesville MD 21784
Osborne Tamara Personal Care Provider
HD 11/7/2005 73 Swan Street Aberdeen MD 21001
O'Shaughnessy Timothy J. Individual HHS 5/24/1999 6106 Pine Branch Rd Bethesda MD 20816
O'Shea Frank M. M.D. LB 8/9/2000 3901 Fox Hill Dr Ellicott City MD 21042
Oshodi Eunice R.Ph HHS 7/20/2008 2730 Pennsylvania Avenue Baltimore MD 21217
Osrud Vincent J. Nurse HHS 9/20/2000 R. R. 1; box 782 Hollywood MD 20636
Ostrovsky Roman M.D. F 8/16/2006 5018 Dorsey Hall Drive Ellicott City MD 21042
Otieno Shadrack Aide MFCU-A 3/12/2016 5645 Utrecht Road Baltimore MD 21206
Ouwinga Immirne MD LB 1/15/2019 3307 Ferry Landing Rd Dunkirk, MD 20754
Owens Eugene M.D. HHS 12/31/1993 1735 E. Federal St Baltimore MD 21213
Oxford Diabetic Supply, Inc
HHS 9/7/2016 107 Delaware Road Riegelsville, PA, 18077
Pagalunan Gertrude Individual HD 5/15/2005 9515 Lawnsberry Terrace Silver Spring MD 20901
Pagano Dwight M.D. HHS 5/19/2005 444 E. 20th Street; Apt. 3D New York NY 10009
Page Bobbi Jo Aide HHS 1/20/2010 P.O. Box 105 Barnes City IA 50027
Page 54 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Pain Clinic of AIMR Business Entity HD 10/29/2015 2911 Piedmont Road NE Atlanta GA 30305
Pal Bimal K. M.D. F 9/30/1995 3750 Chateau Ridge Dr Ellicott City MD 21042
Palladeno Angela K. Aide HHS 2/27/1992 3-D BywaySouth Baltimore MD 21221
Panah Mansour M.D. LB 5/29/2013 6005 Landover Road Ste 6 Cheverly MD 20785
Panteleakis Peter Individual F 10/24/1988 1008 Roxleigh Road Towson MD 21204
Papachristou Marios MD HHS 6/29/2018 200 Lothrop Street, suite 3950 Pittsburgh, PA 15213
Park Do Sun M.D. HHS 4/10/1995 105 S. Washington Street Rockville MD 20850
Parker April R. Aide HHS 9/20/2000 3515 Madison Place Hyattsville MD 20782
Pasha Jabir Social Worker LB 9/8/2017 2125 Maryland Avenue Baltimore, MD 21218
Passarell Sherri MD LB 6/26/2018 9714 Healthway Drive Berlin, MD 21811
Patel Jigar Pharmacy Technician
F 4/17/2015 1138 6th Avenue Apt. 3 Berwick PA 18603
Patel Ketankumar P.D. LB 7/14/2009 5951 Cecil Way Eldersburg MD 21784
Pathak Arvind K. M.D. LB 7/18/2001 6930 Little River Turnpike Annandale VA 22003
Paul Haendel Aide MFCU-A 2/27/2008 10553 Jason Lane Columbia, MD 21044
Pava Hernando M.D. LB 8/30/2012 405 Stemmers Run Road Baltimore MD 21221
Paye Isiwatu Aide HHS 3/20/2007 3 Maidstone Court, Apt. M Rosedale MD 21237
Pease Lisa LCSW LB 7/28/2014 106 Milford Street Salisbury MD 21804
Pediatric Plus Business Entity HD 1/15/2005 10 East Lee St; Ste 2406 Baltimore MD 21202
Peet Joseph Personal Care Provider
F 10/30/2015 312 Belton Road Silver Spring MD 20901
Perez Yolanda Aide HHS 12/18/2001 1752 Gorsuch Avenue Baltimore MD 21218
Perry Deborah Individual HHS 2/11/1993 604 McCabe Ave Baltimore MD 21212
Page 55 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Persinger Virginia Personal Care Provider
HD 8/25/1993 Route 2; Box 179 Newberg MD 20664
Peters Colleen Nurse HHS 11/20/2007 288 Wye Knot Court Queenstown MD 21658
Peterson Ralph M. Individual F 11/3/2005 29581 Bright Spot Road Highland CA 92346
Peterson Patricia M. Individual HHS 4/13/1994 1856 Beth Ridge Circle Forest Hill MD 21050
Peterson Jocelyn M. Individual F 11/3/2005 29581 Bright Spot Road Highland CA 92346
Petway Dena Joan Personal Care Provider
HD 8/26/1996 6309 Elliott Street Baltimore MD 21224
Phalsaphie Mansour M.D. LB 3/25/1998 4003 Hidden Creek Henderson KY 42420
Pharmacare Inc. Business Entity F 7/25/2000 10255 York Road Cockeysville MD 21030
Phattiyakul Pricha M.D. LB 9/19/2001 100 Hospital Road; Calvert Memorial
Prince Frederick MD 20678
Phillips Patricia A. Aide HHS 10/18/2001 2325 Barclay Street Baltimore MD 21218
Physical Therapy & Sports Assessment
PT HHS 9/30/2016 8380 Colesvill Rd, Suite 200 Silver Spring, MD 20910
Physician's Analytical Services, Inc.
Business Entity HHS 8/20/2012 P.O. Box 26020 Beaumont TX 77720
Pickert Steven M.D. LB 8/28/2013 100 South Center Street Thurmont MD 21788
Pinkard Wendy Individual HHS 3/20/2014 FPC Alderson Glen Ray Rd Box A Alderson WV 24910
Pittman Thomas A. M.D. HHS 7/17/1991 7498 Sea Change Columbia MD 21045
Pleas Barbara A Aide HHS 8/11/1997 3267 Queenstown Dr Mt Ranier MD 20712
Pointer Brenda Denise Aide HHS 9/19/2001 15 N. Calhoun St Baltimore MD 21223
Polley Frederickay Nurse HHS 5/20/2015 2958 Del Paso Boulevard, Apt. #12 Sacramento CA 95815
Pollock Hamilton Individual HHS 12/20/1995 211 E. Lombard Street Baltimore MD 21201
Page 56 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Pollock Natasha Nurse HHS 2/18/2010 17008 Downing Street Gaithersburg MD 20877
Polsin Michael J. Nurse HHS 3/18/2004 34602 Blakistone Road Hollywood MD 20636
Pooya Manoochehr M.D. LB 11/7/2007 700 7th Street SW #2 Washington DC 20024
Poplar Grove Pharmacy F 5/21/2019
Potash Michael M.D. LB 12/16/2009 2331 Old Court Road, Apt. 409 Baltimore MD 21208
Pototsky Ronald M.D. LB 11/21/2011 821 N. Eutaw Street Baltimore MD 21201
Powell Velma E. L. M.D. HHS 1/23/1992 6201 Greenbelt Road College Park MD 20740
Powell Jack M.D. LB 1/26/2007 23704 Ocean Gateway Mardela Springs MD 21837
Powell Toni Darnell Personal Care Provider
HD 9/18/1995 2519 Marbourne Avenue Baltimore MD 21230
Powell Nicheia Aide HHS 9/19/2002 704 Winston Avenue Baltimoe MD 21212
Prabhakar Madura M.D. LB 10/24/2012 6101 Park Heights Avenue Baltimore MD 21215
Prager Harris J. D.P.M. HHS 10/27/1993 420 S. Crane Hgwy; #1 Glen Burnie MD 21061
Prescimone Doreen Nurse HHS 10/20/2003 4806 Berry Hill Circle; Apt. 103 Perry Hall MD 21128
Pribadi Jean W. M.D. LB 6/13/2008 10632 Little Patuxent Parkway Columbia MD 21044
Price Paula Individual HHS 5/20/2012 2009 Brae Trail Birmingham AL 35242
Price Ashanti Aide HHS 7/20/2015 FPC Alderson Glen Ray Road, Box A
Alderson WV 24910
Progressive Care Ambulance Serv.
