Sanctioned Providers from Participation in Maryland

LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

A & A Medical Supply Company Business HD 10/29/2015 146 Chartley Drive Ste 100 Reisterstown MD 21136 Entity

A&E Home Care I, II Business HD 5/26/2005 1234 Cathedral Drive Glen Burnie MD 21061 Entity

Aalai Mehrdad M.D. F 8/15/1994 10524 Democracy Blvd Potomac MD 20854

Abassi Rasheed M.D. LB 3/15/2016 9135 Piscataway Road Ste Clinton MD 20735 420

Abbas Muhmoud F M.D. F 6/10/1992 5411 Old Frederick Road MD 21229

Abell Amanda Personal HD 3/29/2006 19862 Preference Way Callaway MD 20620 Care

Abundant Life Center, Inc. Business HHS 7/5/1989 30 South Broadway Baltimore MD 21231 Entity

Acree Virginia V. Nurse HHS 12/20/2009 FPC Alderson, Glen Ray Alderson WV 24910 Road, Box A

Adam Hakki B. M.D. F 8/24/1983 6172 Oxon Hill Road Oxon Hill MD 20715

Adams Gloria Personal HD 3/16/2014 100 Maryland Avenue Hurlock MD 21643 Care

Adams Charlotte Personal HD 10/24/1994 5313 Barbara Avenue Baltimore MD 21206 Care

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 1 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Addison Denise Personal HD 9/9/1998 P.O. Box 6014 Baltimore MD 21231 Care

Addison‐Scott Gloria Individual HHS 7/20/2014 4120 Taylor Avenue Apt. 1Baltimore MD 21236

Adedapo Abosede Aide HHS 2/11/1999 1471 Hadwick Drive Baltimore MD 21221

Adefolaju Adebowale Nurse HHS 7/20/2009 6405 Seta Drive Lanham MD 207060

Adelanwa Gabriel W. LCPC F 2/18/2007 7100 Chesapeake Road Landover Hills MD 20784

Aderibigbe Victoria O. Individual HHS 5/22/1998 11380 Cherry Hill Road; Beltsville MD 20705 #20

Adewale Soloman P.D. HHS 6/19/2008 4046 Warner Avenue, Apt. Landover Hills, MD D1 20784

Adeyemi Nancy Individual HHS 8/20/2008 7758 Finns Lane, Apt. 2New Carrollton MD 20781

Adeyemi Mukaila Individual F 2/28/1997 25 Strawhat Road; 1‐COwings Mills MD 21117

Adeyemo Adeleke M.D. LB 3/26/2014 5267 AL Jones Drive Shady Side MD 20764

Adger Rossanna Personal HD 9/9/1998 2140 Boyd Street Baltimore MD 21223 Care

Adiegwu Nnamdi Aide MFCU‐A 11/8/2013 5002 Baltimore National Baltimore MD 21229 Pike

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 2 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Adler Jane M. M.D. HHS 9/20/2001 9812 Falls Road; Ste 114 Potomac MD 20854

Advanced Clinical Associates Inc. Business F 10/2/1997 201 North Charles Street Baltimore MD 21201 Entity

Agroh Musa Aide MFCU‐A 10/2/2012 4403 Silver Brook Lane Owings Mills MD 21117 Apt. A102

Aiken Stuart D.P.M. HHS 5/5/2006 16 Dartmoor Court Olney MD 20832

Aikens‐Afful Nathaniel M.D. F 4/18/1983 3706 Collier Road Randallstown MD 21133

Air Support Therapies Business HD 10/30/2015 P.O. Box 188 Upper Falls MD 21156 Entity

Ajimatanrareje, Jr. Femi A. Pharmacy HHS 3/20/2014 9450 Whiskey Bottom Laurel MD 20723 Technician Road

Ajong Eric Aide HHS 6/20/2011 13107 Serpentine Way Silver Spring MD 20904

Ajouh Mekone Aide MFCU‐A 7/18/2014 2518 Molton Way Baltimore MD 21224

Ajrawat Paramjit M.D. F 10/17/2015 7327‐A Hanover Parkway Greenbelt MD 20770

Ajumobi Chukwudi Individual HHS 8/19/2010 5404 85th Avenue, Apt. T3 New Carrollton MD 20784

Akande Dwanus Nurse HHS 1/20/2008 10849 N. Central Dallas, TX 75231 Expressway

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 3 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Akhigbe Ehigiator M.D. HHS 10/20/2010 FCI Morgantown P.O. Box Morgantown WV 26507 1000

Aksoy Yasar M.D. LB 7/17/2001 1423 Cedarcroft Road Baltimore MD 21239

Akthar Waheed U. M.D. LB 9/9/2004 301 S. Theodore Green White Plains MD 20695 Blvd

Al‐Attar Ali M.D. LB 4/22/2009 4900 Silver Hill Road Suitland MD 20746

Albers Nancy Individual HHS 1/20/2008 750 Farnham Place Bel Air MD 21014

Albrecht Frank M. Counselor HHS 8/20/2003 P.O.Box 877; 725 Elwood Easton MD 21601 Ave

Alemnji Cedonne Aide HHS 4/20/2015 9338 Edmonston Road Apt Greenbelt MD 20770 204

Al‐Khatib Susan Nurse HHS 2/20/2008 13014 Winchester Road, Cumberland, MD 21502 SW

Allen Yvonne Aide MFCU‐A 10/29/2014 2565 Francis Street Baltimore MD 21217

Allotey John B.K. M.D. LB 11/14/2012 P.O. Box 925MP Manprobi‐Accra Ghana

Ally Azad M. D.D.S. F 7/21/2004 1643 Agnes Avenue, S.E. Palm Bay FL 32909

Alperstein Arnold R.Ph HHS 1/20/2004 3202 Walnut Avenue Owings Mills MD 21117

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 4 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

American Diagnostic Laboratories Business HD 10/28/2008 15749 Crabbs Branch Way Rockville MD 20855 Entity

American Medical Co‐Op, LLC Business HD 4/17/2016 330 Mallory Station Road, Franklin TN 37067 Entity Ste. G‐26

Amirgholi Mohammed H. M.D. LB 3/23/1988 9401 Indian Head Hwy Ft. Washington MD 20744

Amoss Willard M.D. LB 6/20/2012 2303 Belair Road Fallston MD 21047

Anderson Morris Personal HD 7/21/1995 11 W. Baltimore; #1012 Hagerstown MD 21740 Care

Anderson Susan Nurse HHS 12/19/2002 11554 Buckskin Court Lusby MD 20657

Anderson Richard H. M.D. LB 5/26/2001 13 Cedar Waxwing Road Hilton Head Island SC 29928

Andreadis Barbara L. LCSW F 5/20/2003 47 E. Main street Hancock MD 21750

Andrews Lorenzo Nurse HHS 7/20/2004 8341 Canning Terrace Greenbelt MD 20770

Angel Square Business HD 6/28/2005 2306 Breton Drive District Heights MD Entity 20747

Angel's Paradise II Business HD 12/1/2011 7808 Baltimore Annapolis Glen Burnie 21060 Entity Blvd.

Anhary Hamid M.D. LB 5/22/2013 1325 Mt. Herman Road Salisbury MD 21804 Ste. 14B

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 5 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Anifowose Olufunke Aide MFCU‐A 9/20/2012 38 Trout Brook Circle Reisterstown MD 21236

Ankrah Solomon Aide MFCU‐A 7/29/2013 3 Korado Court, Apt. 2B Windsor Mill MD 21244

Ann's Loving Care Business HD 9/5/2007 1536 Northgate Road Baltimore MD 21218 Entity

Appel Lawrence W. R.Ph HHS 12/20/2004 4 Coachman Ct; Apt. 202 Randallstown MD 21133

Arbogast Rebecca Personal F 1/6/2007 36856 Danny Lane Chaptico MD 20621 Care

ARG Associates, Inc. Business HHS 5/20/2002 8314 Glenmar Road Ellicott City MD 21045 Entity

Argos Vision & Eyecare Center Business LB 9/20/2013 15920 Shady Grove Road Gaithersburg MD 20877 Entity

Arrey Pamela P.D. HD 8/15/2008 13850 Kennard Drive Glenelg MD 21737

Arrington James Personal HD 4/17/1996 4138 Woodhaven Avenue; Baltimore MD 21216 Care Apt. 1 FL

Arroyo Ruy Dan M.D. HHS 9/20/1996 1215 Evesham Ave Baltimore MD 21239

Arroyo Jose C. M.D. HHS 6/18/1998 6400 Baltimore Nat'l Pike Baltimore MD 21228 #512

Arung Elizabeth Aide HHS 4/20/2015 1817 Greenwich Wood Silver Spring MD 20903 Drive Apt. 24

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 6 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Asemani Ghafour B. D.D.S. HHS 7/18/2002 8667 Town & Country Ellicott City MD 21043 Blvd; F

Ashimi Karen Aide MFCU‐A 5/24/2007 2424 Bridgehampton Parkville MD 21234 Drive, #J

Asinyang Raphael Aide MFCU‐A 12/7/2013 3546 Carriage Hill Circle, Randallstown MD 21133 Apt. 303

Askins Annie Delois Personal HD 5/4/2006 3301 Ripple Road Baltimore MD 21244 Care

Askins Private Care Home Business HD 5/4/2006 3301 Ripple Road Baltimore MD 21244 Entity

Aslam Mohammad M.D. LB 9/4/2014 501 S. Union Avenue Havre de Grace MD 21078

Atlantic Health Care, Inc. Business HHS 10/7/2007 7640 Fullerton Road Springfield VA 22153 Entity

Aurora Hlth Care Services, Inc. Business HD 5/4/2005 14004 Silver Teal Way Upper Marlboro MD Entity 20774

Austin Dan E. M.D. LB 4/4/1999 12164 Central Ave Mitchelleville MD 20721

Automated Billing Service Business HHS 6/12/1997 4701 Randolph Road Rockville MD 20852 Entity

Awele Treatment and Rehab.Clinic Business HD 2/27/2007 2300 North Calvert Street Baltimore MD 21218 Entity

Ayers George J. P.T. HHS 2/20/2006 75 Beatrice Street Cumberland MD 21502

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 7 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Ayinwingong Niba Individual HHS 6/18/2015 7941 Piedmont Avenue Greenbelt MD 20706

Aziz Ahmed D.D.S. LB 11/26/2003 6117 Marlboro Pike District Heights MD 20747

Azzato Nicholas M. M.D. HHS 10/4/1989 333 University Blvd; West Kensington MD 20895

Babaturk Hasan M.D. LB 2/25/2016 901 Eastern Boulevard, Ste Baltimore MD 21221 200

Babaturk Hidir M.D. HHS 9/30/1988 6578 Gulford Avenue Clarksville MD 21029

Backmon Marquil D. Individual HHS 2/15/1997 830 N. Kenwood Avenue Baltimore MD 21205

Bagby Victoria Individual HHS 10/20/2008 435 N. Curley Street Baltimore MD 21224

Bagheri Farhad D.D.S. LB 8/15/2005 13529 Clopper Road Germantown MD 20874

Bagwell Polla Darlene Aide HHS 2/18/1999 3127 Artaban Place Baltimore MD 21216

Bah Haja Aide HHS 6/20/2005 3207 Toleda Place; Apt. Hyattsville MD 20782 203

Baig Mirza M.D. LB 4/17/2013 13900 Baltimore Avenue Laurel MD 20707

Bailey, Jr. Purcell M.D. LB 4/16/2015 2600 Liberty Heights Baltimore MD 21215 Avenue Ste. 103

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 8 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Bakare Oluwatoyin Personal HHS 4/20/2015 8207 Consett Court Severn MD 21144 Care

Baker Cynthia Nurse HHS 6/19/2008 5753 Hazelwood Circle, Baltimore MD 21206 Apt. F

Baker Betty Personal HD 9/9/1998 524 W. Preston Street Baltimore MD 21202 Care

Baltazar Rodney D.O. HHS 2/6/2009 319 Maloney Road Elkton MD 21921

Banks Evelyn Individual F 10/28/1987 2140 Pine Avenue Baltimore MD 21207

Barahona Leonel M.D. LB 11/19/2009 1101 Maiden Choice Lane Baltimore MD 21229

Barber Steven Individual HHS 2/20/2011 4305 Belfield Drive Greensboro NC 27407

Barb's Mason Dixon Home Business HD 7/31/2006 29233‐A West Line Road Delmar MD 21875 Entity

Barnes Ronald Aide MFCU‐A 6/18/2014 3501 Mayfair Road Baltimore MD 21207

Barnes Georgia Personal HD 4/14/2003 12 Garrisonridge Court Owings Mills MD 21117 Care

Barnes Stephen M.D. HD 10/24/2015 600 N. Wolfe Street Baltimore MD 21287

Barnette Dawn Personal HD 4/1/1994 SR6; Box 277‐13 LaPlata MD 20646 Care

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 9 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Barr Alvin Scott Nurse HHS 4/20/2004 8336 Evergreen Drive Lusby MD 20657

Basco Michael M.D. LB 1/14/2016 1115 4th Street SE Washington DC 20003

Bass Mitzi Lucille Nurse HHS 7/18/2002 804 W. Nash Street Terrell TX 75160

Bassett David W. M.D. LB 3/29/2006 CPC Health, Inc; 500 W. Rockville MD 20850 Montgomery Avenue

Bates Robert E. Optician HHS 7/7/1997 11511 Lockhardt Place Silver Spring MD 20902

Battaile William G. M.D. LB 9/29/1996 Box 273 Gibson Island MD 21056

Battle Jesse Individual HHS 8/18/2011 6005 Tipton Drive Temple Hills MD 20748

Baum Victor M.D. HD 1/3/2016 919 Flordon Drive Charlottesville VA 22901

Baumann Carol Nurse HHS 4/20/2004 3908 Eighth Street Brooklyn MD 21221

Baxter Steven Aide HHS 8/19/2010 1928 Rochell Avenue, Apt. Forestville MD 20747 1213

Beachley Carroll L. Aide HHS 5/13/1998 10420 Bailey Road Hagerstown MD 21740

Beauford India Aide HHS 8/20/2014 1949 Ewald Avenue Dundalk MD 21222

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 10 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Beaverbrook Corner Business HD 2/1/2006 4994 Beaverbrook Road Columbia MD 21044 Entity

Beck Charlene Personal HD 9/9/1998 Route 1; Box 237 Rock Hall MD 21661 Care

Beck Jeffrey R. D.O. LB 7/13/2006 22 S. Greene Street Baltimore MD 21201

Beck Zina Yvonne Personal HD 6/19/1998 3925 Clark Lane, Apt. DBaltimore MD 21215 Care

Belfar William M.D. HHS 1/20/2015 633 Westbury Avenue Westbury NY 11590

Bell Guy Individual F 2/27/2008 2712 Tallow Tree Drive Woodstock, MD 21163

Bell Vadney Aide HHS 8/20/2000 16 Brubar Court; Apt. 2‐CGwynn Oak MD 21207

Bellamy Deitra D.D.S. LB 4/1/2015 6105 Harford Road Baltimore MD 21214

Bellis Edwin M.D. LB 2/27/2013 32071 Beaver Run Drive Salisbury MD 21802 Ste. B

Benchasil Sakda M.D. LB 10/30/1998 9 Slate Mills Ct Baltimore MD 21228

Benchoff Richard R.Ph HHS 9/20/2009 139 E. Baltimore Street Hagerstown MD 21740

Benn Stanley Junious Individual F 7/14/2005 16 Arrowood Court Baltimore MD 21237

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 11 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Benson, Jr. Fred D.D.S. HHS 6/6/1993 8055 13th Street Silver Spring MD 20910

Bernhard Larry D.P.M. HHS 10/30/2007 446 Colonial Ridge Land Arnold MD 21012

Berrebi Gabriel M.D. LB 4/15/2015 11904 Darnestown Road North Potomac MD Ste F 20878

Besong Emiline Aide HHS 4/20/2015 1806 Greenwich Wood Silver Spring MD 20903 Drive

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

Bintou Fofana Aide HHS 8/18/2011 9207 Bluefield Road Springdale MD 20774

Black Matthew D.O. LB 5/9/2012 1683 Laguna Drive Idaho Falls ID 83404

Blancaflor Othneil Individual HHS 5/22/1985 36 S. Charles Street Baltimore MD 21201

Blizzard Judy Personal HD 9/30/1993 1326 Deer Park Road Westminster MD 21157 Care

Blue Star Assisted Living Business HD 8/31/2006 5415 Lincoln Street Bethesda MD 20817 Entity

BMA Health Care Services, Inc. Business HD 5/16/2013 12510 Prosperity Drive Silver Spring MD 20904 Entity Ste. 180

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 12 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

BMA Health Care Services, Inc. Business HD 5/16/2013 12510 Prosperity Drive Silver Spring MD 20904 Entity Ste. 180

BMA Health Care Services, Inc. Business HD 5/16/2013 12510 Prosperity Drive Silver Spring MD 20904 Entity Ste. 180

BMA Health Care Services, Inc. Business HD 5/16/2013 12510 Prosperity Drive Silver Spring MD 20904 Entity Ste. 180

Boches Hillari Pharmacy HHS 3/20/2014 3 Stags Laurel Court Pikesville MD 21208 Technician

Bockover Carol Nurse HHS 8/20/2002 29180 Naylor Mill Road Salisbury MD 21811

Body Energetics, Inc. Business HHS 9/20/2001 9051 Baltimore Nat'l Pike; Ellicott City MD 21042 Entity Ste 3‐E

Boesen Peter V. M.D. HHS 3/20/2008 07705‐030, USP, P.O. Box Leavenworth KS 66048 1000

Bohannon Wayne E. Ph.D. LB 11/9/2001 Behavioral Science Assoc; Lutherville MD 21093 10751 Falls Road

Boisvert Raymond Nurse HHS 8/20/2015 2701 N.W. 23rd Blvd. Apt. Gainesville FL 32605 225

Bolshinsky Igor Personal HHS 5/19/2005 10948 Whiterim Drive Potomac MD 20854 Care

Bonovich Kermit M.D. LB 11/30/2010 754 Hickory Avenue Bel Air MD 21014

Bordley Thomas Individual HHS 12/20/1995 1531 Gleneagle Road Baltimore MD 21239

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 13 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Boussougou Etienne Aide HHS 8/20/2015 1514 Madison Street Apt. Hyattsville MD 20782 101

Bowens Michelle Personal HD 7/31/2002 600 N. Bentz St.; Apt. 8 Frederick MD 21701 Care

Bowie, Jr. Charles Douglas D.D.S. F 3/20/2003 4205 Liberty Heights Baltimore MD 21207 Avenue

Bowman Michael LCSW HD 3/9/2015 2401 E. North Avenue Baltimore MD 21213

Boyce Jesse D.P.M. HHS 1/16/2002 1714 Peachtree Lane Bowie MD 20721

Boyd Seward D.O. LB 2/11/1991 556 Ingraham St Washington DC 20011

Boykins Loretta Penny Individual HHS 12/20/2001 1212 Whitelock Street Baltimore MD 21217

