Sanctioned Providers and Entities Excluded From
Participation In Maryland Medicaid Program
LAST NAME
FIRST NAME
A&E Home Care I, II
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
Corporation
HD
5/26/2005
1234 Cathedral Drive
Glen
Burnie
LICENSE #
Aalai
Mehrdad
M.D.
F
8/15/1994
10524 Democracy Blvd
Potomac
MD
D 26712
Abbas
Muhmoud F
M.D.
F
6/10/1992
5411 Old Frederick Road
Baltimore
MD 21229
D 12722
Abundant Life
Center, Inc.
Corporation
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
Adams
Charlotte
PCP
HD
10/24/1994
5313 Barbara Avenue
Baltimore
MD 21206
Adams
Hakki B.
M.D.
F
8/24/1983
6172 Oxon Hill Road
Oxon Hill
MD 20715
Addison
Denise
PCP
HD
9/9/1998
P.O. Box 6014
Baltimore
MD 21231
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
LP41140
Adelanwa
Gabriel W.
LCPC
F
2/18/2007
7100 Chesapeake Road
Landover
Hills MD
LC 1235
Aderibigbe
Victoria O.
Citizen
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
Adeyemi
Nancy
Citizen
HHS
8/20/2008
7758 Finns Lane, Apt. 2
New
Carrollton
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
LB - Licensing Board
R088060
D 00472
01198
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 1 of 70
LAST NAME
FIRST NAME
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
Adeyemi
Mukaila
Adger
Citizen
F
2/28/1997
25 Strawhat Road; 1-C
Rossanna
PCP
HD
9/9/1998
2140 Boyd Street
Baltimore
MD 21223
Adler
Jane M.
M.D.
HHS
9/20/2001
9812 Falls Road; Ste 114
Potomac
MD 20854
Advanced Clinical
Associates
Inc.
Corporation
F
10/2/1997
201 North Charles Street
Baltimore
MD 21201
Aggroia
Abhay V.
M.D.
HHS
7/20/2006
13168 Kinnicut Drive
Woodbridg
e MD
Aiken
Stuart
DPM
HHS
5/5/2006
16 Dartmoor Court
Aikens-Afful
Nathaniel
M.D.
F
4/18/1983
3706 Collier Road
Randallsto
wn MD
Ajumobi
Chukwudi
Citizen
HHS
8/19/2010
5404 85th Avenue, Apt. T3
New
Carrollton
Akande
Dwanus
Nurse
HHS
1/20/2008
10849 N. Central
Expressway
Dallas, TX
75231-
LP31007
Akhigbe
Ehigiator
M.D.
HHS
10/20/2010
FCI Morgantown P.O. Box
1000
Morgantow
n WV
D 45218
Aksoy
Yasar
M.D.
LB
7/17/2001
1423 Cedarcroft Road
Baltimore
MD 21239
D 19223
Akthar
Waheed U.
M.D.
LB
9/9/2004
301 S. Theodore Green Blvd
White
Plains MD
D 31675
Alalouf
Ophir
D.D.S.
LB
5/2/2008
9812 Falls Road, Suite 118
Potomac
MD 20854
12149
Al-Attar
Ali
M.D.
LB
4/22/2009
4900 Silver Hill Road
Suitland
MD 20746
D50098
Albers
Nancy
Citizen
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
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
LB - Licensing Board
CITY/STATE
/ZIP
LICENSE #
Owings
Mills MD
0101-055856VA; D53013(MD)
Olney MD
20832
5440
D 13607
001160
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 2 of 70
LAST NAME
FIRST NAME
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
LICENSE #
Al-Khatib
Susan
Nurse
HHS
2/20/2008
13014 Winchester Road,
SW
Cumberlan
d, MD
R103787
Ally
Azad M.
D.D.S.
F
7/21/2004
1643 Agnes Avenue, S.E.
Palm Bay
FL 32909
11430
Almeida
Carlos
M.D.
LB
5/23/2005
7900 Old Branch Avenue
Clinton
MD 20735
D 08275
Alperstein
Arnold
R.Ph
HHS
1/20/2004
3202 Walnut Avenue
Corporation
HHS
10/28/2008
American Diagnostic
Laboratories
Owings
Mills MD
07356
15749 Crabbs Branch Way
Rockville
MD 20855
01079
D 00133
Amirgholi
Mohammed H.
M.D.
LB
3/23/1988
9401 Indian Head Hwy
Ft.
Washingto
Anderson
Morris
PCP
HD
7/21/1995
11 W. Baltimore; #1012
Hagerstow
n MD
Anderson
Richard H.
M.D.
LB
5/26/2001
13 Cedar Waxwing Road
Hilton
Head
Anderson
Susan
Nurse
HHS
12/19/2002
11554 Buckskin Court
Lusby
MD
Andreadis
Barbara L.
LCSW
F
5/20/2003
47 E. Main street
Hancock
MD 21750
08278
Andrews
Lorenzo
Nurse
HHS
7/20/2004
8341 Canning Terrace
Greenbelt
MD 20770
561064
Angel Square
Corporation
HD
6/28/2005
2306 Breton Drive
District
Heights
Ann's Loving Care
Corporation
HD
9/5/2007
1536 Northgate Road
Baltimore
MD 21218
30AL128
08351
Appel
Lawrence W.
R.Ph
HHS
12/20/2004
4 Coachman Ct; Apt. 202
Randallsto
wn MD
Arbogast
Rebecca
PCP
F
1/6/2007
36856 Danny Lane
Chaptico
MD 20621
Corporation
HHS
5/20/2002
8314 Glenmar Road
Ellicott City
MD 21045
ARG Associates, Inc.
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
LB - Licensing Board
D 00634
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 3 of 70
LAST NAME
FIRST NAME
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
LICENSE #
Arrey
Pamela
P.D.
HD
8/15/2008
13850 Kennard Drive
Glenelg
MD 21737
11345
Arrington
James
PCP
HD
4/17/1996
4138 Woodhaven Avenue;
Apt. 1 FL
Baltimore
MD 21216
Arroyo
Ruy Dan
M.D.
HHS
9/20/1996
1215 Evesham Ave
Baltimore
MD 21239
D 27436
Arroyo
Jose C.
M.D.
HHS
6/18/1998
6400 Baltimore Nat'l Pike
#512
Baltimore
MD
D 02422
Asemani
Ghafour B.
D.D.S
HHS
7/18/2002
Ashburn
Timothy M.
M.D.
HHS
12/20/2004
9890 Washington Blvd;
#803
Gaithersbur
g MD
Ashimi
Karen
Aide
MFCU-A
5/24/2007
2424 Bridgehampton
Drive, #J
Parkville
MD 21234
Askins
Annie Delois
PCP
HD
5/4/2006
3301 Ripple Road
Baltimore
MD 21244
Askins Private Care Home
Corporation
HD
5/4/2006
3301 Ripple Road
Baltimore
MD 21244
Atlantic Health Care, Inc.
Corporation
HHS
10/7/2007
7640 Fullerton Road
Springfield
VA 22153
Corporation
HD
5/4/2005
14004 Silver Teal Way
Upper
Marlboro
8667 Town & Country Blvd; Ellicott City
F
MD 21043
Aurora Hlth Care
Services, Inc.
Coppedge, Debra A.
Austin
Dan E.
M.D.
LB
4/4/1999
12164 Central Ave
Mitchellevill
e MD
Automated Billing
Service
Corporation
HHS
6/12/1997
4701 Randolph Road
Rockville
MD
Averi
Robert M.
D.P.M.
LB
5/9/1991
P.O. Box 230544
Montgomer
y AL
Averi
Robert
P.D.
LB
7/21/1993
P.O. Box 667
Johnstown
PA 15907
Corporation
HD
2/27/2007
2300 North Calvert Street
Baltimore
MD 21218
Awele Treatment and
Rehab.Clinic
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
LB - Licensing Board
D 46605
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 4 of 70
LAST NAME
FIRST NAME
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
LICENSE #
Ayers
George J.
PT
HHS
2/20/2006
75 Beatrice Street
Cumberlan
d MD
14444-MD; PT
10641-FL; PT 1606-
Aziz
Ahmed
D.D.S.
LB
11/26/2003
6117 Marlboro Pike
District
Heights
09548
Azzato
Nicholas M.
M.D.
HHS
10/4/1989
333 University Blvd; West
Kensington
MD 20895
Babaturk
Hidir
M.D.
HHS
9/30/1988
6578 Gulford Avenue
Clarksville
MD 21029
Backmon
Marquil D.
Citizen
HHS
2/15/1997
830 N. Kenwood Avenue
Baltimore
MD 21205
Bagby
Victoria
Citizen
HHS
10/20/2008
435 N. Curley Street
Baltimore
MD 21224
Bagheri
Farhad
D.D.S.
LB
8/15/2005
13529 Clopper Road
Germantow
n MD
Bagwell
Polla Darlene
Aide
HHS
2/1/1999
3127 Artaban Place
Baltimore
MD 21216
Bah
Haja
Aide
HHS
6/20/2005
Baker
Cynthia
Nurse
HHS
6/19/2008
5753 Hazelwood Circle,
Apt. F
Baltimore
MD 21206
Baker
Betty
PCP
HD
9/9/1998
524 W. Preston Street
Baltimore
MD 21202
Baltazar
Rodney
D.O.
HHS
2/6/2009
319 Maloney Road
Elkton
MD 21921
Banks
Evelyn
Citizen
F
10/28/1987
2140 Pine Avenue
Baltimore
MD 21207
Baptiste
Donna
D.D.S.
HHS
5/20/1998
4205 Liberty Heights Ave
Baltimore
MD 21207
09943
Barahona
Leonel
M.D.
LB
11/19/2009
1101 Maiden Choice Lane
Baltimore
MD 21229
D 21928
Corporation
HD
7/31/2006
29233-A West Line Road
Delmar
MD 21875
Barb's Mason Dixon
Home
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
11037
3207 Toleda Place; Apt. 203 Hyattsville
MD 20782
LB - Licensing Board
LP 19154
H52021
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 5 of 70
LAST NAME
FIRST NAME
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
Barnes
Georgia
PCP
HD
4/14/2003
12 Garrisonridge Court
Barnette
Dawn
PCP
HD
4/1/1994
SR6; Box 277-13
Barr
Alvin Scott
Nurse
HHS
4/20/2004
8336 Evergreen Drive
Lusby MD
20657
R 140640
Bass
Mitzi Lucille
Nurse
HHS
7/18/2002
804 W. Nash Street
Terrell TX
75160-
TX 6564777
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
Battaile
William G.
M.D.
LB
9/29/1996
Box 273
Gibson
Island MD
D 14392
Baumann
Carol
Nurse
HHS
4/20/2004
3908 Eighth Street
Brooklyn
MD 21221
LP 07072
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
Hagerstow
n MD
Corporation
HD
2/1/2006
4994 Beaverbrook Road
Columbia
MD 21044
Beaverbrook Corner
CITY/STATE
/ZIP
Owings
Mills MD
LaPlata
MD 20646
Beck
Charlene
PCP
HD
9/9/1998
Route 1; Box 237
Rock Hall
MD 21661
Beck
Zina Yvonne
PCP
HD
6/19/1998
3925 Clark Lane, Apt. D
Baltimore
MD 21215
Beck
Jeffrey R.
D.O.
LB
7/13/2006
22 S. Greene Street
Baltimore
MD 21201
Bell
Guy
Citizen
F
2/27/2008
2712 Tallow Tree Drive
Woodstock,
MD 21163
Bell
Vadney
Aide
HHS
8/20/2000
16 Brubar Court; Apt. 2-C
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
LB - Licensing Board
LICENSE #
D 32444
H 55156
Gwynn
Oak MD
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 6 of 70
LAST NAME
FIRST NAME
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
LICENSE #
Benchasil
Sakda
M.D.
LB
10/30/1998
9 Slate Mills Ct
Baltimore
MD 21228
D 16940
Benchoff
Richard
R.Ph
HHS
9/20/2009
139 E. Baltimore Street
Hagerstow
n MD
10514
Benn
Stanley Junious
Citizen
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
Bernhard
Larry
DPM
HHS
10/30/2007
446 Colonial Ridge Land
Arnold
MD 21012
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
D 27732
Biscoe
Charles
M.D.
LB
1/26/2007
2200 Garrison Blvd, Ste. 303 Baltimore
MD 21216
D 42230
Blackmon
Robert C.
M.D.
LB
7/26/1996
3230 Sequoia Ave
Baltimore
MD 21215
Blancaflor
Othneil
Citizen
HHS
5/22/1985
36 S. Charles Street
Baltimore
MD 21201
Blizzard
Judy
PCP
HD
9/30/1993
1326 Deer Park Road
Westminste
r MD
Corporation
HD
8/31/2006
5415 Lincoln Street
Bethesda
MD 20817
Nurse
HHS
8/20/2002
29180 Naylor Mill Road
Salisbury
MD 21811
Corporation
HHS
9/20/2001
9051 Baltimore Nat'l Pike;
Ste 3-E
Ellicott City
MD 21042
Leavenwort
h KS 66048
Blue Star Assisted Living
Bockover
Carol
Body Energetics, Inc.
Boesen
Peter V.
M.D.
HHS
3/20/2008
07705-030, USP, P.O. Box
1000
Boggess
Deland Michelle Toney
Nurse
HHS
9/20/2005
1789 Roxalana Road
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
LB - Licensing Board
00591
D 00860
D41757
Dunbar
R 156872-MD;40698WV 25064 WV; 0001181933-VA
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 7 of 70
LAST NAME
FIRST NAME
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
LICENSE #
Bohannon
Wayne E.
Ph.D.
LB
9/30/2002
Behavioral Science Assoc;
10751 Falls Road
Lutherville
MD 21093
01601
Bolshinsky
Igor
PCP
HHS
5/19/2005
10948 Whiterim Drive
Potomac
MD 20854
Bordley
Thomas
Citizen
HHS
12/20/1995
1531 Gleneagle Road
Baltimore
MD 21239
Bowens
Michelle
PCP
HD
7/30/2002
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
04969
Boyce
Jesse Marvin
DPM
HHS
1/16/2002
1714 Peachtree Lane
Bowie
MD 20721
01000
Boyd
Seward
D.O.
LB
2/11/1991
556 Ingraham St
Washingto
n DC
H 36148
Boykins
Loretta Penny
Citizen
HHS
12/20/2001
1212 Whitelock Street
Baltimore
MD 21217
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
Branch
Kelly
Citizen
HHS
3/25/1998
749 Linnard Street
Baltimore
MD 21229
Branch
Freddie
Citizen
HHS
2/15/1997
35 Loring Court; D
Baltimore
MD 21219
Branch
Bernadette
PCP
HD
3/20/1993
P. O. Box 33354
Baltimore
MD 21218
Braud
Joseph
M.D.
HHS
1/20/2010
P.O. Box 5010
Oakdale
LA 71463
Breakfield
James E.
Citizen
HHS
11/19/2009
954 Forrest Street
Baltimore
MD 21202
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
LB - Licensing Board
D 33173
MD01895(LA)
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 8 of 70
LAST NAME
FIRST NAME
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
LICENSE #
Brenner
Myron
M.D.
LB
10/22/2008
14025 Cuba Road
Hunt
Valley MD
D 21657
Bresslerman
Mark J.
D.D.S.
LB
5/2/1990
6232 Montrose Road
Rockville
MD 20852
05180
Brice
Charlene
PCP
HD
6/20/1995
8 Patamoke Way
Cambridge
MD 21613
Brigance
Troy B.
RCP
HHS
11/20/2003
851 Park Avenue
Baltimore
MD 21201
L 03089
Britos-Bray
Anibal
M.D.
F
7/29/1995
16 Aberdeen Shopping Pl
Aberdeen
MD 21001
D 16953
Brock
Deon M.
Citizen
F
5/29/2008
1127 N. Gilmor Street
Baltimore
MD 21217
Bronder
Rosemary
Nurse
HHS
5/18/2000
4421 Saddle River Drive
Mitchellville
MD
Brooks
Wanda
PCP
HD
6/27/1990
Brooks
Latosha N.
Aide
MFCU-A
2/2/2005
3809 Bonview Avenue
Baltimore
MD 21213
Brooks
Myrtle
Citizen
HD
7/17/2005
1501 Bayly Road
Cambridge
MD 21613
Corporation
HD
7/17/2005
1501 Bayly Road
Cambridge
MD 21613
Brooks Care Home
6870 Sturbridge Drive; Apt. Baltimore
B
MD 21234
Brown
Luwahn
PCP
HD
3/31/1994
Rt. 2; Box 2259
La Plata
MD 20646
Brown
Louise
PCP
HD
9/9/1998
5414 Gist Avenue
Baltimore
MD 21215
Brown
Shantay T.