Business Entity F 4/27/2000 c/o P.O. Box 536 Jessup MD 20794
Prunier Paul M.D. LB 5/31/2016 15441 Narcissus Way Rockville MD 20853
Pujol Jackie M.D. LB 2/6/2015 1416 Carrington Lane Vienna VA 22182
Page 57 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Pullen Sonia A. Individual HHS 2/15/1996 1308 N. Kenwood Avenue; 2nd Floor
Baltimore MD 21213
Pulliam's Contracting Business Entity HD 10/20/2009 45464 Stoney Run Drive Great Mills MD 20634
Purdum Pharmacy Pharmacy F 10/17/2008 6901 York Road Baltimore MD 21212
Purnell Elmer A. M.D. LB 12/11/1992 652 W. Main Street Salisbury MD 21801
Qaiyumi Waheeda M.D. LB 2/5/2004 9650 Santiago Road; #110 Columbia MD 21045
QRSS Business Entity HHS 6/12/1997 4701 Randolph Road Rockville MD 20852
Queen Jennifer Personal Care Provider
HD 5/16/2005 4527 Northwood Drive Baltimore MD 21239
Rabb Willie D.P.M. LB 8/1/2006 420 S. Crain Highway; #2 Glen Burnie MD 21061
Radulski Joanne B. Individual F 7/8/2010 2124 Oaklyn Drive Fallston MD 21047
Radvan-Ziemnowicz Stanley A. M.D. HHS 11/1/1990 9400 Old Georgetown Road Bethesda MD 20814
Rafi Jacob Individual F 8/13/2012 5922 Georgia Avenue, N.W. Washington DC 20032
Rafi Rena Individual F 8/13/2012 5922 Georgia Avenue, N.W. Washington DC 20032
Rakhunov Izabella Personal Care Provider
HD 12/17/2002 1 Russern Court; 2A Baltimore MD 21215
Ramaiah Yanjalagere M.D. LB 9/9/2014 447 N. Kenwood Avenue Baltimore MD 21224
Ramakrishnan Guruvareddy Individual F 12/23/2014 4207 Lytle Way Belcamp MD 21017
Ramirez Oscar M.D. LB 7/15/2011 1212 York Road Ste B101 Lutherville MD 21093
Ranbaxy USA, Inc. Business Entity HHS 5/20/2014 750 E. Pratt Street Ste. 900 Baltimore MD 21202
Rancocas Valley Anesthesia Assoc
Business Entity HHS 11/14/2002 Sunset Road Willingboro NJ 08046
Randall, Jr. Joseph M.D. LB 7/13/2016 5808 Belcher Farm Road Centreville VA 20120
Page 58 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Randolph Aisha Individual HHS 8/20/2014 9907 Maidbrook Road Parkville MD 21234
Rao Nagbhushan MD LB 7/22/2019 5051 Greenspring Ave, Suite 300 Baltimore, MD 21209
Rapkin Harvey R.Ph F 12/19/2008 2207 Shefflin Court Baltimore MD 21209
Ravenwood Healthcare, Inc
HHS 9/21/2016 501 West Franklin Street Baltimore, MD, 21201
Ray Douglas M.D. HHS 4/6/1992 10208 Prince Place Largo MD 20775
Redondo-Malamud Yasmin M.D. HHS 9/20/1998 1419 Crestridge Drive Silver Spring MD 20910
Reedy Erin D.D.S. LB 1/20/2016 1821 South Charles Street Baltimore MD 21230
Regency Hlth Services, Inc.
Business Entity HHS 5/6/2004 1535 Meadows Lane Glen Mills PA 19342
Reid Jesse Aide HHS 9/20/1999 3806 Brighton Street Baltimore MD 21216
Reid Bruce Social Worker F 10/17/2017 1616 Forest Drive, Suite 5 Annapolis, MD 21403
Reilly Elizabeth Individual HD 9/15/2008 3100 North Ridge Road Ellicott City MD 21043
Reilly Robert MD LB 4/16/2018 505 E Main Street Salisbury, MD 21804
Renaud Kevin Nurse HHS 2/18/2016 652 Washington Street Apt. Brookline MA 02446
Rermgosakul Adul M.D. F 9/30/1995 5632 Annapolis Rd-Suite 8 Bladensburg MD 20710
Resolutions Unlimited, Inc.
Business Entity F 7/14/2005 16 Arrowood Court Baltimore MD 21237
Reynolds Angelo Ph.D. F 7/14/2007 1027 Savvanna Drive LaPlata, MD 20646
Reynolds (Mullins) Debbye Lynn Nurse HHS 11/20/2006 P.O. Box 7612 Hyattsville MD 20787
Ricci Renzo M.D. LB 1/26/2007 3125 Baltimore Blvd, Box 500 Finksburg MD 21048
Richardson Cheryl E. M.D. HHS 9/19/1999 84 Willis Street Westminster MD 21157
Page 59 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Richardson Joseph M. D.D.S. HHS 1/6/1995 1407 Dilston Road Silver Spring MD 20903
Richardson Gravney A. M.D. HHS 8/10/1994 40 Joyceton Way Upper Marlboro MD 20772
Riley Kenneth D.D.S. HHS 5/20/2012 P.O. Box 100 Cumberland MD 21501
Ritch Sherry Aide HHS 1/10/2002 5504 Windsor Mill Road Baltimore MD 21207
Ritter Theodore Nurse LB 8/7/2012 1931 Greenspring Drive Timonium MD 21093
River Rx, Inc. Pharmacy F 12/23/2014 5257 River Road Bethesda MD 20816
Rivera Rose M. Nurse HHS 6/17/2004 500 Wick Lane Blue Bell PA 19422
Riverview Nursing Ctr, Inc.