Brackett Mary Jane M.D. HHS 7/20/2015 45 Litchfield Road Watertown CT 06795

Bradbard Steven L. Ph.D. HHS 7/14/1993 8804 Saddle Lane Potomac MD 20854

Bradford Brenda Aide HHS 1/20/2004 2706 Gresham Way; Apt. Baltimore MD 21244 303

Bradley John Nurse LB 3/26/2012 915 Toll House Avenue Frederick MD 21701

Bradley William R. M.D. LB 6/27/1997 7505 E. Brushfield Ct Baltimore MD 21237

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 14 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Branch Bernadette Personal HD 3/20/1993 P. O. Box 33354 Baltimore MD 21218 Care

Branch Kelly Individual HHS 3/25/1998 749 Linnard Street Baltimore MD 21229

Branch Freddie Individual HHS 2/15/1997 35 Loring Court; DBaltimore MD 21219

Braud Joseph M.D. HHS 1/20/2010 P.O. Box 5010 Oakdale LA 71463

Braxton, Jr. John M.D. LB 8/22/2012 1940 W. Baltimore Street Baltimore MD 21225

Bray Thomas M.D. HD 10/24/2015 600 North Wolfe Street Baltimore MD 21287

Breakfield James E. Individual F 7/10/2009 954 Forrest Street Baltimore MD 21202

Breitenecker Rudiger M.D. LB 7/1/2014 2000 Western Run Road Cockeysville MD 21030

Brenner Myron M.D. LB 10/22/2008 14025 Cuba Road Hunt Valley MD 21030

Breslerman Mark J. D.D.S. LB 5/2/1990 6232 Montrose Road Rockville MD 20852

Brice Charlene Personal HD 6/20/1995 8 Patamoke Way Cambridge MD 21613 Care

Brigance Troy B. RCP HHS 11/20/2003 851 Park Avenue Baltimore MD 21201

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 15 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Briggs Duriel Aide MFCU‐A 10/29/2014 5 West Bend Court, Apt. DBaltimore MD 21207

Britos‐Bray Anibal M.D. F 7/29/1995 16 Aberdeen Shopping Pl Aberdeen MD 21001

Brock Deon M. Individual F 5/29/2008 1127 N. Gilmor Street Baltimore MD 21217

Bronder Rosemary Nurse HHS 5/18/2000 4421 Saddle River Drive Mitchellville MD 20702

Brooks Myrtle Individual HD 7/17/2005 1501 Bayly Road Cambridge MD 21613

Brooks Wanda Personal HD 6/27/1990 6870 Sturbridge Drive; Baltimore MD 21234 Care Apt. B

Brooks Latosha N. Aide MFCU‐A 2/2/2005 3809 Bonview Avenue Baltimore MD 21213

Brooks Care Home Business HD 7/17/2005 1501 Bayly Road Cambridge MD 21613 Entity

Brown Richard M.D. LB 11/5/2014 128 Kirwans Landing Lane Chester MD 21619

Brown Ray‐monia Aide HHS 9/18/2014 102 N. Broadway Apt. 8Baltimore MD 21231

Brown Cynthia A. M.D. LB 2/23/1990 16816 5th Ave, SE Buthell WA 98012

Brown Shantay T. Aide HHS 7/13/2000 3520 Baltimore MD 21207

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 16 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Brown Spencer Individual F 2/8/2013 19 Autumn Blaze Court Woodstock MD 21163

Brown Luwahn Personal HD 3/31/1994 Rt. 2; Box 2259 La Plata MD 20646 Care

Brown Louise Personal HD 9/9/1998 5414 Gist Avenue Baltimore MD 21215 Care

Brownstein Steven A. D.P.M. LB 3/11/1999 420 S. Crain Hgwy Glen Burnie MD 21061

Bruger Peter Physician HHS 6/19/2014 312 Mill Pond Lane Apt 405 Salisbury MD 21804 Assistant

Bryant Tonya Personal HD 9/6/1995 3505 Carsdale Avenue Baltimore MD 21207 Care

Bryson Rick Van D.P.M. HHS 3/20/2006 15608 Henrietta Drive Accokeek MD 20607

Buchanan Elizabeth Personal HD 1/9/1992 4114 Buckingham Road Baltimore MD 21207 Care

Buchar Chris R. R.Ph HHS 5/10/2003 26114 Pelham Avenue Baltimore MD 21213

Budnichuk Alfred D. Radiation HHS 6/19/2003 1539 Redfield Road Bel Air MD 21015 Tech

Budnick Jean Individual HHS 6/30/1994 4700 Leyden Way Ellicott City MD 20142

Burge Lisa M. Individual HHS 2/6/1998 7934 Mayfair Circle Ellicott City MD 21043

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 17 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Butts Shayrie Personal HD 7/19/1991 306 Bishop Avenue Baltimore MD 21225 Care

Calhoun Marvita Personal HD 8/19/1994 96 College Park Terrace Annapolis MD 21401 Care

Calon Antonino H. M.D. LB 11/6/1998 611 S. Union Ave Havre De Grace MD 21078

Caltrider Robert PA HHS 5/20/1998 212 Juniper Drive Glen Burnie MD 21060

Campbell Peter M.D. LB 10/13/2010 3001 Hospital Drive Cheverly MD 20785

Campbell Darlene CRT HHS 11/20/2000 3010 Spaulding Avenue Baltimore MD 21215

Cappelli Stephen R.Ph HHS 10/20/2014 741 Elizabeth Street Utica NY 13501

Cardiotel Inc. Laboratory HHS 6/20/2002 19636 Club House Road; Gaithersburg MD 20886 Ste 120

Care Plus Ambulance Service, Inc. Business F 9/13/1999 4 Woostream Court; #9 Owings Mills MD 21117 Entity

Caregivers, LLC Business HD 10/20/2008 11405‐103 Little Patuxent Columbia MD 21044 Entity Parkway

Carney‐Barry Donna Individual HHS 8/20/2013 21 Bohn Court Rosedale MD 21237

Carpenter Gene P. Aide HHS 5/20/1999 7328 Church Hill Road Chestertown MD 21620

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 18 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Carroll Candy Personal HD 1/5/2007 P.O. Box 151 Park Hall ND 20667 Care

Carter Janet Individual F 8/30/2009 11400 Falcon Ridge Court Beltsville MD 20705

Carter Thomas N. M.D. LB 7/6/1994 9127 Georgia Ave Silver Spring MD 20910

Caruana Patricia LCSW LB 9/12/2008 6611 Marietta Avenue Baltimore MD 21214

Caslin Shirley Aide MFCU‐A 8/17/2012 8532 Graiden Drive Baltimore MD 21236

Caulker Alex Nurse HHS 8/20/2002 5445 N. Morgan Street; Alexandria VA 22312 #203

Certeza Humberto V. M.D. LB 7/31/1998 8946 Satyr Hill Rd Baltimore MD 21234

Chaiet Melvin R.Ph HHS 1/18/2001 4606 Barbara Drive Beltsville MD 20705

Chaiyupatumpa Nibondh M.D. LB 9/13/2011 517 Scott Street Baltimore MD 21230

Chalk Ella Personal HD 3/18/1996 1707 N. Patterson Park Baltimore MD 21213 Care Avenue

Chalkley Walter Individual HHS 11/11/1993 8645 Oak Road Baltimore MD 21234

Chalom Albert I. M.D. HHS 8/14/1990 6002 Eastern Ave Baltimore MD 21224

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 19 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Chaney Marlo Individual HHS 4/20/2010 523 Kerby Parkway Fort Washington MD 20744

Chang Samuel M.D. F 10/28/1987 10005 Hall Rd Potomac MD 20854

Charms One, LLC Business HD 9/28/2009 2021 Kennicott Road Baltimore MD 21244 Entity

Chase, Jr. Charles L. Individual HHS 4/10/1996 912 S. Baylis Street Baltimore MD 21214

Chavez Juan M. M.D. F 6/1/1988 4123 Frederick Ave Baltimore MD 21229

Chavis Darlene Personal HD 6/8/1993 619 Carlton Court Cambridge MD 21613 Care

Cheeves Deborah Nurse HHS 8/19/2010 4206 Forsythia Lane Pasadena MD 21122

Chellappa Mariam Audiologist LB 1/20/2001 7840 Eastern Avenue Baltimore MD 21224

Chen Cecella A. M.D. LB 5/26/2001 603 Stags Head Ct Towson MD 21204

Chertkov Lynn S. LCSW F 4/25/1991 400 East/West Highway Bethesda MD 20814

Chigbue Brian M.D. LB 1/14/2008 7943 Central Avenue Capitol Heights MD 20743

Cho Jay M.D. HD 10/9/2015 5124 E. Trindle Road Mechanicsburg PA 17050

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 20 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Choudry Vaqar D.D.S. LB 9/18/2014 301 East Antietam Street Hagerstown MD 21740

Chu Peter L. D.D.S. HHS 11/4/1988 12450 Parklawn Drive Rockville MD 20852

Chu and Chu, Inc. Business HHS 7/20/1988 1200 Annapolis Road Odenton MD 21113 Entity

Cimenga Tshibaka M.D. LB 8/6/2015 5401 Randallstown MD 21133

Clair Michael J. D.D.S. LB 10/7/1999 104 Plum Tree; Ste, 100 Belair MD 11014

Clark Marva J. D.D.S. HHS 9/3/1997 3900 Bel Pre Road; Ste 1 Silver Spring MD 20906

Clark Jimothy 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. Baltimore MD 21201 Greene St

Clark Ann Personal HD 11/27/2006 4509 Wakefield Road Baltimore MD 21216 Care

Clayton Edith Personal HD 9/9/1993 10518 Marriottsville Road Randallstown MD 21133 Care

Cleary Edward Paul Personal HD 11/10/2005 6723 Eldorado Road Federalburg MD 21632 Care

Cleveland Tamara Jane Nurse HHS 2/19/2004 1003 Girard Street; NE Washington DC 20017

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 21 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Clopin Wanda Personal HD 9/9/1998 9214 Victoria Drive Ellicott City MD 21043 Care

Coar Jemal Personal HD 6/11/2009 1652 Candlewood Court Edgewood MD 21040 Care

Cochran Timothy Individual HHS 3/31/1999 639 Riverside Drive Annapolis MD 21403

Cochran Cheryl Individual HHS 3/31/1999 639 Riverside Drive Annapolis MD 21403

Cockeysville Pharmacy Business F 7/25/2000 10255 York Road Cockeysville MD 21030 Entity

Cohen Adrian M. M.D. LB 3/15/1997 1404 Dennis Avenue Silver Spring MD 20902

Coleman Angela Personal HD 9/9/1998 112 Big Chimney Branch Upper Marlboro MD Care 20772

Coleman Rita M.D. HHS 2/23/1994 PO Box 9751 Baldwin MD 21013

Colston Burley Phyllis Individual HHS 2/15/1997 2859 Woodbrook Avenue Baltimore MD 21217

Comeau John Personal HD 5/19/2010 218 Philos Avenue Westernport MD 21562 Care

Commodore Josephine Personal HD 11/3/1992 722 E. Preston Street Baltimore MD 21202 Care

Commodore Patricia W. Individual F 6/23/1997 1910 Barclay Street Baltimore MD 21218

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 22 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Community Care Pharmacy Pharmacy LB 10/19/2006 2730 Pennsylvania Avenue Baltimore MD 21217

Conerly Rex A. P.D. HHS 6/6/1993 6114 Breezewood Drive; Greenbelt MD 20770 #101

Consistent Care Ambulance Service Business F 1/21/2000 21 Govenor Court Baltimore MD 21244 Entity

Cook Elmer E. D.D.S. HHS 7/20/1999 2300 Paper Mill Road Phoenix MD 21131‐ 1330

Cooke, II Arthur Aide HHS 4/27/1992 1100 Bolton Way; Apt 1408 Baltimore MD 21201

Coombs Clarence M.D. F 10/15/1985 7410 Village Road Sykesville MD 21784

Coplan Robert S. M.D. HHS 12/22/1988 407 Crain Hwy, SE Glen Burnie MD 21061

Cordova Edmund M.D. HHS 3/22/1995 PO Box 1296 Pasadena MD 25096

Corner Michael F. PA HHS 11/29/1989 305 Saybrooke View Dr Gaithersburg MD 20877

Cornfeld Edward M.D. LB 5/23/2005 20428 Boland Farm Road Germantown MD 20876

Cosca, M.D., P.A. Ruben Coporation F 10/30/1989 17529 Redland Road Derwood MD 20855

Costanzo Anthony D.P.M. HHS 11/20/2001 11100 Luttrell Lane Silver Spring, MD 20902

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 23 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Costley Betty Aide HHS 11/21/2002 6967 Eden Mill Road Woodbine MD 21797

Cothran Dorothy M.D. LB 8/9/1996 1715 D Street, SE Washington DC 20003

Coulter Steven T. M.D. LB 5/28/2003 11140 Rockville Pike; #348 Rockville MD 20852

Council Michael Delroy Aide HHS 6/16/2003 5143 Nelson Avenue Baltimore MD 21215

Cozier Lisa LCPC LB 3/18/2014 119 W. Main Street Westminster MD 21157

CPM Corporation Business F 3/13/2003 5550 Baltimore Nat'l Pikek Baltimore MD 21228 Entity

Crawford Gene O. M.D. LB 10/28/1992 401 Rexburg Ave Ft Washington MD 20744

Crawford Steven Personal HD 2/23/2009 170 Hollingsworth Manor Elkton MD 21921 Care

Crisp Ronald M.D. HHS 6/24/1992 8288 Waterside Court Frederick MD 21701

Crittenden William M.D. LB 3/29/2012 7350 Van Dusen Road Ste Laurel MD 20707 350

Crowder Veronica Personal HD 2/16/2010 6670 Palmers Mill Road Hurlock MD 21643 Care

Crumitie Audrey Aide HHS 9/25/1995 1616 North Bethel Baltimore Md 21213

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 24 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Crutchley Valerie Nurse HHS 10/20/2005 20161 Sunnyside Drive Melfa VA 23410

Cudlipp Frederick P.T. HHS 4/20/2006 6865 Snowberry Court Frederick MD 21703

Cummins David D.D.S. HHS 7/8/1993 42 W. Deerpark Road; #101 Gaithersburg MD 20877

Cunningham Dean S. M.D. LB 10/22/2003 Morgantown FCI; POBox Morgantown WV 26507 1000

Currie Wanda D. LCSW F 4/8/2011 112 Oak Moore Court Bel Air MD 21014

Curtis Derek D.D.S. HHS 12/18/2008 P.O. Box 1000 Lewisburg PA 17837

D & J Personal Care Services Business HD 11/19/2009 1011 Reverdy Road Baltimore MD 21212 Entity

D.C. Medical Supply Business F 8/13/2012 5922 Georgia Avenue, N.W. Washington, DC 20032 Entity

Dabney Lillie Personal HD 4/25/2008 112 S. Symington Avenue Catonsville MD 21228 Care

Dabney's Elder Care Business HD 4/25/2008 112 S. Symington Avenue Catonsville MD 21228 Entity

Daduk Steven O.D. LB 6/14/1982 36 South Market St. Frederick MD 21701

Dalrymple Anne M. M.D. HHS 6/27/1991 207 N. Manor Circle Takoma Park MD 20912

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 25 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Daly Lauren M.D. HD 11/14/2015 SCI Muncy P.O. Box 180 Muncy PA 17756

Dando William M.D. LB 6/5/2014 405 Frederick Road Ste. Baltimore MD 21228 200

Dang Dien Hieu D.D.S. F 4/12/1985 10620 Georgia Avenue Ste Silver Spring MD 20902 111

Daniel George M.D. HHS 4/23/1990 11610 Milbern Drive Potomac MD 16280

Danquah Gloria E. M.D. F 3/3/1987 6705 Surreywood Lane Bethesda MD 20817

DaShiell Hilda T. Personal HD 10/29/2003 POBox 1148 Hurlock MD 21643 Care

Davis Mark M.D. HHS 11/2/1990 PO Box 830 Belair MD 21014

Davis Patricia Personal HD 10/16/1992 1527 W. Baltimore Street Baltimore MD 21223 Care

Davis Sigmond E. Aide HHS 5/20/1998 3205 Howard Park Ave Baltimore MD 21207

Davis Jane Personal HD 2/15/1994 1508 Rawlings Well Road Baltimore MD 21228 Care

Dawson Robert Individual HHS 7/20/1999 1422 Fernhill Court Forestville MD 20747

Day‐tall Deborah A. D.D.S. HHS 2/7/1997 340 Tumbleweed Place Waldorf MD 20601

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 26 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Dee Rosita H. M.D. LB 8/14/2006 8830 Cameron Street; Silver Spring MD 20910 #206

Deepak Inc. T/A Bhawani Manor Care Business HD 12/19/2012 9946 Downsville Pike Hagerstown MD 21740 Entity

Delcid Ever A. Individual MFCU‐A 8/15/2006 2142 Collingwood Lane Frederick MD 21702

Demonte Rose Aide HD 12/16/2008 114 Linwood Avenue Bel Air MD 21014

Deonarine Nelinee Individual F 10/20/2006 1643 Agens Avenue, S.E. Palm Bay FL 32909

Dependable Nursing Care Inc Business F 4/8/2014 19616 Club Lake Road Montgomery Village MD Entity 20886

Deptula Richard Individual 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 Jamal Aide HHS 6/18/2015 1352 Crofton Road Baltimore MD 21239

Dewitt Nancy Wanbui Kimani Aide MFCU‐A 9/12/2006 1308 Highland Drive Baltimore MD 21239

Dhallan Narender R.Ph F 12/23/2014 5257 River Road Bethesda MD 20816

Dialysis with Heart Business F 6/28/2002 1 Nashua Court; Suite EBaltimore MD 21221 Entity

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 27 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Diamedix Healthcare, LLC Business HD 10/15/2015 4860 Cox Road Ste 300 Glen Allen VA 23060 Entity

Dickerson Ronald G. Individual HHS 5/20/2008 6728 Vermont Court Landover MD 20785

Dickey Robert M.D. LB 7/30/2013 1647 38th Street SE Washington DC 20020

Diesen Kayla Personal HHS 2/18/2016 16A Skyline Drive Glasgow MT 59230 Care

Diggins Carolyn Personal HD 4/27/2006 3547 Millford Mill Road Baltimore MD 21207 Care

Diggins Carolyn L. Personal HD 7/13/2005 3547 Milford Mill Road Baltimore MD 21244 Care

Dishon Lori Ann Individual F 9/22/1999 3208 Fait Avenue Baltimore MD 21224

Divers Dwanelle Individual HHS 11/20/2013 Glen Ray Road Box AAlderson WV 24910

Diwani Selwa M.D. LB 6/10/2009 4900 Silver Hill Road Suitlant MD 20746

Dolly Judy Personal HD 10/16/1995 719 Sylvan Avenue Cumberland MD 21502 Care

Donovan James Individual HHS 11/15/1995 3906 Woodbine Avenue Baltimore MD 21207

Dooley Thomas M.D. LB 3/26/2016 13671 Georgia Avenue Silver Spring MD 20906

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 28 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Dorsey Cornell Personal HD 4/14/1993 2105 N. Charles Street Baltimore MD 21218 Care

