Sanctioned Providers from Participation in Maryland...Abell Amanda Personal Care Provider HD...

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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 79 Friday, 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

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

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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