Business Entity HHS 10/18/2001 1 Eastern Boulevard Baltimore MD 21221
Roane Donald M.D. LB 5/21/2010 1616 Forest Drive Annapolis MD 21403
Roark David Nurse HHS 4/20/2010 277 Geremma Drive, Apt. B Ballwin MO 63011
Robalino Joffre M.D. HHS 4/18/2013 FCI Cumberland PO Box 1000 Cumberland MD 21501
Robb Paul Aide F 6/20/2015 5804 Annapolis Road #613 Bladensburg MD 20710
Roberts Isaac Aide MFCU-A 1/18/2007 8500 Goshen View Drive Gaithersburg MD 20882
Roberts, Jr. Leroy Individual HHS 3/7/1991 6 Papago Court Randallstown MD 21133
Robinson Felipe M.D. LB 5/14/2014 7227 B. Hanover Parkway Greenbelt MD 20770
Robinson Lawrence Personal Care Provider
HD 5/3/1996 8806 Lanier Drive; #101 Silver Spring MD 20910
Roby Neil O. Individual HHS 5/20/1998 13190 Linden Station Clarksville MD 21209
Rodkey Jeffrey Lee Pharmacy HHS 8/18/2005 23621 Cemetery Road Chance MD 21821
Rodrigues Cheryl Personal Care Provider
HD 5/25/2005 23249 Colton Point Road Avenue MD 20609
Page 60 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Rodwell Dino Individual HHS 6/20/2002 8314 Glenmar Road Ellicott City MD 21045
Roe William M.D. LB 8/14/2013 1001 Cromwell Bridge Road Towson MD 21286
Roffman Benjamin Individual HHS 5/23/1988 6314 Greenspring Ave; Apt. 6 Baltimore MD 21207
Rogers Tena Individual F 5/8/2003 2905 Garrison Boulevard Baltimore MD 21216
Romero Yolanda O.T. HHS 1/20/2004 P.O. Box 2784 Baltimore MD 21225
Rorie Valerie R. Personal Care Provider
HD 6/9/2004 5506 Wayne Avenue Baltimore MD 21207
Rose Manor Assisted Living
Business Entity HD 9/15/2008 3100 North Ridge Road Ellicott City MD 21043
Rosen Nancy Individual F 5/26/2001 8330 Greensboro Drive; #423 McLean VA 22102
Rosov Howard L. D.D.S. HHS 10/20/2004 1106 Spy Glass Drive Arnold MD 21012
Ross Bradford A. M.D. LB 4/27/1998 200 Milton Avenue Fallston MD 21047
Rothelder David D.D.S. HHS 5/18/1979 620 Aisquith Street Baltimore MD 21202
Rothstein Binyamin D.O. LB 5/25/2005 Greenspring Shopping Ctr; 2835 Smith Ave; Ste 209
Baltimore MD 21209
Roundtree Silverrene P M.D. HHS 6/28/1999 200 Oak St Mt. Pocono PA 18344
Rout Preeti MD LB 11/29/2017 4475 Regency Place White Plains, MD 20695
Rowlette Bertha Personal Care Provider
HD 7/22/1998 8618 Bramble Lane Randallstown MD 21133
Rowley Bethany Aide MFCU-A 6/8/2008 P.O. Box 632, 203 Clarence Street Hyndman PA 15545
Royal Jeffrey L. Radiologist HHS 9/20/2000 4309 Glenrose Street Kensington MD 20895
Rubin Seymour H. M.D. HHS 7/22/1991 7111 Park Heights Avenue Baltimore MD 21208
Ruddock Thaddeus Individual HHS 2/19/2009 7901 Bon Air Road Baltimore MD 21234
Page 61 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Rudman Michael M.D. HHS 8/22/2007 J Elmer Harp Medical Ctr Middletown MD 21769
Rudo Howard F. D.D.S. LB 8/24/2000 420 S. Crain Hwy; Ste 6 Glen Burnie MD 21061
Russell William MD LB 10/17/2017 2300 Garrison Blvd #102 Baltimore, MD 21216
Russell James R.Ph HHS 6/18/2015 114 Trout Brook Road Dracut MD 01826
Russo David R.Ph HHS 10/20/2014 FCI Cumberland, P.O. Box 1000 Cumberland MD 21501
Russo's RX Business Entity HD 10/24/2015 25 N. Cannon Avenue Hagerstown MD 21740
Rustagi Ravinder MD LB 4/19/2018 3100 Hospital Drive Cheverly, MD 20785
Ryan Michael LCSW F 1/14/2011 12417 Seabury Lane Bowie MD 20715
Sacks Martin Personal Care Provider
F 6/18/2014 6225 York Road Apt. N-116 Baltimore MD 21212
Sadanand Home, Inc. Business Entity HD 2/28/2006 101 Carlisle Drive Silver Spring MD 20904
Sadri Manouchehr M.D. F 11/30/1996 2 Piney Meetinghouse Ct Potomac MD 20854
Sahandy Parviz MD LB 7/8/2019 1831 Forest Drive, Suite A Annapolis, MD 21401
Samie Abdul Individual HD 5/19/2006 4918 Grindon Avenue Baltimore MD 21214
Sampson Michelle Personal Care Provider
HD 4/3/1996 1015 Washington Street Cambridge MD 21613
Sanborn Michele R. Nurse HHS 2/20/2001 772 Fairview Avenue; Apt. C Annapolis MD 21403
Sanchuk Daniel Paul Individual F 7/12/2000 9487 Canary Drive Bel Alton MD 20611
Sanders Kendall Aide HHS 2/15/2002 726 N. Carey Street Baltimore MD 21217
Sanders Nakiatia Individual HHS 9/20/2015 4931 Lanier Avenue Baltimore MD 21215
Sanderson Elizabeth Individual HHS 8/20/2013 P.O. Box 292 Oxford MD 21654
Page 62 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Sang Evadne M.D. LB 12/24/1991 Martin Luther King Ave Washington DC 20032
Sanghera Anil M.D. LB 11/28/2007 6919 Harford Road Baltimore MD 21234
Santana Maria Individual HD 5/24/2006 8511 Allenswood Road Randallstown MD 21133
Santiago Feliciana Personal Care Provider
HD 3/1/2001 10920 Connecticut Avenue Kensington MD 20895
Santos Rene M.D. LB 1/15/2009 2835 Churchville Road Churchville MD 21028
Sarabia Erlinda S. Individual F 8/12/2006 8316 Elvation Road Millersville MD 21108
Sarpong Sampson MD LB 8/17/2017 10756 Rhode Island Ave Beltsville, MD 20705