Dorsey Juanita L. Personal HD 1/10/1995 P. O. Box 42 Bryantown MD 20617 Care

Doswell Ronald J. LCSW F 7/12/1997 3311 The Alameda Baltimore MD 21218

Downes Tabitha Beatrice Aide HD 1/15/2002 1039 Cosby Avenue Cambridge MD 21613

Dressel Tammy A. Nurse HHS 1/28/2003 9222 Orbitan Road Baltimore MD 21234

Drubetskoy Yevgeny Individual HHS 9/18/2014 100 Sunnyking Drive Reisterstown MD 21136

Dubin Samuel M.D. LB 6/30/1988 17904 Georgia Ave Olney MD 20832

Dubroff Seymour J. M.D. LB 12/31/1994 8905 Fairview Rd Silver Spring MD 20910

Dudley‐Richardson Lynnette Personal HD 12/7/2004 5806 Prince George Street Baltimore MD 21207 Care

Duke Mary Ann M.D. LB 11/30/2004 10220 Democracy Blvd Potomac MD 20854

Duke Ellis J. Individual F 9/14/1984 10231 Carroll Place Kensington MD 20895

Dunham Yolanda Aide HHS 8/20/2014 3907 Yolando Road Baltimore MD 21218

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 29 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Dunham George Individual HHS 6/23/1989 Route 3, Box 144 Hagerstown MD 21741

Dunstan Carol Personal F 12/7/2013 1407 NE 56th Street, Apt. Ft. Lauderdale FL 33334 Care 104

Dunsworth Joseph Aide MFCU‐A 9/2/2010 218 E. Franklin Street Hagerstown MD 21740

Duplessie Michael M.D. LB 8/28/2014 10215 Fernwood Road Bethesda MD 20817

Duvall Cheryl Nurse HHS 5/20/2014 2351 Eastbrook Drive Toledo OH 43613

Eastern Shore Ambulance, Inc. Business HD 10/24/2015 23378 Commerce Drive Accomac VA 23301 Entity

Edwards Arthur Individual F 3/17/1992 17725 New Hampshire Ashton MD 20861 Avenue

Edwards Angela Eliane Personal HD 9/17/1998 2231 Aiken Street Baltimore MD 21218 Care

Egbert Lawrence M.D. HHS 8/20/2015 814 Powers Street Baltimore MD 21211

Eisenband Nancy W. Nurse HHS 9/19/2002 100 Harbor View Drive Baltimore MD 21230

El‐Beshir Abdelmonem M.D. LB 2/26/2015 6512 Clarington Road Baltimore MD 21209

Eldersburg Health Mart Pharmacy Business HD 10/29/2015 1708 Liberty Road Ste 1 Eldersburg MD 21784 Entity

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 30 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Eldridge Marguerite L. Personal HD 5/12/1993 7115 Faulkner Road Hanover MD 21076 Care

Eleven Cedars of MD, Inc. Business HD 10/29/2010 3120 Powder Mill Road Adelphi MD 20783 Entity

Ella's In‐Home Care, Inc. Business HD 9/11/2014 3007 Belair Road Baltimore MD 21213 Entity

Ellin Morton M.D. LB 3/14/2007 5310 Old Court Road #201 Randallstown MD 21133

Elliott Erin Nurse HHS 8/20/2007 926 Hammonds Lane Baltimore MD 21225

Ellis Julia Personal HD 8/14/1995 4701 Hamilton Avenue Baltimore MD 21206 Care

Ellis Lakeal Individual HHS 7/20/2011 2300 Blueridge Avenue Wheaton MD 20902 Apt 5

Ellis‐Bales Theresa Nurse HHS 3/20/2003 1430 Dundalk Avenue Baltimore MD 21222

Ellison Raeford Acupunctur HHS 4/18/2002 8 N. Sacramento Avenue; Ventnor City NJ 08406 e Apt. A

Emamali Ronald Individual F 5/20/1993 14117 Peartree Lane; #33 Silver Spring MD 20906

Emerald Medical Services, LLC Business HD 12/19/2013 4913 Georgia Avenue, NW Washington DC 20011 Entity

Emerson Thomas Nurse HHS 9/20/2007 1911 Thayer Terrace Baltimore MD 21207

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 31 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Empowerment Solutions Business LB 8/1/2014 699 Cottonwood Drive Severna Park 21146 Entity

Ennals Dominique Aide MFCU‐A 6/3/2010 1431 North Carey Street Baltimore MD 21217

Eppelbaum Lawrence M.D. HHS 8/20/2014 Maxwell AFB, #62646‐019 Montgomery AL 36112‐ 0000

Eron's Home Health and Personal Business HD 11/4/2010 902 Milestone Drive Ste Silver Spring MD 20904 Care Services Entity B100

Ervin Emma Jean Personal HD 7/15/1992 665 Queenstown Road Severn MD 21144 Care

Ervin Christopher M.D. LB 3/22/2006 500 Upper Chesapeake Bel Air MD 21014 Drive

Eseme Taba Aide F 4/27/2015 13915 Castle Boulevard Silver Spring 20904

Etheredge Personal Care Business HD 9/27/2005 550 Glenn Court Glen Burnie MD 21067 Entity

Evangelista Gracia Nurse HHS 12/18/2008 FCI Danbury Route 37 Danbury CT 06811

Evans Pamela LCSW‐C F 11/20/2015 2231 Garrison Boulevard Baltimore MD 21216 Apt B2

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. FParkville MD 21234

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 32 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Ezimora Nwakaego Nurse HHS 8/18/2011 559 Macintosh Circle Joppa MD 21085

Ezrine Edwin D.D.S. LB 12/31/1998 1811 A S. Crain Hwy Glen Burnie MD 21061

Facey Sharon Individual F 2/12/1997 8244 Church Lane Randallstown MD 21144

Fafinski Carol Ann Knabb Nurse HHS 9/20/2001 8210 Woodyard Road Clinton MD 20735

Fakuade Phyllis Demetrice Individual MFCU‐A 12/19/2005 6611 Parr Avenue Baltimore MD 21215

Family & Children Enrichment Business F 8/29/2008 1777 Reisterstown Road, Pikesville MD 21208 Services, Inc. Entity Ste 204

Family Home Center Business F 3/7/2003 5501 Oakland Mills Road Columbia MD 21045 Entity

Family Home Medical Equipment & Business HD 6/19/2014 7816 Parston Drive Forestville MD 20747 Supplies Entity

Fant Lois Individual HHS 6/20/2011 7903 Orion Circle, Unit Laurel MD 20724 224A

Faulkner Howard Nurse LB 8/4/2015 208 N. Centre Street Cumberland MD 21502

Fechter Maury D.D.S. LB 12/23/2013 700 N. Linwood Avenue Baltimore MD 21205

Federroll Susan W. LCSW LB 2/10/2006 8028 Ritchie Highway; Pasadena MD 21122 Suite 313

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 33 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Feeney Andrea Nurse HHS 9/20/2012 12429 West Pima Avondale AZ 85323

Feldman Martin J. M.D. LB 12/22/1987 205 E. Joppa Rd; Ste 2001 Towson MD 21204

Feldman Lawrence M.D. HD 10/24/2015 902 Washington Road Ste. Westminster MD 21157 E

Felsenberg Stanley M.D. LB 7/24/1996 6310 Greenspring Ave Baltimore MD 21209

Fenton Robert M.D. LB 10/24/2012 7112 Crabbury Court Clarksville MD 21029

Ferguson Sandra Aide HHS 8/27/1995 9805 Langs Road; Apt. LBaltimore MD 21220

Ferrer Romeo M.D. LB 9/8/2010 300 Hospital Drive #128 Glen Burnie MD 21061

Fiddermon Maryln Aide HHS 2/20/2000 10555 Campus Way, South Upper Marlboro MD 20772

Fiedler Kurt M.D. F 10/23/1992 325 Hospital Drive; #109 Glen Burnie 21061

Fielding Gregory Edward Personal HD 9/14/1994 1503 Adams Street, NE Washington DC 20018 Care

Fingal John Joseph Individual HHS 9/20/2001 10803 Kencrest Drive Mitchellville MD 20721

Finucan, Jr. Thomas E. M.D. LB 1/24/2001 3 Maudlin Ave North East MD 21901

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 34 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Fioretti Thomas M.D. LB 2/11/2013 103‐120th Street Unit JOcean City MD 21842

Firozvi Tarique M.D. LB 12/21/2015 1576 Merritt Boulevard Baltimore MD 21222 Ste 14

Fleming Norene M.D. LB 1/21/2012 9470 Annapolis Road Lanham MD 20706

Fletcher Jean Virgie Personal HD 5/29/2004 710 Leonards Lane Cambridge MD 21613 Care

Fletcher's Assisted Living Business HD 5/5/2006 11754 Mansion Street Princess Anne MD Entity 21853

Floyd Beverly Personal HD 2/23/1995 2583 Edmondson Avenue Baltimore MD 21223 Care

Fobeteh Brandon Aide HHS 9/20/2015 9783 Good Luck Road Apt. Lanham MD 20706 9

Folkemer Carl M.D. LB 10/23/2014 405 Frederick Road Ste. Baltimore MD 21228 200

Fon Felix Aide HHS 6/18/2015 6731 New Hampshire Ave., Takoma Park MD 20912 Apt. 412

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; Silver Spring MD 20910 404

Fotuhi Majid M.D. HD 1/16/2016 1205 York Road, Ste.18 Lutherville MD 21093

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 35 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Four Leaf Clover, Inc. Business HHS 12/3/2013 3200 N. Federal Highway, Boca Raton FL 33431 Entity Ste. 128

Franks Denis M.D. LB 7/19/1997 1900 E. Northern Pkwy Baltimore MD 21239

Franz Mark Individual HHS 10/21/2013 8714 Deer Run Street Lenexa KS 66220

Franz Charles P. D.D.S. LB 2/18/2004 2201 Hammons Ferry Road Baltimore MD 21227

Frederick Spinal Care Center Business HHS 4/20/1999 101 Baughmans Lane Frederick MD 21702 Entity

Freedenberg Gerald Individual F 6/29/1992 7036 Vangough Plano TX 75093

Freeman Debra M.D. LB 2/14/2008 2401 W. Belvedere Avenue Baltimore MD 21215

French David W. Individual F 6/24/1999 51 Murphy Avenue Annapolis MD 21401

Fringer Susan D. Personal HD 9/30/1993 1322 Deer Park Lane Westminster MD 21157 Care

Frontera Miguel M.D. LB 11/6/2009 515 Fairmount Avenue Towson MD 21286

Frost Rosalyn Individual HHS 12/20/1995 8200 Autumn Lake Court Severn MD 21144

Fuentes Michael M.D. HHS 5/20/2010 32 Lake Drive Darien CT 06820

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 36 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Fulton Cynthia D. Aide HHS 6/27/1991 739 N. Kenwood Avenue Baltimore MD 21205

Furth Mary M.D. LB 2/27/2013 1108 W. Joppa Road Towson MD 21204

Fuster David E. D.D.S. HHS 6/20/2005 8305 Old Germantown Bethesda MD 20814 Road

Futterman Steven D.D.S. HHS 5/20/1999 8901 Shady Grove Court Gaithersburg MD 20877

Gaber Tamer M.D. LB 4/20/2012 507 Henderson Avenue Cumberland MD 21502

Gaddis Merry Nurse LB 8/27/2013 301 St. Paul Place Baltimore MD 21202

Gallagher Martin M.D. LB 1/12/2015 124 East Baltimore Street Hagerstown MD 21740

Gambill Colin Aide MFCU‐A 1/25/2010 10338 Old Liberty Road Frederick MD 21701

Gamez Jesus M.D. HHS 7/19/2012 3409 Olive Branch Drive Silver Spring MD 20719

Gammill Joan Nurse HHS 11/20/2006 53 Lafayette Avenue Annapolis MD 21401

Gardner Patrina Y. Aide HHS 3/20/2002 203 Parier Drive; Apt. HElkton MD 21923

Gardner Jean Nurse LB 3/29/2012 1 Knoll North Drive Columbia MD 21045

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 37 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Gardner Elmer M.D. HHS 9/10/1996 Box 137 Brookerville MD 20833

Garner Tracy Personal HD 2/17/2011 P.O. Box 604 Lusby MD 20657 Care

Garner Wilma J. Aide HHS 6/20/2000 1618 Four Georges Court; Baltimore MD 21222 #A‐3

Gdula William J. M.D. HHS 2/20/2011 5920 Glenn Dale Road Glenn Dale MD 20769

Geier Mark M.D. LB 5/5/2011 5616 Shields Drive Bethesda MD 20817

Geist, Jr. William C. Individual F 4/30/2004 1684 Nickerson Way Arnold MD 21012

Gelinas Claude M.D. HHS 2/18/2016 11236 Los Lagos NE Albuquerque NW 87111

Gentry Samantha Individual F 4/28/2006 3530 Aldina Road Churchville MD 21029

Gerhardt Caroline M.D. LB 2/25/2016 3001 Hospital Drive Cheverly MD 20785

Ghattas Richard M.D. LB 4/1/2013 7501 Surratts Road #305 Clinton MD 20735

Gholl John M.D. LB 11/17/2010 Old Hollywood Firehouse Hollywood MD 20636 Rt 235 P.O. Box 39

Gill William M.D. LB 9/8/2010 26423 Burton Avenue Crisfield MD 21817

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 38 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Ginn David H. M.D. LB 7/28/2004 10006 Hillgreen Circle; Cockeysville MD 21030 Apt. K

Girgis Raafat M.D. LB 12/27/2010 724 Maiden Choice Lane Catonsville MD 21228

Glenn Linnell Personal HD 8/26/1993 4119 Hayward Avenue Baltimore MD 21215 Care

Global Medical Inc. Business HD 10/21/2013 14309 West 95th Street Lenexa KS 66215 Entity

Godwin‐Hult Sandra Personal HD 7/10/1991 3507 Bantry Way Olney MD 20832 Care

Gold Alexandra M.D. LB 2/25/2014 4940 Eastern Avenue Baltimore MD 21224

Gold Medical Corp. Business F 6/3/2010 4417 Meanderwood Drive Burtonsville MD 20866 Entity

Goldbaum Henry R. Individual HHS 5/20/1998 108 Deerfield Place Frederick MD 21702

Goldberg Lise Adele M.D. HHS 5/20/1998 1539 Ivystone Court Silver Spring MD 20904

Goldberg Harold L. D.D.S. LB 4/21/2000 7501 Liberty Road Baltimore MD 21207

Golden Crown Construction Business HD 3/18/2005 1007 Call Drive Upper Marlboro MD Entity 20774

Goldschmitt Neil Individual F 6/3/2010 4417 Meanderwood Drive Burtonsville MD 20866

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 39 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Goldstein Robert B. M.D. LB 9/30/1998 1205 York Rd; Ste 34 Timonium MD 21093

Gonsalves Dia Personal HD 8/30/1995 7206 Oakhaven Circle Baltimore MD 21244 Care

Gonzalez Ramon L. M.D. LB 5/16/1998 6207 Capella Ave Burke VA 22015

Goodell Kate LCSW LB 3/11/2016 4810 Crowson Avenue Baltimore MD 21212

Gopalani Hanif A. M.D. LB 6/12/2001 3004 Ohara Place Olney MD 20832

Gordon Robert Chiropracto HHS 4/27/1994 118 W. Market Street Snow Hill MD 21863 r

Gordon Esther Aide MFCU‐A 12/28/2015 160 D. Willowdale Drive Frederick MD 21702 Apt.301

Grace Pharmacy Pharmacy LB 1/18/2002 8000‐A Martin Luther King Glenarden MD 20706 Hwy

Graham Marva C. M.D. HHS 11/19/1998 One Cooperfield Ct Phoenix MD 21131

Graham‐Melvin Associates Inc. Business F 4/1/1997 7060 Oakland Mills Road; Columbia MD 21046 Entity #1

Graning Harold LCSW LB 7/30/2010 6190 Georgetown Eldersburg MD 21784 Boulevard

Grant Deanne Individual F 4/8/2014 19616 Club Lake Road Montgomery Village MD 20886

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 40 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Grant‐Grayton Miranda LCSW HD 8/10/2008 2412 Minnesota Avenue, Washington DC 20020 Ste 201

Grant‐Grayton Urban Supports, Inc. Business HD 7/18/2008 3611 Branch Avenue; Ste Temple Hills MD 20748 Entity 201

Gray Darrell M. M.D. LB 3/5/2000 810 Painted Post Ct Baltimore MD 21208

Gray Rowena Individual HD 9/28/2009 2021 Kennicott Road Baltimore MD 21244

Grayton James Individual HD 7/18/2008 9006 Dangerfield Place Clinton MD 20735

Greco William M.D. HHS 12/4/1984 7229 Hanover Pkwy, Ste. BGreenbelt MD 20770

Green Lynaya Nurse HHS 11/20/2000 14159 Castle Blvd; #301 Silver Spring MD 20904

Green Jacquetta Aide HHS 4/20/2005 4303 Wakefield Road; Apt. Baltimore MD 21216 6

Green Donald D.P.M. HHS 1/20/2004 1460 Burbridge Road, SE, Cumberland MD 21502 FCI

Green Vickeara Aide HHS 8/20/2014 864 Benninghaus Road Baltimore MD 21212

Greenberg Eric M.D. LB 4/16/2009 11125 Rockville Pike # 103 Rockville MD 20852

Greenberg Alan S. M.D. HHS 8/20/2001 1537 Jarrettsville Road Jarrettsville MD 21084

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 41 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Greene Yvonne Nurse HHS 7/20/2011 12530 Willow Spring Circle Germantown MD 20874

Greene Rose M. Individual F 1/9/1998 2501 W. Fairmount Avenue Baltimore MD 21223

Greenway Diane L. Personal HD 9/17/1998 1119 Riggs Avenue Baltimore MD 21217 Care

Greer Douglas Opthalmolo HHS 3/20/2008 P.O. Box 1000 Cumberland MD 21501 gist

Grillo Aderonke A. Aide HHS 5/13/1998 5 Virunga Court; Apt. JBaltimore MD 21244

Grimes James M. PA HHS 5/18/2000 4620 Magnolia Ave Baltimore MD 21227

Grooms Shelie W. Aide MFCU‐A 10/12/2006 1811 Ruxton Avenue Baltimore MD 21216

Gross Rhonda Aide HHS 4/10/1995 1809 E. Chase Street Baltimore MD 21213

Grossblatt Norton R.Ph F 10/17/2008 3410 Garrison Farms Road Pikesville MD 21208

Guerzon Rosario M.D. LB 7/10/1996 8821 Mayberry Ct Potomac MD 20854

Gunter Shawna Individual F 7/23/2015 FMC Carswell Naval Air Fort Worth TX 76127 Station

Gurley Archie Personal HD 9/23/2011 1520 Sullivan Road Westminster MD 21157 Care

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 42 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Gurley Theodore Personal HD 7/14/1995 4804 Hamilton Avenue Baltimore MD 21206 Care

Guruvareddy Ramakrishnan Individual F 12/23/2014 4207 Lytle Way Belcamp MD 21017

Hailfmariam Mekuria M. Personal HD 6/10/1996 6159 64th Avenue Riverdale MD 20737 Care