Aide
HHS
7/13/2000
3520 Milford Mill Road
Baltimore
MD 21207
Brown
Cynthia A.
M.D.
LB
2/23/1990
16816 5th Ave, SE
Buthell
WA 98012
D 26655
Brownstein
Steven A.
D.P.M.
LB
3/11/1999
420 S. Crain Hgwy
Glen
Burnie
00374
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
LB - Licensing Board
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 9 of 70
LAST NAME
FIRST NAME
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
Bryant
Tonya
PCP
HD
9/6/1995
3505 Carsdale Avenue
Baltimore
MD 21207
Bryson
Rick Van
DPM
HHS
3/20/2006
15608 Henrietta Drive
Accokeek P-0486 (D.C.); 01186
MD 20607
(M.D.)
Buchanan
Elizabeth
PCP
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
Citizen
HHS
6/30/1994
4700 Leyden Way
Ellicott City
MD 20142
Burge
Lisa M.
Citizen
HHS
2/6/1998
7934 Mayfair Circle
Ellicott City
MD 21043
Burks
Teman L.
M.D.
HHS
2/19/1998
251 N. Fourth St
Oakland
MD 21550
Butts
Shayrie
PCP
HD
7/19/1991
306 Bishop Avenue
Baltimore
MD 21225
Calhoun
Marvita
PCP
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
Caltrider
Robert S.
P.A.
HHS
5/20/1998
212 Juniper Drive
Glen
Burnie
Campbell
Darlene
CRT
HHS
11/20/2000
3010 Spaulding Avenue
Baltimore
MD 21215
Cannon
Anthony
Citizen
HHS
8/20/2000
Lewisburg Fed Prison, 5
Lewisburg
PA 17837
Cardiotel
Inc.
Laboratory
HHS
6/20/2002
19636 Club House Road;
Ste 120
Gaithersbur
g MD
Care Plus Ambulance
Service, Inc
Corporation
F
9/13/1999
4 Woostream Court; #9
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
LB - Licensing Board
LICENSE #
15040
D 45191
D 20655
L 00984
Owings
Mills MD
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 10 of 70
LAST NAME
FIRST NAME
Caregivers, LLC
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
Corporation
HD
10/20/2008
11405-103 Little Patuxent
Parkway
Columbia
MD 21044
LICENSE #
Carpenter
Gene P.
Aide
HHS
5/20/1999
7328 Church Hill Road
Chestertow
n MD
Carroll
Candy
PCP
HD
1/5/2007
P.O. Box 151
Park Hall
ND 20667
Carter
Janet
Citizen
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
D 01152
Caruana
Patricia
LCSW
LB
9/12/2008
6611 Marietta Avenue
Baltimore
MD 21214
08427
Caulker
Alex
Nurse
HHS
8/20/2002
5445 N. Morgan Street;
#203
Alexandria
VA 22312
Certeza
Humberto V.
M.D.
LB
7/31/1998
8946 Satyr Hill Rd
Baltimore
MD 21234
D 04364
Chaiet
Melvin
R.Ph
HHS
1/18/2001
4606 Barbara Drive
Beltsville
MD 20705
05958
Chalk
Ella
PCP
HD
3/18/1996
1707 N. Patterson Park
Avenue
Baltimore
MD 21213
Chalkley
Walter
Citizen
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
Chan
Brian
Citizen
HHS
8/1/1997
8542 Hill Spring Drive
Lutherville
MD
Chan AKA (Ng Fong)
Cynthia
Citizen
HHS
8/1/1997
8542 Hill Spring Drive
Lutherville
MD
Chance
Irma Rivera
M.D.
LB
10/23/2002
405 Ireland Way
Eastham
MA 02642
Chaney
Marlo
Citizen
HHS
4/20/2010
523 Kerby Parkway
Fort
Washingto
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
LB - Licensing Board
D 01891
D 31138
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 11 of 70
LAST NAME
FIRST NAME
Chang
Samuel
Charms One, LLC
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
LICENSE #
M.D.
F
10/28/1987
10005 Hall Rd
Potomac
MD 20854
D 14746
Corporation
HD
9/28/2009
2021 Kennicott Road
Baltimore
MD 21244
Citizen
HHS
4/10/1996
912 S. Baylis Street
Baltimore
MD 21214
Chase, Jr.
Charles L.
Chavez
Juan M.
M.D.
F
6/1/1988
4123 Frederick Ave
Baltimore
MD 21229
Chavis
Darlene
PCP
HD
6/8/1993
619 Carlton Court
Cambridge
MD 21613
Cheeves
Deborah
Nurse
HHS
8/19/2010
4206 Forsythia Lane
Pasadena
MD 21122
R 096908
Chellappa
Mariam
Audiologist
LB
1/20/2001
7840 Eastern Avenue
Baltimore
MD 21224
03511
Chen
Cecella A.
M.D.
LB
5/26/2001
603 Stags Head Ct
Towson
MD 21204
D 14193
Chertkov
Lynn S.
LCSW
F
4/25/1991
400 East/West Highway
Bethesda
MD 20814
01585
Chigbue
Brian
M.D.
LB
1/14/2008
7943 Central Avenue
Capitol
Heights
D 50457
Chorbajian
James P.
D.D.S.
HHS
10/6/1994
1410 Peartree Lane
Bowie
MD 20721
7671
Chu
Peter L.
Corporation
HHS
11/4/1988
12450 Parklawn Drive
Rockville
MD 20852
Corporation
HHS
7/20/1988
1200 Annapolis Road
Odenton
MD 21113
D.D.S.
LB
10/7/1999
104 Plum Tree; Ste, 100
PCP
HD
11/27/2006
4509 Wakefield Road
Baltimore
MD 21216
D.D.S.
HHS
9/3/1997
3900 Bel Pre Road; Ste 1
Silver
Spring
Chu and Chu, Inc.
Clair
Michael J.
Clark
Ann
Clark
Marva J.
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
LB - Licensing Board
Belair MD
11014
D 04370
8472
09986
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 12 of 70
LAST NAME
FIRST NAME
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
Clark
Timothy
P.D.
HHS
2/4/1997
4510 Springdale Avenue
Baltimore
MD 21207
Clark
Norman L.
M.D.
LB
1/23/2002
Univ of MD Hosp; 22 S.
Greene St
Baltimore
MD 21201
Clayton
Edith
PCP
HD
9/9/1993
10518 Marriottsville Road
Randallsto
wn MD
Cleary
Edward Paul
PCP
HD
11/10/2005
6723 Eldorado Road
Federalbur
g MD
Cleveland
Tamara Jane
Nurse
HHS
2/19/2004
1003 Girard Street; NE
Washingto
n DC
Clopin
Wanda
PCP
HD
9/9/1998
9214 Victoria Drive
Ellicott City
MD 21043
Coar
Jemal
PCP
HD
6/11/2009
1652 Candlewood Court
Edgewood
MD 21040
Cochran
Timothy
Citizen
HHS
3/31/1999
639 Riverside Drive
Annapolis
MD 21403
Cochran
Cheryl
Citizen
HHS
3/31/1999
639 Riverside Drive
Annapolis
MD 21403
Cockeysville Pharmacy
Pharmacare, Inc.
Corporation
F
7/25/2000
10255 York Road
Cockeysville
MD
Cohen
Adrian M.
M.D.
LB
3/15/1997
1404 Dennis Avenue
Silver
Spring
Coleman
Angela
PCP
HD
9/9/1998
112 Big Chimney Branch
Upper
Marlboro
Coleman
Rita
M.D.
HHS
2/23/1994
PO Box 9751
Baldwin
MD 21013
D 15258
Collins
Shireen
Citizen
HHS
8/20/2009
MR 9121 Autoville Drive
College
Park MD
R05854
Colston Burley
Phyllis
Citizen
HHS
2/15/1997
2859 Woodbrook Avenue
Baltimore
MD 21217
Comeau
John
PCP
HD
5/19/2010
218 Philos Avenue
Westernpor
t MD
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
LB - Licensing Board
LICENSE #
D 42095
R 108856
D 04365
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 13 of 70
LAST NAME
FIRST NAME
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
Commodore
Patricia W.
Citizen
F
6/23/1997
1910 Barclay Street
Baltimore
MD 21218
Commodore
Josephine
PCP
HD
11/3/1992
722 E. Preston Street
Baltimore
MD 21202
Pharmacy
LB
10/19/2006
2730 Pennsylvania Avenue
Baltimore
MD 21217
Corporation
HD
2/14/2007
8115 Fenton Street, Suite
301
Silver
Spring
Community Care
Pharmacy
Compassionate Nursing
& Health Care
LICENSE #
P 04358
Conerly
Rex A.
P.D.
HHS
6/6/1993
6114 Breezewood Drive;
#101
Greenbelt
MD 20770
Connine
Tad
M.D.
HHS
5/20/2007
395 N. Perry Parkway, Apt.
M6
Perry GA
31069
Consistent Care
Ambulance
Service
Corporation
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
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
D 04111
Coplan
Robert S.
M.D.
HHS
12/22/1988
407 Crain Hwy, SE
Glen
Burnie
D 02097
Cordova
Edmund
M.D.
HHS
3/22/1995
PO Box 1296
Pasadena
MD 25096
D 25096
Corner
Michael F.
P.A.
HHS
11/29/1989
305 Saybrooke View Dr
Gaithersbur
g MD
C 00651
Cornfeld
Edward
M.D.
LB
5/23/2005
20428 Boland Farm Road
Germantow
n MD
D 01872
Cosca (Corp.)
Ruben
M.D.
F
10/30/1989
6601 Sweetwater Dr
Derwood
MD 20855
D 04421
Costanzo
Anthony
DPM
HHS
11/20/2001
11100 Luttrell Lane
Silver
Spring, MD
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
LB - Licensing Board
D 45752
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 14 of 70
LAST NAME
FIRST NAME
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
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
Washingto
n DC
D 20918
Coulter
Steven T.
M.D.
LB
5/28/2003
11140 Rockville Pike; #348
Rockville
MD 20852
D 39934
Council
Michael Delroy
Aide
HHS
6/16/2003
5143 Nelson Avenue
Corporation
F
3/13/2003
5550 Baltimore Nat'l Pikek
Baltimore
MD 21228
CPM Corporation
LICENSE #
Baltimore
MD
Crawford
Gene O.
M.D.
LB
10/28/1992
401 Rexburg Ave
Ft
Washingto
Crisp
Ronald
M.D.
HHS
6/24/1992
8288 Waterside Court
Frederick
MD 21701
Crowder
Veronica
PCP
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
Cunningham
Dean S.
M.D.
LB
10/22/2003
Morgantown FCI; POBox
1000
Morgantow
n WV
D 42521
Curtis
Derek
D.D.S.
HHS
12/18/2008
P.O. Box 1000
Lewisburg
PA 17837
5564
Corporation
HHS
11/19/2009
1011 Reverdy Road
Baltimore
MD 21212
PCP
HD
4/25/2008
112 S. Symington Avenue
Catonsville
MD 21228
D & J Personal Care
Services
Dabney
Sanction Type:
Lillie
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
D 22772
R 162449; LP 29727
; T 20031191 MD;
15319
42 W. Deerpark Road; #101 Gaithersbur
g MD
LB - Licensing Board
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 15 of 70
LAST NAME
FIRST NAME
Dabney's Elder Care
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
LICENSE #
Corporation
HD
4/25/2008
112 S. Symington Avenue
Catonsville
MD 21228
03AL0729
Frederick
MD 21701
Daduk
Steven
O.D.
LB
6/14/1982
36 South Market St.
Dalrymple
Anne M.
M.D.
HHS
6/27/1991
207 N. Manor Circle
Takoma
Park MD
Dang
Dien Hieu
D.D.S.
F
4/12/1985
Suite 3
Silver
Spring
Daniel
George
M.D.
HHS
4/23/1990
11610 Milbern Drive
Potomac
MD 16280
D31839
Danquah
Gloria E.
M.D.
F
3/3/1987
6705 Surreywood Lane
Bethesda
MD 20817
D 27379
DaShiell
Hilda T.
PCP
HD
10/29/2003
POBox 1148
Hurlock
MD 21643
Davis
Jane
PCP
HD
2/15/1994
1508 Rawlings Well Road
Baltimore
MD 21228
Davis
Mark
M.D.
HHS
11/2/1990
PO Box 830
Davis
Patricia
PCP
HD
10/16/1992
1527 W. Baltimore Street
Baltimore
MD 21223
Davis
Sigmond E.
Aide
HHS
5/20/1998
3205 Howard Park Ave
Baltimore
MD 21207
Dawson
Robert
Citizen
HHS
7/20/1999
1422 Fernhill Court
Forestville
MD 20747
de la Cruz
Maureen
D.D.S.
HHS
2/7/1997
5807 Lindar Lane
Bethesda
MD 20817
Dee
Rosita H.
M.D.
LB
8/14/2006
8830 Cameron Street; #206
Silvler
Spring
Delcid
Ever A.
Citizen
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
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
LB - Licensing Board
Belair MD
21014
D 23760
D 21691
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 16 of 70
LAST NAME
FIRST NAME
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
Deonarine
Nelinee
Citizen
F
10/20/2006
1643 Agens Avenue, S.E.
Palm Bay
FL 32909
Deptula
Richard
Citizen
HHS
8/20/2003
1290 Folly Quarter Road
Ellicott City
MD 21042
DeWitt
Patrice
Nurse
HHS
6/20/2007
8247 N. Boundary Road
Baltimore,
MD 21222
Dewitt
Nancy Wanbui Kimani
Aide
MFCU-A
9/12/2006
1308 Highland Drive
Baltimore
MD 21239
Dialysis with
Heart
Corporation
F
6/28/2002
1 Nashua Court; Suite E
Baltimore
MD 21221
Dickerson
Ronald G.
Citizen
HHS
5/20/2008
6728 Vermont Court
Landover
MD 20785
Diggins
Carolyn L.
PCP
HD
7/13/2005
3547 Milford Mill Road
Baltimore
MD 21244
Diggins
Carolyn
PCP
HD
4/27/2006
3547 Millford Mill Road
Baltimore
MD 21207
Dishon
Lori Ann
Citizen
F
9/22/1999
3208 Fait Avenue
Baltimore
MD 21224
Diwani
Selwa
M.D.
LB
6/10/2009
4900 Silver Hill Road
Suitlant
MD 20746
Dolly
Judy
PCP
HD
10/16/1995
719 Sylvan Avenue
Cumberlan
d MD
Donovan
James
Citizen
HHS
11/15/1995
3906 Woodbine Avenue
Baltimore
MD 21207
Dorsey
Cornell
PCP
HD
4/14/1993
2105 N. Charles Street
Baltimore
MD 21218
Dorsey
Juanita L.
PCP
HD
1/10/1995
P. O. Box 42
Bryantown
MD
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
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
LB - Licensing Board
LICENSE #
LP24855
D 39713
06799
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 17 of 70
LAST NAME
FIRST NAME
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
Dressel
Tammy A.
Nurse
HHS
1/28/2003
9222 Orbitan Road
Baltimore
MD
Dubin
Samuel
M.D.
LB
6/30/1988
17904 Georgia Ave
Olney MD
20832
D 02307
Dubroff
Seymour J.
M.D.
LB
12/31/1994
8905 Fairview Rd
Silver
Spring
D 02344
Dudley-Richardson
Lynnette
PCP
HD
12/7/2004
5806 Prince George Street
Baltimore
MD 21207
Duke
Mary Ann
M.D.
LB
11/30/2004
10220 Democracy Blvd
Potomac
MD 20854
Duke
Ellis J.
Citizen
F
9/14/1984
10231 Carroll Place
Kensington
MD 20895
Dunham
George
Corporation
HHS
6/23/1989
Route 3, Box 144
Hagerstow
n MD
Dunn
James
M.D.
LB
6/25/2009
419 West Redwood
Baltimore
MD 21201
D 56049
Dunsworth
Joseph
Aide
MFCU-A
9/2/2010
218 E. Franklin Street
Hagerstow
n MD
A00001268
Duong
Linh H.
D.D.S.
HHS
6/28/1999
8003 Hastings Hunt Court
Severn MD
21144
10972
Edwards
Arthur
Citizen
F
3/17/1992
17725 New Hampshire
Avenue
Ashton
MD 20861
Edwards
Angela Eliane
PCP
HD
9/17/1998
2231 Aiken Street
Baltimore
MD 21218
Eisenband
Nancy W.
Nurse
HHS
9/19/2002
100 Harbor View Drive
Baltimore
MD 21230
Eldridge
Marguerite L.
PCP
HD
5/12/1993
7115 Faulkner Road
Hanover
MD 21076
Ellin
Morton
M.D.
LB
3/14/2007
5310 Old Court Road #201
Randallsto
wn MD
D 03078
Elliott
Erin
R.N.
HHS
8/20/2007
926 Hammonds Lane
Baltimore
MD 21225
R49332
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
LB - Licensing Board
CITY/STATE
/ZIP
LICENSE #
D 38796
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 18 of 70
LAST NAME
FIRST NAME
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
Ellis
Julia
Ellis-Bales
PCP
HD
8/14/1995
4701 Hamilton Avenue
Baltimore
MD 21206
Theresa
Nurse
HHS
3/20/2003
1430 Dundalk Avenue
Baltimore
MD 21222
Ellison
Raeford
Acupunctur
e
HHS
4/18/2002
8 N. Sacramento Avenue;
Apt. A
Ventnor
City NJ
Emamali
Ronald
Citizen
F
5/20/1993
14117 Peartree Lane; #33
Silver
Spring
Emerson
Thomas
Nurse
HHS
9/20/2007
1911 Thayer Terrace
Baltimore
MD 21207
R 163950
Ennals
Dominique
Aide
MFCU-A
Ervin
Christopher
M.D.
LB
3/22/2006
500 Upper Chesapeake
Drive
Bel Air
MD 21014
D 52310
Ervin
Emma Jean
PCP
HD
7/15/1992
665 Queenstown Road
Severn
MD 21144
Corporation
HD
9/27/2005
550 Glenn Court
Glen
Burnie
Etheredge Personal Care
Evangelista
Gracia
Nurse
HHS
12/18/2008
Route 37
Danbury
CT 06811
Evans
John Mark
Nurse
LB
10/28/2002
9000 Franklin Square Drive
Baltimore
MD 21237
Ezeocha
Obioma
Aide
MFCU-A
1/7/2008
2119 Townhill Road, Apt. F
Parkville
MD 21234
Ezrine
Edwin
D.D.S.
LB
12/31/1998
1811 A S. Crain Hwy
Glen
Burnie
Facey
Sharon
Citizen
F
2/12/1997
8244 Church Lane
Randallsto
wn MD
Fafinski
Carol Ann Knabb
Nurse
HHS
9/20/2001
8210 Woodyard Road
Clinton
MD
Fakuade
Phyllis Demetrice
Citizen
MFCU-A
12/19/2005
6611 Parr Avenue
Baltimore
MD 21215
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
LB - Licensing Board
LICENSE #
R121367
04604
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 19 of 70
LAST NAME
FIRST NAME
Family & Children
Enrichment Services, Inc.
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
LICENSE #
Corporation
F
8/29/2008
1777 Reisterstown Road,
Ste 204
Pikesville
MD 21208
Corporation
F
3/7/2003
5501 Oakland Mills Road
Columbia
MD 21045
M.D.
LB
7/27/1994
930 N. Charles St
Baltimore
MD 21201
D 04295
D.D.S.
F
5/5/2004
1730 S. Plantation Drive
Dunkirk
MD 20754
11720
Family Home
Center
Farzanfar
Mohammad R.
Fatemi
Mohammad Ali T.
Fauter
Harald H.
M.D.
LB
10/26/1994
8314 Liberty Rd
Baltimore
MD 21244
D 01943
Federroll
Susan W.
LCSW
LB
2/10/2006
8028 Ritchie Highway;
Suite 313
Pasadena
MD 21122
02585
Feldman
Martin J.
M.D.
LB
12/22/1987
205 E. Joppa Rd; Ste 2001
Towson
MD 21204
D 01083
Felsenberg
Stanley
M.D.
LB
7/24/1996
6310 Greenspring Ave
Baltimore
MD 21209
D 01085
Ferguson
Sandra
Aide
HHS
8/27/1995
9805 Langs Road; Apt. L
Baltimore
MD 21220
Ferrer
Romeo
M.D.
LB
9/8/2010
300 Hospital Drive #128
Glen
Burnie
Fiddermon
Maryln
Aide
HHS
2/20/2000
10555 Campus Way, South
Upper
Marlboro
Fiedler
Kurt
M.D.
F
10/23/1992
325 Hospital Drive; #109
Glen
Burnie
Fielding
Gregory Edward
PCP
HD
9/14/1994
1503 Adams Street, NE
Washingto
n DC
Fingal
John Joseph
Citizen
HHS
9/20/2001
10803 Kencrest Drive
Mitchellville
MD
Finucan, Jr.
Thomas E.
M.D.
LB
1/24/2001
3 Maudlin Ave
North East
MD
D 32395
Flegel
Eric
M.D.
LB
6/22/2007
4994 Beaverbrook Road
Columbia
MD 21044
H 59852
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
LB - Licensing Board
D 09255
D 01409
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 20 of 70
LAST NAME
FIRST NAME
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
Fletcher
Jean Virgie
PCP
HD
5/29/2004
710 Leonards Lane
Cambridge
MD 21613
Corporation
HD
5/5/2006
11754 Mansion Street
Fletcher's Assisted Living
LICENSE #
Princess
Anne MD
Floyd
Beverly
PCP
HD
2/23/1995
2583 Edmondson Avenue
Baltimore
MD 21223
Folashade
Charles
M.D.
LB
5/15/2009
108 Pine Bluff Road
Salisbury
MD 21801
D 50759
Forde
Richard
M.D.
LB
11/26/1980
Pincrest Btc-Salisbury Center New York
NY 13454
D 08483
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
Franks
Denis
M.D.
LB
7/19/1997
1900 E. Northern Pkwy
Baltimore
MD 21239
D 17419
Franz
Charles P.
D.D.S.
LB
2/18/2004
2201 Hammons Ferry Road
Baltimore
MD 21227
7882
Frederick Spinal
Care Center
Corporation
HHS
4/20/1999
101 Baughmans Lane
Frederick
MD 21702
Freedenberg
Gerald
Citizen
F
6/29/1992
7036 Vangough
Freeman
Debra
M.D.
LB
2/14/2008
2401 W. Belvedere Avenue
Baltimore
MD 21215
French
David W.
Citizen
F
6/24/1999
51 Murphy Avenue
Annapolis
MD 21401
Fringer
Susan D.
PCP
HD
9/30/1993
1322 Deer Park Lane
Westminste
r MD
Frontera
Miguel
M.D.
LB
11/6/2009
515 Fairmount Avenue
Towson
MD 21286
Frost
Rosalyn
Citizen
HHS
12/20/1995
8200 Autumn Lake Court
Severn
MD 21144
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
LB - Licensing Board
R 04392
Plano TX
75093
D 40730
D 37559
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 21 of 70
LAST NAME
FIRST NAME
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
LICENSE #
Fuentes
Michael
M.D.
HHS
5/20/2010
32 Lake Drive
Darien CT
06820
D 30922,
MD035920E, 28388,
Fulton
Cynthia D.
Aide
HHS
6/27/1991
739 N. Kenwood Avenue
Baltimore
MD 21205
Fuster
David E.
D.D.S.
HHS
6/20/2005
8305 Old Germantown
Road
Bethesda
MD 20814
Futterman
Steven
D.D.S..
HHS
5/20/1999
8901 Shady Grove Court
Gaithersbur
g MD
Gambill
Colin
Aide
MFCU-A
1/25/2010
10338 Old Liberty Road
Frederick
MD 21701
Gammill
Joan
Nurse
HHS
11/20/2006
53 Lafayette Avenue
Annapolis
MD 21401
R 067585
Ganz
Joel
M.D.
LB
6/7/2010
11420 Strand Drive, Ste.
206
Rockville
MD 20852
D 01544
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
Garner
Wilma J.
Aide
HHS
6/20/2000
1618 Four Georges Court;
#A-3
Baltimore
MD 21222
Geist, Jr.
William C.
Citizen
F
4/30/2004
1684 Nickerson Way
Arnold
MD 21012
Gentry
Samantha
Citizen
F
4/28/2006
3530 Aldina Road
Churchville
MD 21029
Gershoni
Daniel
Citizen
HHS
6/20/2002
19636 Club House Road;
Suite 120
Gaithersbur
g MD
Gill
William
M.D.
LB
9/8/2010
26423 Burton Avenue
Crisfield
MD 21817
D 15715
Ginn
David H.
M.D.
LB
7/28/2004
10006 Hillgreen Circle; Apt. Cockeysville
K
MD
D 32043
Glenn
Linnell
PCP
HD
8/26/1993
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
4119 Hayward Avenue
LB - Licensing Board
# 8287
D 13039
Baltimore
MD 21215
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 22 of 70
LAST NAME
FIRST NAME
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
Godwin-Hult
Sandra
Goldbaum
PCP
HD
7/10/1991
3507 Bantry Way
Henry R.
Citizen
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
02524
Goldberg
Lise Adele
M.D.
HHS
5/20/1998
1539 Ivystone Court
Silver
Spring
D 29617
Corporation
HD
3/18/2005
1007 Call Drive
Upper
Marlboro
Citizen
F
6/3/2010
4417 Meanderwood Drive
Burtonsville
MD
Golden Crown
Construction
CITY/STATE
/ZIP
LICENSE #
Olney MD
20832
Goldschmitt
Neil
Goldstein
Robert B.
M.D.
LB
9/30/1998
1205 York Rd; Ste 34
Lutherville/
Timonium
Gonsalves
Dia
PCP
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
D 29566
Gopalani
Hanif A.
M.D.
LB
6/12/2001
3004 Ohara Place
Olney MD
20832
D 37448
Gordan
Coral
M.D.
LB
10/1/1989
2122 Pot Spring Rd
Timonium
MD 21093
D 04375
Gordon
Robert
Chiropracto
r
HHS
4/27/1994
118 W. Market Street
Snow Hill
MD 21863
Pharmacy
LB
1/18/2002
8000-A Martin Luther King
Hwy
Glenarden
MD 20706
P 01877
M.D.
HHS
11/19/1998
One Cooperfield Ct
Phoenix
MD 21131
D 45552
Corporation
F
4/1/1997
7060 Oakland Mills Road;
#1
Columbia
MD 21046
LCSW
LB
7/30/2010
6190 Georgetown
Boulevard
Eldersburg
MD 21784
Grace Pharmacy
Graham
Marva C.
Graham-Melvin
Associates Inc.
Graning
Sanction Type:
Harold
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
LB - Licensing Board
D 01275
10333
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 23 of 70
LAST NAME
FIRST NAME
Grant-Grayton
Miranda
Grant-Grayton Urban
Supports, Inc.
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
LICENSE #
LCSW
HD
8/10/2008
2412 Minnesota Avenue,
Ste 201
Washingto
n DC
12509, LC303653
Corporation
HD
7/18/2008
3611 Branch Avenue; Ste
201
Temple
Hills MD
M.D.
LB
3/5/2000
810 Painted Post Ct
Baltimore
MD 21208
Gray
Darrell M.
Gray
Rowena
Citizen
HD
9/28/2009
2021 Kennicott Road
Baltimore
MD 21244
Grayton
James
Citizen
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
Jacquetta
Aide
HHS
4/20/2005
4303 Wakefield Road; Apt.
6
Baltimore
MD 21216
Green
Lynaya
Nurse
HHS
11/20/2000
14159 Castle Blvd; #301
Silver
Spring
Green
Donald
D.P.M.
HHS
1/20/2004
1460 Burbridge Road, SE,
FCI
Cumberlan
d MD
SC 001474L
Green
Matthew
R.Ph.
HHS
6/20/2007
6216 Duntley Place
Springfield
VA 22152
13770
Greenberg
Alan S.
M.D.
HHS
8/20/2001
1537 Jarrettsville Road
Jarrettsville
MD 21084
D 04728
Greenberg
Eric
M.D.
LB
4/16/2009
11125 Rockville Pike # 103
Rockville
MD 20852
D50275
Greene
Rose M.
Citizen
F
1/9/1998
2501 W. Fairmount Avenue
Baltimore
MD 21223
Greenway
Diane L.
PCP
HD
9/17/1998
1119 Riggs Avenue
Baltimore
MD 21217
Greer
Douglas
Ophthalmol
ogist
HHS
3/20/2008
P.O. Box 1000
Cumberlan
d MD
Grillo
Aderonke A.
Aide
HHS
5/13/1998
5 Virunga Court; Apt. J
Baltimore
MD 21244
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
LB - Licensing Board
D 21711
D01485
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 24 of 70
LAST NAME
FIRST NAME
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
LICENSE #
Grimes
James M.
P.A.
HHS
5/18/2000
4620 Magnolia Ave
Baltimore
MD 21227
C 01204
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
Gurley
Theodore
PCP
HD
7/14/1995
4804 Hamilton Avenue
Baltimore
MD 21206
Hackney
David
M.D.
HHS
9/18/2008
3011 Southern Avenue,
Apt. 15
Temple
Hills MD
Hailfmariam
Mekuria M.
PCP
HD
6/10/1996
6159 64th Avenue
Riverdale
MD 20737
Hake
Diane
Nurse
HHS
5/20/2007
Hakim
Arcadius H.
M.D.
LB
10/7/2002
8701 Oxon Hill Road
Oxon Hill
MD 20744
Hall
Sandra Y.
Citizen
HHS
2/14/1997
3804 Byfield Road
Baltimore
MD 21207
Hall
Lucille
PCP
HD
9/17/1998
8 E. Adkins Avenue;
Parkview
Willards
MD 21874
Hallowitz
Robert A.
M.D.
HHS
4/28/1993
Montgomery Village Ave
Gaithersbur
g MD
D 16524
Hamilton
John M.
M.D.
HHS
4/1/1997
5430 Lynx Lane; #125
Columbia
MD 21044
D 04895
Hamm
Mary Lou
Citizen
HD
7/27/2005
8431 Newark Road
Newark
MD 21841
Harden
Gerald Anthony
Citizen
HHS
8/20/2001
16829 Cashell Road
Olney MD
20832-
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
D 02524
815 W. 4th Street, Apt. 313 Williamspor
t PA
LB - Licensing Board
D 06460
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 25 of 70
LAST NAME
FIRST NAME
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
Harding
James
Hardy
PCP
HD
11/2/2009
P.O. Box 835, 421 S. Main
Street, P.O. 835
Cambridge
MD 21643
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
D21716
Harper
Michael
M.D.
LB
9/24/2008
5505 Hopkins Bayview
Circle
Baltimore
MD 21224
D 30673
Harris
Sabaina
PCP
HD
1/8/2001
1722 Purdy Street; Apt. 4G
Harris
Leonard
M.D.
HHS
11/10/1992
PO Box 4654
Newark
DE 19715
Harris, Jr.
Vernon
Citizen
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
Hart
Barbara
Citizen
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
D.C.
HHS
8/20/2001
1220 East West Highway;
Apt. 1012
Silver
Spring
GA 3106
Haw
Dante Lee
M.D.
HHS
1/10/1991
6410 La Mirada Ave
Hollywood
CA 90038
D 22466
Hayford
Sheila M.
M.D.
LB
7/27/2005
550 S. Dupont Hwy; Suite D
Milford
DE 19963
D 36731 04791
Haynes
Carolyn
Nurse
HHS
11/14/2002
11247 Westport Drive
Bowie
MD 20720
Head
Sue A.
Citizen
MFCU-A
7/18/2003
995 East New Road
Orrtanna
PA 17353
Health Mngmt
Enterprises
Corporation
F
6/24/1999
211 Chinquapin Round Rd
Annapolis
MD 21401
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
LB - Licensing Board
LICENSE #
Bronx NY
21203
D 37915
D 53865
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 26 of 70
LAST NAME
FIRST NAME
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
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
D 05053
Hedeman
John L.
M.D.
LB
6/24/1998
1407 Forest Dr
Annapolis
MD 21403
D 05259
Henderson
Joseph M.
Optician
F
12/1/1992
P.O. Box 48547
Washingto
n DC
Henderson
Freddie
Citizen
F
10/1/1992
2062 Harlequin Terrace
Silver
Spring
Hendler
Nelson
M.D.
LB
2/6/2006
1718 Greenspring Valley
Road
Stevenson
MD 21153
Henry
Ricardo
Citizen
HHS
4/20/2009
P.O. Box 1000, #28577-016 Cumberlan
d MD
Henry
Victor E.
D.P.M.
LB
7/22/2001
1450 Mercantile Lane #151 Largo MD
20774
Corporation
HD
5/15/2005
1405 Crockett Lane
Silver
Spring
Heritage House I & II
LICENSE #
D 15330
00309
Herlich
Steven
Citizen
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
D 17863
Hewitt
John H.
M.D.
LB
1/17/2003
150 Baughman's Lane
Frederick
MD 21702
D 27908
Heyward
Donna Maria
PCP
HD
7/28/1993
319 B Suter Road
Baltimore
MD 21228
Pharmacy
LB
6/1/2005
10805 Hickory Ridge Road
Columbia
MD 21044
Baltimore
MD 21217
Hickory Plaza Pharmacy
Hicks
Ernestine
PCP
HD
10/1/2008
814 North Brice Street
Hicks, Jr.
Willie Howard
Aide
HHS
5/20/1999
516 W. 8th Street
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
LB - Licensing Board
P 01791
Laurel DE
19956
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 27 of 70
LAST NAME
FIRST NAME
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
High
Ronald
Hill
Citizen
F
1/21/2000
2 Horseman Court
Randallsto
wn MD
Ezell
PCP
HD
7/27/1994
3722 Ellerslie Avenue
Baltimore
MD 21228
Hill
James
M.D.
HHS
4/14/1994
PO Box 1722; Country Club
road
Cumberlan
d MD
D 8081
Hill
Leo
M.D.
HHS
2/10/1997
1815 61st Ave
Cheverly
MD 20785
C 01305
Hill
Brunetta
PCP
HD
5/3/2001
2409 Jefferson Street
Baltimore
MD 21205
Hill
Denise
PCP
HD
7/23/1992
161 Reedbird Avenue
Baltimore
MD 21225
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
Hinds
Sandra Marcia
Aide
HHS
5/19/2005
920 Kenbrook Drive
Wheaton
MD 20902
Hines
Larry
Citizen
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
Pharmacy
F
12/7/2003
5613 Bel Air Road
Baltimore
MD 21206
M.D.
LB
2/4/1999
15 Charles Plaza
Baltimore
MD 21201
Citizen
HHS
9/20/2005
2136 Alice Avenue; Apt
#302
Oxon Hill
MD 20745
M.D.
LB
3/20/2002
6192 Oxon Hill Road; Ste
507
Oxon Hill
MD 20745
Hisco Pharmacy
Hitzig
Pietr
Hodges
Corvalis Gail
Hodjati
Hassan H.
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
LB - Licensing Board
LICENSE #
D 12713
D 45096
D 12795
D 23383
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 28 of 70
LAST NAME
FIRST NAME
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
LICENSE #
Holland
Richard W.
M.D.
LB
6/20/1999
13700 Ivywood Lane
Silver
Spring
D 48276
Holland
Dannielle
PCP
HD
5/4/2009
99 Greystone Road
North East
MD 21901
Holland
Rosetta Francine
PCP
HD
5/28/1993
59 Mt. Harmony Lane; P.O.
Box 400
Owings
MD 20736
Holliday
Mary
PCP
HD
3/31/2001
904 Central Avenue
Cambridge
MD 21613
Holman
Antoinette
Nurse
HHS
1/20/2010
853 St. Nicholas Avenue,
Apt. 302
New York,
NY 10031
Holmes
Teresa
PCP
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
Home Feet Podiatric
Home Care Inc.
Corporation
HD
2/8/2007
448 Luzerne Avenue
Baltimore
MD 21224
Home Medical Equip
Corporation
HHS
8/11/1997
1800 Belair Road; Ste. 4
Benson
MD 21018
Hope Senior Assisted
Living
Corporation
HD
5/23/2005
4825 Ellicott Woods Lane
Ellicott City
MD 21043
LP42184, NY228546
D 14709
Hopkins
Tracey
PCP
HD
9/24/2001
2536-B North Edgecombe
Circle
Baltimore
MD 21215
Hopson
Jessica
PCP
HD
2/13/2008
30 E. Baltimore Street
Taneytown
MD 21787
Horn
Thomas
Citizen
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
D 54056
Horvath
Edward
DPM
F
11/26/2009
8118 Clifford Court
Laurel MD
20708
01207
Houck
Donna
PCP
HD
11/13/2000
1498 W. 9 th Street
Frederick
MD 21702
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
LB - Licensing Board
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 29 of 70
LAST NAME
FIRST NAME
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
LICENSE #
Houck
Romulus
M.D.
LB
6/1/1994
6500 Panorama Drive
Sykesville
MD 21784
D 05193
Hremt
Pharmacy
Pharmacy
LB
5/14/2003
7701 Quaint Court
Bowie
MD 20720
P 02010
Hughes, Jr.
Charles E.
Chiropracto
r
HHS
9/8/1993
811 Woodington Road
Baltimore
MD 21229
Corporation
HD
3/1/2005
2700 Rambler Place
Adelphi
MD 20783
Human Development
Assoc t/a Adelphia
Humphries
Sharon
Nurse
HHS
4/20/2004
P.O. Box 228
Chester
MD 21619
Hunt
Michael
Citizen
F
3/17/1992
401 Christopher Avenue;
Apt.
Gaithersbur
g MD
Hunter
Thelma
Citizen
F
12/24/2003
335 S. Ballou Court
Baltimore
MD 21231
Hurey
Jacqueline
Citizen
HHS
2/15/1997
6106 Carswell Terrace
Suitland
MD 20746
Husain
Tasaduq
Citizen
HHS
7/6/1995
3126 Nestling Pine Court
Ellicott City
MD 21042
Hussain
Yasin M.
Citizen
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
Hyson
Mary
Citizen
HHS
6/12/1997
1012 Shaffner Drive
Bel Air
MD
Hyson
Bradford A.
Citizen
HHS
6/12/1997
3148 Sandy Hook Road
Street MD
21154-
Hyson
Rodney
Citizen
HHS
6/12/1997
2413 Haddenhurst Court
Falston
MD
Ibeh
Cyriacus Chidi
Nurse
HHS
6/20/2006
13625 Avebury Drive; Apt.
24
Laurel MD
20708
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
LB - Licensing Board
R 086209
8105
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 30 of 70
LAST NAME
FIRST NAME
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
Idowu
Olusola A.
Nutritionist
F
11/19/2008
11047 Sani Lane
Hagerstow
n MD
Ige
Moses
Citizen
HHS
2/20/2007
9005 Tarpleys Circle
Baltimore
MD 21237
Igwacho
Florence N.
Citizen
HHS
4/20/2000
9127 Edmonton Terrace;
#304
Greenbelt
MD 20770
Imperial
Roland
M.D.
LB
12/10/1999
4977 Battery Lane
Bethesda
MD 20814
D 05276
Inocencio
Narciso
M.D.
LB
4/14/2004
1400 Mercantile Ln; #180
Landover
MD 20785
D 41106
Izat
Sarah C.
Aide
HHS
7/27/1996
216 Maryland Avenue
Cumberlan
d MD
Izzo
Jaime
Nurse
HHS
1/18/2007
3161 Freestone Court
Abingdon,
MD 21009
R171283
Jack
Joseph
M.D.
LB
4/15/1994
620 Towne Center Drive
Jopp, MD
21085
D 05538
Jackson
Theresa
Citizen
MFCU-A
8/28/2005
2620 Greenmount Avenue
Baltimore
MD 21218
Jackson
Lionel
Aide
HHS
2/23/1997
4728 Wakefield Road; Apt.
30
Baltimore
MD 21215
Jackson
Howlett
M.D.
LB
11/7/2007
611 South Union Avenue
Havre de
Grace MD
Jacobs
Davita
Citizen
MFCU-A
12/6/2006
8135 Scotts Level Road
Pikesville
MD 21208
Jacobs
Joe L.
Citizen
HHS
3/7/1986
1422 Crain Hwy South
Glen
Burnie
Jacobs
Virginia L.
Chiropracto
r
HHS
7/4/1997
555 Thayer Avenue
Silver
Spring
Janati
Abdorasool
M.D.
HHS
9/20/2005
FCI Cumberland; Federal
Correctl Inst; PO Box 1000
Cumberlan
d MD
Jefferson
Gary
Citizen
F
9/13/1999
7202 Chippenham Place;
#303
Baltimore
MD 21244
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
LB - Licensing Board
LICENSE #
D 20993
0101-044684
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 31 of 70
LAST NAME
FIRST NAME
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
Jenkins
Sheretta
PCP
HD
7/29/2002
5615 Thompson Town
Road
East New
Market
Jiggetts
Wayne R.
Nurse
F
1/9/1998
3010 Fallstaff Manor Court
Baltimore
MD 21209
Jobes
Philip
Aide
MFCU-A
11/8/2004
2007 Frames Road
Dundalk
MD
Johnson
Constance S.
PCP
HD
12/11/2001
810 North Maple Avenue
Brunswick
MD 21716
Johnson
Craig L.
Citizen
HHS
11/24/1991
1604 E. Chase Street
Baltimore
MD 21213
Johnson
Subrina
Aide
HHS
5/19/1992
4918 Pallmer Avenue
Baltimore
MD 21215
Johnson
Frederick M.
M.D.
LB
11/21/2000
201 Howard St
La Plata
MD 20646
Johnson
Mark
D.D.S.
HHS
11/21/1993
c/o 6424 Elliot Place
Hyattsville
MD 20783
Johnson
Darice
PCP
HD
5/14/1996
P. O. Box 35
St.
Michaels
Johnson
Constance
PCP
HD
2/1/1996
3703 Stoneybrook Road
Randallsto
wn MD
Johnson
Andrea M.
Nurse
HHS
3/18/2004
1360 Running Deer Drive
Keswick
VA 22947
Johnson
Heather A.
PCP
HD
2/13/2002
810 North Maple Avenue
Brunswick
MD 21716
Johnson
Leslie
Aide
HHS
11/8/1994
123 Lewis Street
Johnston
Randolph
M.D.
LB
4/24/2009
6501 N. Charles Street
Baltimore
MD 21285
Jones
Ronald
PCP
HD
8/3/2002
6227 Jones Village Road
Hurlock
MD 21643
Jones
Diane I.
Aide
HHS
12/6/1992
3051 Ascension Street
Baltimore
MD 21225
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
LB - Licensing Board
LICENSE #
D 060704
Marks MS
38646
D 57175
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 32 of 70
LAST NAME
FIRST NAME
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
Jones
Estella Louise
PCP
HD
6/30/1998
417 Naylor Street
Salisbury
MD 21801
Jones
Mary
PCP
HD
3/1/1994
P. O. Box 67453
Baltimore
MD 21215
Jones
Roderick L.
Citizen
HHS
3/25/1990
3739 Parkfield Road
Baltimore
MD 21208
Jones
Tania
PCP
HD
3/12/1998
902 N. Durham Street
Baltimore
MD 21205
Jones
Yvonne
M.D.
HHS
7/19/2001
146-A Barrington Road
Upper
Darby, PA
Joyce
David
M.D.
LB
12/12/1997
Jung
Ha Yong
M.D.
F
9/15/1993
8534 Harvest View Ct
Ellicott City
MD 21043
D 28993
Kahntroff
Bridget C.
M.D.
LB
3/30/2005
2401 W. Belvedere Avenue
Baltimore
MD 21215
D 20788
Karlsberg
Robert
M.D.
HHS
2/20/2008
14406 Coral Gables Way
North
Potomas
D 06842
Karmo
Roosevelt
Citizen
HHS
11/15/1995
6655 Knottwood Court
Baltimore
MD 21214
Keefer
Angela
PCP
HD
3/3/1997
736 W. Franklin Street; 2nd
Fl
Hagerstow
n MD
Keenan
Robert M.
M.D.
LB
3/9/2004
1400 Generals Highway
Crownsville
MD 21032
Kelly
Wanda
PCP
HD
4/11/1994
8134 Hog Neck Road
Pasadena
MD 21122
Kelly
Sarah
LCSW
LB
9/12/2008
16 K Spindrift Circle
Baltimore
MD 21234
12677
Kelly
Jo-Anne B.
M.D.
LB
6/25/2003
2401 Research Blvd; #330
Rockville
MD 20850
D 21467
Corporation
HD
9/11/2006
6955 Castle Court; Apt. 205
Frederick
MD 21703
Kelly's Kids
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
2003 Medical Pkwy; Ste 210 Annapolis
MD 21401
LB - Licensing Board
LICENSE #
039111E
D 45028
D 42002
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 33 of 70
LAST NAME
FIRST NAME
Kennedy
Jeffrey D.
Kenson Nursing Home
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
Nurse
HHS
6/20/2006
4025 Belvoir Pines Drive
Chattanoog
a TN
Corporation
F
5/12/1988
2922 Arunah Avenue
Baltimore
MD 21216
LICENSE #
Kessler
James
P.D.
F
7/25/2000
25 Tenby Court
Timonium
MD 21093
Keyes
Katherine H.
Aide
HHS
3/12/1992
6005-A Old Frederick Road
Baltimore
MD 21228
Khandangle (Sadanand)
Eric
Citizen
HD
2/28/2006
101 Carlisle Drive
Silver
Spring
Kharod
Prabhakar
M.D.
LB
9/17/1997
8031 Ritchie Hwy
Pasadena
MD 21122
D 22212
Khayat
Marwan
Citizen
HHS
5/20/2010
1715 15th Street, N.W.,
Apt. 19
Washingto
n, D.C.
21674
Kiarie
Patrick
Aide
MFCU-A
9/27/2005
1407 Mcculloh Street
Baltimore
MD 21217
King
Kentrina
Citizen
HHS
2/16/1997
7101 Burshire Drive
Kioko
Gideon
M.D.
LB
11/1/2005
3311 Todeddo Terrace
Hyattsville,
MD 20782
Kirby
Richard David
Aide
HHS
6/18/1998
116 W. University Pkwy, A3
Baltimore
MD 21210
Kirkland
Mattie
Aide
F
3/6/2002
1017 Vanderwood Road
Catonsville
MD 21228
Kirven
Lisa
M.D.
LB
5/2/1998
4018 Seton Avenue
Kittrell
Pamela
PCP
HD
3/28/1997
504 Clinton Street
Klingenstein
Keith G.
R.Ph
HHS
12/5/1994
9115 49th Place
Knight
Jessie Mae
Citizen
MFCU-A
6/18/2004
5102 Oaklawn Road
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
LB - Licensing Board
P 07800
Temple
Hillsl MD
Bronx, NY
10466
D08283
D 42070
Cambridge
MD 21613
College
Park MD
10201
Baltimore
MD 21207
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 34 of 70
LAST NAME
FIRST NAME
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
Knott
William
Citizen
HD
4/1/2010
1401 West Joppa Road
Towson
MD 21204
Kolander
Trina
Nurse
HHS
5/20/2010
809 Tydings Road #RS
Havre De
Grace MD
R 161268
Kordon
Melvin
M.D.
LB
5/26/2010
9501 Old Annapolis Road;
Ste. 302
Ellicott City
MD 21042
D 06588
Korman
William
M.D.
F
11/28/1989
2 High Stepper Court; #201
Baltimore
MD 21208
D 06172
Koroma
Nyamakoro
Nurse
HHS
1/20/1998
PO Box 382
Bladensbur
g MD
Krall
Joseph
D.D.S.
HHS
12/20/1995
1318 Broadview Blvd
Krektyshev
Sergey
PCP
HD
4/1/2003
281 Norht Van Buren Street
Rockville
MD 20850
Krulevitz
Keaciel Kenneth
M.D.
F
5/16/1988
3306 Clarin Road
Baltimore
MD 21215
Kundratic
Diahann
PCP
HD
11/18/2002
17 Purple Plum Court
Perry Hall
MD 21236
Kuszmar
Thaddeus
P.A.
HHS
9/20/2004
40 Sunrise Drive
Rising Sun
MD 21911
Labertson
Heather N.
PCP
HD
9/20/2004
31177 Rehobeth Road
Westover
MD 21871
Corporation
F
10/24/1988
1008 Roxleigh Road
Towson
MD 21204
Nurse
HHS
6/20/2006
604 Menteth Point Drive
Millersville
MD 21108
Laboratory Management
Service
Glen
Burnie ME
Lagmay
Manuel R.
Lake
Anna Marie
PCP
HD
10/19/1996
L4976 Pintail Court
Frederick
MD 21701
Lakner
Geroge S.
M.D.
LB
8/29/2005
70185 Fort McNair
Washingto
n DC
Lambertson
Heather Nicole
Aide
HD
9/20/2004
31177 Rehobeth Road
Westover
MD 21871
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
LB - Licensing Board
LICENSE #
03418
D 05946
C 02205
D 25404
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 35 of 70
LAST NAME
FIRST NAME
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
LICENSE #
Landesman
Renee K
M.D.
HHS
9/20/1996
11073 Gaither Farm Rd
Ellioctt City
MD
D 13405
Lane
Denise Washington
Citizen
F
10/11/1997
1025 Webb Court
Baltimore
MD 21202
Lane
Angela P.
Citizen
HHS
2/16/1997
5933 Chinquapin Parkway
Baltimore
MD 21239
Lang
Joel J.
D.P.M.
HHS
3/20/2001
6839 Riverdale Rd
Riverdale
MD 20737
00234
Lange
Paul A.
M.D.
LB
6/26/1997
1706 S. St, NE; #1
Washingto
n DC
D 14520
Lankford, Jr.
James E.
Citizen
HHS
8/14/1995
15309 Old Hanover Road
Upperco
MD 21155
Laurel Park
Pharmacy
Pharmacy
F
6/10/1996
11646 Sun Circle Way
Columbia
MD
Lebow
Frank L.
D.P.M.
HHS
8/17/1989
6611 Edenvale Road
Baltimore
MD 21209
#165
Lebson
Arthur
M.D.
F
6/24/1991
3640 Fords Lane
Baltimore
MD 21215
D 17042
Lee
Yung M.
M.D.
LB
7/6/2000
4414 Langtry Dr
Glen Arm
MD
D 19817
Lee
Nadine
PCP
HD
6/30/2006
310 Crusader Road
Cambridge
MD 21613
Lee
Terri Sha-Nae
Aide
MFCU-A
2/2/2005
3201 Lawnview Avenue
Baltimore
MD 21213
Lee
Michael
Aide
HHS
8/19/1999
512 Quincy Street, N.W.
Washingto
n DC
Lester
Andrew Todd
Citizen
HHS
8/20/1998
12402 Lime Kiln Rd
Fulton
MD 20759
Levi
Ellis
D.D.S.
HHS
3/22/1995
17 Millstone Road
Randallsto
wn MD
Levitsky
Leon R.
M.D.
LB
1/15/2008
8100 Good Luck Road
Lanham
MD 20706
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
LB - Licensing Board
D 09187
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 36 of 70
LAST NAME
FIRST NAME
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
LICENSE #
Levitt
Jeffrey M.
M.D.
LB
2/24/1993
11415 Orleans Way
Kensington
MD 20895
D 29875
Levitt
Keith
M.D.
LB
12/1/2009
22 S. Greene Street
Baltimore
MD 21201
D 28247
Lewis
Samuel R.
M.D.
F
5/12/1989
11102 Hudee Court
Mitchellville
MD
D 06599
Lightfoote, II
William E.
M.D.
HHS
11/20/2000
1328 Southern Avenue, S. E. Washingto
n DC
DC-4267
Lin
Tsu-Chun
M.D.
LB
3/20/2002
377-B Gambrills Road
Gambrills
MD 21054
D 24756
Lindemann
Keith Jan
M.D.
LB
8/30/2005
23140 Moakley St; Suite 2
Leonardto
wn MD
D 50458
Linden/Williams
Joanie
PCP
HD
9/26/1997
3901 Greenmount Avenue;
2nd Floor
Baltimore
Lindsey
Glenda L.
D.D.S.
HHS
6/1/1997
7819 Liberty Rd
Baltimore
MD 21244
D 01532
Lipnick
Robert
M.D.
HHS
12/19/2002
6238 29th Street, NW
Washingto
n DC
DC 11982
Lipscomb
Bernadette
Aide
HHS
8/10/1994
1837 Bolton Street; Apt. #3
Baltimore
MD 21217
Little
Albert G.
M.D.
LB
12/31/2008
9505 Reisterstown Road,
Ste 25
Owings
Mills MD
Logsdon
Katherine
PCP
HD
7/10/1997
310 N. Cannon Avenue
Hagerstow
n MD
Londa
Saleh
Aide
HHS
8/18/2005
4202 Kaywood Drive; Apt. 8
Mount
Rainier
Loot-Gayoso
Ofelia
M.D.
LB
7/22/2009
5411 Old Frederick Road
Baltimore
MD 21229
Loveman
Joseph
Citizen
HHS
11/25/1983
333 Harlem Lane
Baltimore
MD 21228
Loya
Florentino
M.D.
LB
12/29/2007
6400 Marlboro Pike
District
Heights
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
LB - Licensing Board
D 19592
D16328
D 41296
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 37 of 70
LAST NAME
FIRST NAME
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
Lucas
Dorothy
Luciuk
PCP
HD
4/15/1998
908 E. Valley Street; #11
Baltimore
MD 21202
James
Nurse
LB
8/28/2007
8536 Storch Woods Drive
Savage
MD 20763
Luckey
Willie
PCP
HD
9/1/2001
6709 Kincheloe Avenue
Baltimore
MD 21207
Lyles
Delores
PCP
HD
12/1/2007
400 W. South Street Apt. B
Frederick
MD 21701
Lynch
Ray A.
M.D.
HHS
4/22/1997
9559 Wandering Way
Columbia
MD 21045
Lynch
Kevin P.
R.Ph
HHS
10/20/2003
14601 Burbridge Road, S.E.
Cumberlan
d MD
Mack
Belinda Ann
PCP
HD
11/26/2001
7812 South Hampton
Drive; Apt. 1
Glen
Burnie
Macrey
Angela V.
PCP
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
D 07094
Mahase
Vidhyanand
R.Ph
HHS
12/20/2009
Fort Dix FCI, P.O. Box 2000
Fort Dix
NJ 08640
17711
Major
Godfrey W.
M.D.
LB
6/20/2007
7801 York Road
Towson
MD 21801
D 42197
Makker
Ram S
M.D.
LB
10/14/2009
500 Upper Chesapeake
Drive
Bel Air
MD 21014
D48367
Malamud
Yasmin Redon
M.D.
HHS
9/20/1998
110 Irving St, NW
Washingto
n DC
DC 19142
Malekzodeh
Assadullah
Citizen
F
6/8/1993
12221 Park Lawn Drive;
Ste. 170
Rockville
MD 20850
Mallory, III
Herman C.
Citizen
F
2/16/1997
615 N. Rose Street
Baltimore
MD 21205
Manasan
Eloida
M.D.
LB
4/9/1997
9602 Shipwright Drive
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
LB - Licensing Board
Burke VA
22015
LICENSE #
R107868
RP 03701 1T
D 19597
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 38 of 70
LAST NAME
FIRST NAME
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
LICENSE #
Manekin
Steven F.
M.D.
LB
5/18/2005
1049 S. Charles St
Baltimore
MD 21230
D 13700
Marcalus
Steven
R.Ph
LB
9/9/1987
12312 Savanna Court
Bishopville
MD 21813
A1-0001956-DE
Margolius
Jane
Citizen
F
6/21/2001
17 Tivoli Lake Court
Silver
Spring
Marion
Robert
Aide
MFCU-A
10/7/2004
2548 Loyola Northway
Baltimore
MD 21215
Marsh
Arthur
M.D.
LB
7/16/2010
700 East Main Street Ste.
102
Salisbury
MD 21804
Marshall
Tinnie
PCP
HD
10/1/1997
4121 Woodhaven
Baltimore
MD 21216
Marshall
Peter
Citizen
F
11/3/1993
3114 S. E. 17th Place
Cape Coral
FL 33904
Marshall
Ashley
PCP
HD
4/15/2002
207 Wakefield Road
Hagerstow
n MD
Martin
Janet S.
M.D.
LB
12/8/2005
6510 Kenilworth Avenue
#2400
Riverdale
MD 20737
Martinez
Christine
PCP
HD
6/30/2003
6604 Maple Avenue
Baltimore
MD 21215
Martinez-O'Hara
Joseph J.
M.D.
LB
7/19/1997
1203 E. Ferguson
Corporation
HD
7/27/2005
8431 Newark Road
Newark
MD 21841
Mary Lou's Assisted
Living
Pharr TX
78577
Mason, III
Samuel M.
Citizen
HHS
10/20/2003
20 BON Oak Court
Reisterstow
n MD
Massey
Dean
D.D.S.
HHS
8/24/1987
320 West Main Street
Crisfield
MD 21817
Matthews
Thomasina
Citizen
HHS
7/20/2005
8019 Mollye Road; Apt. F
Pikesville
MD 21208
Matthews
Shandell
Aide
MFCU-A
1/21/2003
3822 Regency Parkway
Suitland
MD 20746
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
LB - Licensing Board
D 64981
D 35386
D 24049
06959
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 39 of 70
LAST NAME
FIRST NAME
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
McAllister
Katrina
Citizen
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
McClain
Vivian Regina
PCP
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
McCrary
Bernard
Citizen
HD
4/1/2010
1416 Clarkview Road
Baltimore
MD 21209
McCready
Leah T.
Citizen
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
McGregor
Clinton
Aide
HHS
11/4/2000
7930 Brock Bridge Road
Jessup
MD 20794
McInnes
Thomas K.
O.D.
HHS
2/20/2002
19739 Selby Avenue
Poolesville
MD 20837
McKenna
Karen
Nurse
HHS
8/20/2007
843 Kellogg Road
Lutherville
MD 21093
McKenzie
Deana
Citizen
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
Nakita S.
Aide
MFCU-A
8/8/2005
6612 Eberle Drive
Baltimore
MD
McNeil
Robert
D.D.S.
LB
5/16/1998
6721 Ritchie Hwy
Glen
Burnie
Pharmacy
LB
7/14/2009
59
Medicine Shoppe
Pharmacy
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
LB - Licensing Board
LICENSE #
D 45096
TA 1284
D16372
D 11761
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 40 of 70
LAST NAME
FIRST NAME
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
Mehlman
Susan K.
Mehta
Barry (Bahrat M.)
Meiller
Ph.D.
F
5/24/2007
12103 Ridge Valley Road
Citizen
F
3/13/2003
5501 Oakland Mills Road
Columbia
MD 21045
Morris
M.D.
LB
6/13/2005
9015 Woodyard Road;
Suite 209
Clinton
MD 20735
Meldrom
Carole J.
Nurse
HHS
10/20/2002
1145 Oakview Drive
Crownsville
MD 21032
Melvin-Hodge
Fayanna
Citizen
F
9/24/1997
2907 Rosalind Avenue
Baltimore
MD 21215
Merendino, Sr.
John J.
M.D.
HHS
6/12/1997
4701 Randolph Road
Rockville
MD 20852
D 08544
Merillat
Suzanne Marie
Nurse
HHS
12/20/2004
105 Rockdale Drive
Silver
Spring
LP 27045-MD
Merriweather
Sue Grace
Aide
F
10/28/1999
6405 Brays Street
Lanham
MD 20706
Corporation
HD
2/4/2005
7277 Wisconsin Ave; Ste
300
Bethesda
MD 20814
PCP
HD
8/19/1994
420 A. Captain Circle
Annapolis
MD 21401
Citizen
F
1/22/1993
21 Fenceline Drive
Gaithersbur
g MD
M.D.
HHS
4/18/2002
Villa Olimpia 2: #A-12
Yauco PR
00690
Mid-Atlantic
Compassionate
CITY/STATE
/ZIP
Owings
Mills MD
Middleton
Barbara
Middleton
William F.
Milan
Jose Antonio Olivari
Miller
Edwin R.
Citizen
HHS
8/20/2001
4601 E. Monument St
Baltimore
MD 21205
Miller
Gerald A.
M.D.
HHS
2/1/1994
3455 Wilkens Ave
Baltimore
MD 21229
Miller
Carol D.
P.D.
F
4/19/2001
46 Cannon Drive
Berlin MD
21811
Miller
Louis
M.D.
LB
12/10/2007
1838 Greene Tree Road,
Suite 300
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
LB - Licensing Board
Pikesville,
MD 21208
LICENSE #
07150
D 08540
D 13275
10152
D 07421
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 41 of 70
LAST NAME
FIRST NAME
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
Miller
Jewel Lynne
Aide
HHS
6/27/1991
3026 Tennessee Avenue
Baltimore
MD 21227
Miller
Keith B.
Chiropracto
r
LB
11/30/2001
11618 Reisterstown Road
Reisterstow
n MD
S01427
Miller
Oram
D.O.
HHS
4/20/2004
P.O. Box 2223
Fairfield
IOWA
02085(IA);
H29971(MD)
Miller, Jr.
Thomas
Aide
HHS
4/8/1997
1217 Randalia Road
Chesapeake
City, MD
Mills
Ronald J.
Citizen
F
3/17/1992
17 Water Street; Apt. #6
Gaithersbur
MD
Ming
Bernell
LMSW
HHS
1/18/2007
294 Putnam Avenue
Brooklyn
NY 11216
G11284, 064132NY
Miranda-Solari
Artemio
M.D.
LB
7/31/2000
889 W. Lombard St
Baltimore
MD 21201
D 23276
Mireille
Noumi N.
PCP
HD
11/23/2003
6800 Highview Terrace;
#301
Hyattsville
MD 20782
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
Citizen
HHS
9/19/2002
C-31 DuQuesa St;
Montibello Development
Hormiguer
o PR
Corporation
HD
6/6/2006
12801 Meadowbrook Lane
Waldorf
MD 20601
Plymouth
MA 02360
Molly's House of Hope
Molmenti
Luis A.
M.D.
HHS
2/20/2006
60 Bartlett Road
Momah
Clement I.
M.D.
LB
12/20/2000
8301 Ashford Blvd
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
LB - Licensing Board
LICENSE #
Laurel MD
20707-
D 08782
9427
D 46933
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 42 of 70
LAST NAME
FIRST NAME
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
Monroe
Charles A.
Citizen
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.
Corporation
F
4/25/1991
7101 Wisconsin Avenue;
#1404
Bethesda
MD 20814
Corporation
HHS
6/30/1994
806 S. Frederick Road
Gaithersbur
g MD
Citizen
HHS
10/20/2002
353 S. Center St.; Apt. 19A
Orange
NJ 07050
Montgomery County Taxi
LICENSE #
Moore
Lillie Ruth
Morgan
Rosa E.
PCP
HD
7/19/1991
2732 Parkwood Avenue
Baltimore
MD 21217
Morris
Janice
PCP
HD
3/4/1991
4106 W. Forest Park
Avenue
Baltimore
MD 21207
Morris
Andrea
PCP
HD
7/15/1997
8978 Centerway Road;
Court IV
Gaithersbur
g MD
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
Citizen
F
3/17/1992
19731Framingham Drive
Gaithersbur
g MD
Motley
Robin
Aide
HHS
8/20/2008
1549 Southview Dr Apt.
102
Oxon Hill
MD 20745
Mueller
Annemarie
RDH
HHS
10/20/2004
5260 Duke Street; Apt. 411
Alexnadra
VA 22304
4304
Mullan
Paul A.
M.D.
LB
8/23/2000
7401 Olser Dr
Towson
MD 21204
D 08462
Muller
Alfred
M.D.
LB
2/27/2002
1396 Piccard Drive
Rockville
MD 20850
D 15017
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
LB - Licensing Board
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 43 of 70
LAST NAME
FIRST NAME
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
Murphy
Leslie A.
PCP
F
2/28/2009
143 Haverhill Road
Joppa MD
21085
Musikabhumma
Anchaleee
M.D.
LB
6/28/2006
2300 Garrison Boulevard
Baltimore
MD 21216
Naranjo
Ynocencio
Corporation
HHS
10/29/1990
14720 Homecrest Road
Silver
Spring MD
Nash
Roderick
PCP
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
D 23454
Nathenson
Lucille
D.D.S.
LB
3/6/2002
6901 Security Boulevard
Baltimore
MD 21244
07998
Corporation
HHS
4/20/2010
1601 Alton Parkway
Irvine CA
92606
Pharmacy
LB
1/5/2007
3027 E. Madison Street
Baltimore
MD 21205
PW0101
27475
National Cardio Labs, LLC
Newcare Home Health
Services, Inc.
Ngang
Ita
Nurse
F
8/28/2004
9482 Ridgeview Drive
Columbia
MD 21046
Nguyen
Tuoc Kim
D.D.S.
HHS
6/17/1999
8003 Hasitng Hunt Court
Severn
MD 21144
Nguyen
James An
M.D.
F
8/28/2005
5601 Loch Raven Blvd; Ste
301
Baltimore
MD 21239
Nimley
Lucia
PCP
HD
8/27/1996
350 Childress Terrace
Burtonsville
MD
Norris
Diana Lynn Dee
Aide
HD
6/5/2005
1022 Grove Hill Road
Halethorpe
MD 21227
North
Catherine
M.D.
LB
12/10/2007
1100 Copper Hill Road
Baltimore
MD 21209
Nukks
Shelley Lynn
PCP
HD
3/5/2001
1088 Wadsworth Way
Baltimore
MD 21239
Corporation
HD
1/15/2005
10 East Lee St; Ste 2406
Baltimore
MD 21202
Nurse Express, LLC
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
LB - Licensing Board
LICENSE #
D 17081
D 39748
D 36128
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 44 of 70
LAST NAME
FIRST NAME
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
LICENSE #
Nwaehiri
Callixtus
P.D.
LB
1/5/2007
1439 Huntfield Way
Jarrettsville
MD 21084
10899
Obeahon
Alexander C.
Aide
HHS
6/22/1998
34 Chapel Town Circle
Baltimore
MD 21236
Obeng
Esther
Aide
HHS
9/20/2006
O'Berry
Christin
Nurse
HHS
3/20/2008
21 Bridgeview Court
Baltimore
MD 21236
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
Ogundele
Gbengo Benson
Aide
HHS
9/19/2002
800 Fairlawn Avenue; #2
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
D30115
Ojewoye
Paul
R.Ph
HHS
6/20/2007
218 Karin Boulevard
Townsend
DE 19734
13396
Ojuko
Absayo
Citizen
F
4/28/2007
16 Liberty Place Road, Apt.
8
Baltimore
MD 21244
Okafor
Ndubuisi
M.D.
HHS
3/19/2009
P.O. Box 759
Minersville
PA 17954
Okafor
Augustine
Nurse
HHS
4/20/2006
3420 Maryvale Road
Baltimore
MD 21244
Oke
Oluwole
Citizen
HHS
3/20/2007
P.O. Box 31902
Capitol
Heights
Okine
Katerina
PCP
HD
1/3/2007
47 Squanto Court
Middle
River MD
Okoye
Godwin
R.Ph
HHS
8/20/2003
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
6717 Tower Drive; Apt. 104 Alexandria
VA 22306
R156998
Laurel MD
20707-
Montgomery FPC;
Montgomer
Montgomery Air Force Base
y AL
LB - Licensing Board
1401-095243
D43460
PRC899
RI 020809
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 45 of 70
LAST NAME
FIRST NAME
Omer
Tarig A.
Open Arms Assisted
Living
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
Citizen
HHS
7/20/2005
6337 Kinsey Terrace
Lanham
MD 20706
Corporation
HD
5/18/2005
104 Charles Street
Sudlersville
MD
Citizen
HHS
9/26/1990
6 Sour Cherry Court
Darnestow
n MD
LICENSE #
Oppenheim
Steven
Optimum Care Medical
Center
Medical Ctr.
Corporation
HHS
9/20/2001
Orem Medical
Corp
Corporation
HHS
6/12/1997
2413 Haddenhurst Court
Fallston
MD
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.
Citizen
HHS
2/20/2000
7082 MacBeth Way
Sykesville
MD 21784
Osborne
Tamara
PCP
HD
11/7/2005
73 Swan Street
Aberdeen
MD 21001
O'Shaughnessy
Timothy J.
Citizen
HHS
5/24/1999
6106 Pine Branch Rd
Bethesd,
MD 20816
O'Shea
Frank M.
M.D.
LB
8/9/2000
3901 Fox Hill Dr
Ellicott City
MD
D 27961
Oshodi
Eunice
R.Ph
HHS
7/20/2008
2730 Pennsylvania Avenue
Baltimore
MD 21217
14276
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
D 51563
Owens
Eugene
M.D.
HHS
12/31/1993
1735 E. Federal St
Baltimore
MD
D 12607
Oyler
George A.
M.D.
LB
11/18/2003
2924 Guilford Avenue
Baltimore
MD 21218
D 46921
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
444 N. Frederick Ave; #307 Gaithersbur
g MD
LB - Licensing Board
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 46 of 70
LAST NAME
FIRST NAME
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
Pagalunan
Gertrude
Pagano
Corporation
HD
5/15/2005
9515 Lawnsberry Terrace
Silver
Spring
Dwight
M.D.
HHS
5/19/2005
444 E. 20th Street; Apt. 3D
New York
NY 10009
D 26063
Page
Bobbi Jo
Aide
HHS
1/20/2010
P.O. Box 105
Barnes
City, IA
MT0048961,
CNA224636,
Pak
Jim Su
P.D.
LB
4/7/2005
Hickory Plaza Pharmacy;
10805 Hickory Ridge Road
Columbia
MD 21044
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
Panteleakis
Peter
Citizen
F
10/24/1988
1008 Roxleigh Road
Towson
MD 21204
Park
Do Sun
M.D.
HHS
4/10/1995
13805 Turnmore Rd
Silver
Spring
D 30102
Park
Kyung S.
M.D.
LB
5/17/2000
1823 Duffield Lane
Alexandria
VA 22307
D 36375
Parker
April R.
Aide
HHS
9/20/2000
3515 Madison Place
Hyattsville
MD 20782
Pasatiempo
Abner
M.D.
LB
4/26/2006
115 Enfield Road
Baltimore
MD 21212
D 45431
Patel
Ketankumar
P.D.
LB
7/14/2009
5951 Cecil Way
Eldersburg
MD 21784
10301
Pathak
Arvind K.
M.D.
LB
7/18/2001
6930 Little River Turnpike
Annandale
VA 22003
D 12867
Paul
Haendel
Aide
MFCU-A
2/27/2008
10553 Jason Lane
Columbia,
MD 21044
Paye
Isiwatu
Aide
HHS
3/20/2007
3 Maidstone Court, Apt. M
Rosedale
MD 21237
Payne, Jr.
Arnold
R.Ph
HHS
5/20/2001
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
LICENSE #
D 12748
3549 Greenmount Avenue; Baltimore
#2
MD 21203
LB - Licensing Board
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 47 of 70
LAST NAME
FIRST NAME
Pediatric Plus
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
Corporation
HD
1/15/2005
10 East Lee St; Ste 2406
Baltimore
MD 21202
LICENSE #
Perez
Yolanda
Aide
HHS
12/18/2001
1752 Gorsuch Avenue
Baltimore
MD 21218
Perry
Deborah
Citizen
HHS
2/11/1993
604 McCabe Ave
Baltimore
MD 21212
Persinger
Virginia
PCP
HD
8/25/1993
Route 2; Box 179
Newberg
MD 20664
Pertnooy
Allen B.
D.D.S.
LB
10/23/2002
821 Eastern Boulevard
Baltimore
MD 21221
03749
Peters
Colleen
Nurse
HHS
11/20/2007
288 Wye Knot Court
Queenstow
n MD
R158619
Peterson
Jocelyn M.
Citizen
F
11/3/2005
29581 Bright Spot Road
Highland
CA 92346
Peterson
Patricia M.
Citizen
HHS
4/13/1994
1856 Beth Ridge Circle
Forest Hill
MD 21050
Peterson
Ralph M.
Citizen
F
11/3/2005
29581 Bright Spot Road
Highland
CA 92346
Petway
Dena Joan
PCP
HD
8/26/1996
6309 Elliott Street
Baltimore
MD 21224
Phalsaphie
Mansour
M.D.
LB
3/25/1998
4003 Hidden Creek
Henderson
KY 42420
D 39182
Pharmacare, Inc.
Cockeysville Pharmacy
Pharmacy
F
7/25/2000
10255 York Road
Cockeysville
MD
P 01589
Phattiyakul
Pricha
M.D.
LB
9/19/2001
100 Hospital Road; Calvert
Memorial
Prince
Frederick
D 17730
Phillips
Patricia A.
Aide
HHS
10/18/2001
2325 Barclay Street
Baltimore
MD 21218
Pierce
William David
M.D.
LB
3/9/2004
11042 Nicholas Lane; Suite
B
Pittman
Thomas A.
M.D.
HHS
7/17/1991
7498 Sea Change
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
LB - Licensing Board
Berlin MD
21811
D 56681
Columbia
MD 21045
D 10875
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 48 of 70
LAST NAME
FIRST NAME
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
LICENSE #
Pitts
Mark
D.D.S.
LB
2/10/2009
2100 Old Farm Drive
Frederick
MD 21702
11347
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
Pollock
Hamilton
Citizen
HHS
12/20/1995
211 E. Lombard Street
Baltimore
MD 21201
Pollock
Natasha
Nurse
HHS
2/18/2010
17008 Downing Street
Gaithersbur
g MD
Polsin
Michael J.
Nurse
HHS
3/18/2004
34602 Blakistone Road
Hollywood
MD 20636
Poole
Milton L.
Citizen
HHS
6/20/2006
3916 23rd Parkway; #22
Pooya
Manoochehr
M.D.
LB
11/7/2007
700 7th Street SW #2
Washingto
n DC
DC4594, D 05507
Potash
Michael
M.D.
LB
12/16/2009
2331 Old Court Road, Apt.
409
Baltimore
MD 21208
D09463
Powell
Velma E. L.
M.D.
HHS
1/23/1992
6201 Greenbelt Road
College
Park MD
D 25624
Powell
Jack
M.D.
LB
1/26/2007
23704 Ocean Gateway
Mardela
Springs
D 36483
Powell
Nicheia
Aide
HHS
9/19/2002
704 Winston Avenue
Baltimoe
MD 21212
Powell
Richard
M.D.
LB
8/25/2004
6501 N. Charles Street
Baltimore
MD 21285
Powell
Toni Darnell
PCP
HD
9/18/1995
2519 Marbourne Avenue
Baltimore
MD 21230
Prager
Harris J.
D.P.M.
HHS
10/27/1993
420 S. Crane Hgwy; #1
Glen
Burnie
00961
Prescimone
Doreen
Nurse
HHS
10/20/2003
4806 Berry Hill Circle; Apt.
103
Perry Hall
MD 21128
R 116997
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
LB - Licensing Board
AL 1-105020
Temple
Hills MD
D 58515
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 49 of 70
LAST NAME
FIRST NAME
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
LICENSE #
Press
Zachary
D.D.S.
HHS
1/4/1995
4805 Garrison Blvd
Baltimore
MD 21215
09179
Pribadi
Jean W.
M.D.
LB
6/13/2008
10632 Little Patuxent
Parkway
Columbia
MD 21044
D 30510
Corporation
F
4/27/2000
c/o P.O. Box 536
Jessup
MD 20794
Citizen
HHS
2/15/1996
1308 N. Kenwood Avenue;
2nd Floor
Baltimore
MD 21213
Corporation
HD
10/20/2009
45464 Stoney Run Drive
Great Mills
MD 20634
Pharmacy
F
10/17/2008
6901 York Road
Baltimore
MD 21212
Progressive Care
Ambulance Serv.
Pullen
Sonia A.
Pulliam's Contracting
Purdum Pharmacy
Purnell
Elmer A.
M.D.
LB
12/11/1992
652 W. Main Street
Salisbury
MD 21801
D 09429
Qaiyumi
Waheeda
M.D.
LB
2/5/2004
9650 Santiago Road; #110
Columbia
MD 21045
D 24705
Corporation
HHS
6/12/1997
4701 Randolph Road
Rockville
MD
QRSS
Queen
Jennifer
PCP
HD
5/16/2005
4527 Northwood Drive
Baltimore
MD 21239
Rabb
Willie
DPM
LB
8/1/2006
420 S. Crain Highway; #2
Glen
Burnie
Radulski
Joanne B.
Citizen
F
7/8/2010
2124 Oaklyn Drive
Fallston
MD 21047
Radvan-Ziem
Stanley A.
M.D.
HHS
11/1/1990
9400 Old Georgetown
Road
Bethesda
MD 20814
D 10902
Raines
Bannister L.
M.D.
LB
1/27/2005
660 Kenilworth Dr.; #206
Towson
MD 21204
D 17735
Rakhunov
Izabella
PCP
HD
12/17/2002
1 Russern Court; 2A
Baltimore
MD 21215
Corporation
HHS
11/14/2002
Sunset Road
Willingboro
NJ 08046
Rancocas Valley
Anesthesia Assoc
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
LB - Licensing Board
01257
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 50 of 70
LAST NAME
FIRST NAME
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
Rapkin
Harvey
R.Ph
F
12/19/2008
2207 Shefflin Court
Baltimore
MD 21209
Ray
Douglas
M.D.
HHS
4/6/1992
10208 Prince Place
Largo
MD
Reddy
Vijayalakshmi
M.D.
LB
10/13/2010
821 N. Eutaw Street, Ste.
312
Baltimore
MD 21201
Corporation
HHS
5/6/2004
7420 Marlboro Pike
Forestville
MD 20028
Aide
HHS
9/20/1999
3806 Brighton Street
Baltimore
MD 21216
Citizen
HD
9/15/2008
3100 North Ridge Road
Ellicott
City MD
M.D.
F
9/30/1995
5632 Annapolis Rd-Suite 8
Bladensbur
g MD
Corporation
F
3/2/2004
204 E. Joppa Road
Towson
MD 21286
PhD
F
7/14/2007
1027 Savvanna Drive
LaPlata,
MD 20646
Regency Hlth Services,
Inc.
Reid
Jesse
Reilly
Elizabeth
Rermgosakul
Adul
Resolutions Unlimited,
Inc.
LICENSE #
D 47644
D 18441
Reynolds
Angelo
Reynolds (Mullins)
Debbye Lynn
Nurse
HHS
11/20/2006
P.O. Box 7612
Hyattsville
MD 20787
LP 30845
Rhee
Aphonso Y.
M.D.
LB
12/4/1998
1224 Brook Hollow Road
Towso,
MD
D 13631
Ricci
Renzo
M.D.
LB
1/26/2007
3125 Baltimore Blvd, Box
500
Finksburg
MD 21048
D 25804
Richardson
Cheryl E.
M.D.
HHS
9/19/1999
84 Willis Street
Westminste
r MD
D 37919
Richardson
Gravney A.
M.D.
HHS
8/10/1994
40 Joyceton Way
Upper
Marlboro
19756
Richardson
Carolyn E.
Citizen
HHS
2/15/1996
Richardson
Joseph M.
D.D.S.
HHS
1/6/1995
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
2601 Greenmount Avenue; Baltimore
1st Floor
MD 21218
1407 Dilston Road
LB - Licensing Board
Silver
Spring
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 51 of 70
LAST NAME
FIRST NAME
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
Ritch
Sherry
Aide
HHS
1/10/2002
5504 Windsor Mill Road
Baltimore
MD 21207
Rivera
Rose M.
Nurse
HHS
6/17/2004
500 Wick Lane
Blue Bell
PA 19422
Corporation
HHS
10/18/2001
1 Eastern Boulevard
Baltimore
MD 21221
Riverview Nursing Ctr,
Inc.
LICENSE #
RN-332695-L
Roane
Donald
M.D.
LB
5/21/2010
1616 Forest Drive
Annapolis
MD 21403
D 10698
Roark
David
Nurse
HHS
4/20/2010
277 Geremma Drive, Apt. B
Ballwin
MO 63011
R 129614
Roberts
Isaac
Aide
MFCU-A
1/18/2007
8500 Goshen View Drive
Gaithersbur
g MD
Roberts, Jr.
Leroy
Citizen
HHS
3/7/1991
6 Papago Court
Randallsto
wn MD
Robinson
Lawrence
PCP
HD
5/3/1996
8806 Lanier Drive; #101
Silver
Spring
Roby
Neil O.
Citizen
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
PCP
HD
5/25/2005
23249 Colton Point Road
Avenue
MD 20609
Rodwell
Dino
Corporation
HHS
6/20/2002
8314 Glenmar Road
Ellicott city
MD 21045
Roffman
Benjamin
Citizen
HHS
8/17/1987
6314 Greenspring Ave;
Apt. 6
Baltimore
MD 21207
Rogers
Tena
Citizen
F
5/8/2003
2905 Garrison Boulevard
Baltimore
MD 21216
Romero
Yolanda
O.T.
HHS
1/20/2004
P.O. Box 2784
Baltimore
MD
Rorie
Valerie R.
PCP
HD
6/9/2004
5506 Wayne Avenue
Baltimore
MD 21207
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
LB - Licensing Board
10073
01559
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 52 of 70
LAST NAME
FIRST NAME
Rose Manor Assisted
Living
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
Corporation
HD
9/15/2008
3100 North Ridge Road
Ellicott
City MD
LICENSE #
Rosen
Nancy
Citizen
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
5349
Ross
Bradford A.
M.D.
LB
4/27/1998
200 Milton Avenue
Fallston
MD 21047
D 26689
Rothelder
David
D.D.S.
HHS
5/18/1979
620 Aisquith Street
Baltimore
MD 21202
Rothman
Leonard
M.D.
LB
4/24/1996
PO Box 5716
Incline
Village
D 15256
Rothstein
Binyamin
D.O.
LB
5/25/2005
Greenspring Shopping Ctr;
2835 Smith Ave; Ste 209
Baltimore
MD 21209
H 30277
Roundtree
Silverrene P
M.D.
HHS
6/28/1999
200 Oak St
Mt. Pocono
PA 18344
D 19789
Rowlette
Bertha
PCP
HD
7/22/1998
8618 Bramble Lane
Randallsto
wn MD
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
R 03369
Rubin
Seymour H.
M.D.
HHS
7/22/1991
7111 Park Heights Avenue
Baltimore
MD 21208
D 10187
Rucyamuzi
Kenny
Aide
HHS
4/20/2006
11700 Old Coumbia Pike
#1905
Silver
Spring MD
1401105926 (VA)
Ruddock
Thaddeus
Citizen
HHS
2/19/2009
7901 Bon Air Road
Baltimore
MD 21234
L01705
Rudman
Michael
M.D.
HHS
8/22/2007
J Elmer Harp Medical Ctr
Middletown
MD 21769
D17106
Rudo
Howard F.
D.D.S.
LB
8/24/2000
420 S. Crain Hwy; Ste 6
Glen
Burnie
03816
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
LB - Licensing Board
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 53 of 70
LAST NAME
FIRST NAME
Sadanand Home, Inc.
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
Corporation
HD
2/28/2006
101 Carlisle Drive
Silver
Spring
M.D.
F
11/30/1996
2 Piney Meetinghouse Ct
Potomac
MD
Citizen
HD
5/19/2006
4918 Grindon Avenue
Baltimore
MD 21214
Cambridge
MD 21613
LICENSE #
Sadri
Manouchehr
Samie
Abdul
Sampson
Michelle
PCP
HD
4/3/1996
1015 Washington Street
Samuels
Thomasina R.
Aide
HHS
3/10/1997
4301 23rd Parkway; Apt 10
Sanborn
Michele R.
Nurse
HHS
2/20/2001
772 Fairview Avenue; Apt.
C
Annapolis
MD 21403
Sanchuk
Daniel Paul
Citizen
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
Sang
Evadne
M.D.
LB
12/24/1991
Martin Luther King Ave
Washingto
n DC
D 24228
Sanghera
Anil
M.D.
LB
11/28/2007
6919 Harford Road
Baltimore
MD 21234
D 24722
Santana
Maria
Citizen
HD
5/24/2006
8511 Allenswood Road
Randallsto
wn MD
Santiago
Feliciana
PCP
HD
3/1/2001
Santos
Rene
M.D.
LB
1/15/2009
2835 Churchville Road
Churchville
MD 21028
Sarabia
Erlinda S.
Citizen
F
8/12/2006
8316 Elvation Road
Millersville
MD 21108
Satogkit
Supoj
M.D.
LB
12/11/1990
101 Medical Blvd
Stockbridge
GA 30281
Scandaltato
Frank
PCP
HD
2/10/1998
102 Palmetto Drive
Edgewood
MD 21040
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
D 30549
Temple
Hills MD
10920 Connecticut Avenue Kensington
MD 20895
LB - Licensing Board
D14036
D 19665
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 54 of 70
LAST NAME
FIRST NAME
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
Schade
John
Chiropracto
r
HHS
10/20/1998
103 Baughmans Lane; #204
Frederick
MD 21702
Schauber
Michael
M.D.
LB
4/25/2007
505 Dutchmans Lane, Suite Easton MD
B
21601
Scheibe
Melissa Lynn
Aide
HHS
6/20/2000
1111 St. Paul Place
Schlesinger
Richard S.
M.D.
LB
6/2/2005
50 L Painters Mill Road
Owings
Mills MD
Schott
Alan J.
D.D.S.
HHS
2/4/1997
8016 Nighwind Court
Baltimore
MD
Schwartz
Lyndell K.
D.D.S.
LB
11/15/2006
795 Aquahart Road
Glen
Burnie
03818
Schwartzberg
Allan
M.D.
LB
8/11/2010
9021 Shady Grove Court
Gaithersbur
g MD
D 10705
Scott
Delores Elaine
Nurse
F
7/13/2006
11 Rebecca Lane
Owings
Mills MD
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
Corporation
HD
4/1/2010
1401 West Joppa Road
Towson,
MD 21204
M.D.
LB
9/30/1998
12000 Longridge Lane
Bowie
MD 20715
D 11001
02364
Senior Connections
d/b/a SK Adult Daycare
LICENSE #
D 56373
Baltimore
MD 21221
D 23329
Sera
Carlos C.
Setaro
John L.
Psychologis
t
HHS
3/10/1997
19 Melanie Court
Baltimore
MD 21234
Setlen
Williams
Citizen
HHS
4/19/1985
4527 Tapscott Road
Pikesville
MD 21208
Settles
Diane
Aide
HHS
9/29/1996
11919 L Tarragon Road
Reisterstow
n MD
D 24228
Shade
David
M.D.
F
6/20/1984
14 Warfield Avenue
La Vale
MD 21502
04758
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
LB - Licensing Board
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 55 of 70
LAST NAME
FIRST NAME
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
LICENSE #
Shah
Dinesh
M.D.
LB
9/23/2010
2327 Pulaski Highway, Ste.
101A
North
East, MD
D 23334
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
Cumberlan
d MD
Shelton
Pam
PCP
HD
4/26/1995
183 Fairfield Drive
Frederick
MD 21702
Corporation
HD
2/6/2007
3450 Laurel Fort Meade
Road
Laurel MD
20724
Citizen
F
4/27/2000
c/o P.O. Box 536
Jessup
MD 20794
M.D.
LB
9/28/2009
600 N. Wolfe Street
Baltimore
MD 21287
D 64256
Shepherd Family
Services, Inc.
D 28857
00934
Sheppard
Millard C.
Sheridan
Todd
Sherwood
Shannon
Dental
Tech.
HHS
12/20/2009
855 Aurora Road
Ernul NC
28527
13266
Shiraldi
Teresa
Nurse
HHS
6/20/2005
3700 Misty Valley Court
Abingdon
MD 21009
R 070048
Shirazi
Mahmaud
M.D.
LB
6/18/2007
5671 Royal Mile Blvd
Salisbury
MD 21801
D 46962
Showell
Cora Louise
Aide
MFCU-A
12/6/2004
509 Bay Street
Shpigelman
Mikhail
PCP
HD
5/13/2002
2 Ameeht Court; 1C
Baltimore
MD 21215
Shraga
Inessa
PCP
HD
5/30/2003
5 Wind Blown Court; Apt.
102
Baltimore
MD 21209
Sic-Cua
Karen Lynn
Nurse
HHS
11/18/2004
3139 Northway Drive
Baltimore
MD 21234
Sichinava
Inga
PCP
HD
3/7/2005
2001 Allanwood Court
Silver
Springs
Siegel
Irving
Optometrist
HHS
9/10/1996
4251 Wilson Blvd
Arlington
VA 22203
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
LB - Licensing Board
Berlin MD
21811
R 112181
0601-000279
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 56 of 70
LAST NAME
FIRST NAME
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
Sierra
Myrna Luz Vigo
Sierra Mountain
Enterprises
Ltd.
Silverman
David
Simmons
M.D.
HHS
4/18/2002
67 Toledo Street
Bel Monte,
Mayaguez,
Corporation
F
4/30/2004
M.D.
HHS
2/18/2010
17164 Braxton Street
Granada
Hills CA
Stephanie
Citizen
HHS
3/20/2001
2712-A Gatehouse Drive
Baltimore
MD 21207
Simmons
Kevin
Citizen
F
5/27/2006
10356 Kentsdale Drive
Waldorf
MD 20603
Simms
Rena C.
PCP
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
Simpson
Cleveland Cole
PCP
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
D 23341
Singh
Mahindra
Nurse
HHS
6/19/2008
2 Pissaro Court
North
Potomac
R050514
Singletary
Mitchell
Aide
HHS
9/1/1992
6646 Collinsdale Road
Baltimore
MD 21234
Singleton
Faith R.
Citizen
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
Skipworth
Robert D.
M.D.
LB
10/31/1999
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
LICENSE #
Nevada
11085 Little Patuxent Pkwy; Columbia
Suite 205
MD 21044
P O BOX 6
LB - Licensing Board
Laurel MD
20707
G35319
D 28257
D 10586
D 28906
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 57 of 70
LAST NAME
FIRST NAME
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
Skrinskaya
Natailya
PCP
F
10/1/2002
3720 Bel Pre Road; Apt. 9
Silver
Spring
Slavin
Carl J.
M.D.
LB
7/26/2006
3231 Superior Lane; #A2
Bowie
MD
Sliger
Traci
PCP
HD
11/28/2000
8505 George Washington
Hwy
Oakland
MD 21550
Sloan
Nina
Citizen
HHS
12/20/2009
11 Foxmoor Court
Owings
Mills MD
PCP
HD
3/29/2006
19862 Preference Way
Callaway
MD 20620
SMCHD Assignee of A.
Abell
Smith
Elizabeth Ann
Citizen
MFCU-A
11/8/2003
6102 Alta Avenue
Baltimore
MD 21206
Smith
Joyce
Nurse
HHS
6/17/1999
26 Dowling Circle
Baltimore
MD 21234
Smith
Dale A.
Aide
HHS
2/19/1998
6010 Valley Court
Lexington
Park
Smith
Carla Y.
PCP
HD
5/19/2006
9 Greenbrush Court
Baltimore
MD
Smith
Lance C.
Citizen
F
10/1/1992
Smith
Anthony
Citizen
F
8/29/2008
4228 Huntshire Road
Foxridge
MD 21133
Smith
Donny W.
LCSW
F
8/28/2005
3745 Maple Crest Drive
Knoxville
MD 21758
Smith
Tammara
Aide
HHS
6/17/1999
6466 Roots Drive
Glen
Burnie
Smith
Dorothy Julia
Aide
HHS
9/13/1997
912 Thompson Blvd
Baltimore
MD 21221
Smith
Kevin P.
Citizen
HD
5/19/2006
9 Greenbrush Court
Baltimore
MD 21244
Smith
Joseph H.
M.D.
HHS
5/16/1993
4705 Locust Hill Court
Bethesda
MD 20014
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
LICENSE #
D 33271
18800 Walkers Choice Road Gaithersbur
g MD
LB - Licensing Board
08197
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 58 of 70
LAST NAME
FIRST NAME
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
LICENSE #
Smith
Tammy
LCSW
F
8/29/2008
4228 Huntshire Road
Foxridge
MD 21133
09997
Smoot
Melanie
PCP
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
Citizen
HHS
7/22/1991
P.O. Box 549
Jessup
MD 20794
Sodipo
Steven
P.D.
LB
1/5/2007
2403 Nora Court
Forest Hill
MD 21050
Solomon
Larry
Citizen
F
10/24/1988
613 19th Street, N.E.
Washingto
n DC
Solomon
Neil
M.D.
HHS
6/30/1994
901 Dulaney Valley Rd; Ste
602
Towson
MD 21204
D 12963
Somaiya
Mamta D.
M.D.
LB
11/16/2005
1 Trillium Circle; Apt. 1702
Dothan
AL 36301
D 57457
Sood
Rajan
M.D.
LB
2/13/2009
3060 Mitchellville Road
Bowie
MD 20716
D29097
Soriano
Asuncion
M.D.
LB
5/23/2007
119 Capitol Hgts Boulevard
Capitol
Heights
D 17128
Soriano, Jr.
Cesar
M.D.
LB
7/3/2004
119 Capitol Heights Blvd
Capitol
Heights
D 14468
Soudah
Truman F.
M.D.
LB
6/1/2010
8813 Waltham Woods
Road, Ste. 101
Baltimore
MD 21234
D 18966
Spencer
Deborah
PCP
HD
2/27/2007
429 Merryman Road
Annapolis
MD 21401
Srinivasan
Sridhar
Citizen
HD
4/1/2010
Corporation
F
11/19/2008
235 Mill Street, Ste. 3
Hagerstow
n MD
M.D.
LB
11/17/1999
9211 S. Normal Street
Chicago
IL 60620
SSS Nutrition & Dietetic
Srvcs, Inc.
Stalling
Sanction Type:
Reginal W.
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
11532
720 Ft. Washington Avenue New York,
NY 10040
LB - Licensing Board
D 22887
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 59 of 70
LAST NAME
FIRST NAME
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
Starling
Greg
Citizen
HHS
2/20/2008
3918 Elite Street
Bowie
MD 20716
Staton
Kimberly V.
Citizen
HHS
6/11/1990
10 Duke of Windsor Ct; T4
Baltimore
MD 21207
Steckler
Scott
D.D.S.
F
2/15/2004
4002 Thistlebridge Way
Rockville
MD 20853
Stepney
Glenda
PCP
HD
8/18/1991
P.O. Box 535; Hunting
Creek Road
Huntingto
wn MD
Stevens
April
Citizen
MFCU-A
1/8/2008
1723 Crimson Tree Way,
Apt D
Edgewood
MD 21040
Stevenson
Lawrence
PCP
HD
3/18/1996
6063 Marquette Road
Baltimore
MD 21206
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
103773
Stone
Nancy
Nurse
MFCU-A
2/17/2006
502 Francis Nicholson Way
Annapolis
MD 21401
RO46901
Stoner
Alfred
Citizen
F
3/17/1992
511 S. Frederick Avenue;
#10
Gaithersbur
g MD
Storck
Frederick
D.D.S.
HHS
11/25/1983
5220 Ten Oaks Road
Clarksville
MD 21029
Stratton
Judith Z.
Nurse
HHS
4/20/2003
12308 Featherwood Drive;
Apt. 13
Silver
Spring
Stubbs
Darryl
Aide
HHS
2/10/2002
4311 23rd Avenue; Apt.
1006
Temple
Hills MD
Stumpfel
Ernest Ronald
PCP
HD
12/7/1993
8411 Morven Road; Apt. I
Baltimore
MD 21234
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
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
19221 Montgomery Village Gaithersbur
Professional
g MD
LB - Licensing Board
LICENSE #
11778
225977 NY
09207
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 60 of 70
LAST NAME
FIRST NAME
Sungenis
Albert
Supreme Health Systems,
Inc.
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
LICENSE #
M.D.
LB
6/15/2006
5179 Harpers Farm Road
Columbia
MD 21044
D 37324
Corporation
HD
3/30/2008
4801 York Road
Baltimore
MD 21212
Sutton
Veronica
PCP
HD
12/11/2009
1215 Etting Street
Baltimore
MD 21217
Sviriduk
Ella
PCP
F
3/4/2007
18923 Lark Song Terrace
Germantow
n MD
Swartz
Linda
PCP
HD
8/17/1995
116 Columbia Street
Cumberlan
d MD
Tall
Deborah A.Day
D.D.S.
HHS
2/7/1997
340 Tumbleweed Place
Waldorf
MD 20601
Tanna
Peter
M.D.
F
12/31/1995
12708 Serpentine Way;
#307
Silver
Spring
D 24861
Tasher
Jacob
M.D.
LB
5/26/2004
26 Erie Drive
Slingerlands
NY 12159
D 34871
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
Esterlynn
Aide
HHS
9/20/2006
3119 Lunar Court
Taylor
Lafenus Donnell
Aide
MFCU-A
4/13/2004
3002 Spaulding Avenue
Baltimore
MD 21215
Taylor
Hester Ann
PCP
HD
5/2/1996
104 S. Somerset Avenue
Crisfield
MD 21817
Temkin
Diane
PCP
HD
12/15/2004
12005 Tarragon Road; Apt.
G
Reisterstow
n MD
Temple
Marion B.
LCSW
F
7/5/1989
14512 Sandy Ridge Road
Silver
Spring
Teves-Upshur
Maria
Citizen
HHS
2/20/2008
P.O. Box 44714
Fort
Washingto
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
LB - Licensing Board
Laurel MD
20724
D0011324
A00044352 (MD)
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 61 of 70
LAST NAME
FIRST NAME
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
LICENSE #
Than-Riddle
Khin Cho Cho
M.D.
LB
7/28/2004
1520 Crownsvile Road
Crownsville
MD 21032
D 52233
Thaung
Phone
Citizen
F
3/17/1992
12636 Falconbridge Drive
Darnestow
n MD
The Dixon Home
Corporation
HD
9/28/2009
409 North Lakewood
Avenue
Baltimore
MD 21224
The Medicine Shoppe
Corporation
LB
11/15/2006
The Medicine Shoppe
Corporation
HD
8/15/2008
8035 A Liberty Road
Baltimore
MD 21244
The Medicine Shoppe
Corporation
HD
11/15/2006
Frostburg Village Shopping
Center
Frostburg
MD 21532
The Medicine Shoppe
Corporation
HD
8/15/2008
8035 A Liberty Road
Baltimore
MD 21244
The Medicine Shoppe
Corporation
HD
8/15/2008
5900 Reisterstown Road
Baltimore
MD 21215
P01909
The Medicine Shoppe
Corporation
LB
7/14/2009
11813 1/2 Reisterstown
Road
Reisterstow
n MD
P01686
The Smith House
Corporation
HD
1/1/2007
7117 Campfield Road
Baltimore
MD 21207
Frostburg Village Shopping Frostburg
Center
MD 21532
Thomas
Henry Maurice
Aide
HHS
9/20/1999
3426 Edmondson Avenue
Baltimore
MD 21229
Thomas
Patricia F.
Aide
HHS
9/19/1999
M.D. Correctional InstWomen; P.O. Box 535
Jessup
MD 20794
Thomas
Lindwall
D.D.S.
HHS
6/5/1995
10912 Lockwood Drive
Silver
Spring
Thomas
Tamara
PCP
HD
12/8/1997
90 Waverly Drive; #JJ102
Frederick
MD 21702
Thomas
Dwight N.
PCP
HD
9/17/1998
7049 Caldwell Road
Pasadena
MD 21122
Thomas
Barbara
Citizen
HHS
12/5/1994
2135 Freemantle Court
Waldorf
MD 20601
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
LB - Licensing Board
30AL2547
P 01901
P01709
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 62 of 70
LAST NAME
FIRST NAME
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
Thomas
Liston
Citizen
HHS
10/20/1998
14601 Burnside Southwest
Cumberlan
d MD
Thompson
Colleen
Nurse
MFCU-A
5/17/2005
312 Boardwood Drive
Rockville
MD 20850
Thompson
Carl N.
PCP
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
Regina
PCP
HD
5/7/2003
524 Cedar Street
Cambridge
MD 21613
Thompson
Yvonne
PCP
HD
3/27/1996
914 E. Biddle Street
Baltimore
MD 21202
Thornton
Keisha
PCP
HD
3/12/2002
307 Barclay Street
Salisbury
MD 21853
Thornton
Martha
PCP
HD
6/16/1993
402 Cedar Street
Pocomoke
MD 21851
Tibold
Kinga
M.D.
LB
6/24/2010
11355 Pembrooke Square.
Ste. 107
Waldorf
MD 20603
Tilghman
Anitra
Citizen
HHS
12/20/1995
3 Valley Arbor Court
Tinnin
Louis Watson
M.D.
HHS
3/27/2006
RR 1; Box 215
Tolliver
John
M.D.
HHS
8/20/1998
8629 Cross Chase Court
Fairfax
Station
Tom
Victoria
PCP
HD
12/10/2004
201 Poplar Springs Road;
Apt. I
Rockville
MD 20850
Tomboyeke
Idrisa
Aide
MFCU-A
7/25/2005
408 Torrington Place
Silver
Spring
Tompkins
Lauren
Nurse
HHS
10/20/2005
601 N. Eutaw Street
Baltimore
MD 21201
Torain
Doris
Citizen
HHS
5/6/1988
2359 Sundew Terrace
Baltimore
MD 21209
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
LB - Licensing Board
LICENSE #
702685
D53753
Essex MD
21221
Brucetonw
D 12494MD;
Mill WV
11975WV; 13815KY;
D36868, 17373
R 093760
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 63 of 70
LAST NAME
FIRST NAME
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
Towers, Jr.
Earl Madison
P.D.
LB
10/15/1990
214335 E C I; Route 1, Box
500
Westover
MD 21871
Towns
Charles
D.D.S.
HHS
11/25/1983
6400 Rossville Blvd
Baltimore
MD 21237
Treece
Thaddeus R.
PCP
HD
3/15/1994
2628 E. Madison Street
Baltimore
MD 21205
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
Tunstall
Daphne
Citizen
F
3/19/1996
400 Battery Drive
Harve de
Grace MD
Turner
Joseph
Citizen
F
9/16/1993
807 Benninghouse Road
Baltimore
MD
Corporation
HD
7/28/2005
Citizen
F
3/1/1995
405 Frederick Road; #158
Catonsville
MD 21228
Twenty Four Seven
Home Health Care
LICENSE #
12736
D 25136
905 W. Seventh Street; PMB Frederick
302
MD 21702
Tyco Clinical Lab.
T. Husain
Tymiuk
Wasyl
P.D.
LB
7/21/1993
2405 Mayfield Avenue
Baltimore
MD 21213
Uche
Hyacinth
R.Ph
F
12/7/2003
1413 King William Drive
Baltimore
MD 21228
11960
Udebiuwa
Oparaugo
M.D.
F
11/30/2006
450 West Central Avenue
Davidsonvill
e MD
D 44603
Corporation
HHS
1/7/1998
639 Riverside Drive
Annapolis
MD 21403
Citizen
HHS
10/20/2002
P. O. Box 867
Arnold
MD 21012
Corporation
HD
3/24/2004
5506 Wayne Avenue
Baltimore
MD 21207
United Medical, Inc.
Valentine
Eugene
Valerie's Assisted Living
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
LB - Licensing Board
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 64 of 70
LAST NAME
FIRST NAME
SPECIALTY
SANCTION TYPE
SANCTION
DATE
Valove
Paul
Van Horn
Eugean C.
Vandi
M.D.
LB
1/24/2007
Corporation
HHS
9/15/1989
8163 Murry Hill Drive
Fort
Washingto
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
PCP
HD
11/1/2006
455 N. Centre Street
Cumberlan
d MD
Vaters
Willa J.
Corporation
HHS
5/2/1989
Route 3, Box 144
Hagerstow
n MD
Vaughn
Hope L.
Aide
HHS
10/18/1993
1940 W. North Avenue
Baltimore
MD 21217
Corporation
F
11/3/2005
7185 Columbia-Gateway
Drive
Columbia
MD 21046
Vegetarian Institute
ADDRESS
CITY/STATE
/ZIP
11085 Little Patuxent Pkwy. Columbia
MD 21044
LICENSE #
D 17463
Villars
Maureen
PCP
HD
5/10/1996
11308 Gilsan Street
Silver
Spring
Villaruz
Rogelio
M.D.
F
6/28/1988
576 Stocketts Run Road
Davidsonvill
e MD
Wagner
Keith
Citizen
F
6/5/1991
9304 Warren Street
Silver
Spring
Waison
Marion Smith
M.D.
LB
9/16/2005
Woman to Woman Comp
Care; Hickory Ridge Road
Columbia
MD 21044
D 28668
Waites
Regina Marie
Nurse
F
8/2/2002
16425 Calla Hill Road NW
Mount
Savage
R 071263
Walker
Tonya
Aide
HHS
3/13/1999
3416 Brinkley Road; #402
Temple
Hills MD
Wallace
Michelle
PCP
HD
12/27/2002
9409 Jolean Road
Wallach
Daniel E.
M.D.
F
12/21/1992
90-B Painters Mill Road
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
LB - Licensing Board
D 20839
Randallsto
wn MD
Owings
Mills MD
D 24863
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 65 of 70
LAST NAME
FIRST NAME
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
Ward
David C.
Warren
Vinita
Watkins
M.D.
HHS
2/19/1999
3317 Mondawmin Avenue
Baltimore
MD 21216
Citizen
HHS
12/20/1995
2003 Georgian Wood Place
Wheaton
MD 20902
Mildred
PCP
HD
8/7/2008
412 South Cedar Street,
Apt #2
Cumberlan
d MD
Watkins
Rose
PCP
HD
9/30/2008
1027 Cosby Avenue
Cambridge
MD 21613
Wattay
Ellen G.
P.T.
LB
1/17/2006
408 Parkwood Drive
Salisbury
MD 21804
Watts
Sherrie
Citizen
F
10/28/1987
1907 Forest Park Apt; 53
Baltimore
MD 21207
Waxler
Richard M.
Citizen
HHS
6/19/2003
6015 Middewater Court
Columbia
MD 21044
Weaver
Brian
M.D.
LB
4/29/2010
1124 N. Main Street
Sikeston
MO 63801
Weaver
Darlynn
PCP
HD
8/6/1997
1503 East 29th Street
Baltimore
MD 21218
Webster
Dewitt
D.D.S.
LB
8/1/1990
6409 Ager Road
Hyattsville
MD 20782
4123
Weems
George
M.D.
LB
7/1/1994
BOX 262-C
Prince
Frederick
D 12969
Wehren
Lois
M.D.
LB
3/13/1997
4098 Fragile Sail Way
Ellicott City
MD 21042
D 21325
Weiss
Sam Arthur
Aide
HD
6/11/2004
3506 Glen Avenue
Baltimore
MD 21215
Weissfuss
Meaghan N.
Citizen
MFCU-A
12/7/2005
11934 North Street; Apt. 5-3 Libertown
MD 21762
Weitzman
Warren
Citizen
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
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
LB - Licensing Board
LICENSE #
13600
D 42017
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 66 of 70
LAST NAME
FIRST NAME
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
Wells
Luititia D.
PCP
HD
7/1/2002
P.O. Box 205
Newburg
MD 20664
Weneck
Bruce
M.D.
F
8/27/1986
303 Memorial Blvd
Hagerstow
n MD
D 22698
Werner
Stephanie A.
Nurse
HHS
4/20/2004
423 Lincoln Avenue
Glen
Burnie
R 097064
Weston
Danly P.
D.D.S.
HHS
4/22/1997
12821 Old Fort Road
Fort
Washingto
Wheeler, Jr.
Rudolph D.
Citizen
F
2/14/1997
2007 Mayfield MD
Baltimore
MD 21213
White
Sandra E.
Aide
HHS
4/12/1993
4604 Bromley Ave
Suitland
MD 20746
White
Puanani J.
Citizen
HHS
10/20/2004
405 Parsonage Lane
Saint
Michaels
White, Jr.
Charles Edward
P.A.
HHS
9/26/1990
2921 Pulaski Highway
Baltimore
MD 21224
Whitehead
Jessica
PCP
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.
Citizen
HHS
9/2/1992
5606 McClean Blvd; Apt. C
Baltimore
MD 21212
Wilder
Craig R.
M.D.
HHS
7/20/2010
2510 Moores Plans
Boulevard
Upper
Marlboro
Wilkes
Darryl Ivan
Citizen
HD
9/21/2005
12428 Gable Lane
Ft.
Washingto
Wilkinson
Morris A.
M.D.
HHS
4/13/1993
7815 Old Reciever Rd
Frederick
MD 21702
Wilks
Deborah
Citizen
HHS
11/15/1995
2023 Woodlawn Drive;
Apt. B
Baltimore
MD 21207
Williams
Fortune J.
M.D.
HHS
9/20/2005
5010 York Road
Baltimore
MD 21212
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
LB - Licensing Board
LICENSE #
D 66430, A77700,
MD034904
D 20279
D 30591
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 67 of 70
LAST NAME
FIRST NAME
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
Williams
Daniella
Citizen
F
4/23/2003
1523 Ellamont Avenue
Baltimore
MD 21206
Williams
Sharon
PCP
HD
10/7/1996
P. O. Box 316; Peabody
Street
Leonardto
wn MD
Williams
Carter
M.D.
F
4/14/1993
3104 Woodholme Ave
Baltimore
MD 21234
Williams
Arnita L.
PCP
HD
2/18/1998
1025 Webb Court
Baltimore
MD 21202
Williams
Deborah
PCP
HD
9/17/1998
5409 Schley Avenue
Baltimore
MD 21213
Williams
Olivette
PCP
HD
1/6/1998
6237 Maxwell Drive
Camp
Springs
Williams
Lillian
Nurse
HHS
4/20/2003
8925 Footed Ridge
Columbia
MD 21045
Williams
Joanie Linden
PCP
HD
9/26/1997
Williams
Barbara L.
Aide
HHS
11/10/1992
6934 Walker Rd; #B-1
Capitol
Heights
Williams
Thomas C.
Aide
MFCU-A
3/2/2004
1113 Bonaparte Avenue
Baltimore
MD 21218
Williams
Cleveland
M.D.
LB
8/20/1991
1111 Spring St; Ste 103
Silver
Spring
D 26740
Williams, III
Robert X.
M.D.
HHS
10/19/2006
3913 Fleetwood Avenue
Baltimore
MD 21206
D 62991
Willis
Vida Marie
Aide
HHS
5/21/1997
3816 Towanda Ave; 1st
Floor
Baltimore
MD 21215
Wilson
Rose
PCP
HD
5/15/1998
2926 Miles Avenue
Balitmore
MD 21211
Wilson
Tamela
PCP
HD
9/27/1995
751 Woods Road
Cambridge
MD 21613
Wilson
Donisha
Aide
MFCU-A
6/16/2006
11031 Kristin Way
Worten
MD 21678
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
LICENSE #
D 27537
3901 Greenmount Avenue; Baltimore
2nd Floor
MD 21218
LB - Licensing Board
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 68 of 70
LAST NAME
FIRST NAME
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
LICENSE #
Wilson
Stuart K.
M.D.
LB
12/20/2000
717 Oyster Cove Dr
Grasonville
MD 21638
D 35598
Winder
Tyrone
Citizen
HHS
12/20/1995
4608 Marble Hall Road
Baltimore
MD 21239
Corporation
HD
9/20/2005
7407 Castlemoore Road
Windsor
Mill MD
Windsor Respite
Wingate
Shonelle
PCP
HD
11/27/2009
8601 Greens Lane
Baltimore
MD 21224
Wischer
Noreen Ann
PCP
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
Citizen
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
Wooldridge
Judith
Nurse
HHS
9/19/2003
1306 Willow Oak Drive
Frederick
MD 21701
R 043792
Wright
Cynthia McGinnis
Nurse
HHS
10/19/2006
42825 Shaler Street
Chantilly
VA 20152
0001-092200(VA);
R078532(MD)
Wright
Stephanie
Aide
HHS
2/27/2000
P. O. Box 11949
Baltimore
MD
Yarborough
Pamela
PCP
HD
3/22/2004
137 Faywood Court; Apt. 5
Glen
Burnie MD
Yazdani
Farshad
M.D.
LB
4/4/1999
339 E. Antietam St
Hagerstow
n MD
Corporation
HD
5/24/2006
8511 Allenswood Road, etc.
Randallsto
wn MD
D.D.S.
F
12/11/1981
1503 West Lombard Street
Baltimore
MD 21223
Yoshabell's House, I,II, III
Youmatz
Sanction Type:
Henry F.
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
LB - Licensing Board
D 29137
D 37046
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 69 of 70
LAST NAME
FIRST NAME
SPECIALTY
SANCTION TYPE
SANCTION
DATE
ADDRESS
CITY/STATE
/ZIP
Young
Sara
PCP
HD
5/16/1995
381-D Willows Road
Lexington
Park MD
Young
Henry A.
M.D.
HHS
2/13/1995
901 Eastern Avenue
Baltimore
MD 21221
Young
Leonard H.
Citizen
HHS
8/20/2009
7003 Targuin Avenue
Temple
Hills MD
Young
Jennifer
PCP
HD
3/3/2005
26771 Johnson Creek Road
Crisfield
MD 21817
Yu
Young H.
M.D.
LB
9/21/2001
1205 York Place; Ste. 30A
Towson
MD 21204
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
Charlestow
n MD
Zedd
Arnold J.
M.D.
LB
4/28/2004
2621 Jamestown Lane Apt.
203
Alexandria
VA 22314
Sanction Type:
MFCU-A = Medicaid Fraud Control Unit Vulnerable Adult Abuse Conviction
HHS = Department of Health and Human Services - Medicare Exclusion
Monday, October 18, 2010
LB - Licensing Board
LICENSE #
D 33875
D 09075
D 53164
HD = Health Departments
F = Individual or Entity Convicted of Medicaid Fraud
Page 70 of 70