Satogkit Supoj M.D. LB 12/11/1990 101 Medical Blvd Stockbridge GA 30281
Scandaltato Frank Personal Care Provider
HD 2/10/1998 102 Palmetto Drive Edgewood MD 21040
Schade John Chiropractor HHS 10/20/1998 103 Baughmans Lane; #204 Frederick MD 21702
Schaffner Stephen Counselor HHS 4/20/2016 FCI Petersburg Medium P.O. Box 1000
Petersburg VA 23804
Schanus Larry Psychologist HHS 3/19/2015 2841 Ardmore Avenue Maple Plain MN 55259
Schauber Michael M.D. LB 4/25/2007 505 Dutchmans Lane, Suite B Easton MD 21601
Scheibe Melissa Lynn Aide HHS 6/20/2000 1111 St. Paul Place Baltimore MD 21221
Schlenoff Elizabeth M.D. LB 4/1/2013 16918 York Road Ste. 100 Monkton MD 21111
Schlenoff MD PA Elizabeth M.D. LB 4/1/2013 16918 York Road Ste. 100 Monkton MD 21111
Schnitzlein Robert MD LB 1/14/2020 8967 Yellow Brick Road Rosedale, MD 21237
Schott Alan J. D.D.S. HHS 2/4/1997 8016 Nighwind Court Baltimore MD 21227
Schultz Inca Nurse F 10/12/2016 20979 5th Avenue W Cudjoe Key FL 33042
Page 63 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Schwartz Lyndell K. D.D.S. LB 11/15/2006 795 Aquahart Road Glen Burnie MD 21061
Schwarzberg Allan M.D. LB 11/28/2011 9021 Shady Grove Court Gaithersburg MD 20877
Scotland Errol Individual F 10/20/2014 2900 Boarman Avenue Baltimore MD 21215
Scotland Manor Business Entity F 10/20/2014 2900 Boarman Avenue Baltimore MD 21215
Scott Delores Elaine Nurse F 7/13/2006 11 Rebecca Lane Owings Mills MD 21117
Scott Tatiana Aide MFCU-A 12/3/2014 1022 Wedgewood Road Baltimore MD 21229
Scott Bernita E. Aide HHS 12/15/1993 602 Gibson Road Baltimore MD 21229
Searcey Vicky C. Nurse HHS 9/19/2002 3146 Middlesex Drive Toledo OH 43606
Semaie Ermias LB 7/8/2019 5813 Eastern Ave Hyattsville, MD 20782
Senior Connections d/b/a SK Adult Daycare
Business Entity HD 4/1/2010 1401 West Joppa Road Towson MD 21204
Sera Carlos C. M.D. LB 9/30/1998 12000 Longridge Lane Bowie MD 20715
Setaro John L. Psychologist HHS 3/10/1997 19 Melanie Court Baltimore MD 21234
Setlen Williams Individual HHS 4/19/1985 4527 Tapscott Road Pikesville MD 21208
Settles Diane Aide HHS 9/29/1996 11919 L Tarragon Road Reisterstown MD 21136
Shade David M.D. F 6/20/1984 14 Warfield Avenue La Vale MD 21502
Shah Dinesh M.D. LB 9/23/2010 2327 Pulaski Highway, Ste. 101A North East MD 21901
Shamaeizadeh Ali M.D. LB 3/3/2004 710 Lisbon Center Dr; Ste H Woodbine MD 21797
Shandler Melvin LCSW HHS 4/20/2009 P.O. Box 1000 Cumberland MD 21501
Shavers John M.D. LB 9/26/2012 518 Camp Meade Road Linthicum MD 21090
Shaw-Taylor Kofi MD LB 5/9/2017 4419 Falls Road, Suite D Baltimore, MD 21211
Page 64 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Shaw-Taylor Kofi MD F 8/2/2018 4419 Falls Road, Suite D Baltimore, MD 21211
Shea Robert Individual HHS 10/21/2013 4902 W. 144th Street Overland Park KS 66224
Sheldon-Cost Priscilla M.D. LB 9/13/2012 1407 York Road Ste. 309 Lutherville MD 21093
Shelton Pam Personal Care Provider
HD 4/26/1995 183 Fairfield Drive Frederick MD 21702
Shepherd Family Services, Inc.
Business Entity HD 2/6/2007 3450 Laurel Fort Meade Road Laurel MD 20724
Sheppard Shirleen Aide MFCU-A 3/23/2012 938 Argonne Drive Baltimore MD 21218
Sheppard Millard C. Individual F 4/27/2000 c/o P.O. Box 536 Jessup MD 20794
Sherwood Shannon Dental Technician HHS 12/20/2009 855 Aurora Road Ernul NC 28527
Shiraldi Teresa Nurse HHS 6/20/2005 3700 Misty Valley Court Abingdon MD 21009
Shirazi Mahmaud M.D. LB 6/18/2007 5671 Royal Mile Blvd Salisbury MD 21801
Showell Cora Louise Aide MFCU-A 12/6/2004 509 Bay Street Berlin MD 21811
Shpigelman Mikhail Personal Care Provider
HD 5/13/2002 2 Ameeht Court; 1C Baltimore MD 21215
Shpritz Louis M.D. LB 3/28/2012 24 Caveswood Lane Owings Mills MD 21117
Shraga Inessa Personal Care Provider
HD 5/30/2003 5 Wind Blown Court; Apt. 102 Baltimore MD 21209
Sichinava Inga Personal Care Provider
HD 3/7/2005 2001 Allanwood Court Silver Springs MD 20906
Siegel Irving Optometrist HHS 9/10/1996 4251 Wilson Blvd Arlington VA 22203
Sierra Myrna Luz Vigo M.D. HHS 4/18/2002 67 Toledo Street Bel Monte, Mayaguez PR 00680
Sila Basri MD LB 3/13/2017 1205 York Road Suite 39 Lutherville, MD
Simmons Kevin Individual F 5/27/2006 10356 Kentsdale Drive Waldorf MD 20603
Page 65 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Simms Rena C. Personal Care Provider
HD 5/12/1993 3705 W. Forest Park Ave Baltimore MD 21215
Simon Jock M.D. LB 11/5/2008 30686 Satterfield Court Salisbury MD 21804
Simons Evelyn Nurse HHS 12/20/1998 13631 Colgate Way Silver Spring MD 20904
Simpson Cleveland Cole Personal Care Provider
HD 2/20/1998 3019 Garrison Blvd Baltimore MD 21216
Singh Bhupinder M.D. LB 6/27/2008 200 Hospital Drive, Suite 500 Glen Burnie MD 21061
Singh Mahindra Nurse HHS 6/19/2008 2 Pissaro Court North Potomac MD 20878