Hake Diane Nurse HHS 5/20/2007 815 W. 4th Street, Apt. 313 Williamsport PA 17701

Hakim Arcadius H. M.D. LB 10/7/2002 8701 Oxon Hill Road Oxon Hill MD 20744

Hall Vontina LCSW F 8/17/2012 1872 S. Queen Street York PA 17403

Hall Sandra Y. Individual HHS 2/14/1997 3804 Byfield Road Baltimore MD 21207

Hall Lucille Personal HD 9/17/1998 8 E. Adkins Avenue; Willards MD 21874 Care Parkview

Hallowitz Robert A. M.D. HHS 4/28/1993 Montgomery Village Ave Gaithersburg MD 20879

Hamilton Vernetta Aide HHS 8/20/2014 809 Saint Dunstans Road Baltimore MD 21212

Hamilton John M. M.D. HHS 4/1/1997 5430 Lynx Lane; #125 Columbia MD 21044

Hamm Mary Lou Individual HD 7/27/2005 8431 Newark Road Newark MD 21841

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 43 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Harden Gerald Anthony Individual HHS 8/20/2001 16829 Cashell Road Olney MD 20832‐2046

Harding James Personal HD 11/2/2009 P.O. Box 835, 421 S. Main Cambridge MD 21643 Care Street, P.O. 835

Hardy Michelle D. Nurse HHS 3/20/2003 2501 Roslyn Avenue Baltimore MD 21216

Harney John M.D. LB 7/29/2009 4000 Annapolis Road Baltimore MD 21227

Harper William M.D. LB 12/18/2013 100 S. Center Street Thurmont MD 21788

Harris Sabaina Personal HD 1/8/2001 1722 Purdy Street; Apt. 4G Bronx NY 21203 Care

Harris Leonard M.D. HHS 11/10/1992 PO Box 4654 Newark DE 19715

Harris, Jr. Vernon Individual HHS 8/20/1998 1244 Gittings Ave Baltimore MD 21239

Harris‐Chin Cheryl M.D. LB 5/26/2006 1708 W. Rogers Avenue Baltimore MD 21209

Hart Barbara Individual HHS 9/20/1999 7606 Brightside Avenue Baltimore MD 21237

Hart Velda Belinda Aide HHS 5/20/1998 519 E. 41st Street Baltimore MD 21218

Hatch Judith Louise Chiropracto HHS 8/20/2001 1220 East West Highway; Silver Spring MD 20911 r Apt. 1012

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 44 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Hatchett Maureen Aide F 7/11/2013 2210 Pinewood Avenue, Baltimore MD 21214 Apt. C1

Havens Deborah Individual HHS 1/20/2014 FPC Alderson Glen Ray Alderson WV 24910 Road Box A

Haw Dante Lee M.D. HHS 1/10/1991 6410 La Mirada Ave Hollywood CA 90038

Hayford Sheila M. M.D. LB 7/27/2005 550 S. Dupont Hwy; Suite D Milford DE 19963

Haynes Carolyn Nurse HHS 11/14/2002 11247 Westport Drive Bowie MD 20720

Head Sue A. Individual MFCU‐A 7/18/2003 995 East New Road Orrtanna PA 17353

Health Management Enterprises Business F 6/24/1999 211 Chinquapin Round Rd Annapolis MD 21401 Entity

Heath Kera Aide MFCU‐A 10/22/2009 4149 Mountwood Road #4 Baltimore MD 21229

Hebeka George M.D. HHS 7/8/1993 7939 Wise Avenue Baltimore MD 21222

Hegarty Veronica Nurse HHS 1/19/2012 7110 Heathfield Road Baltimore MD 21212

Helmick Lori Nurse HHS 8/18/2011 135 Filly Lane Bruceton Mills WV 26525

Henderson Freddie Individual F 10/1/1992 2062 Harlequin Terrace Silver Spring MD 20904

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 45 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Henderson Joseph M. Optician F 12/1/1992 P.O. Box 48547 Washington DC 20002

Hendler Nelson M.D. LB 2/6/2006 1718 Greenspring Valley Stevenson MD 21153 Road

Henry Victor E. D.P.M. LB 7/22/2001 1450 Mercantile Lane #151 Largo MD 20774

Henry Ricardo Individual HHS 4/20/2009 P.O. Box 1000, #28577‐016 Cumberland MD 21501

Henry Victor D.P.M. HHS 7/19/2012 4000 Albemarle Street NW Washington DC 20016

Heritage House I & II Business HD 5/15/2005 1405 Crockett Lane Silver Spring MD 20904 Entity

Herlich Steven Individual F 5/2/1990 1920 Eastridge Road Timonium MD 21093

Herrera Alfredo M.D. F 6/20/2001 10300 A Balt Nat'l Pike Ellicott City MD 21042

Hewitt John H. M.D. LB 1/17/2003 150 Baughman's Lane Frederick MD 21702

Heyward Donna Maria Personal HD 7/28/1993 319 B Suter Road Baltimore MD 21228 Care

Hicks Ernestine Personal HD 10/1/2008 814 North Brice Street Baltimore MD 21217 Care

Hicks, Jr. Willie Howard Aide HHS 5/20/1999 516 W. 8th Street Laurel DE 19956

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 46 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

High Ronald Individual F 1/21/2000 2 Horseman Court Randallstown MD 21133

Hill Leo M.D. HHS 2/10/1997 1815 61st Ave Cheverly MD 20785

Hill Brunetta Personal HD 5/3/2001 2409 Jefferson Street Baltimore MD 21205 Care

Hill James M.D. HHS 4/14/1994 PO Box 1722; Country Club Cumberland MD 21502 road

Hill Denise Personal HD 7/23/1992 161 Reedbird Avenue Baltimore MD 21225 Care

Hill Ezell Personal HD 7/27/1994 3722 Ellerslie Avenue Baltimore MD 21228 Care

Hillegas Sherry Nurse HHS 2/20/2001 18 S. collington Avenue Baltimore MD 21231

Hillgard Else M.B. M.D. LB 10/23/1991 8500 Tyspring St; #320 Vienna VA 22182

Hilliard Silas Aide HHS 9/16/1992 522 W. Lanvale Street Baltimore MD 21217

Himberger Faith LCSW LB 3/19/2013 11235 Oak Leaf Drive #110 Silver Spring MD 20901

Hinds Sandra Marcia Aide HHS 5/19/2005 920 Kenbrook Drive Wheaton MD 20902

Hines Larry Individual F 2/24/1994 735 Reservoir Street; 2nd Baltimore MD 21217 Floor

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 47 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Hiotis Michael P. P.D. F 6/9/1993 1612 Gray Haven Court Baltimore MD 21222

Hippler Joshua Individual HHS 5/20/2015 185 Alliance Loop Many LA 71449

Hisco Pharmacy Pharmacy F 12/7/2003 5613 Bel Air Road Baltimore MD 21206

Hitzig Pietr M.D. LB 2/4/1999 15 Charles Plaza Baltimore MD 21201

Hodges Corvalis Gail Individual HHS 9/20/2005 2136 Alice Avenue; Apt Oxon Hill MD 20745 #302

Hodjati Hassan H. M.D. LB 3/20/2002 6192 Oxon Hill Road; Ste Oxon Hill MD 20745 507

Holland Dannielle Personal HD 5/4/2009 99 Greystone Road North East MD 21901 Care

Holland Richard W. M.D. LB 6/20/1999 13700 Ivywood Lane Silver Spring MD 20904

Holland Rosetta Francine Personal HD 5/28/1993 59 Mt. Harmony Lane; P.O. Owings MD 20736 Care Box 400

Holliday Mary Personal HD 3/31/2001 904 Central Avenue Cambridge MD 21613 Care

Hollywood Pavilion, LLC Business HD 10/24/2015 1201 N. 37th Avenue Hollywood FL 33021 Entity

Holman Antoinette Nurse HHS 1/20/2010 853 St. Nicholas Avenue, New York, NY 10031 Apt. 302

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 48 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Holmes Teresa Personal HD 10/13/1994 901 Druid Lake Drive; Apt. Baltimore MD 21217 Care 1‐B

Holum Nahid I. M.D. LB 6/2/1981 9605 Burgess Lane Silver Spring MD 20901

Home Feet Podiatric Home Care Inc. Business HD 2/8/2007 448 Luzerne Avenue Baltimore MD 21224 Entity

Home Medical Equip Business HHS 8/11/1997 1800 Belair Road; Ste. 4Benson MD 21018 Entity

Hooker Patricia Individual HD 9/11/2014 3007 Belair Road Baltimore MD 21213

Hope Senior Assisted Living Business HD 5/23/2005 4825 Ellicott Woods Lane Ellicott City MD 21043 Entity

Hopson Jessica Personal HD 2/13/2008 30 E. Baltimore Street Taneytown MD 21787 Care

Horizon Respiratory Medical Business HD 10/10/2015 1997 Annapolis Exchange Annapolis MD 21401 Supply,LLC Entity Parkway Ste 300

Horn Thomas Individual HHS 8/19/2010 1620 Brimfield Circle Sykesville MD 21784

Horton Robert T. M.D. LB 1/9/2002 6501 N. Charles Street Baltimore MD 212285

Horvath Edward D.P.M. F 11/26/2009 8118 Clifford Court Laurel MD 20708

Houck Donna Personal HD 11/13/2000 1498 W. 9 th Street Frederick MD 21702 Care

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 49 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Howe Tina Nurse HHS 1/19/2002 8 North Point Terrace Dundalk MD 21222

Hremt Pharmacy Pharmacy LB 5/14/2003 7701 Quaint Court Bowie MD 20720

Hughes, Jr. Charles E. Chiropracto HHS 9/8/1993 811 Woodington Road Baltimore MD 21229 r

Human Development Assoc t/a Business HD 3/1/2004 2700 Rambler Place Adelphi MD 20783 Adelphia House III Entity

Human Services, Inc. Business HD 2/28/2015 1215 Annapolis Road, Ste Odenton MD 21113 Entity 202

Hummer Jessica Aide HHS 10/20/2015 321 E. Church Street Hebron MD 21830

Humphries Sharon Nurse HHS 4/20/2004 P.O. Box 228 Chester MD 21619

Hunt Michael Individual F 3/17/1992 401 Christopher Avenue; Gaithersburg MD 20879 Apt.

Hunt Carl D.O. LB 7/24/2013 13605 Baden Westwood Brandywine MD 20613 Road

Hunter Thelma Individual F 12/24/2003 335 S. Ballou Court Baltimore MD 21231

Hurey Jacqueline Individual HHS 2/15/1997 6106 Carswell Terrace Suitland MD 20746

Husain Tasaduq Individual HHS 7/6/1995 3126 Nestling Pine Court Ellicott City MD 21042

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 50 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Hussain Yasin M. Individual F 6/10/1996 11646 Sun Circle Way Columbia MD 21044

Huttinger Carol Ann Nurse HHS 5/20/1999 RD #3; Box 38A Hanover PA 17331

Hyde David Jefferson D.D.S. LB 7/12/2004 1009 University Blvd E Silver Spring MD 20903

Hyson Bradford A. Individual HHS 6/12/1997 3148 Sandy Hook Road Street MD 21154

Hyson Rodney Individual HHS 6/12/1997 2413 Haddenhurst Court Falston MD 21047

Hyson Mary Individual HHS 6/12/1997 1012 Shaffner Drive Bel Air MD 21014

Ibeh Cyriacus Chidi Nurse HHS 6/20/2006 13625 Avebury Drive; Apt. Laurel MD 20708 24

Idowu Olusola A. Nutritionist F 11/19/2008 11047 Sani Lane Hagerstown MD 21742

Ige Moses Individual HHS 2/20/2007 9005 Tarpleys Circle Baltimore MD 21237

Igwacho Florence N. Individual HHS 4/20/2000 9127 Edmonton Terrace; Greenbelt MD 20770 #304

Infinite DME Services, LLC Business HD 10/30/2015 1200 G. St. NW Ste 815 Washington DC 20005 Entity

Inocencio Narciso M.D. LB 4/14/2004 1400 Mercantile Ln; #180 Landover MD 20785

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 51 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Izat Sarah C. Aide HHS 7/27/1996 216 Maryland Avenue Cumberland MD 21502

Izzo Jaime Nurse HHS 1/18/2007 3161 Freestone Court Abingdon, MD 21009

Jackson Lionel Aide HHS 2/23/1997 4728 Wakefield Road; Apt. Baltimore MD 21215 30

Jackson Theresa Individual MFCU‐A 8/28/2005 2620 Greenmount Avenue Baltimore MD 21218

Jackson Tarslia Aide MFCU‐A 1/24/2013 2900 Keyworth Avenue, Baltimore MD 21215 Apt. A

Jackson Howlett M.D. LB 11/7/2007 611 South Union Avenue Havre de Grace MD 21078

Jackson‐White Tina Individual HHS 6/14/2014 13200 14th Street Bowie MD 20715

Jacobs Virginia L. Chiropracto HHS 7/4/1997 555 Thayer Avenue Silver Spring MD 20901 r

Jacobs Joe L. Individual HHS 3/7/1986 1422 Crain Hwy South Glen Burnie MD 21061

Jacobs Davita Individual MFCU‐A 12/6/2006 8135 Scotts Level Road Pikesville MD 21208

James Malika Aide HHS 8/20/2014 8 Debkay Court Essex MD 21221

Janati Abdorasool M.D. HHS 9/20/2005 FCI Cumberland; Federal Cumberland MD 21501 Correctl Inst; PO Box 1000

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 52 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Jefferson Gary Individual F 9/13/1999 7202 Chippenham Place; Baltimore MD 21244 #303

Jenkins Sheretta Personal HD 7/29/2002 5615 Thompson Town East New Market MD Care Road 21631

Jiggetts Wayne R. Nurse F 1/9/1998 3010 Fallstaff Manor Court Baltimore MD 21209

Joachim Dan M.D. HHS 8/20/2012 P.O. Box 26020 Beaumont TX 77720

Jobes Philip Aide MFCU‐A 11/8/2004 2007 Frames Road Dundalk MD 21222

Johnson Constance Personal HD 2/1/1996 3703 Stoneybrook Road Randallstown MD 21133 Care

Johnson Darice Personal HD 5/14/1996 P. O. Box 35 St. Michaels MD 21663 Care

Johnson Constance S. Personal HD 12/11/2001 810 North Maple Avenue Brunswick MD 21716 Care

Johnson Andrea M. Nurse HHS 3/18/2004 1360 Running Deer Drive Keswick VA 22947

Johnson Heather A. Personal HD 2/13/2002 810 North Maple Avenue Brunswick MD 21716 Care

Johnson Craig L. Individual HHS 11/24/1991 1604 E. Chase Street Baltimore MD 21213

Johnson Joyce Aide HHS 8/20/2014 6948 Myersview Drive Middle River MD 21220

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 53 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Johnson Mark D.D.S. HHS 11/21/1993 c/o 6424 Elliot Place Hyattsville MD 20783

Johnson Subrina Aide HHS 5/19/1992 4918 Pallmer Avenue Baltimore MD 21215

Johnson Leslie Aide HHS 11/8/1994 941 Brooks Lane, Apt. 3Baltimore MD 21217

Johnston Randolph M.D. LB 4/24/2009 6501 N. Charles Street Baltimore MD 21285

Jones Mary Personal HD 3/1/1994 P. O. Box 67453 Baltimore MD 21215 Care

Jones Estella Louise Personal HD 6/30/1998 417 Naylor Street Salisbury MD 21801 Care

Jones Yvonne M.D. HHS 7/19/2001 146‐A Barrington Road Upper Darby, PA 19082

Jones Tania Personal HD 3/12/1998 902 N. Durham Street Baltimore MD 21205 Care

Jones Andrea Individual HHS 5/20/2015 FCI Danbury Route 37 Danbury CT 06811

Jones Ronald Personal HD 8/3/2002 6227 Jones Village Road Hurlock MD 21643 Care

Jones Roderick L. Individual HHS 3/25/1990 3739 Parkfield Road Baltimore MD 21208

Jones Diane I. Aide HHS 12/6/1992 3051 Ascension Street Baltimore MD 21225

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 54 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Joyce David M.D. LB 12/12/1997 2003 Medical Pkwy; Ste Annapolis MD 21401 210

Jung Ha Yong M.D. F 9/15/1993 8534 Harvest View Ct Ellicott City MD 21043

Jurand Joseph M.D. LB 9/11/2015 123 B South Duke Street Shepherdstown WV 25443

Kahntroff Bridget C. M.D. LB 3/30/2005 2401 W. Belvedere Avenue Baltimore MD 21215

Kamara Zainab Individual F 9/11/2015 13400 Dille Drive Upper Marlboro MD 20772

Karlsberg Robert M.D. HHS 2/20/2008 14406 Coral Gables Way North Potomas MD 20878

Karmo Roosevelt Individual HHS 11/15/1995 6655 Knottwood Court Baltimore MD 21214

Karsh Richard M.D. HD 11/7/2015 1460 Mesa Road Colorado Springs CO 80904

Katiby Safiullah M.D. LB 2/28/2014 2682 Darwin Street Hayward CA 94545

Keefer Angela Personal HD 3/3/1997 736 W. Franklin Street; Hagerstown MD 21742 Care 2nd Fl

Keenan Robert M. M.D. LB 3/9/2004 1400 Generals Highway Crownsville MD 21032

Keithley Mary Nurse HHS 6/20/2011 501 Bush Chapel Road Aberdeen MD 21001

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 55 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Kelly Jo‐Anne B. M.D. LB 6/25/2003 2401 Research Blvd; #330 Rockville MD 20850

Kelly Wanda Personal HD 4/11/1994 8134 Hog Neck Road Pasadena MD 21122 Care

Kelly Sarah LCSW LB 9/12/2008 16 K Spindrift Circle Baltimore MD 21234

Kelly's Kids Business HD 9/11/2006 6955 Castle Court; Apt. 205 Frederick MD 21703 Entity

Kennedy Damion Individual HHS 6/20/2011 3910 Noyes Circle, Apt. 101 Randallstown MD 21133

Kennedy Damion Aide MFCU‐A 3/11/2011 3910 Noyes Circle, Apt. 101 Randallstown MD 21133

Kennedy Jeffrey D. Nurse HHS 6/20/2006 4025 Belvoir Pines Drive Chattanooga TN 37412

Kenson Nursing Home Business F 5/12/1988 2922 Arunah Avenue Baltimore MD 21216 Entity

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 Individual HD 2/28/2006 101 Carlisle Drive Silver Spring MD 20904

Kharod Prabhakar M.D. LB 9/17/1997 8031 Ritchie Hwy Pasadena MD 21122

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 56 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Khayat Marwan Individual HHS 5/20/2010 1715 15th Street, N.W., Washington, D.C. 20009 Apt. 19

Kiarie Patrick Aide MFCU‐A 9/27/2005 1407 Mcculloh Street Baltimore MD 21217

Kiely John M.D. HHS 3/13/2014 305 Chapelwood Lane Timonium MD 21093

King Kentrina Individual HHS 2/16/1997 7101 Burshire Drive Temple Hillsl MD 20748

Kirby Richard David Aide HHS 6/18/1998 116 W. University Pkwy, A3 Baltimore MD 21210

