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Sanctioned Provider from Participation in Maryland

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Sanctioned Provider from Participation in Maryland 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 Baltimore 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.
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