Singh Inder MD LB 6/14/2019 2301 Annapolis Rd Baltimore, MD 21230
Singh Surinder MD LB 6/14/2018 9801 Georgia Avenue Silver Spring, MD 20910
Singletary Mitchell Aide HHS 9/1/1992 6646 Collinsdale Road Baltimore MD 21234
Singleton Faith R. Individual HHS 6/11/1990 4408 Old Frederick Road Baltimore MD 21229
Singleton Celestyne Aide HHS 9/2/1992 17 Orenco Court Baltimore MD 21220
Skinner Hubert G. M.D. LB 5/8/2006 11085 Little Patuxent Pkwy; Suite 205
Columbia MD 21044
Skrinskaya Natailya Personal Care Provider
F 10/1/2002 3720 Bel Pre Road; Apt. 9 Silver Spring MD 20906
Slavin Carl J. M.D. LB 7/26/2006 3231 Superior Lane; #A2 Bowie MD 20715
Sliger Traci Personal Care Provider
HD 11/28/2000 8505 George Washington Hwy Oakland MD 21550
Smart Lab LLC HHS 6/26/2019 10385 Ironwood Rd, Suite 130 Plam Beach Gardens, FL 33410
Smith Anthony Individual F 8/29/2008 4228 Huntshire Road Foxridge MD 21133
Smith Tammy LCSW F 8/29/2008 4228 Huntshire Road Foxridge MD 21133
Smith Joyce Nurse HHS 6/17/1999 26 Dowling Circle Baltimore MD 21234
Page 66 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Smith William M.D. LB 2/23/2012 1900 E. Northern Parkway #210 Baltimore MD 21239
Smith Joseph H. M.D. HHS 5/16/1993 4705 Locust Hill Court Bethesda MD 20014
Smith Elizabeth Ann Individual MFCU-A 11/8/2003 6102 Alta Avenue Baltimore MD 21206
Smith Tammara Aide HHS 6/17/1999 6466 Roots Drive Glen Burnie MD 27061
Smith Dorothy Julia Aide HHS 9/13/1997 912 Thompson Blvd Baltimore MD 21221
Smith Donny W. LCSW F 8/28/2005 3745 Maple Crest Drive Knoxville MD 21758
Smith Lance C. Individual F 10/1/1992 18800 Walkers Choice Road Gaithersburg MD 20879
Smith Dale A. Aide HHS 2/19/1998 6010 Valley Court Lexington Park MD 20553
Smoot Melanie Personal Care Provider
HD 8/25/1993 Route 3; Box 120 Oak Avenue La Plata MD 20646
Snead Paul Nurse HHS 2/20/2001 2108 Callow Avenue; Apt. #1 Baltimore MD 21217
Snell Sherman Leon Individual HHS 7/22/1991 P.O. Box 549 Jessup MD 20794
Snyder Robert M.D. LB 7/24/2013 1500 Forest Glen Road Silver Spring MD 20910
Sodipo Steven P.D. LB 1/5/2007 2403 Nora Court Forest Hill MD 21050
Solomon Larry Individual F 10/24/1988 613 19th Street, N.E. Washington DC 20002
Solomon Neil M.D. HHS 6/30/1994 901 Dulaney Valley Rd; Ste 602 Towson MD 21204
Sood Salah Eldean Khader Chesapeake Detention Facility
HHS 10/23/2016 401 East Madison Street Baltimore, MD, 21202
Soriano Asuncion M.D. LB 5/23/2007 119 Capitol Hgts Boulevard Capitol Heights MD 20743
Soriano, Jr. Cesar M.D. LB 7/3/2004 119 Capitol Heights Blvd Capitol Heights MD 20743
Soudah Truman F. M.D. LB 6/1/2010 8813 Waltham Woods Road, Ste. 101
Baltimore MD 21234
Page 67 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Spinnakers HHS 8/9/2016 18118 Chesterfield Airport Road Chesterfield, MD 63005
Spriggs Donte Aide MFCU-A 11/8/2013 1805 Ashburton Street Baltimore MD 21216
Srinivasan Sridhar Individual HD 4/1/2010 720 Ft. Washington Avenue New York NY 10040
SSS Nutrition & Dietetic Srvcs, Inc.
Business Entity F 11/19/2008 235 Mill Street, Ste. 3 Hagerstown MD 21740
Stachowski Gina Nurse HHS 4/19/2012 1645 Manor Road Dundalk MD 21222
Stalling Reginald W. M.D. LB 11/17/1999 9211 S. Normal Street Chicago IL 60620
Stark Thomas R.Ph HHS 10/20/2010 P.O. Box 1000 Cumberland MD 21501
Starling Greg Individual HHS 2/20/2008 3918 Elite Street Bowie MD 20716
Staton Kimberly V. Individual HHS 6/11/1990 10 Duke of Windsor Ct; T4 Baltimore MD 21207
Stein Marsha M.D. HHS 1/20/2015 5936 Howe Street Pittsburgh PA 15232
Stevens April Individual MFCU-A 1/8/2008 1723 Crimson Tree Way, Apt D Edgewood MD 21040
Stewart Kevin R. Aide HHS 4/27/1992 5211 Goodnow Road; Apt. D Baltimore MD 21206
Stocks Gregory Nurse LB 3/23/2004 140 E. Centre Street Baltimore MD 21202
Stone Nancy Nurse MFCU-A 2/17/2006 502 Francis Nicholson Way Annapolis MD 21401
Stoner Alfred Individual F 3/17/1992 511 S. Frederick Avenue; #10 Gaithersburg MD 20879
Stratton Judith Z. Nurse HHS 4/20/2003 12308 Featherwood Drive; Apt. 13 Silver Spring MD 20904
Stubbs Darryl Aide HHS 2/10/2002 4311 23rd Avenue; Apt. 1006 Temple Hills MD 20748
Stumpfel Ernest Ronald Personal Care Provider
HD 12/7/1993 8411 Morven Road; Apt. I Baltimore MD 21234
Suburban Medical Equipment & Supplies
Business Entity HD 6/19/2014 505 Hampton Park Blvd. Capitol Heights MD 20743
Page 68 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Sudhakar Kempana MD LB 12/13/2019 7610 Carrol Ave #230 Takoma Park, MD 20912
Sumler Robert A. Aide HHS 11/12/1990 500 E. Madison Street Baltimore MD 21202
Summers Holly R. D.D.S. LB 3/1/2005 19221 Montgomery Village Professional
Gaithersburg MD 20789
Sungenis Albert M.D. LB 6/15/2006 5179 Harpers Farm Road Columbia MD 21044
Supreme Health Systems, Inc.