Kirk Lisa Nurse HHS 5/20/2012 Glen Ray Road Box AAlderson WV 24910

Kirkland Mattie Aide F 3/6/2002 1017 Vanderwood Road Catonsville MD 21228

Kirven Lisa M.D. LB 5/2/1998 4018 Seton Avenue Bronx, NY 10466

Kittrell Pamela Personal HD 3/28/1997 504 Clinton Street Cambridge MD 21613 Care

Klimczak Robert Respiratory HHS 10/20/2011 524 Goldsborough Street Easton MD 21601 Therapist

Klingenstein Keith G. R.Ph HHS 12/5/1994 9115 49th Place College Park MD 20740

Klingler Jonathan M.D. LB 7/6/2015 9901 Medical Center Drive Rockville MD 20850

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 57 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Knight Terome LCPC F 4/7/2013 1005 8th Street Laurel MD 20707

Knight Jessie Mae Individual MFCU‐A 6/18/2004 5102 Oaklawn Road Baltimore MD 21207

Knott William Individual HD 4/1/2010 1401 West Joppa Road Towson MD 21204

Kohn Nelson M.D. LB 9/25/2012 110 Hospital Road Prince Frederick 20678

Kolander Trina Nurse HHS 5/20/2010 809 Tydings Road #RS Havre De Grace MD 21078

Kordon Melvin M.D. LB 5/26/2010 9501 Old Annapolis Road; Ellicott City MD 21042 Ste. 302

Korman William M.D. F 11/28/1989 2 High Stepper Court; #201 Baltimore MD 21208

Koroma Nyamakoro Nurse HHS 1/20/1998 PO Box 382 Bladensburg MD 20710

Kotouc Joshua M.D. LB 5/14/2010 935 Whitehall Parkway Montgomery AL 36109

Koumbis Carolyn Nurse HHS 1/20/2015 290 Berlin Street, Apt.10 Clinton MD 01510

Krall Joseph D.D.S. HHS 12/20/1995 1318 Broadview Blvd Glen Burnie ME 21061

Kreger Laurie M.D. LB 4/16/2015 4922 LaSalle Road Hyattsville MD 20782

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 58 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Krektyshev Sergey Personal HD 4/1/2003 281 Norht Van Buren Rockville MD 20850 Care Street

Kromah Margaret D.D.S. LB 3/31/2016 4403 Moravia Road Ste. 2Baltimore MD 21206

Krulevitz Keaciel Kenneth M.D. F 5/16/1988 3306 Clarin Road Baltimore MD 21215

Kump Leila M.D. LB 9/20/2013 4119 Connecticut Ave Washington DC 20008

Kundratic Diahann Personal HD 11/18/2002 17 Purple Plum Court Perry Hall MD 21236 Care

Kwiatkowski David Radiology HHS 3/20/2014 FDC Philadelphia P.O. Box Philadelphia MD 19105 Technician 562

Labertson Heather N. Personal HD 9/20/2004 31177 Rehobeth Road Westover MD 21871 Care

Laboratory Management Service Business F 10/24/1988 1008 Roxleigh Road Towson MD 21204 Entity

Lagmay Manuel R. Nurse HHS 6/20/2006 604 Menteth Point Drive Millersville MD 21108

Lake Anna Marie Personal HD 10/19/1996 L4976 Pintail Court Frederick MD 21701 Care

Lake Shore Physicians, PA Business HD 1/16/2016 4231 Postal Court Ste 103 Pasadena MD 21122 Entity

Lambertson Heather Nicole Aide HD 9/20/2004 31177 Rehobeth Road Westover MD 21871

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 59 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Lane Angela P. Individual HHS 2/16/1997 5933 Chinquapin Parkway Baltimore MD 21239

Lane Denise Washington Individual F 10/11/1997 1025 Webb Court Baltimore MD 21202

Lang Joel J. D.P.M. HHS 3/20/2001 6839 Riverdale Rd Riverdale MD 20737

Lange Paul A. M.D. LB 6/26/1997 1706 S. St, NE; #1 Washington DC 20009

Lankford, Jr. James E. Individual HHS 8/14/1995 15309 Old Hanover Road Upperco MD 21155

Lantz Denise Nurse HHS 8/18/2011 15 Hidden Cove Court Middle River MD 21220

Laurel Park Pharmacy Pharmacy F 6/10/1996 11646 Sun Circle Way Columbia MD 21044

Lazaro Benigno M.D. HHS 1/19/2012 822 Sidehill Drive Bel Air MD 21015

Leaverton David M.D. LB 8/20/2015 1331 Kinloch Circle Baltimore MD 21012

Lebow Frank L. D.P.M. HHS 8/17/1989 6611 Edenvale Road Baltimore MD 21209

Lebson Arthur M.D. F 6/24/1991 3640 Fords Lane Baltimore MD 21215

Lee Michael Aide HHS 8/19/1999 1820 Madison Avenue Baltimore MD 21217

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 60 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Lee Terri Sha‐Nae Aide MFCU‐A 2/2/2005 3201 Lawnview Avenue Baltimore MD 21213

Lester Andrew Todd Individual HHS 8/20/1998 12402 Lime Kiln Rd Fulton MD 20759

Levi Ellis D.D.S. HHS 3/22/1995 17 Millstone Road Randallstown MD 21133

Levitsky Leon R. M.D. LB 1/15/2008 8100 Good Luck Road Lanham MD 20706

Levitt Jeffrey M. M.D. LB 2/24/1993 11415 Orleans Way Kensington MD 20895

Levitt Keith M.D. LB 12/1/2009 22 S. Greene Street Baltimore MD 21201

Lewis James J. Nurse LB 2/25/2014 22 South Greene Street Baltimore MD 21201

Lewis Samuel R. M.D. F 5/12/1989 11102 Hudee Court Mitchellville MD 20716

Libre Eugene M.D. LB 12/15/2010 10400 Connecticut Avenue Kensington MD 20895 #606

Liegeois Nanette M.D. HHS 12/20/2015 120 Oakborok Center, Ste. Oak Brook IL 60523 220

Lightfoote, II William E. M.D. HHS 11/20/2000 827 Swinks Mill Road McLean VA 22102

Lin Tsu‐Chun M.D. LB 3/20/2002 377‐B Gambrills Road Gambrills MD 21054

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 61 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Lindemann Keith Jan M.D. LB 8/30/2005 23140 Moakley St; Suite 2Leonardtown MD 20650

Lindsey Glenda L. D.D.S. HHS 6/1/1997 7819 Liberty Rd Baltimore MD 21244

Lipnick Robert M.D. HHS 12/19/2002 6238 29th Street, NW Washington DC 20015

Lipscomb Bernadette Aide HHS 8/10/1994 1837 Bolton Street; Apt. #3 Baltimore MD 21217

Locati‐Boucher Kimberly O.T. LB 7/18/2014 600 Reisterstown Road Ste Pikesville MD 21208 200

Lodmell John G. M.D. LB 2/27/2013 2901 Olney‐Sandy Spring Olney MD 20832 Road

Loftus Andrew M.D. LB 10/30/2015 1343 Q. St. NW Unit AWashington DC 20009

Logsdon Katherine Personal HD 7/10/1997 310 N. Cannon Avenue Hagerstown MD 21740 Care

Londa Saleh Aide HHS 8/18/2005 4202 Kaywood Drive; Apt. Mount Rainier MD 8 20712

Loot‐Gayoso Ofelia M.D. LB 7/22/2009 5411 Old Frederick Road Baltimore MD 21229

Loya Florentino M.D. LB 12/29/2007 6400 Marlboro Pike District Heights MD 20747

Loyd Crystal Individual F 2/21/2013 118 West Edgevale Road Baltimore MD 21225

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 62 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Lucas Dorothy Personal HD 4/15/1998 908 E. Valley Street; #11 Baltimore MD 21202 Care

Luckey Willie Personal HD 9/1/2001 6709 Kincheloe Avenue Baltimore MD 21207 Care

Lutz Margaret Nurse LB 11/4/2015 720 S. Stokes Street Havre de Grace MD 21078

Luyanda Angel Individual MFCU‐A 1/11/2012 3304 Auchentoroly Terrace Baltimore MD 21217 #B

Lyles Delores Personal HD 12/1/2007 400 W. South Street Apt. B Frederick MD 21701 Care

Lynch Kevin P. R.Ph HHS 10/20/2003 14601 Burbridge Road, S.E. Cumberland MD 21502

Lynch Ray A. M.D. HHS 4/8/1997 9559 Wandering Way Columbia MD 21045

Lyons Ian LCSW LB 2/13/2015 37 Foxglove Row Riverhead NY 11901

Mack Belinda Ann Personal HD 11/26/2001 7812 South Hampton Glen Burnie MD 21060 Care Drive; Apt. 1

Mackey Aishi Individual HHS 6/20/2013 703 Newington Avenue Baltimore MD 21217 Apt. 1

Macrey Angela V. Personal HD 9/26/1996 6002 Moravia Park Drive; Baltimore MD 21206 Care #C‐2

Madison Stanley M.D. F 2/28/1990 1529 E North Ave; PO Box Baltimore MD 21203 23231

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 63 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Mahase Vidhyanand R.Ph HHS 12/20/2009 Fort Dix FCI, P.O. Box 2000 Fort Dix NJ 08640

Major Godfrey W. M.D. LB 6/20/2007 7801 York Road Towson MD 21801

Makker Ram S M.D. LB 10/14/2009 500 Upper Chesapeake Bel Air MD 21014 Drive

Malekzodeh Assadullah Individual F 6/8/1993 12221 Park Lawn Drive; Rockville MD 20850 Ste. 170

Malik Ishtiaq M.D. HHS 5/31/2015 10801 Lockwood Drive Silver Spring MD 20901 Unit 140

Mallory, III Herman C. Individual F 2/16/1997 615 N. Rose Street Baltimore MD 21205

Manekin Steven F. M.D. LB 5/18/2005 1049 S. Charles St Baltimore MD 21230

Mannava Venkata R.Ph F 9/19/2015 3300 East West Highway Hyattsville MD 20783 Apt 706

Marcus Tekia Pharmacy HHS 8/20/2013 803 E. 22nd Street Baltimore MD 21218 Technician

Margolius Jane Individual F 6/21/1991 17 Tivoli Lake Court Silver Spring MD 20906

Marion Robert Aide MFCU‐A 10/7/2004 2548 Loyola Northway Baltimore MD 21215

Markovitz Lawrence M.D. LB 10/24/2012 8180 Greensboro Drive, McLean VA 22102 #1015

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 64 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Marsh Arthur M.D. LB 7/16/2010 700 East Main Street Ste. Salisbury MD 21804 102

Marshall Tinnie Personal HD 10/1/1997 4121 Woodhaven Baltimore MD 21216 Care

Marshall Ashley Personal HD 4/15/2002 207 Wakefield Road Hagerstown MD 21740 Care

Marshall Peter Individual F 11/3/1993 3114 S. E. 17th Place Cape Coral FL 33904

Marshall‐Adams Tyvernica Pharmacy LB 10/22/2011 1536 Northbourne Road Baltimore MD 21239 Technician

Martin Janet S. M.D. LB 12/8/2005 6510 Kenilworth Avenue Riverdale MD 20737 #2400

Martinez Christine Personal HD 6/30/2003 6604 Maple Avenue Baltimore MD 21215 Care

Martinez‐O'Hara Joseph J. M.D. LB 7/19/1997 1203 E. Ferguson Pharr TX 78577

Mary Lou's Assisted Living Business HD 7/27/2005 8431 Newark Road Newark MD 21841 Entity

Mashali Fathalla M.D. HHS 4/20/2014 153 Pine Street Dover MA 02030

Mason, III Samuel M. Individual HHS 10/20/2003 20 BON Oak Court Reisterstown MD 21136

Mathews George M.D. F 3/22/2014 110 Hospital Drive Ste. 301 Prince Frederick MD 20678

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 65 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Mathur Rakesh M.D. HD 11/28/2015 2112 Bel Air Road #1 Fallston MD 21047

Mathur Krishan M.D. LB 10/30/2015 3500 Old Washington Waldorf MD 20602 Road Ste 102

Matthews Latia Aide HHS 3/19/2015 323 Holly Manor Road Baltimore MD 21228

Matthews Shandell Aide MFCU‐A 1/21/2003 3822 Regency Parkway Suitland MD 20746

Matthews Thomasina Individual HHS 7/20/2005 8019 Mollye Road; Apt. F Pikesville MD 21208

Maximum Choice Medical Supply, LLC Business HD 10/10/2015 21 Main Street Ste EReisterstown MD 21136 Entity

McAllister Katrina Individual F 12/20/1995 428 E. North Avenue; 3rd Baltimore MD 21202 Floor

McAnally Bryan M. Aide HHS 1/28/2003 139 Lassiter Circle Finksburg MD 21048

McBride Margo Shelia M.D. LB 4/12/2005 54 Regatta Bay Court Annapolis MD 21401

McCargo Lonnia Nurse LB 3/15/2012 3211 Batavia Avenue Baltimore MD 21214

McClain Vivian Regina Personal HD 4/28/1998 2227 W. Saratoga Street Baltimore MD 21223 Care

McClary Rhonda Aide MFCU‐A 2/14/2006 4803 Overton Court Baltimore MD 21229

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 66 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

McCoy Julius Aide HHS 2/20/2011 2515 Boones Lane Forestville MD 20747

McCrary Bernard Individual HD 4/1/2010 1416 Clarkview Road Baltimore MD 21209

McCready Leah T. Individual HD 7/12/2006 5651 Burnstville Road Marion MD 21838

McDonald Allan D. D.D.S. HHS 9/20/1998 109 Wright Street Frostburg MD 21532

McGavin Cameron M.D. HHS 1/20/2015 417 Boyd Street Turtle Creek PA 15145

McGregor Clinton Aide HHS 11/4/2000 7930 Brock Bridge Road Jessup MD 20794

McKenna Karen Nurse HHS 8/20/2007 843 Kellogg Road Lutherville MD 21093

McKenzie Deana Individual HHS 9/20/1999 19 Marview Drive Berlin MD 21811

McLaren Martin M.D. HHS 12/20/2009 FCI Petersburg Low, P.O. Petersburg VA 23804 Box 1000

McLean Nakita S. Aide MFCU‐A 8/8/2005 6612 Eberle Drive Baltimore MD 212115

McLean John M.D. HHS 11/20/2013 P.O. Box 8908801 Oklahoma City OK 73189

Meagher H. Michael M.D. HHS 2/20/2013 2519 69th Avenue, SSt. Petersburg FL 33712

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 67 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Medalie G. Robert M.D. LB 10/1/2012 7601 Osler Drive Towson MD 21204

Med‐Care Diabetic & Medical Business HD 4/20/2016 933 Clint Moore Road Boca Raton FL 33487 Supplies, Inc. Entity

Mediquest Business HD 10/24/2015 200‐202 S. 24th Street Rogers AR 72758 Entity

Mehlman Susan K. Ph.D. F 5/24/2007 12103 Ridge Valley Road Owings Mills MD 21117

Mehta Barry (Bahrat M.) Individual F 3/13/2003 5501 Oakland Mills Road Columbia MD 21045

Meiller Morris M.D. LB 6/13/2005 9015 Woodyard Road; Clinton MD 20735 Suite 209

Meldrom Carole J. Nurse HHS 10/20/2002 1145 Oakview Drive Crownsville MD 21032

Melvin‐Hodge Fayanna Individual F 9/24/1997 2907 Rosalind Avenue Baltimore MD 21215

Merillat Suzanne Marie Nurse HHS 12/20/2004 105 Rockdale Drive Silver Spring MD 20901

Merriweather Sue Grace Aide F 10/28/1999 6405 Brays Street Lanham MD 20706

Midatlantic Cardiovascular Business HD 8/16/2011 1838 Greene Tree Road Baltimore MD 21208 Associates, P.A. Entity Ste. 535

Middleton William F. Individual F 1/22/1993 21 Fenceline Drive Gaithersburg MD 20877

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 68 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Middleton Barbara Personal HD 8/19/1994 420 A. Captain Circle Annapolis MD 21401 Care

Midei Mark M.D. LB 7/13/2011 7505 Olser Drive #103 Towson MD 21204

Milan Jose Antonio Olivari M.D. HHS 4/18/2002 Villa Olimpia 2: #A‐12 Yauco PR 00690

Miller Gerald A. M.D. HHS 2/1/1994 3455 Wilkens Ave Baltimore MD 21229

Miller Jewel Lynne Aide HHS 6/27/1991 3026 Tennessee Avenue Baltimore MD 21227

Miller Oram D.O. HHS 4/20/2004 P.O. Box 2223 Fairfield IA 52556

Miller Carol D. P.D. F 4/19/2001 46 Cannon Drive Berlin MD 21811

Miller Edwin R. Individual HHS 8/20/2001 4601 E. Monument St Baltimore MD 21205

Miller, Jr. Thomas Aide HHS 4/8/1997 1217 Randalia Road Chesapeake City MD 21915

Mills Ronald J. Individual F 3/17/1992 17 Water Street; Apt. #6 Gaithersburg MD 20877

Ming Bernell LCSW HHS 1/18/2007 294 Putnam Avenue Brooklyn NY 11216

Miranda‐Solari Artemio M.D. LB 7/31/2000 889 W. Lombard St Baltimore MD 21201

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 69 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Mireille Noumi N. Personal HD 11/23/2003 6800 Highview Terrace; Hyattsville MD 20782 Care #301

Mirza Rehman Chiropracto F 7/23/2015 4509 Mosser Mill Court Woodbridge VA 22192 r

Mistysyn Christine J. Aide HHS 6/20/2000 417 E. Mifflin Street Orwigsburg PA 17961

Mitchell Terita Aide HHS 7/7/1992 2756 Tivoly Avenue Baltimore MD 21218

Mitchell Joshua M.D. LB 5/18/2010 2202 Garrison Blvd Baltimore MD 21216

Moaddab Mohammed B. D.D.S. LB 5/20/2003 5905 Ipswich Road Bethesda MD 20814

Molina Gerardo Individual HHS 9/19/2002 C‐31 DuQuesa St; Hormiguero PR 00660 Montibello Development

Molly's House of Hope Business HD 6/6/2006 12801 Meadowbrook Lane Waldorf MD 20601 Entity

Momah Clement I. M.D. LB 12/20/2000 8301 Ashford Blvd Laurel MD 20707‐5640

Monroe Charles A. Individual HHS 9/15/1992 1109 Ashburton St Baltimore MD 21216

Montgomery Jessica E. Aide HHS 7/20/2006 304 Crusader Road; Apt. Cambridge MD 21613 103

Montgomery Co. Family Life Ctr. Business F 4/25/1991 7101 Wisconsin Avenue; Bethesda MD 20814 Entity #1404

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 70 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Montgomery County Taxi Business HHS 6/30/1994 806 S. Frederick Road Gaithersburg MD 20877 Entity

Moore Lillie Ruth Individual HHS 10/20/2002 353 S. Center St.; Apt. 19A Orange NJ 07050

Morgan Rosa E. Personal HD 7/19/1991 2732 Parkwood Avenue Baltimore MD 21217 Care

Moriarty Michael M.D. LB 2/15/2013 4 E. Rolling Crossroads Catonsville MD 21228

Morris Janice Personal HD 3/4/1991 4106 W. Forest Park Baltimore MD 21207 Care Avenue

Morris Andrea Personal HD 7/15/1997 8978 Centerway Road; Gaithersburg MD 20879 Care Court IV

Morrison Sharese I. Aide HHS 10/18/1993 802 Dartmouth Baltimore MD 21212

Morton Charles Nurse HHS 4/12/1993 9108 Abigail Drive Crisfield MD 21237

Morton Denise Bell Aide HHS 6/30/1994 1305 Kitmore Road Baltimore MD 21239

Moss Brian Leslie Individual F 3/17/1992 19731Framingham Drive Gaithersburg MD 20879

Motley Robin Aide HHS 8/20/2008 1549 Southview Dr Apt. Oxon Hill MD 20745 102

Mozee Delize Aide LB 1/7/2016 7414 W. Park Drive Hyattsville MD 20783

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 71 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Mueller Annemarie Dental HHS 10/20/2004 5260 Duke Street; Apt. 411 Alexnadra VA 22304 Technician

Muhlhan Evelyn Nurse LB 10/6/2011 4 East Rolling Crossroads Catonsville MD 21228 #207

Mukala Eric Aide HHS 8/20/2015 4313 57th Avenue Apt. 11 Bladensburg MD 20710

Mukum Mirabel Aide HHS 6/18/2015 9003 Brightlea Court Lanham MD 20706

Muller Alfred M.D. LB 2/27/2002 1396 Piccard Drive Rockville MD 20850

Mullings Rohan Saint‐Aubyn M.D. LB 2/14/2011 600 Memorial Avenue, Ste. Cumberland MD 21502 307

Murphy Leslie A. Personal F 2/28/2009 143 Haverhill Road Joppa MD 21085 Care

Musikabhumma Anchaleee M.D. LB 6/28/2006 2300 Garrison Boulevard Baltimore MD 21216

Mvemba Willie M.D. LB 5/5/2014 413 Commonwealth Baltimore MD 21215 Avenue

Namisango Teddy Nurse HHS 5/20/2014 7907 Mandan Road Aot, Greenbelt MD 20770 201

Naranjo Ynocencio Individual HHS 10/29/1990 14720 Homecrest Road Silver Spring MD 20906

Nash Roderick Personal HD 12/20/1991 1536 Pentwood Road Baltimore MD 21239 Care

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 72 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Nathanson Barry M.D. LB 10/18/1993 2200 Defense Hwy; #103 Crofton MD 21114

Nathenson Lucille D.D.S. LB 3/6/2002 6901 Security Boulevard Baltimore MD 21244

National Cardio Labs, LLC Business HHS 4/20/2010 P.O. Box 5460 Stateline NV 89449 Entity

Neurology Institute for Brain Health Business HD 1/16/2016 1205 York Road Suite 18 Lutherville MD 21093 Entity

Newcare Home Health Services, Inc. Pharmacy LB 1/5/2007 3027 E. Madison Street Baltimore MD 21205

Newton Lorraine Nurse HHS 6/19/2014 2900 Valerian Lane Upper Marlboro MD 20774

Ngati Denetria Nurse HHS 7/20/2011 11406 Hawk Ridge Court Beltsville MD 20705

Ngatia Hellen Nurse F 2/22/2012 20231 Red Buckeye Court Germantown MD 20876

Ngatia Gladys Individual F 2/22/2012 20231 Red Buckeye Court Germantown MD 20876

Nguyen James An M.D. F 8/28/2005 5601 Loch Raven Blvd; Ste Baltimore MD 21239 301

Nguyen Tuoc Kim D.D.S. HHS 6/17/1999 8003 Hasitng Hunt Court Severn MD 21144

Nimley Lucia Personal HD 8/27/1996 350 Childress Terrace Burtonsville MD 20886 Care

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 73 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Nkongsah Ernest Aide HHS 4/20/2015 7851 Riverdale Road Apt. New Carrollton MD 202 20784

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 Personal HD 3/5/2001 1088 Wadsworth Way Baltimore MD 21239 Care

Nurse Express, LLC Business HD 1/15/2005 10 East Lee St; Ste 2406 Baltimore MD 21202 Entity

Nwaehiri Callixtus P.D. LB 1/5/2007 1439 Huntfield Way Jarrettsville MD 21084

Nwanna Ethel Individual HD 5/16/2013 13526 Collington Terrace Silver Spring MD 20904

Obeahon Alexander C. Aide HHS 6/22/1998 34 Chapel Town Circle Baltimore MD 21236

O'Berry Christin Nurse HHS 3/20/2008 21 Bridgeview Court Baltimore MD 21236

Odunzeh Uche Individual HHS 12/19/2013 P.O. Box 630 #54731‐037 Winton NC 27986

Ogbonna Chinonso Ndidi Aide HHS 9/22/2003 36 Heraldry Court Baltimore MD 21244

Oglesbee Megan Aide MFCU‐A 12/18/2005 204 Airport Street Keyser WV 26726

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 74 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

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 Baltimore MD 21215 Avenue

Ojuko Absayo Individual F 4/28/2007 16 Liberty Place Road, Apt. Baltimore MD 21244 8

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 Individual HHS 3/20/2007 P.O. Box 31902 Capitol Heights MD 20731

Okine Katerina Personal HD 1/3/2007 47 Squanto Court Middle River MD 21220 Care

Okoye Godwin R.Ph HHS 8/20/2003 Montgomery FPC; Montgomery AL 36112 Montgomery Air Force

Olwine Robert M.D. LB 5/1/2012 10611 St. Paul Avenue Woodstock MD 21163

Omer Tarig A. Individual HHS 7/20/2005 6337 Kinsey Terrace Lanham MD 20706

Omojola Tolulope Personal HHS 6/19/2014 8023 Molley Road Apt E Pikesville MD 21208 Care

Onyeka Roy Aide F 4/27/2015 9083 Meadow Heights Randallstown MD 21133 Road

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 75 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Open Arms Assisted Living Business HD 5/18/2005 104 Charles Street Sudlersville MD 21668 Entity

Oppenheim Steven Individual HHS 9/26/1990 6 Sour Cherry Court Darnestown MD 20878

OptimumCare Medical Center Business HHS 9/20/2001 444 N. Frederick Ave; #307 Gaithersburg MD 20877 Entity

Orem Medical Corp Business HHS 6/12/1997 2413 Haddenhurst Court Fallston MD 21047 Entity

Orneus Renald Aide MFCU‐A 11/27/2008 765 Division Street Salisbury MD 21804

Orth Debra C. Aide HHS 10/18/2001 4300 Stanwood Avenue Baltimore MD 21206

Ortiz Armando L. Individual HHS 2/20/2000 7082 MacBeth Way Sykesville MD 21784

Osborne Tamara Personal HD 11/7/2005 73 Swan Street Aberdeen MD 21001 Care

O'Shaughnessy Timothy J. Individual HHS 5/24/1999 6106 Pine Branch Rd Bethesda MD 20816

O'Shea Frank M. M.D. LB 8/9/2000 3901 Fox Hill Dr Ellicott City MD 21042

Oshodi Eunice R.Ph HHS 7/20/2008 2730 Pennsylvania Avenue Baltimore MD 21217

Osrud Vincent J. Nurse HHS 9/20/2000 R. R. 1; box 782 Hollywood MD 20636

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 76 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Ostrovsky Roman M.D. F 8/16/2006 5018 Dorsey Hall Drive Ellicott City MD 21042

Otieno Shadrack Aide MFCU‐A 3/12/2016 5645 Utrecht Road Baltimore MD 21206

Owens Eugene M.D. HHS 12/31/1993 1735 E. Federal St Baltimore MD 21213

Oyler George A. M.D. LB 11/18/2003 2924 Guilford Avenue Baltimore MD 21218

Pagalunan Gertrude Individual HD 5/15/2005 9515 Lawnsberry Terrace Silver Spring MD 20901

Pagano Dwight M.D. HHS 5/19/2005 444 E. 20th Street; Apt. 3D New York NY 10009

Page Bobbi Jo Aide HHS 1/20/2010 P.O. Box 105 Barnes City IA 50027

Pain Clinic of AIMR Business HD 10/29/2015 2911 Piedmont Road NE Atlanta GA 30305 Entity

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 Individual F 10/24/1988 1008 Roxleigh Road Towson MD 21204

Park Do Sun M.D. HHS 4/10/1995 105 S. Washington Street Rockville MD 20850

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 77 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Parker April R. Aide HHS 9/20/2000 3515 Madison Place Hyattsville MD 20782

Patel Ketankumar P.D. LB 7/14/2009 5951 Cecil Way Eldersburg MD 21784

Patel Jigar Pharmacy F 4/17/2015 1138 6th Avenue Apt. 3Berwick PA 18603 Technician

Pathak Arvind K. M.D. LB 7/18/2001 6930 Little River Turnpike Annandale VA 22003

Paul Haendel Aide MFCU‐A 2/27/2008 10553 Jason Lane Columbia, MD 21044

Pava Hernando M.D. LB 8/30/2012 405 Stemmers Run Road Baltimore MD 21221

Paye Isiwatu Aide HHS 3/20/2007 3 Maidstone Court, Apt. MRosedale MD 21237

Pease Lisa LCSW LB 7/28/2014 106 Milford Street Salisbury MD 21804

Pediatric Plus Business HD 1/15/2005 10 East Lee St; Ste 2406 Baltimore MD 21202 Entity

Peet Joseph Personal F 10/30/2015 312 Belton Road Silver Spring MD 20901 Care

Perez Yolanda Aide HHS 12/18/2001 1752 Gorsuch Avenue Baltimore MD 21218

Perim Stewart D.D.S. HHS 9/18/2014 1412 Salisbury Blvd. Ste 7Salisbury MD 21801

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 78 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Perry Deborah Individual HHS 2/11/1993 604 McCabe Ave Baltimore MD 21212

Persinger Virginia Personal HD 8/25/1993 Route 2; Box 179 Newberg MD 20664 Care

Peters Colleen Nurse HHS 11/20/2007 288 Wye Knot Court Queenstown MD 21658

Peterson Patricia M. Individual HHS 4/13/1994 1856 Beth Ridge Circle Forest Hill MD 21050

Peterson Ralph M. Individual F 11/3/2005 29581 Bright Spot Road Highland CA 92346

Peterson Jocelyn M. Individual F 11/3/2005 29581 Bright Spot Road Highland CA 92346

Petway Dena Joan Personal HD 8/26/1996 6309 Elliott Street Baltimore MD 21224 Care

Phalsaphie Mansour M.D. LB 3/25/1998 4003 Hidden Creek Henderson KY 42420

Pharmacare Inc. Business F 7/25/2000 10255 York Road Cockeysville MD 21030 Entity

Phattiyakul Pricha M.D. LB 9/19/2001 100 Hospital Road; Calvert Prince Frederick MD Memorial 20678

Phillips Patricia A. Aide HHS 10/18/2001 2325 Barclay Street Baltimore MD 21218

Physician's Analytical Services, Inc. Business HHS 8/20/2012 P.O. Box 26020 Beaumont TX 77720 Entity

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 79 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Pickert Steven M.D. LB 8/28/2013 100 South Center Street Thurmont MD 21788

Pinkard Wendy Individual HHS 3/20/2014 FPC Alderson Glen Ray Rd Alderson WV 24910 Box A

Pittman Thomas A. M.D. HHS 7/17/1991 7498 Sea Change Columbia MD 21045

Pleas Barbara A Aide HHS 8/11/1997 3267 Queenstown Dr Mt Ranier MD 20712

Pointer Brenda Denise Aide HHS 9/19/2001 15 N. Calhoun St Baltimore MD 21223

Polley Frederickay Nurse HHS 5/20/2015 2958 Del Paso Boulevard, Sacramento CA 95815 Apt. #12

Pollock Natasha Nurse HHS 2/18/2010 17008 Downing Street Gaithersburg MD 20877

Pollock Hamilton Individual HHS 12/20/1995 211 E. Lombard Street Baltimore MD 21201

Polsin Michael J. Nurse HHS 3/18/2004 34602 Blakistone Road Hollywood MD 20636

Pooya Manoochehr M.D. LB 11/7/2007 700 7th Street SW #2 Washington DC 20024

Poss Laurie M.D. LB 10/31/2012 133 Defense Highway Ste. Annaplis MD 21401 211

Potash Michael M.D. LB 12/16/2009 2331 Old Court Road, Apt. Baltimore MD 21208 409

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 80 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Pototsky Ronald M.D. LB 11/21/2011 821 N. Baltimore MD 21201

Powell Nicheia Aide HHS 9/19/2002 704 Winston Avenue Baltimoe MD 21212

Powell Toni Darnell Personal HD 9/18/1995 2519 Marbourne Avenue Baltimore MD 21230 Care

Powell Jack M.D. LB 1/26/2007 23704 Ocean Gateway Mardela Springs MD 21837

Powell Velma E. L. M.D. HHS 1/23/1992 6201 Greenbelt Road College Park MD 20740

Prabhakar Madura M.D. LB 10/24/2012 6101 Park Heights Avenue Baltimore MD 21215

Prager Harris J. D.P.M. HHS 10/27/1993 420 S. Crane Hgwy; #1 Glen Burnie MD 21061

Prescimone Doreen Nurse HHS 10/20/2003 4806 Berry Hill Circle; Apt. Perry Hall MD 21128 103

Pribadi Jean W. M.D. LB 6/13/2008 10632 Little Patuxent Columbia MD 21044 Parkway

Price Ashanti Aide HHS 7/20/2015 FPC Alderson Glen Ray Alderson WV 24910 Road, Box A

Price Paula Individual HHS 5/20/2012 2009 Brae Trail Birmingham AL 35242

Proctor Theodora LCSW LB 2/13/2015 3035 Alabama Avenue SE Washington DC 20020

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 81 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Progressive Care Ambulance Serv. Business F 4/27/2000 c/o P.O. Box 536 Jessup MD 20794 Entity

Pujol Jackie M.D. LB 2/6/2015 1416 Carrington Lane Vienna VA 22182

Pullen Sonia A. Individual HHS 2/15/1996 1308 N. Kenwood Avenue; Baltimore MD 21213 2nd Floor

Pulliam's Contracting Business HD 10/20/2009 45464 Stoney Run Drive Great Mills MD 20634 Entity

Purdum Pharmacy Pharmacy F 10/17/2008 6901 York Road Baltimore MD 21212

Purnell Elmer A. M.D. LB 12/11/1992 652 W. Main Street Salisbury MD 21801

Qaiyumi Waheeda M.D. LB 2/5/2004 9650 Santiago Road; #110 Columbia MD 21045

QRSS Business HHS 6/12/1997 4701 Randolph Road Rockville MD 20852 Entity

Queen Jennifer Personal HD 5/16/2005 4527 Northwood Drive Baltimore MD 21239 Care

Rabb Willie D.P.M. LB 8/1/2006 420 S. Crain Highway; #2 Glen Burnie MD 21061

Radulski Joanne B. Individual F 7/8/2010 2124 Oaklyn Drive Fallston MD 21047

Radvan‐Ziemnowicz Stanley A. M.D. HHS 11/1/1990 9400 Old Georgetown Road Bethesda MD 20814

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 82 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Rafi Rena Individual F 8/13/2012 5922 Georgia Avenue, N.W. Washington DC 20032

Rafi Jacob Individual F 8/13/2012 5922 Georgia Avenue, N.W. Washington DC 20032

Rakhunov Izabella Personal HD 12/17/2002 1 Russern Court; 2A Baltimore MD 21215 Care

Ramaiah Yanjalagere M.D. LB 9/9/2014 447 N. Kenwood Avenue Baltimore MD 21224

Ramakrishnan Guruvareddy Individual F 12/23/2014 4207 Lytle Way Belcamp MD 21017

Ramirez Oscar M.D. LB 7/15/2011 1212 York Road Ste B101 Lutherville MD 21093

Ranbaxy USA, Inc. Business HHS 5/20/2014 750 E. Ste. 900 Baltimore MD 21202 Entity

Rancocas Valley Anesthesia Assoc Business HHS 11/14/2002 Sunset Road Willingboro NJ 08046 Entity

Randolph Aisha Individual HHS 8/20/2014 9907 Maidbrook Road Parkville MD 21234

Rapkin Harvey R.Ph F 12/19/2008 2207 Shefflin Court Baltimore MD 21209

Rassael Hadi D.O. LB 10/7/2014 5255 Loughboro Road NW Washington, DC 20016

Ray Douglas M.D. HHS 4/6/1992 10208 Prince Place Largo MD 20775

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 83 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Razaq Abdul M.D. LB 4/17/2015 7 Post Office Road Waldorf MD 20604

Redondo‐Malamud Yasmin M.D. HHS 9/20/1998 1419 Crestridge Drive Silver Spring MD 20910

Reedy Erin D.D.S. LB 1/20/2016 1821 South Charles Street Baltimore MD 21230

Regency Hlth Services, Inc. Business HHS 5/6/2004 1535 Meadows Lane Glen Mills PA 19342 Entity

Reid Jesse Aide HHS 9/20/1999 3806 Brighton Street Baltimore MD 21216

Reilly Elizabeth Individual HD 9/15/2008 3100 North Ridge Road Ellicott City MD 21043

Renaud Kevin Nurse HHS 2/18/2016 652 Washington Street Apt. Brookline MA 02446

Rermgosakul Adul M.D. F 9/30/1995 5632 Annapolis Rd‐Suite 8 Bladensburg MD 20710

Resolutions Unlimited, Inc. Business F 7/14/2005 16 Arrowood Court Baltimore MD 21237 Entity

Reynolds Angelo Ph.D. F 7/14/2007 1027 Savvanna Drive LaPlata, MD 20646

Reynolds (Mullins) Debbye Lynn Nurse HHS 11/20/2006 P.O. Box 7612 Hyattsville MD 20787

Ricci Renzo M.D. LB 1/26/2007 3125 Baltimore Blvd, Box Finksburg MD 21048 500

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 84 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Richardson Joseph M. D.D.S. HHS 1/6/1995 1407 Dilston Road Silver Spring MD 20903

Richardson Cheryl E. M.D. HHS 9/19/1999 84 Willis Street Westminster MD 21157

Richardson Gravney A. M.D. HHS 8/10/1994 40 Joyceton Way Upper Marlboro MD 20772

Riley Kenneth D.D.S. HHS 5/20/2012 P.O. Box 100 Cumberland MD 21501

Ritch Sherry Aide HHS 1/10/2002 5504 Baltimore MD 21207

Ritter Theodore Nurse LB 8/7/2012 1931 Greenspring Drive Timonium MD 21093

River Rx, Inc. Pharmacy F 12/23/2014 5257 River Road Bethesda MD 20816

Rivera Rose M. Nurse HHS 6/17/2004 500 Wick Lane Blue Bell PA 19422

Riverview Nursing Ctr, Inc. Business HHS 10/18/2001 1 Eastern Boulevard Baltimore MD 21221 Entity

Roane Donald M.D. LB 5/21/2010 1616 Forest Drive Annapolis MD 21403

Roark David Nurse HHS 4/20/2010 277 Geremma Drive, Apt. BBallwin MO 63011

Robalino Joffre M.D. HHS 4/18/2013 FCI Cumberland PO Box Cumberland MD 21501 1000

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 85 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Robb Paul Aide F 6/20/2015 5804 Annapolis Road #613 Bladensburg MD 20710

Roberts Isaac Aide MFCU‐A 1/18/2007 8500 Goshen View Drive Gaithersburg MD 20882

Roberts, Jr. Leroy Individual HHS 3/7/1991 6 Papago Court Randallstown MD 21133

Robinson Felipe M.D. LB 5/14/2014 7227 B. Hanover Parkway Greenbelt MD 20770

Robinson Lawrence Personal HD 5/3/1996 8806 Lanier Drive; #101 Silver Spring MD 20910 Care

Roby Neil O. Individual HHS 5/20/1998 13190 Linden Station Clarksville MD 21209

Rodkey Jeffrey Lee Pharmacy HHS 8/18/2005 23621 Cemetery Road Chance MD 21821

Rodrigues Cheryl Personal HD 5/25/2005 23249 Colton Point Road Avenue MD 20609 Care

Rodwell Dino Individual HHS 6/20/2002 8314 Glenmar Road Ellicott City MD 21045

Roe William M.D. LB 8/14/2013 1001 Cromwell Bridge Road Towson MD 21286

Roffman Benjamin Individual HHS 5/23/1988 6314 Greenspring Ave; Baltimore MD 21207 Apt. 6

Rogers Tena Individual F 5/8/2003 2905 Garrison Boulevard Baltimore MD 21216

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 86 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Romero Yolanda O.T. HHS 1/20/2004 P.O. Box 2784 Baltimore MD 21225

Rorie Valerie R. Personal HD 6/9/2004 5506 Wayne Avenue Baltimore MD 21207 Care

Rose Manor Assisted Living Business HD 9/15/2008 3100 North Ridge Road Ellicott City MD 21043 Entity

Rosen Nancy Individual F 5/26/2001 8330 Greensboro Drive; McLean VA 22102 #423

Rosov Howard L. D.D.S. HHS 10/20/2004 1106 Spy Glass Drive Arnold MD 21012

Ross Bradford A. M.D. LB 4/27/1998 200 Milton Avenue Fallston MD 21047

Rothelder David D.D.S. HHS 5/18/1979 620 Aisquith Street Baltimore MD 21202

Rothstein Binyamin D.O. LB 5/25/2005 Greenspring Shopping Ctr; Baltimore MD 21209 2835 Smith Ave; Ste 209

Roundtree Silverrene P M.D. HHS 6/28/1999 200 Oak St Mt. Pocono PA 18344

Rowlette Bertha Personal HD 7/22/1998 8618 Bramble Lane Randallstown MD 21133 Care

Rowley Bethany Aide MFCU‐A 6/8/2008 P.O. Box 632, 203 Clarence Hyndman PA 15545 Street

Royal Jeffrey L. Radiologist HHS 9/20/2000 4309 Glenrose Street Kensington MD 20895

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 87 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Rubin Seymour H. M.D. HHS 7/22/1991 7111 Park Heights Avenue Baltimore MD 21208

Ruddock Thaddeus Individual HHS 2/19/2009 7901 Bon Air Road Baltimore MD 21234

Rudman Michael M.D. HHS 8/22/2007 J Elmer Harp Medical Ctr Middletown MD 21769

Rudo Howard F. D.D.S. LB 8/24/2000 420 S. Crain Hwy; Ste 6Glen Burnie MD 21061

Russell James R.Ph HHS 6/18/2015 114 Trout Brook Road Dracut MD 01826

Russo David R.Ph HHS 10/20/2014 FCI Cumberland, P.O. Box Cumberland MD 21501 1000

Russo's RX Business HD 10/24/2015 25 N. Cannon Avenue Hagerstown MD 21740 Entity

Ryan Michael LCSW F 1/14/2011 12417 Seabury Lane Bowie MD 20715

Sacks Martin Personal F 6/18/2014 6225 York Road Apt. N‐116 Baltimore MD 21212 Care

Sadanand Home, Inc. Business HD 2/28/2006 101 Carlisle Drive Silver Spring MD 20904 Entity

Sadri Manouchehr M.D. F 11/30/1996 2 Piney Meetinghouse Ct Potomac MD 20854

Samie Abdul Individual HD 5/19/2006 4918 Grindon Avenue Baltimore MD 21214

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 88 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Sampson Michelle Personal HD 4/3/1996 1015 Washington Street Cambridge MD 21613 Care

Sanborn Michele R. Nurse HHS 2/20/2001 772 Fairview Avenue; Apt. Annapolis MD 21403 C

Sanchuk Daniel Paul Individual F 7/12/2000 9487 Canary Drive Bel Alton MD 20611

Sanders Nakiatia Individual HHS 9/20/2015 4931 Lanier Avenue Baltimore MD 21215

Sanders Kendall Aide HHS 2/15/2002 726 N. Carey Street Baltimore MD 21217

Sanderson Elizabeth Individual HHS 8/20/2013 P.O. Box 292 Oxford MD 21654

Sang Evadne M.D. LB 12/24/1991 Martin Luther King Ave Washington DC 20032

Sanghera Anil M.D. LB 11/28/2007 6919 Harford Road Baltimore MD 21234

Santana Maria Individual HD 5/24/2006 8511 Allenswood Road Randallstown MD 21133

Santiago Feliciana Personal HD 3/1/2001 10920 Connecticut Avenue Kensington MD 20895 Care

Santos Rene M.D. LB 1/15/2009 2835 Churchville Road Churchville MD 21028

Sarabia Erlinda S. Individual F 8/12/2006 8316 Elvation Road Millersville MD 21108

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 89 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Satogkit Supoj M.D. LB 12/11/1990 101 Medical Blvd Stockbridge GA 30281

Scandaltato Frank Personal HD 2/10/1998 102 Palmetto Drive Edgewood MD 21040 Care

Schade John Chiropracto HHS 10/20/1998 103 Baughmans Lane; #204 Frederick MD 21702 r

Schaffner Stephen Counselor HHS 4/20/2016 FCI Petersburg Medium Petersburg VA 23804 P.O. Box 1000

Schanus Larry Psychologis HHS 3/19/2015 2841 Ardmore Avenue Maple Plain MN 55259 t

Schauber Michael M.D. LB 4/25/2007 505 Dutchmans Lane, Suite Easton MD 21601 B

Scheibe Melissa Lynn Aide HHS 6/20/2000 1111 St. Paul Place Baltimore MD 21221

Schlenoff Elizabeth M.D. LB 4/1/2013 16918 York Road Ste. 100 Monkton MD 21111

Schlenoff MD PA Elizabeth M.D. LB 4/1/2013 16918 York Road Ste. 100 Monkton MD 21111

Schott Alan J. D.D.S. HHS 2/4/1997 8016 Nighwind Court Baltimore MD 21227

Schwartz Lyndell K. D.D.S. LB 11/15/2006 795 Aquahart Road Glen Burnie MD 21061

Schwarzberg Allan M.D. LB 11/28/2011 9021 Shady Grove Court Gaithersburg MD 20877

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 90 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Scotland Errol Individual F 10/20/2014 2900 Boarman Avenue Baltimore MD 21215

Scotland Manor Business F 10/20/2014 2900 Boarman Avenue Baltimore MD 21215 Entity

Scott Bernita E. Aide HHS 12/15/1993 602 Gibson Road Baltimore MD 21229

Scott Tatiana Aide MFCU‐A 12/3/2014 1022 Wedgewood Road Baltimore MD 21229

Scott Delores Elaine Nurse F 7/13/2006 11 Rebecca Lane Owings Mills MD 21117

Searcey Vicky C. Nurse HHS 9/19/2002 3146 Middlesex Drive Toledo OH 43606

Senior Connections d/b/a SK Adult Business HD 4/1/2010 1401 West Joppa Road Towson MD 21204 Daycare Entity

Sera Carlos C. M.D. LB 9/30/1998 12000 Longridge Lane Bowie MD 20715

Setaro John L. Psychologis HHS 3/10/1997 19 Melanie Court Baltimore MD 21234 t

Setlen Williams Individual HHS 4/19/1985 4527 Tapscott Road Pikesville MD 21208

Settles Diane Aide HHS 9/29/1996 11919 L Tarragon Road Reisterstown MD 21136

Shade David M.D. F 6/20/1984 14 Warfield Avenue La Vale MD 21502

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 91 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Shah Dinesh M.D. LB 9/23/2010 2327 Pulaski Highway, Ste. North East MD 21901 101A

Shamaeizadeh Ali M.D. LB 3/3/2004 710 Lisbon Center Dr; Ste HWoodbine MD 21797

Shandler Melvin LCSW HHS 4/20/2009 P.O. Box 1000 Cumberland MD 21501

Shavers John M.D. LB 9/26/2012 518 Camp Meade Road Linthicum MD 21090

Shea Robert Individual HHS 10/21/2013 4902 W. 144th Street Overland Park KS 66224

Sheldon‐Cost Priscilla M.D. LB 9/13/2012 1407 York Road Ste. 309 Lutherville MD 21093

Shelton Pam Personal HD 4/26/1995 183 Fairfield Drive Frederick MD 21702 Care

Shepherd Family Services, Inc. Business HD 2/6/2007 3450 Laurel Fort Meade Laurel MD 20724 Entity Road

Sheppard Shirleen Aide MFCU‐A 3/23/2012 938 Argonne Drive Baltimore MD 21218

Sheppard Millard C. Individual F 4/27/2000 c/o P.O. Box 536 Jessup MD 20794

Sherwood Shannon Dental HHS 12/20/2009 855 Aurora Road Ernul NC 28527 Technician

Shiraldi Teresa Nurse HHS 6/20/2005 3700 Misty Valley Court Abingdon MD 21009

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 92 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Shirazi Mahmaud M.D. LB 6/18/2007 5671 Royal Mile Blvd Salisbury MD 21801

Showell Cora Louise Aide MFCU‐A 12/6/2004 509 Bay Street Berlin MD 21811

Shpigelman Mikhail Personal HD 5/13/2002 2 Ameeht Court; 1C Baltimore MD 21215 Care

Shpritz Louis M.D. LB 3/28/2012 24 Caveswood Lane Owings Mills MD 21117

Shraga Inessa Personal HD 5/30/2003 5 Wind Blown Court; Apt. Baltimore MD 21209 Care 102

Shroff Amisha D.D.S. LB 2/11/2016 10320 Westlake Drive Bethesda MD 20817

Sichinava Inga Personal HD 3/7/2005 2001 Allanwood Court Silver Springs MD 20906 Care

Siegel Irving Optometrist HHS 9/10/1996 4251 Wilson Blvd Arlington VA 22203

Sierra Myrna Luz Vigo M.D. HHS 4/18/2002 67 Toledo Street Bel Monte, Mayaguez PR 00680

Simmons Kevin Individual F 5/27/2006 10356 Kentsdale Drive Waldorf MD 20603

Simms Rena C. Personal HD 5/12/1993 3705 W. Forest Park Ave Baltimore MD 21215 Care

Simon Jock M.D. LB 11/5/2008 30686 Satterfield Court Salisbury MD 21804

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 93 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Simons Evelyn Nurse HHS 12/20/1998 13631 Colgate Way Silver Spring MD 20904

Simpson Cleveland Cole Personal HD 2/20/1998 3019 Garrison Blvd Baltimore MD 21216 Care

Singh Mahindra Nurse HHS 6/19/2008 2 Pissaro Court North Potomac MD 20878

Singh Bhupinder M.D. LB 6/27/2008 200 Hospital Drive, Suite Glen Burnie MD 21061 500

Singletary Mitchell Aide HHS 9/1/1992 6646 Collinsdale Road Baltimore MD 21234

Singleton Celestyne Aide HHS 9/2/1992 17 Orenco Court Baltimore MD 21220

Singleton Faith R. Individual HHS 6/11/1990 4408 Old Frederick Road Baltimore MD 21229

Skinner Hubert G. M.D. LB 5/8/2006 11085 Little Patuxent Columbia MD 21044 Pkwy; Suite 205

Skrinskaya Natailya Personal F 10/1/2002 3720 Bel Pre Road; Apt. 9 Silver Spring MD 20906 Care

Slavin Carl J. M.D. LB 7/26/2006 3231 Superior Lane; #A2 Bowie MD 20715

Sliger Traci Personal HD 11/28/2000 8505 George Washington Oakland MD 21550 Care Hwy

Smith Donny W. LCSW F 8/28/2005 3745 Maple Crest Drive Knoxville MD 21758

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 94 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Smith William M.D. LB 2/23/2012 1900 E. Northern Parkway Baltimore MD 21239 #210

Smith Tammy LCSW F 8/29/2008 4228 Huntshire Road Foxridge MD 21133

Smith Lance C. Individual F 10/1/1992 18800 Walkers Choice Gaithersburg MD 20879 Road

Smith Joseph H. M.D. HHS 5/16/1993 4705 Locust Hill Court Bethesda MD 20014

Smith Dorothy Julia Aide HHS 9/13/1997 912 Thompson Blvd Baltimore MD 21221

Smith Dale A. Aide HHS 2/19/1998 6010 Valley Court Lexington Park MD 20553

Smith Elizabeth Ann Individual MFCU‐A 11/8/2003 6102 Alta Avenue Baltimore MD 21206

Smith Anthony Individual F 8/29/2008 4228 Huntshire Road Foxridge MD 21133

Smith Tammara Aide HHS 6/17/1999 6466 Roots Drive Glen Burnie MD 27061

Smith Joyce Nurse HHS 6/17/1999 26 Dowling Circle Baltimore MD 21234

Smoot Melanie Personal HD 8/25/1993 Route 3; Box 120 Oak La Plata MD 20646 Care Avenue

Snead Paul Nurse HHS 2/20/2001 2108 Callow Avenue; Apt. Baltimore MD 21217 #1

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 95 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Snell Sherman Leon Individual HHS 7/22/1991 P.O. Box 549 Jessup MD 20794

Snyder Robert M.D. LB 7/24/2013 1500 Forest Glen Road Silver Spring MD 20910

Sodipo Steven P.D. LB 1/5/2007 2403 Nora Court Forest Hill MD 21050

Solomon Neil M.D. HHS 6/30/1994 901 Dulaney Valley Rd; Ste Towson MD 21204 602

Solomon Larry Individual F 10/24/1988 613 19th Street, N.E. Washington DC 20002

Soriano Asuncion M.D. LB 5/23/2007 119 Capitol Hgts Boulevard Capitol Heights MD 20743

Soriano, Jr. Cesar M.D. LB 7/3/2004 119 Capitol Heights Blvd Capitol Heights MD 20743

Soudah Truman F. M.D. LB 6/1/2010 8813 Waltham Woods Baltimore MD 21234 Road, Ste. 101

Spencer Deborah Personal HD 2/27/2007 429 Merryman Road Annapolis MD 21401 Care

Spriggs Donte Aide MFCU‐A 11/8/2013 1805 Ashburton Street Baltimore MD 21216

Srinivasan Sridhar Individual HD 4/1/2010 720 Ft. Washington Avenue New York NY 10040

SSS Nutrition & Dietetic Srvcs, Inc. Business F 11/19/2008 235 Mill Street, Ste. 3Hagerstown MD 21740 Entity

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 96 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Stachowski Gina Nurse HHS 4/19/2012 1645 Manor Road Dundalk MD 21222

Stalling Reginald W. M.D. LB 11/17/1999 9211 S. Normal Street Chicago IL 60620

Stark Thomas R.Ph HHS 10/20/2010 P.O. Box 1000 Cumberland MD 21501

Starling Greg Individual HHS 2/20/2008 3918 Elite Street Bowie MD 20716

Staton Kimberly V. Individual HHS 6/11/1990 10 Duke of Windsor Ct; T4 Baltimore MD 21207

Stein Marsha M.D. HHS 1/20/2015 5936 Howe Street Pittsburgh PA 15232

Stevens April Individual MFCU‐A 1/8/2008 1723 Crimson Tree Way, Edgewood MD 21040 Apt D

Stevenson Lawrence Personal HD 3/18/1996 6063 Marquette Road Baltimore MD 21206 Care

Stewart Kevin R. Aide HHS 4/27/1992 5211 Goodnow Road; Apt. Baltimore MD 21206 D

Stocks Gregory Nurse LB 3/23/2004 140 E. Centre Street Baltimore MD 21202

Stone Nancy Nurse MFCU‐A 2/17/2006 502 Francis Nicholson Way Annapolis MD 21401

Stoner Alfred Individual F 3/17/1992 511 S. Frederick Avenue; Gaithersburg MD 20879 #10

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 97 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Stratton Judith Z. Nurse HHS 4/20/2003 12308 Featherwood Drive; Silver Spring MD 20904 Apt. 13

Stubbs Darryl Aide HHS 2/10/2002 4311 23rd Avenue; Apt. Temple Hills MD 20748 1006

Stumpfel Ernest Ronald Personal HD 12/7/1993 8411 Morven Road; Apt. IBaltimore MD 21234 Care

Suburban Medical Equipment & Business HD 6/19/2014 505 Hampton Park Blvd. Capitol Heights MD Supplies Entity 20743

Sumler Robert A. Aide HHS 11/12/1990 500 E. Madison Street Baltimore MD 21202

Summers Holly R. D.D.S. LB 3/1/2005 19221 Montgomery Village Gaithersburg MD 20789 Professional

Sungenis Albert M.D. LB 6/15/2006 5179 Harpers Farm Road Columbia MD 21044

Supreme Health Systems, Inc. Business HD 3/30/2008 4801 York Road Baltimore MD 21212 Entity

Survival Place Assisted Living Business HD 3/26/2014 201 North Main Street PO Hurlock MD 21643 Entity Box

Sutton Veronica Personal HD 12/11/2009 1215 Etting Street Baltimore MD 21217 Care

Sviriduk Ella Personal F 3/4/2007 18923 Lark Song Terrace Germantown MD 20874 Care

Swartz Linda Personal HD 8/17/1995 116 Columbia Street Cumberland MD 21502 Care

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 98 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Tachie‐Menson Vanessa Nurse HHS 4/20/2016 17520 Bridle Court Apt. Jupiter FL 33478 201

Taku Wilfred Nurse F 6/13/2013 6425 Tiffany Court Lanham MD 20706

Tanna Peter M.D. F 12/31/1995 12708 Serpentine Way; Silver Spring MD 20904 #307

Tarkeh Victor Aide HHS 8/20/2015 15902 Bishopstone Terrace Upper Marlboro MD 20774

Tasher Jacob M.D. LB 5/26/2004 26 Erie Drive Slingerlands NY 12159

Tasker Nelda L. Aide HD 6/10/2005 P.O. Box 1Oakland MD 21550

Tauraso Nicola M.D. LB 8/12/2010 7051 Poole Jones Road Frederick MD 21702

Taylor Lafenus Donnell Aide MFCU‐A 4/13/2004 3002 Spaulding Avenue Baltimore MD 21215

Taylor Hester Ann Personal HD 5/2/1996 104 S. Somerset Avenue Crisfield MD 21817 Care

Temkin Diane Personal HD 12/15/2004 12005 Tarragon Road; Apt. Reisterstown MD 21136 Care G

Temple Marion B. LCSW F 7/5/1989 14512 Sandy Ridge Road Silver Spring MD 20904

Teves‐Upshur Maria Individual HHS 2/20/2008 P.O. Box 44714 Fort Washington MD 20749

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 99 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Than‐Riddle Khin Cho Cho M.D. LB 7/28/2004 1520 Crownsvile Road Crownsville MD 21032

Thaung Phone Individual F 3/17/1992 12636 Falconbridge Drive Darnestown MD 20878

The Dixon Home Business HD 9/28/2009 409 North Lakewood Baltimore MD 21224 Entity Avenue

The Medicine Shoppe Business LB 7/14/2009 11813 1/2 Reisterstown Reisterstown MD 21136 Entity Road

The Medicine Shoppe Business LB 11/15/2006 Frostburg Village Shopping Frostburg MD 21532 Entity Center

The Medicine Shoppe Business HD 8/15/2008 8035 A Liberty Road Baltimore MD 21244 Entity

The Medicine Shoppe Business HD 8/15/2008 5900 Reisterstown Road Baltimore MD 21215 Entity

The Medicine Shoppe Business HD 8/15/2008 8035 A Liberty Road Baltimore MD 21244 Entity

The Medicine Shoppe Business HD 11/15/2006 Frostburg Village Shopping Frostburg MD 21532 Entity Center

The Smith House Business HD 1/1/2007 7117 Campfield Road Baltimore MD 21207 Entity

Thomas Dwight N. Personal HD 9/17/1998 7049 Caldwell Road Pasadena MD 21122 Care

Thomas Patricia F. Aide HHS 9/19/1999 M.D. Correctional Inst‐ Jessup MD 20794 Women; P.O. Box 535

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 100 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Thomas Liston Individual HHS 10/20/1998 14601 Burnside Southwest Cumberland MD 21502

Thomas Barbara Individual HHS 12/5/1994 2135 Freemantle Court Waldorf MD 20601

Thomas Lindwall D.D.S. HHS 6/5/1995 10912 Lockwood Drive Silver Spring MD 20901

Thomas Henry Maurice Aide HHS 9/20/1999 3426 Edmondson Avenue Baltimore MD 21229

Thomas Tamara Personal HD 12/8/1997 90 Waverly Drive; #JJ102 Frederick MD 21702 Care

Thompson Carl N. Personal HD 7/24/1992 7412 Beech Avenue Baltimore MD 21206 Care

Thompson Colleen Nurse MFCU‐A 5/17/2005 312 Boardwood Drive Rockville MD 20850

Thompson Stephanie Aide HHS 2/18/2010 3008 Gallery Place, Apt. 33 Waldorf MD 20602

Thompson Yvonne Personal HD 3/27/1996 914 E. Biddle Street Baltimore MD 21202 Care

Thompson Regina Personal HD 5/7/2003 524 Cedar Street Cambridge MD 21613 Care

Thornton Martha Personal HD 6/16/1993 402 Cedar Street Pocomoke MD 21851 Care

Thornton Keisha Personal HD 3/21/2002 307 Barclay Street Salisbury MD 21853 Care

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 101 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Tighe Shellieanna Nurse HHS 5/20/2014 6585 NW Monticello Drive Kansas City MO 64152

Tilghman Anitra Individual HHS 12/20/1995 3 Valley Arbor Court Essex MD 21221

Tinnin Louis Watson M.D. HHS 3/27/2006 RR 1; Box 215 Brucetonw Mill WV 26525

TKPSYC Services, Inc. Business F 4/7/2013 1005 8th Street Laurel MD 20707 Entity

Tofigh Hamid D.D.S. LB 3/19/2014 7500 Hanover Parkway Greenbelt MD 20770 Ste. 106

Tolliver John M.D. HHS 8/20/1998 8629 Cross Chase Court Fairfax Station VA 23039

Tom Victoria Personal HD 12/10/2004 201 Poplar Springs Road; Rockville MD 20850 Care Apt. I

Tomasino Vincent M.D. HHS 3/20/2014 11824 Ramble Drive Owings MD 20736

Tomboyeke Idrisa Aide MFCU‐A 7/25/2005 408 Torrington Place Silver Spring MD 20901

Torain Doris Individual HHS 5/6/1988 2359 Sundew Terrace Baltimore MD 21209

Tosson Hanan M.D. LB 7/11/2011 255 Scott Avenue Morgantown WV 26508

Towns Charles D.D.S. HHS 11/25/1983 6400 Rossville Blvd Baltimore MD 21237

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 102 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Treece Thaddeus R. Personal HD 3/15/1994 2628 E. Madison Street Baltimore MD 21205 Care

Truby Derrick P.D. HHS 10/20/2010 7018 Hamlet Avenue Parkville MD 21234

Tshibaka Cimenga M.D. LB 8/6/2015 5401 Old Court Road Randallstown MD 21133

Tuason Rhonda Nurse HHS 9/19/2002 25 Halfpenny Lane Baltimore MD 21228

Tullner William W. M.D. LB 1/27/2006 9901 Medical Center Drive Rockville MD 20850

Turner Heather Respiratory HHS 5/20/2014 914 S. Hanover Street Apt Baltimore MD 21230 Therapist 3S

Turner Joseph Individual F 9/16/1993 807 Benninghouse Road Baltimore MD 21212

Twenty Four Seven Home Health Business HD 7/28/2005 905 W. Seventh Street; Frederick MD 21702 Care Entity PMB 302

Tyco Clinical Lab. T. Husain Individual F 3/1/1995 405 Frederick Road; #158 Catonsville MD 21228

Tymiuk Wasyl P.D. LB 7/21/1993 2405 Mayfield Avenue Baltimore MD 21213

Tzou Norman M.D. LB 9/24/2012 196 Thomas Johnson Drive Frederick MD 21702 Ste. 135

Uche Hyacinth R.Ph F 12/7/2003 1413 King William Drive Baltimore MD 21228

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 103 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Udebiuwa Oparaugo M.D. F 11/30/2006 450 West Central Avenue Davidsonville MD 21035

Union Multicare Medical Center Business HD 10/10/2015 10801 Lockwood Drive Ste. Silver Spring MD 20901 Entity 140

United Medical, Inc. Business HHS 1/7/1998 639 Riverside Drive Annapolis MD 21403 Entity

Uplift Medical Business HD 3/22/2011 3710 Riviera Street, Suite Temple Hills MD 20748 Entity 1A

Valentine Lisa D.D.S. HD 11/1/2010 111 Park Avenue Baltimore MD 21201

Valentine Eugene Individual HHS 10/20/2002 P. O. Box 867 Arnold MD 21012

Valerie's Assisted Living Business HD 3/24/2004 5506 Wayne Avenue Baltimore MD 21207 Entity

Valove Paul M.D. LB 1/24/2007 11085 Little Patuxent Columbia MD 21044 Pkwy.

Van Horn Eugean C. M.D. HHS 9/15/1989 8163 Murry Hill Drive Fort Washington MD

Vandi Solomon Daniel Aide HHS 1/20/2006 9340 Edmonston road; Greenbelt MD 20770 Apt. 201

Varga Pal M.D. HHS 12/31/1991 213 Philadelphia Avenue Salisbury MD 20801

Vassallo Anthony Michael Personal HD 11/1/2006 455 N. Centre Street Cumberland MD 21502 Care

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 104 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Vaters Willa J. Individual HHS 5/2/1989 Route 3, Box 144 Hagerstown MD 21741

Vaughn Cheryl Nurse HHS 1/20/2013 321 Oakway Court Joppa MD 21085

Vaughn Hope L. Aide MFCU‐A 10/15/1993 1940 W. North Avenue Baltimore MD 21217

Vegetarian Institute Business F 11/3/2005 7185 Columbia‐Gateway Columbia MD 21046 Entity Drive

Villars Maureen Personal HD 5/10/1996 11308 Gilsan Street Silver Spring MD 20902 Care

Villaruz Rogelio M.D. F 6/28/1988 576 Stocketts Run Road Davidsonville MD 21035

Vinedale Healthcare Incorporated Business HD 1/3/2016 2240 W. Desert Cove Phoenix AZ 85029 Entity Avenue Ste 105

Wagner Keith Individual F 6/5/1991 9304 Warren Street Silver Spring MD 20910

Waison Marion Smith M.D. LB 9/16/2005 Woman to Woman Comp Columbia MD 21044 Care; Hickory Ridge Road

Waites Regina Marie Nurse F 8/2/2002 16425 Calla Hill Road NW Mount Savage MD 21545

Walker Tonya Aide MFCU‐A 3/13/1999 3416 Brinkley Road; #402 Temple Hills MD 20748

Walker Joel M.D. LB 8/1/2014 9105 Franklin Square Drive Baltimore, MD 21237

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 105 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Wallace Michelle Personal HD 12/27/2002 9409 Jolean Road Randallstown MD 21133 Care

Wallach Daniel E. M.D. F 12/21/1992 90‐B Painters Mill Road Owings Mills MD 21117

Ward David C. M.D. HHS 2/18/1999 3317 Mondawmin Avenue Baltimore MD 21216

Warren Vinita Individual HHS 12/20/1995 2003 Georgian Wood Place Wheaton MD 20902

Warrick Patricia LCSW F 6/25/2015 5203 Janesdale Court Glenn Dale MD 20769

Washington Pain Medicine Center F 10/17/2015 7327‐A Hanover Parkway Greenbelt MD 20770

Watkins Rose Personal HD 9/30/2008 1027 Cosby Avenue Cambridge MD 21613 Care

Watkins Mildred Personal HD 8/7/2008 412 South Cedar Street, Cumberland MD 21502 Care Apt #2

Wattay Ellen G. P.T. LB 1/17/2006 408 Parkwood Drive Salisbury MD 21804

Watts Sherrie Individual F 10/28/1987 1907 Forest Park Apt; 53 Baltimore MD 21207

Waxler Richard M. Individual HHS 6/19/2003 6015 Middewater Court Columbia MD 21044

Weaver Darlynn Personal HD 8/6/1997 1503 East 29th Street Baltimore MD 21218 Care

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 106 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Weaver Brian M.D. LB 4/29/2010 1124 N. Main Street Sikeston MO 63801

Webster Dewitt D.D.S. LB 8/1/1990 6409 Ager Road Hyattsville MD 20782

Wee Melissa Pharm. F 9/21/2012 22 Nann Avenue Baltimore MD 21225 Tech

Wehren Lois M.D. LB 3/13/1997 4098 Fragile Sail Way Ellicott City MD 21042

Weiss Sam Arthur Aide HD 6/11/2004 3506 Glen Avenue Baltimore MD 21215

Weissfuss Meaghan N. Individual MFCU‐A 12/7/2005 11934 North Street; Apt. 5‐ Libertown MD 21762 3

Weitzman Warren Individual HHS 10/20/2002 7107 Thomas Branch Drive Bethesda MD 20817

Welch Barbara Jean Nurse HHS 6/20/2006 1628 E. Southern Avenue; Tempe AZ 85282 Bldg 9 PMB 139

Wells Luititia D. Personal HD 7/1/2002 P.O. Box 205 Newburg MD 20664 Care

Weneck Bruce M.D. F 8/27/1986 303 Memorial Blvd Hagerstown MD 21740

Werhoff Matthew Nurse HHS 4/18/2013 110 Sperow Trail Martinsburg WV 25404

Werner Stephanie A. Nurse HHS 4/20/2004 423 Lincoln Avenue Glen Burnie MD 21061

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 107 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Western MD Pharmaceutical Services Business HD 10/24/2015 25 N. Cannon Avenue Hagerstown MD 21740 Entity

Weston Danly P. D.D.S. HHS 4/22/1997 12821 Old Fort Road Fort Washington MD 20744

Wetmore Thomas LCSW LB 4/8/2011 420‐K Chinquapin Round Annapolis MD 21401 Road

Wheeler, Jr. Rudolph D. Individual 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. Individual HHS 10/20/2004 405 Parsonage Lane Saint Michaels MD 21663

White, Jr. Charles Edward PA HHS 9/26/1990 2921 Pulaski Highway Baltimore MD 21224

Whitehead Jessica Personal HD 5/16/1996 6713 Newport Road Hyattsville MD 20784 Care

Wiesman Albert M.D. HHS 4/12/1993 12605 Orchard Brook Rockville MD 20854 Terrace

Wilborne Victor G. Individual HHS 9/2/1992 5606 McClean Blvd; Apt. CBaltimore MD 21212

Wilkes Darryl Ivan Individual HD 9/21/2005 12428 Gable Lane Ft. Washington MD 20744

Wilkinson Morris A. M.D. HD 4/13/1993 7815 Old Receiver Rd Frederick MD 21702

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 108 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Wilks Deborah Individual HHS 11/15/1995 2023 Woodlawn Drive; Baltimore MD 21207 Apt. B

Williams Thomas C. Aide MFCU‐A 3/2/2004 1113 Bonaparte Avenue Baltimore MD 21218

Williams Fortune J. M.D. HHS 9/20/2005 5010 York Road Baltimore MD 21212

Williams Joanie Linden Personal HD 9/26/1997 3901 Greenmount Avenue; Baltimore MD 21218 Care 2nd Floor

Williams Daniella Individual F 4/23/2003 1523 Ellamont Avenue Baltimore MD 21206

Williams Cleveland M.D. LB 8/20/1991 1111 Spring St; Ste 103 Silver Spring MD 20910

Williams Joanie Personal HD 9/26/1997 3901 Greenmount Avenue; Baltimore MD 21218 Care 2nd Floor

Williams Barbara L. Aide HHS 11/10/1992 6934 Walker Rd; #B‐1Capitol Heights MD 20743

Williams Deborah Personal HD 9/17/1998 5409 Schley Avenue Baltimore MD 21213 Care

Williams Robert M.D. LB 6/26/2013 5602 Baltimore National Baltimore MD 21228 Pike

Williams Olivette Personal HD 1/6/1998 6237 Maxwell Drive Camp Springs MD 20746 Care

Williams Lillian Nurse HHS 4/20/2003 8925 Footed Ridge Columbia MD 21045

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 109 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Williams Arnita L. Personal HD 2/18/1998 1025 Webb Court Baltimore MD 21202 Care

Williams Sharon Personal HD 10/7/1996 P. O. Box 316; Peabody Leonardtown MD 20650 Care Street

Williams Carter M.D. F 4/14/1993 3104 Woodholme Ave Baltimore MD 21234

Williams, III Robert X. M.D. HHS 10/19/2006 3913 Fleetwood Avenue Baltimore MD 21206

Willis Vida Marie Aide HD 5/21/1997 3816 Towanda Ave; 1st Baltimore MD 21215 Floor

Wilson Rose Personal HD 5/15/1998 2926 Miles Avenue Balitmore MD 21211 Care

Wilson Tamela Personal HD 9/27/1995 751 Woods Road Cambridge MD 21613 Care

Wilson Tasha Aide MFCU‐A 3/11/2011 33 Deepspring Court Reisterstown MD 21136

Wilson Leon LCPC F 8/30/2014 15388 Bassford Road Waldorf MD 20601

Wilson Donisha Aide MFCU‐A 6/16/2006 11031 Kristin Way Worten MD 21678

Winder Tyrone Individual HHS 12/20/1995 4608 Marble Hall Road Baltimore MD 21239

Windsor Respite Business HD 9/20/2005 7407 Castlemoore Road Windsor Mill MD 21244 Entity

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 110 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Wingate Shonelle Personal HD 11/27/2009 8601 Greens Lane Baltimore MD 21224 Care

Wischer Noreen Ann Personal HD 3/19/2005 311 S. Robinson St. Baltimore MD 21224 Care

Wisniewski Peter M.D. LB 6/1/2015 110 Hospital Road #310 Prince Frederick 20678

Witriol Sol M.D. LB 9/26/2001 8679 Ft. Smallwood Road Pasadena MD 21122

Wongus Rosalie Individual F 11/27/1999 530 N. Curley Street Baltimore MD 21205

Woodard Dale Avery Aide MFCU‐A 12/30/2003 206 Slitting Mill Place Baltimore MD 21228

Woods Joyce V. Ph.D. HHS 5/8/1991 17525 Sir Galahad Way Ashton MD 20861

Woodward Arthur M.D. LB 2/3/2016 3416 Olandwood Court Olney MD 20832

Wooldridge Judith Nurse HHS 9/19/2003 1306 Willow Oak Drive Frederick MD 21701

Wright Stephanie Aide HD 2/27/2000 P. O. Box 11949 Baltimore MD 21207

Wright Cynthia McGinnis Nurse HHS 10/19/2006 42825 Shaler Street Chantilly VA 20152

Wright Jalaina Aide LB 2/25/2016 3309 Royce Avenue Baltimore MD 21215

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 111 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Yacoub John M.D. LB 10/8/2013 6701 North Charles Street Baltimore MD 21204

Yarborough Pamela Personal HD 3/22/2004 137 Faywood Court; Apt. 5Glen Burnie MD 21060 Care

Yassin Mahmoud M.D. HHS 12/19/2013 1503 North Jackson Street Robinson IL 62454

Yazdani Farshad M.D. LB 4/4/1999 339 E. Antietam St Hagerstown MD 21740

Yazhary Randall D.D.S. LB 12/22/2014 7508 Wisconsin Avenue Bethesda MD 20814

Yoshabell's House, I,II, III Business HD 5/24/2006 8511 Allenswood Road Randallstown MD 21133 Entity

Youmatz Henry F. D.D.S. F 12/11/1981 1503 West Lombard Street Baltimore MD 21223

Young Leonard H. Individual HHS 8/20/2009 7003 Targuin Avenue Temple Hills MD 20748

Young Jennifer Personal HD 3/3/2005 26771 Johnson Creek Road Crisfield MD 21817 Care

Young Henry A. M.D. HHS 2/13/1995 901 Eastern Avenue Baltimore MD 21221

Young Sara Personal HD 5/16/1995 381‐D Willows Road Lexington Park MD Care 20653

Yu Young H. M.D. LB 9/21/2001 1205 York Place Ste. 30A Towson MD 21204

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 112 of 113 LAST NAME FIRST NAME SPECIALTY SANCTION TERMINATION ADDRESS CITY/STATE/ZIP TYPE DATE

Yusufov Salim Individual HHS 8/20/2015 7010 Rock Stream Court Baltimore MD 21209

Zakrzeski Paul Nurse F 6/28/2002 210 S. Sunset Drive Shrewsbury PA 17361

Zazo Loretta Nurse HHS 12/18/2008 P.O. Box 219 4 Water St. Charlestown MD 21914 Pier A, #133

Ziem Grace M.D. LB 12/11/2015 16926 Eylers Valley Road Emmitsburg MD 21727

Ziscovici Silviu M.D. LB 12/1/2010 11400 Rockville Pike Ste. Rockville MD 20852 513

Zuckerman David M.D. LB 7/29/2009 9715 Medical Center Drive Rockville MD 20850 #530

Sanction Type: MFCU‐A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department HHS = Department of Health and Human Services Medicaid & Medicare Services F = Individual or Entity Convicted of Medicaid Fraud Thursday, April 28, 2016 Page 113 of 113