Business Entity HD 3/30/2008 4801 York Road Baltimore MD 21212
Survival Place Assisted Living
Business Entity HD 3/26/2014 201 North Main Street PO Box Hurlock MD 21643
Sutton Veronica Personal Care Provider
HD 12/11/2009 1215 Etting Street Baltimore MD 21217
Sviriduk Ella Personal Care Provider
F 3/4/2007 18923 Lark Song Terrace Germantown MD 20874
Swartz Linda Personal Care Provider
HD 8/17/1995 116 Columbia Street Cumberland MD 21502
Tachie-Menson Vanessa Nurse HHS 4/20/2016 17520 Bridle Court Apt. 201 Jupiter FL 33478
Taku Wilfred Nurse F 6/13/2013 6425 Tiffany Court Lanham MD 20706
Tanna Peter M.D. F 12/31/1995 12708 Serpentine Way; #307 Silver Spring MD 20904
Tarkeh Victor Aide HHS 8/20/2015 15902 Bishopstone Terrace Upper Marlboro MD 20774
Tasher Jacob M.D. LB 5/26/2004 26 Erie Drive Slingerlands NY 12159
Tasker Nelda L. Aide HD 6/10/2005 P.O. Box 1 Oakland MD 21550
Tauraso Nicola M.D. LB 8/12/2010 7051 Poole Jones Road Frederick MD 21702
Taylor Lafenus Donnell Aide MFCU-A 4/13/2004 3002 Spaulding Avenue Baltimore MD 21215
Taylor Hester Ann Personal Care Provider
HD 5/2/1996 104 S. Somerset Avenue Crisfield MD 21817
Page 69 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Temkin Diane Personal Care Provider
HD 12/15/2004 12005 Tarragon Road; Apt. G Reisterstown MD 21136
Temple Marion B. LCSW F 7/5/1989 14512 Sandy Ridge Road Silver Spring MD 20904
Teves-Upshur Maria Individual HHS 2/20/2008 P.O. Box 44714 Fort Washington MD 20749
Than-Riddle Khin Cho Cho M.D. LB 7/28/2004 1520 Crownsvile Road Crownsville MD 21032
Thaung Phone Individual F 3/17/1992 12636 Falconbridge Drive Darnestown MD 20878
The Dixon Home Business Entity HD 9/28/2009 409 North Lakewood Avenue Baltimore MD 21224
The Medicine Shoppe Business Entity HD 8/15/2008 8035 A Liberty Road Baltimore MD 21244
The Medicine Shoppe Business Entity LB 7/14/2009 11813 1/2 Reisterstown Road Reisterstown MD 21136
The Medicine Shoppe Business Entity HD 8/15/2008 5900 Reisterstown Road Baltimore MD 21215
The Medicine Shoppe Business Entity HD 8/15/2008 8035 A Liberty Road Baltimore MD 21244
The Medicine Shoppe Business Entity HD 11/15/2006 Frostburg Village Shopping Center Frostburg MD 21532
The Smith House Business Entity HD 1/1/2007 7117 Campfield Road Baltimore MD 21207
Thomas Dwight N. Personal Care Provider
HD 9/17/1998 7049 Caldwell Road Pasadena MD 21122
Thomas Patricia F. Aide HHS 9/19/1999 M.D. Correctional Inst-Women; P.O. Box 535
Jessup MD 20794
Thomas Liston Individual HHS 10/20/1998 14601 Burnside Southwest Cumberland MD 21502
Thomas Tamara Personal Care Provider
HD 12/8/1997 90 Waverly Drive; #JJ102 Frederick MD 21702
Thomas Lindwall D.D.S. HHS 6/5/1995 10912 Lockwood Drive Silver Spring MD 20901
Thomas Barbara Individual HHS 12/5/1994 2135 Freemantle Court Waldorf MD 20601
Page 70 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Thomas Spencer MD LB 10/2/2019 7503 Surratts Road Clinton, MD 20735
Thomas Henry Maurice Aide HHS 9/20/1999 3426 Edmondson Avenue Baltimore MD 21229
Thomas/ Tisdale-Cornish Candice LCSW-C HHS 4/28/2018 200 E Joppa Road, Suite 400 Towson, MD 21286
Thompson Carl N. Personal Care Provider
HD 7/24/1992 7412 Beech Avenue Baltimore MD 21206
Thompson Stephanie Aide HHS 2/18/2010 3008 Gallery Place, Apt. 33 Waldorf MD 20602
Thompson Yvonne Personal Care Provider
HD 3/27/1996 914 E. Biddle Street Baltimore MD 21202
Thompson Regina Personal Care Provider
HD 5/7/2003 524 Cedar Street Cambridge MD 21613
Thompson Colleen Nurse MFCU-A 5/17/2005 312 Boardwood Drive Rockville MD 20850
Thornton Keisha Personal Care Provider
HD 3/21/2002 307 Barclay Street Salisbury MD 21853
Thornton Martha Personal Care Provider
HD 6/16/1993 402 Cedar Street Pocomoke MD 21851
Tighe Shellieanna Nurse HHS 5/20/2014 6585 NW Monticello Drive Kansas City MO 64152
Tilghman Anitra Individual HHS 12/20/1995 3 Valley Arbor Court Essex MD 21221
Tinnin Louis Watson M.D. HHS 3/27/2006 RR 1; Box 215 Brucetonw Mill WV 26525
TKPSYC Services, Inc. Business Entity F 4/7/2013 1005 8th Street Laurel MD 20707
Tofigh Hamid D.D.S. LB 3/19/2014 7500 Hanover Parkway Ste. 106 Greenbelt MD 20770
Tolliver John M.D. HHS 8/20/1998 8629 Cross Chase Court Fairfax Station VA 23039
Tom Victoria Personal Care Provider
HD 12/10/2004 201 Poplar Springs Road; Apt. I Rockville MD 20850
Tomasino Vincent M.D. HHS 3/20/2014 11824 Ramble Drive Owings MD 20736
Tomboyeke Idrisa Aide MFCU-A 7/25/2005 408 Torrington Place Silver Spring MD 20901
Page 71 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Torain Doris Individual HHS 5/6/1988 2359 Sundew Terrace Baltimore MD 21209
Tosson Hanan M.D. LB 7/11/2011 255 Scott Avenue Morgantown WV 26508
Towns Charles D.D.S. HHS 11/25/1983 6400 Rossville Blvd Baltimore MD 21237
Treece Thaddeus R. Personal Care Provider
HD 3/15/1994 2628 E. Madison Street Baltimore MD 21205
Tristate Hand and Occupational Therapy, Inc
Business Entity HHS 5/31/2016 200 Glenn Street Cumberland, MD, 21502
Truby Derrick P.D. HHS 10/20/2010 7018 Hamlet Avenue Parkville MD 21234
Tuason Rhonda Nurse HHS 9/19/2002 25 Halfpenny Lane Baltimore MD 21228
Tullner William W. M.D. LB 1/27/2006 9901 Medical Center Drive Rockville MD 20850
Turner Heather Respiratory Therapist
HHS 5/20/2014 914 S. Hanover Street Apt 3S Baltimore MD 21230
Turner Joseph Individual F 9/16/1993 807 Benninghouse Road Baltimore MD 21212
Twenty Four Seven Home Health Care
Business Entity HD 7/28/2005 905 W. Seventh Street; PMB 302 Frederick MD 21702
Tyco Clinical Lab. T. Husain Individual F 3/1/1995 405 Frederick Road; #158 Catonsville MD 21228
Tymiuk Wasyl P.D. LB 7/21/1993 2405 Mayfield Avenue Baltimore MD 21213
Tzou Norman M.D. LB 9/24/2012 196 Thomas Johnson Drive Ste. 135
Frederick MD 21702
Uche Hyacinth R.Ph F 12/7/2003 1413 King William Drive Baltimore MD 21228
Udebiuwa Oparaugo M.D. F 11/30/2006 450 West Central Avenue Davidsonville MD 21035
Union Multicare Medical Center
Business Entity HD 10/10/2015 10801 Lockwood Drive Ste. 140 Silver Spring MD 20901
United Medical, Inc. Business Entity HHS 1/7/1998 639 Riverside Drive Annapolis MD 21403
Page 72 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Universal Medical Supplies and Rental, Inc.
Business Entity HD 5/14/2016 11362 Amalgam Way, Ste. E Gold River CA 95670
Uplift Medical Business Entity HD 3/22/2011 3710 Riviera Street, Suite 1A Temple Hills MD 20748
USA Rehab LLC DME/DMS HHS 9/21/2017 105 Sudbrook Lane Baltimore, MD 21208
UTC Labs Inc HHS 9/30/2019 1441 Canal Street, Ste 401 New Orleans, LA 70112
Vaghi Vincent MD HHS 11/9/2016 9 River Falls Court, Potomac, MD 20854
Valentine Eugene Individual HHS 10/20/2002 P. O. Box 867 Arnold MD 21012
Valerie's Assisted Living Business Entity HD 3/24/2004 5506 Wayne Avenue Baltimore MD 21207
Valove Paul M.D. LB 1/24/2007 11085 Little Patuxent Pkwy. Columbia MD 21044
Van Horn Eugean C. M.D. HHS 9/15/1989 8163 Murry Hill Drive Fort Washington MD
Vandi Solomon Daniel Aide HHS 1/20/2006 9340 Edmonston road; Apt. 201 Greenbelt MD 20770
Varga Pal M.D. HHS 12/31/1991 213 Philadelphia Avenue Salisbury MD 20801
Vassallo Anthony Michael Personal Care Provider
HD 11/1/2006 455 N. Centre Street Cumberland MD 21502
Vaswani Surender MD LB 1/14/2019 8860 Columbia 100 Pkwy, #210 Columbia, MD 21045
Vaters Willa J. Individual HHS 5/2/1989 Route 3, Box 144 Hagerstown MD 21741
Vaughn William S MD LB 1/5/2018 Prince Phillip Drive Montgomery, MD 20832
Vaughn Hope L. Aide MFCU-A 10/15/1993 1940 W. North Avenue Baltimore MD 21217
Vaughn Cheryl Nurse HHS 1/20/2013 321 Oakway Court Joppa MD 21085
Vegetarian Institute Business Entity F 11/3/2005 7185 Columbia-Gateway Drive Columbia MD 21046
Vesay Virginia Physician Assistant HHS 10/20/2016 409 Saint Francis Street Minersville, PA 17954
Villars Maureen Personal Care Provider
HD 5/10/1996 11308 Gilsan Street Silver Spring MD 20902
Page 73 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Villaruz Rogelio M.D. F 6/28/1988 576 Stocketts Run Road Davidsonville MD 21035
Vinedale Healthcare Incorporated
Business Entity HD 1/3/2016 2240 W. Desert Cove Avenue Ste 105
Phoenix AZ 85029
Vines Sheila F 9/6/2019 3202 Normount Ave Baltimore, MD 21216
Wagner Keith Individual F 6/5/1991 9304 Warren Street Silver Spring MD 20910
Waison Marion Smith M.D. LB 9/16/2005 Woman to Woman Comp Care; Hickory Ridge Road
Columbia MD 21044
Waites Regina Marie Nurse F 8/2/2002 16425 Calla Hill Road NW Mount Savage MD 21545
Walker Joel M.D. LB 8/1/2014 9105 Franklin Square Drive Baltimore, MD 21237
Walker Tonya Aide MFCU-A 3/13/1999 3416 Brinkley Road; #402 Temple Hills MD 20748
Wallace Nathan Individual - Caregiver
MFCU 9/21/2017
Wallace Michelle Personal Care Provider
HD 12/27/2002 9409 Jolean Road Randallstown MD 21133
Wallach Daniel E. M.D. F 12/21/1992 90-B Painters Mill Road Owings Mills MD 21117
Ward David C. M.D. HHS 2/18/1999 3317 Mondawmin Avenue Baltimore MD 21216
Warren Vinita Individual HHS 12/20/1995 2003 Georgian Wood Place Wheaton MD 20902
Warrick Patricia LCSW F 6/25/2015 5203 Janesdale Court Glenn Dale MD 20769
Warshanna Mohammed LB 7/19/2019 405 Frederick Rd, Suite 150 Catonsville, MD 21228
Washington Orthopedic Center LLC
MD HHS 9/21/2017 6144 Oxon Hill Rd Oxon Hill, MD 20745
Washington Pain Medicine Center
F 10/17/2015 7327-A Hanover Parkway Greenbelt MD 20770
Wasson Janet MD LB 4/25/2017 2002 Medical Parkway Annapolis, MD 21404
Page 74 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Watkins Rose Personal Care Provider
HD 9/30/2008 1027 Cosby Avenue Cambridge MD 21613
Watkins Mildred Personal Care Provider
HD 8/7/2008 412 South Cedar Street, Apt #2 Cumberland MD 21502
Wattay Ellen G. P.T. LB 1/17/2006 408 Parkwood Drive Salisbury MD 21804
Watts Sherrie Individual F 10/28/1987 1907 Forest Park Apt; 53 Baltimore MD 21207
Wave Care Health Services
F 7/25/2018 1405 H St NE, Suite 2 Washington, DC 20002
Waxler Richard M. Individual HHS 6/19/2003 6015 Middewater Court Columbia MD 21044
Weaver Darlynn Personal Care Provider
HD 8/6/1997 1503 East 29th Street Baltimore MD 21218
Weaver Brian M.D. LB 4/29/2010 1124 N. Main Street Sikeston MO 63801
Webster Dewitt D.D.S. LB 8/1/1990 6409 Ager Road Hyattsville MD 20782
Wee Melissa Pharm. Tech F 9/21/2012 22 Nann Avenue Baltimore MD 21225
Wehren Lois M.D. LB 3/13/1997 4098 Fragile Sail Way Ellicott City MD 21042
Weiss Sam Arthur Aide HD 6/11/2004 3506 Glen Avenue Baltimore MD 21215
Weissfuss Meaghan N. Individual MFCU-A 12/7/2005 11934 North Street; Apt. 5-3 Libertown MD 21762
Weitzman Warren Individual HHS 10/20/2002 7107 Thomas Branch Drive Bethesda MD 20817
Welch Barbara Jean Nurse HHS 6/20/2006 1628 E. Southern Avenue; Bldg 9 PMB 139
Tempe AZ 85282
Wells Luititia D. Personal Care Provider
HD 7/1/2002 P.O. Box 205 Newburg MD 20664
Wendel Christopher M.D. LB 2/7/2017 P.O. Box 250 Hockessin, DE 19707
Weneck Bruce M.D. F 8/27/1986 303 Memorial Blvd Hagerstown MD 21740
Werhoff Matthew Nurse HHS 4/18/2013 110 Sperow Trail Martinsburg WV 25404
Page 75 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Werner Stephanie A. Nurse HHS 4/20/2004 423 Lincoln Avenue Glen Burnie MD 21061
Western MD Pharmaceutical Services
Business Entity HD 10/24/2015 25 N. Cannon Avenue Hagerstown MD 21740
Weston Danly P. D.D.S. HHS 4/22/1997 12821 Old Fort Road Fort Washington MD 20744
Wetmore Thomas LCSW LB 4/8/2011 420-K Chinquapin Round Road Annapolis MD 21401
Wheeler, Jr. Rudolph D. Individual F 2/14/1997 2007 Mayfield MD Baltimore MD 21213
Whitby Linda MD LB 3/29/2017 5804 Baltimore Avenue Hyattsville, MD 20781
White Sandra E. Aide HHS 4/12/1993 4604 Bromley Ave Suitland MD 20746
White Puanani J. Individual HHS 10/20/2004 405 Parsonage Lane Saint Michaels MD 21663
White, Jr. Charles Edward PA HHS 9/26/1990 2921 Pulaski Highway Baltimore MD 21224
Whitehead Jessica Personal Care Provider
HD 5/16/1996 6713 Newport Road Hyattsville MD 20784
Wiesman Albert M.D. HHS 4/12/1993 12605 Orchard Brook Terrace Rockville MD 20854
Wilborne Victor G. Individual HHS 9/2/1992 5606 McClean Blvd; Apt. C Baltimore MD 21212
Wilder Craig MD LB 6/19/2019 701 East Charles Street Laplata, MD 20646
Wilkerson Joel MD LB 10/17/2018 204 Medical Center Rd Grasonville, MD 21638
Wilkerson Mark F 8/22/2019
Wilkes Darryl Ivan Individual HD 9/21/2005 12428 Gable Lane Ft. Washington MD 20744
Wilkinson Morris A. M.D. HD 4/13/1993 7815 Old Receiver Rd Frederick MD 21702
Wilks Deborah Individual HHS 11/15/1995 2023 Woodlawn Drive; Apt. B Baltimore MD 21207
Williams Barbara L. Aide HHS 11/10/1992 6934 Walker Rd; #B-1 Capitol Heights MD 20743
Page 76 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Williams Wendie Renee MD LB 1/17/2018 900 Caton Ave Baltimore, MD 21229
Williams Olivette Personal Care Provider
HD 1/6/1998 6237 Maxwell Drive Camp Springs MD 20746
Williams Daniella Individual F 4/23/2003 1523 Ellamont Avenue Baltimore MD 21206
Williams Joanie Linden Personal Care Provider
HD 9/26/1997 3901 Greenmount Avenue; 2nd Floor
Baltimore MD 21218
Williams Lillian Nurse HHS 4/20/2003 8925 Footed Ridge Columbia MD 21045
Williams Joanie Personal Care Provider
HD 9/26/1997 3901 Greenmount Avenue; 2nd Floor
Baltimore MD 21218
Williams Carter M.D. F 4/14/1993 3104 Woodholme Ave Baltimore MD 21234
Williams Sharon Personal Care Provider
HD 10/7/1996 P. O. Box 316; Peabody Street Leonardtown MD 20650
Williams Fortune J. M.D. HHS 9/20/2005 5010 York Road Baltimore MD 21212
Williams Cleveland M.D. LB 8/20/1991 1111 Spring St; Ste 103 Silver Spring MD 20910
Williams Deborah Personal Care Provider
HD 9/17/1998 5409 Schley Avenue Baltimore MD 21213
Williams Bryan M.D. LB 5/18/2016 11405 Piedmont Court Clarksburg, MD 20871
Williams Thomas C. Aide MFCU-A 3/2/2004 1113 Bonaparte Avenue Baltimore MD 21218
Williams Robert M.D. LB 6/26/2013 5602 Baltimore National Pike Baltimore MD 21228
Williams Arnita L. Personal Care Provider
HD 2/18/1998 1025 Webb Court Baltimore MD 21202
Williams, III Robert X. M.D. HHS 10/19/2006 3913 Fleetwood Avenue Baltimore MD 21206
Willis Vida Marie Aide HD 5/21/1997 3816 Towanda Ave; 1st Floor Baltimore MD 21215
Wilson Anita Personal Care Aide MFCU 9/28/2017 22796 Laurence Avenue, PO Box 284
Compton, MD 20627
Wilson Rose Personal Care Provider
HD 5/15/1998 2926 Miles Avenue Balitmore MD 21211
Page 77 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Wilson Tamela Personal Care Provider
HD 9/27/1995 751 Woods Road Cambridge MD 21613
Wilson Tasha Aide MFCU-A 3/11/2011 33 Deepspring Court Reisterstown MD 21136
Wilson Leon LCPC F 8/30/2014 15388 Bassford Road Waldorf MD 20601
Wilson Donisha Aide MFCU-A 6/16/2006 11031 Kristin Way Worten MD 21678
Winder Tyrone Individual HHS 12/20/1995 4608 Marble Hall Road Baltimore MD 21239
Windsor Respite Business Entity HD 9/20/2005 7407 Castlemoore Road Windsor Mill MD 21244
Wingate Shonelle Personal Care Provider
HD 11/27/2009 8601 Greens Lane Baltimore MD 21224
Wischer Noreen Ann Personal Care Provider
HD 3/19/2005 311 S. Robinson St. Baltimore MD 21224
Witriol Sol M.D. LB 9/26/2001 8679 Ft. Smallwood Road Pasadena MD 21122
Wongus Rosalie Individual F 11/27/1999 530 N. Curley Street Baltimore MD 21205
Woodard Dale Avery Aide MFCU-A 12/30/2003 206 Slitting Mill Place Baltimore MD 21228
Woods Joyce V. Ph.D. HHS 5/8/1991 17525 Sir Galahad Way Ashton MD 20861
Woodward Arthur M.D. LB 2/3/2016 3416 Olandwood Court Olney MD 20832
Wooldridge Judith Nurse HHS 9/19/2003 1306 Willow Oak Drive Frederick MD 21701
Wright Stephanie Aide HD 2/27/2000 P. O. Box 11949 Baltimore MD 21207
Wright Cynthia McGinnis Nurse HHS 10/19/2006 42825 Shaler Street Chantilly VA 20152
Yarborough Pamela Personal Care Provider
HD 3/22/2004 137 Faywood Court; Apt. 5 Glen Burnie MD 21060
Yassin Mahmoud M.D. HHS 12/19/2013 1503 North Jackson Street Robinson IL 62454
Yazdani Farshad M.D. LB 4/4/1999 339 E. Antietam St Hagerstown MD 21740
Yazhary Randall D.D.S. LB 12/22/2014 7508 Wisconsin Avenue Bethesda MD 20814
Page 78 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP
Yoshabell's House, I,II, III Business Entity HD 5/24/2006 8511 Allenswood Road Randallstown MD 21133
Youmatz Henry F. D.D.S. F 12/11/1981 1503 West Lombard Street Baltimore MD 21223
Young Sara Personal Care Provider
HD 5/16/1995 381-D Willows Road Lexington Park MD 20653
Young Jennifer Personal Care Provider
HD 3/3/2005 26771 Johnson Creek Road Crisfield MD 21817
Young Henry A. M.D. HHS 2/13/1995 901 Eastern Avenue Baltimore MD 21221
Young Belinda Individual - Caregiver
MFCU 9/21/2017
Young Leonard H. Individual HHS 8/20/2009 7003 Targuin Avenue Temple Hills MD 20748
Young Adult Institute MFCU 4/4/2018 8308 Liberty Road Baltimore, MD 21244
Yu Young H. M.D. LB 9/21/2001 1205 York Place Ste. 30A Towson MD 21204
Yusufov Salim Individual HHS 8/20/2015 7010 Rock Stream Court Baltimore MD 21209
Zakrzeski Paul Nurse F 6/28/2002 210 S. Sunset Drive Shrewsbury PA 17361
Zazo Loretta Nurse HHS 12/18/2008 P.O. Box 219 4 Water St. Pier A, #133
Charlestown MD 21914
Zielke Andrzej MD LB 11/21/2017 200 Lothrop Street Pittsburgh, PA 15213
Ziem Grace M.D. LB 12/11/2015 16926 Eylers Valley Road Emmitsburg MD 21727
Ziscovici Silviu M.D. LB 12/1/2010 11400 Rockville Pike Ste. 513 Rockville MD 20852
Zuckerman David M.D. LB 7/29/2009 9715 Medical Center Drive #530 Rockville MD 20850
Page 79 of 79Friday, January 31, 2020
Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department
HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud