Sanctioned Providers from Participation in Maryland

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

1ST RESPONSE HHS 11/8/2016 1530 Caton Center Drive Halethorpe, MD, MEDICAL TRANSPORT 21227 CORP A & A Medical Supply Business Entity HD 10/29/2015 146 Chartley Drive Ste 100 Reisterstown MD Company 21136 A&E Home Care I, II Business Entity HD 5/26/2005 1234 Cathedral Drive Glen Burnie MD 21061 Abate Shastine MD LB 12/31/2019 7004 Security Blvd, 101 Windsor Mill, MD 21209 Abbas Muhmoud F M.D. F 6/10/1992 5411 Old Frederick Road Baltimore MD 21229

Abdo Hatem MD LB 8/10/2020 19 Fontana Lane, Ste 206 Baltimore, MD 21237

Abegunde Abeyinka Daniel MFCU A 3/23/2021

Abell Amanda Personal Care HD 3/29/2006 19862 Preference Way Callaway MD 20620 Provider Abundant Life Center, Inc. Business Entity HHS 7/5/1989 30 South Broadway Baltimore MD 21231

Acree Virginia V. Nurse HHS 12/20/2009 FPC Alderson, Glen Ray Road, Alderson WV 24910 Box A Acri Joseph MD HHS 12/22/2017 147 Gettys Street Gettysburg, VA 17325

Action Healthcare 9/27/2017 Services Adam Hakki B. M.D. F 8/24/1983 6172 Oxon Hill Road Oxon Hill MD 20715

Adams Gloria Personal Care HD 3/16/2014 100 Maryland Avenue Hurlock MD 21643 Provider Adams Jerry MD LB 9/30/2016 957 National Highway La Vale, MD 21502

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

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 1 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

Adams Alice MD LB 3/13/2018 4333 Old Branch Temple Hills, MD 20748 Addison Denise Personal Care HD 9/9/1998 P.O. Box 6014 Baltimore MD 21231 Provider Addison Raven Tyrea Aide F 5/28/2019

Addison Ronetta Aide MCFU-A 5/8/2019 2802 Kentucky Ave Baltimore, MD 21213

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

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

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

Adelanwa Gabriel W. LCPC F 2/18/2007 7100 Chesapeake Road Landover Hills MD 20784 Aderibigbe Victoria O. Individual HHS 5/22/1998 11380 Cherry Hill Road; #20 Beltsville MD 20705

Adewale Soloman P.D. HHS 6/19/2008 4046 Warner Avenue, Apt. D1 Landover Hills, MD 20784 Adeyemi Mukaila Individual F 2/28/1997 25 Strawhat Road; 1-C Owings Mills MD 21117 Adeyemi Nancy Individual HHS 8/20/2008 7758 Finns Lane, Apt. 2 New Carrollton MD 20781 Adeyemo Adeleke M.D. LB 3/26/2014 5267 AL Jones Drive Shady Side MD 20764

Adger Rossanna Personal Care HD 9/9/1998 2140 Boyd Street Baltimore MD 21223 Provider Adiegwu Nnamdi Aide MFCU-A 11/8/2013 5002 Baltimore National Pike Baltimore MD 21229

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

Advanced Clinical Business Entity F 10/2/1997 201 North Charles Street Baltimore MD 21201 Associates Inc. Advanced Walk in HHS 7/28/2013 10801 Lockwood Drive, Suite 140 Silver Spring, MD, Urgent Care 20901 Afriyie Collina PA LB 9/2/2020 17 Western Maryland PKWY, suite Hagerstown, MD 100 21740

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 2 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

Agroh Musa Aide MFCU-A 10/2/2012 4403 Silver Brook Lane Apt. A102 Owings Mills MD 21117 Aguzie Happiness MFCU 6/12/2018 1830 York Road, Suite F Timonium, MD 21093

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

Aikens-Afful Nathaniel M.D. F 4/18/1983 3706 Collier Road Randallstown MD 21133 Air Support Therapies Business Entity HD 10/30/2015 P.O. Box 188 Upper Falls MD 21156 Ajay Sonogram INC HHS 2/27/2019 12410 Polar View Drive Bowie, MD 20720

Ajimatanrareje, Jr. Femi A. Pharmacy HHS 3/20/2014 9450 Whiskey Bottom Road Laurel MD 20723 Technician Ajong Eric Aide HHS 6/20/2011 13107 Serpentine Way Silver Spring MD 20904 Ajouh Mekone Aide MFCU-A 7/18/2014 2518 Molton Way Baltimore MD 21224

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

Ajumobi Chukwudi Individual HHS 8/19/2010 5404 85th Avenue, Apt. T3 New Carrollton MD 20784 Akande Dwanus Nurse HHS 1/20/2008 10849 N. Central Expressway Dallas, TX 75231

Akhigbe Ehigiator M.D. HHS 10/20/2010 FCI Morgantown P.O. Box 1000 Morgantown WV 26507 Akoda Charles MD LB 11/15/2016 7582 Annapolis RD Lanham, MD 20784

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

Akthar Waheed U. M.D. LB 9/9/2004 301 S. Theodore Green Blvd White Plains MD 20695 Al-Attar Ali M.D. LB 4/22/2009 4900 Silver Hill Road Suitland MD 20746

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

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

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 3 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

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

Alexander Harold HHS 11/8/2016 7610 Pennsylvania Avenue Forrestville, MD 20747

Alexander Daniel MD LB 1/11/2017 7445 East Furnace Branch Road, Baltimore, MD, 21060 Glen Burnie, MD, 21 Al-Khatib Sofian J M.D. LB 10/7/2016 5501 Mariposa Street Phoenix, AZ 85018

Al-Khatib Susan Nurse HHS 2/20/2008 13014 Winchester Road, SW Cumberland, MD 21502 Allen Yvonne Aide MFCU-A 10/29/2014 2565 Francis Street Baltimore MD 21217

Allotey John B.K. M.D. LB 11/14/2012 P.O. Box 925MP Manprobi-Accra Ghana Ally Azad M. D.D.S. F 7/21/2004 1643 Agnes Avenue, S.E. Palm Bay FL 32909

Alperstein Arnold R.Ph HHS 1/20/2004 3202 Walnut Avenue Owings Mills MD 21117 Alpha Diagnostic Business Entity F 7/30/2016 9-F Gwynns Mill Court Owings Mills MD Services, Inc. 21117 Alpha Diagnostic Business Entity F 7/30/2016 2700 MLK Jr. Ave. SE, Bld Ct Rm 3 Washington, DC Services, Inc. 20032 Alpha Diagnostic Business Entity F 7/30/2016 9-F Gwynns Mill Court Owings Mills MD Services, Inc. 21117 American Diagnostic Business Entity HD 10/28/2008 15749 Crabbs Branch Way Rockville MD 20855 Laboratories American Medical Co- Business Entity HD 4/17/2016 330 Mallory Station Road, Ste. G- Franklin TN 37067 Op, LLC 26 Amirgholi Mohammed H. M.D. LB 3/23/1988 9401 Indian Head Hwy Ft. Washington MD 20744 Amna Medical Center HHS 3/5/2019 330 E Pulaski HW, Suite 104 Elkton, MD 21921 LLC Amoss Willard M.D. LB 6/20/2012 2303 Belair Road Fallston MD 21047

Anderson Tasha M PA-C LB 12/14/2017 1407 York Rd, Suite 310 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

Wednesday, August 4, 2021 Page 4 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

Anderson Richard H. M.D. LB 5/26/2001 13 Cedar Waxwing Road Hilton Head Island SC 29928 Anderson Susan Nurse HHS 12/19/2002 11554 Buckskin Court Lusby MD 20657

Anderson Morris Personal Care HD 7/21/1995 11 W. Baltimore; #1012 Hagerstown MD Provider 21740 Andreadis Barbara L. LCSW F 5/20/2003 47 E. Main street Hancock MD 21750

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

Angel Square Business Entity HD 6/28/2005 2306 Breton Drive District Heights MD 20747 Angel's Paradise II Business Entity HD 12/1/2011 7808 Baltimore Annapolis Blvd. Glen Burnie 21060

Anifowose Olufunke Aide MFCU-A 9/20/2012 38 Trout Brook Circle Reisterstown MD 21236 Ankrah Solomon Aide MFCU-A 7/29/2013 3 Korado Court, Apt. 2B Windsor Mill MD 21244 Ann's Loving Care Business Entity HD 9/5/2007 1536 Northgate Road Baltimore MD 21218

Appalachian Wellness F 7/9/2018 507 Henderson Ave Cumberland, MD Center 21502 Appel Lawrence W. R.Ph HHS 12/20/2004 4 Coachman Ct; Apt. 202 Randallstown MD 21133 Arbogast Rebecca Personal Care F 1/6/2007 36856 Danny Lane Chaptico MD 20621 Provider ARG Associates, Inc. Business Entity HHS 5/20/2002 8314 Glenmar Road Ellicott City MD 21045 Argos Vision & Eyecare Business Entity LB 9/20/2013 15920 Shady Grove Road Gaithersburg MD Center 20877 Arian Howard MD LB 6/19/2017 500 Upper Chesapeake Drive Belair, MD 21014

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

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

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 5 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

Arrison Edward MD LB 8/25/2020 103 Chesapeake Blvd, Ste C Elkton, MD 21921

Arriva Medical LLC HHS 11/4/2016 4252 NW 120th Avenue Coral Springs, FL, 33065 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 #512 Baltimore MD 21228

Arung Elizabeth Aide HHS 4/20/2015 1817 Greenwich Wood Drive Apt. Silver Spring MD 24 20903 Asemani Ghafour B. D.D.S. HHS 7/18/2002 8667 Town & Country Blvd; F Ellicott City MD 21043 Ashimi Karen Aide MFCU-A 5/24/2007 2424 Bridgehampton Drive, #J Parkville MD 21234

Askins Annie Delois Personal Care HD 5/4/2006 3301 Ripple Road Baltimore MD 21244 Provider Askins Private Care Business Entity HD 5/4/2006 3301 Ripple Road Baltimore MD 21244 Home Aslam Zahid MD LB 5/15/2018 300 East Pulaski Hwy Elkton, MD 21901

Aslam Mohammad M.D. LB 9/4/2014 501 S. Union Avenue Havre de Grace MD 21078 Atlanta Institute of Med HHS 6/24/2013 2911 Piedmont Road, Ste E Atlanta, GA, 30305 and Rehab Atlantic Health Care, Inc. Business Entity HHS 10/7/2007 7640 Fullerton Road Springfield VA 22153

Aurora Hlth Care Business Entity HD 5/4/2005 14004 Silver Teal Way Upper Marlboro MD Services, Inc. 20774 Austin Dan E. M.D. LB 4/4/1999 12164 Central Ave Mitchelleville MD 20721 Automated Billing Service Business Entity HHS 6/12/1997 4701 Randolph Road Rockville MD 20852

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

Wednesday, August 4, 2021 Page 6 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

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

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

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

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

Bagheri Farhad D.D.S. LB 8/15/2005 13529 Clopper Road Germantown MD 20874 Bagwell Polla Darlene Aide HHS 2/18/1999 3127 Artaban Place Baltimore MD 21216

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

Bailey Andrea MD LB 7/17/2017 3500 Old Washington Road, Suite Waldorf, MD 20602 101 Bailey, Jr. Purcell M.D. LB 4/16/2015 2600 Liberty Heights Avenue Ste. Baltimore MD 21215 103 Bakare Oluwatoyin Personal Care HHS 4/20/2015 8207 Consett Court Severn MD 21144 Provider Baker Betty Personal Care HD 9/9/1998 524 W. Preston Street Baltimore MD 21202 Provider Baker Cynthia Nurse HHS 6/19/2008 5753 Hazelwood Circle, Apt. F Baltimore MD 21206

Ball Katherine M.D. LB 5/6/2016 30205 Ward Drive Trappe, MD, 21673

Baltatzis Panayiotis MD LB 10/4/2017 8113 Harford Road suite 100 Baltimore, MD 21234

Baltatzis Panaytiotis MD LB 9/29/2017 8113 Harford Road, Suite 100 Baltimore, MD 21234

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

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

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 7 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

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

Baral Daniel LB 6/15/2018 7402 York Rd, Suite 100 Towson, MD 21204

Barber Steven Individual HHS 2/20/2011 4305 Belfield Drive Greensboro NC 27407 Barb's Mason Dixon Business Entity HD 7/31/2006 29233-A West Line Road Delmar MD 21875 Home Barnes Georgia Personal Care HD 4/14/2003 12 Garrisonridge Court Owings Mills MD Provider 21117 Barnes Ronald Aide MFCU-A 6/18/2014 3501 Mayfair Road Baltimore MD 21207

Barnette Dawn Personal Care HD 4/1/1994 SR6; Box 277-13 LaPlata MD 20646 Provider Barr Alvin Scott Nurse HHS 4/20/2004 8336 Evergreen Drive Lusby MD 20657

Barto Johnnie Wilson MD LB 2/28/2018 201 Delta Drive Johnstown, PA 15904

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

Bassett David W. M.D. LB 3/29/2006 CPC Health, Inc; 500 W. 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. 1213 Forestville MD 20747

Beachley Carroll L. Aide HHS 5/13/1998 10420 Bailey Road Hagerstown MD 21740 Beauford India Aide HHS 8/20/2014 1949 Ewald Avenue Dundalk MD 21222

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 8 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

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

Beck Zina Yvonne Personal Care HD 6/19/1998 3925 Clark Lane, Apt. D Baltimore MD 21215 Provider Beck Jeffrey R. D.O. LB 7/13/2006 22 S. Greene Street Baltimore MD 21201

Beck Charlene Personal Care HD 9/9/1998 Route 1; Box 237 Rock Hall MD 21661 Provider Beckles Lukman DDS OIG 10/17/2016 8730 Georgia Avenue, Suite 308 Silver Spring MD 20910 Belfar William M.D. HHS 1/20/2015 633 Westbury Avenue Westbury NY 11590

Belis John MD HD 3/16/2016 PO Box 897 Morgantown, WV 26505 Bell 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-C Gwynn Oak MD 21207 Bell, Jr Lawrence DDS LB 6/29/2018 3326 Auchentoroly Ter Baltimore, MD 21217

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

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

Belton Kimberly Shamicka MFCU A 7/14/2017 6201 Commons Rd Baltimore, MD 21237

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

Benchmark Mobility Inc DME/DMS HHS 9/21/2017 100 West Road, Suite 300 Towson, MD 21204

Benchoff Richard R.Ph HHS 9/20/2009 139 E. Baltimore Street Hagerstown MD 21740 Benn Stanley Junious Individual F 7/14/2005 16 Arrowood Court Baltimore MD 21237

Benson, Jr. Fred D.D.S. HHS 6/6/1993 8055 13th Street Silver Spring MD 20910 Bernhard Larry D.P.M. HHS 10/30/2007 446 Colonial Ridge Land Arnold MD 21012

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 9 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

Berrebi Gabriel M.D. LB 4/15/2015 11904 Darnestown Road Ste F North Potomac MD 20878 Besong Emiline Aide HHS 4/20/2015 1806 Greenwich Wood Drive Silver Spring MD 20903 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 Biggs Reginald MD LB 4/7/2020 3731 Branch Ave, B-309 Temple Hills, MD 20748 Bikundi Florence Individual F 8/6/2016 3042 Mitchellville Road Bowie MD 20716

Bikundi Michael Individual F 8/6/2016 3042 Mitchellville Road Bowie MD 20716

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

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

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

Bland-Guary Celeste LCPC F 9/18/2019 3350 Wilkens Ave, suite 301 Baltimore, MD 21229

Blizzard Judy Personal Care HD 9/30/1993 1326 Deer Park Road Westminster MD Provider 21157 Blue Star Assisted Living Business Entity HD 8/31/2006 5415 Lincoln Street Bethesda MD 20817

BMA Health Care Business Entity HD 5/16/2013 12510 Prosperity Drive Ste. 180 Silver Spring MD Services, Inc. 20904 BMA Health Care Business Entity HD 5/16/2013 13526 Collingwood Terrace Silver Spring MD Services, Inc. 20904 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 Entity HHS 9/20/2001 9051 Baltimore Nat'l Pike; Ste 3-E 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

Wednesday, August 4, 2021 Page 10 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

Boesen Peter V. M.D. HHS 3/20/2008 07705-030, USP, P.O. Box 1000 Leavenworth KS 66048 Bohannon Wayne E. Ph.D. LB 11/9/2001 Behavioral Science Assoc; 10751 Lutherville MD 21093 Falls Road Boisvert Raymond Nurse HHS 8/20/2015 2701 N.W. 23rd Blvd. Apt. 225 Gainesville FL 32605

Bolshinsky Igor Personal Care HHS 5/19/2005 10948 Whiterim Drive Potomac MD 20854 Provider Bonovich Kermit M.D. LB 11/30/2010 754 Hickory Avenue Bel Air MD 21014

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

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

Bowens Michelle Personal Care HD 7/31/2002 600 N. Bentz St.; Apt. 8 Frederick MD 21701 Provider Bowie, Jr. Charles Douglas D.D.S. F 3/20/2003 4205 Liberty Heights Avenue Baltimore MD 21207

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

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

Boyd Seward D.O. LB 2/11/1991 556 Ingraham St Washington DC 20011 Boyd Elizabeth Personal Care F 8/15/2017 1103 Village Gate Drive MT Airy, MD 21771 Provider Boykins Loretta Penny Individual HHS 12/20/2001 1212 Whitelock Street Baltimore MD 21217

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

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

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

Bradley 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

Branch Kelly Individual HHS 3/25/1998 749 Linnard Street 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

Wednesday, August 4, 2021 Page 11 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

Branch Bernadette Personal Care HD 3/20/1993 P. O. Box 33354 Baltimore MD 21218 Provider Branch Freddie Individual HHS 2/15/1997 35 Loring Court; D Baltimore MD 21219

Brathwaite Lindsay M.D. HHS 5/19/2016 434 Turnberry Court Bear DE 19701

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

Braxton Deborah F 12/17/2019

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 Care HD 6/20/1995 8 Patamoke Way Cambridge MD Provider 21613 Brigance Troy B. RCP HHS 11/20/2003 851 Park Avenue Baltimore MD 21201

Briggs Duriel Aide MFCU-A 10/29/2014 5 West Bend Court, Apt. D Baltimore MD 21207

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

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

Bronder Rosemary Nurse HHS 5/18/2000 4421 Saddle River Drive Mitchellville MD 20702 Brooks Wanda Personal Care HD 6/27/1990 6870 Sturbridge Drive; Apt. B Baltimore MD 21234 Provider Brooks Myrtle Individual HD 7/17/2005 1501 Bayly Road Cambridge MD 21613 Brooks Latosha N. Aide MFCU-A 2/2/2005 3809 Bonview Avenue 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

Wednesday, August 4, 2021 Page 12 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

Brooks Care Home Business Entity HD 7/17/2005 1501 Bayly Road Cambridge MD 21613 Brown Spencer Individual F 2/8/2013 19 Autumn Blaze Court Woodstock MD 21163

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

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

Brown Pamela MFCU A 6/5/2018

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

Brown Andrew Individual F 7/9/2016 43 Gwynnswood Road Owings Mills MD 21117 Brown Ray-monia Aide HHS 9/18/2014 102 N. Broadway Apt. 8 Baltimore MD 21231

Brown Louise Personal Care HD 9/9/1998 5414 Gist Avenue Baltimore MD 21215 Provider Brown Luwahn Personal Care HD 3/31/1994 Rt. 2; Box 2259 La Plata MD 20646 Provider Brownstein Steven A. D.P.M. LB 3/11/1999 420 S. Crain Hgwy Glen Burnie MD 21061 Broy Sharon LCSWC LB 1/11/2017 3812 Sequoia Avenue Baltimore, MD 21215

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

Bryant Tonya Personal Care HD 9/6/1995 3505 Carsdale Avenue Baltimore MD 21207 Provider Bryson Rick Van D.P.M. HHS 3/20/2006 15608 Henrietta Drive Accokeek MD 20607

Buchanan Elizabeth Personal Care HD 1/9/1992 4114 Buckingham Road Baltimore MD 21207 Provider Buchar Chris R. R.Ph HHS 5/10/2003 26114 Pelham Avenue Baltimore MD 21213

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

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

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 13 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

Bui Ann DDS LB 6/13/2016 644 University Blvd East Silver Spring, MD, 20901 Burge Lisa M. Individual HHS 2/6/1998 7934 Mayfair Circle Ellicott City MD 21043 Butt Amjad MD HHS 11/28/2016 952 Seton Drive Ste 301 Cumberland, MD

Butts Shayrie Personal Care HD 7/19/1991 306 Bishop Avenue Baltimore MD 21225 Provider Calhoun Marvita Personal Care HD 8/19/1994 96 College Park Terrace Annapolis MD 21401 Provider 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 Darlene CRT HHS 11/20/2000 3010 Spaulding Avenue Baltimore MD 21215

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

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

Cardiotel Inc. Laboratory HHS 6/20/2002 19636 Club House Road; Ste 120 Gaithersburg MD 20886 Care Plus Ambulance Business Entity F 9/13/1999 4 Woostream Court; #9 Owings Mills MD Service, Inc. 21117 Caregivers, LLC Business Entity HD 10/20/2008 11405-103 Little Patuxent Parkway Columbia MD 21044

Carlisle HMA LLC DBA F 12/19/2019 361 Alexander Springs Road Carlisle, PA 17015 Carlisle Medical Supply Carney-Barry Donna Individual HHS 8/20/2013 21 Bohn Court Rosedale MD 21237

Carpenter Gene P. Aide HHS 5/20/1999 7328 Church Hill Road Chestertown MD 21620 Carroll Candy Personal Care HD 1/5/2007 P.O. Box 151 Park Hall ND 20667 Provider Carter Thomas N. M.D. LB 7/6/1994 9127 Georgia Ave Silver Spring MD 20910

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 14 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

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

Carter (Carter-Leak) Darnella F 7/18/2019

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

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

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

Centrad Healthcare LLC DME HHS 2/24/2017 1847 Shuman Blv Ste 130 Naperville, IL 60563

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

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

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

Chalk Ella Personal Care HD 3/18/1996 1707 N. Patterson Park Avenue Baltimore MD 21213 Provider Chalkley Walter Individual HHS 11/11/1993 8645 Oak Road Baltimore MD 21234

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

Chaney Marlo Individual HHS 4/20/2010 523 Kerby Parkway Fort Washington MD 20744 Chang Samuel M.D. F 10/28/1987 10005 Hall Rd Potomac MD 20854

Charles Lloyd MD LB 7/7/2017 9692 Pennsylvania Avenue Upper Marlboro, MD 20772 Charms One, LLC Business Entity HD 9/28/2009 2021 Kennicott Road Baltimore MD 21244

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

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

Chavis Darlene Personal Care HD 6/8/1993 619 Carlton Court Cambridge MD Provider 21613 Cheeves Deborah Nurse HHS 8/19/2010 4206 Forsythia Lane Pasadena MD 21122

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

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 15 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

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

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

Chiang Peter MD LB 6/1/2019 2425 Eutaw Place Baltimore, MD 21217

Chigbue Brian M.D. LB 1/14/2008 7943 Central Avenue Capitol Heights MD 20743 Chikvashvili Rafael Individual F 7/30/2016 3100 Stone Cliff Drive Baltimore MD 21209

CHM Medical Supply, Inc. Business Entity F 8/20/2016 26 North Dundalk Avenue Dundalk MD 21222

Cho Jay M.D. HD 10/9/2015 5124 E. Trindle Road Mechanicsburg PA 17050 Choudry Vaqar D.D.S. LB 9/18/2014 301 East Antietam Street Hagerstown MD 21740 Chu Peter L. D.D.S. HHS 11/4/1988 12450 Parklawn Drive Rockville MD 20852

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

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

Clark 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. Greene St Baltimore MD 21201

Clark Ann Personal Care HD 11/27/2006 4509 Wakefield Road Baltimore MD 21216 Provider Clayton Edith Personal Care HD 9/9/1993 10518 Marriottsville Road Randallstown MD Provider 21133 Cleary Edward Paul Personal Care HD 11/10/2005 6723 Eldorado Road Federalburg MD Provider 21632 Cleveland Tamara Jane Nurse HHS 2/19/2004 1003 Girard Street; NE Washington DC 20017 Clopin Wanda Personal Care HD 9/9/1998 9214 Victoria Drive Ellicott City MD Provider 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

Wednesday, August 4, 2021 Page 16 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

Coar Jemal Personal Care HD 6/11/2009 1652 Candlewood Court Edgewood MD Provider 21040 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 Entity F 7/25/2000 10255 York Road Cockeysville MD 21030 Cohen Adrian M. M.D. LB 3/15/1997 1404 Dennis Avenue Silver Spring MD 20902 Cole Sharron F 10/15/2020

Coleman Angela Personal Care HD 9/9/1998 112 Big Chimney Branch Upper Marlboro MD Provider 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 Care HD 5/19/2010 218 Philos Avenue Westernport MD Provider 21562 Commodore Josephine Personal Care HD 11/3/1992 722 E. Preston Street Baltimore MD 21202 Provider Commodore Patricia W. Individual F 6/23/1997 1910 Barclay Street Baltimore MD 21218

Community Care Pharmacy LB 10/19/2006 2730 Pennsylvania Avenue Baltimore MD 21217 Pharmacy Conerly Rex A. P.D. HHS 6/6/1993 6114 Breezewood Drive; #101 Greenbelt MD 20770

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

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 17 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

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

Cothran Dorothy M.D. LB 8/9/1996 1715 D Street, SE Washington DC 20003 Coulter Steven T. M.D. LB 5/28/2003 11140 Rockville Pike; #348 Rockville MD 20852

Council Michael Delroy Aide HHS 6/16/2003 5143 Nelson Avenue Baltimore MD 21215 Cozier Lisa LCPC LB 3/18/2014 119 W. Main Street Westminster MD 21157 CPM Corporation Business Entity F 3/13/2003 5550 Baltimore Nat'l Pikek Baltimore MD 21228

Crawford Tammie Nurse HHS 9/20/2016 4905 Nelson Avenue Baltimore, MD 21213

Crawford Gene O. M.D. LB 10/28/1992 401 Rexburg Ave Ft Washington MD 20744 Crawford Steven Personal Care HD 2/23/2009 170 Hollingsworth Manor Elkton MD 21921 Provider Crisp Ronald M.D. HHS 6/24/1992 8288 Waterside Court Frederick MD 21701

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

Crowder Veronica Personal Care HD 2/16/2010 6670 Palmers Mill Road Hurlock MD 21643 Provider Crumitie Audrey Aide HHS 9/25/1995 1616 North Bethel Baltimore Md 21213

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

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 18 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

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

Cummins David D.D.S. HHS 7/8/1993 42 W. Deerpark Road; #101 Gaithersburg MD 20877 Cunningham Dean S. M.D. LB 10/22/2003 Morgantown FCI; POBox 1000 Morgantown WV 26507 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 Business Entity HD 11/19/2009 1011 Reverdy Road Baltimore MD 21212 Services D.C. Medical Supply Business Entity F 8/13/2012 5922 Georgia Avenue, N.W. Washington, DC 20032 Dabela Abraham MD LB 1/29/2021 PO Box 1508 West Bethesda, MD 20827 Dabney Lillie Personal Care HD 4/25/2008 112 S. Symington Avenue Catonsville MD 21228 Provider Dabney's Elder Care Business Entity HD 4/25/2008 112 S. Symington Avenue Catonsville MD 21228

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

Dalrymple Anne M. M.D. HHS 6/27/1991 207 N. Manor Circle Takoma Park MD 20912 Daly Lauren M.D. HD 11/14/2015 SCI Muncy P.O. Box 180 Muncy PA 17756

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

Dang Dien Hieu D.D.S. F 4/12/1985 10620 Georgia Avenue Ste 111 Silver Spring MD 20902 Daniel George M.D. HHS 4/23/1990 11610 Milbern Drive Potomac MD 16280

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

DaShiell Hilda T. Personal Care HD 10/29/2003 POBox 1148 Hurlock MD 21643 Provider Davis Jane Personal Care HD 2/15/1994 1508 Rawlings Well Road Baltimore MD 21228 Provider

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 19 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

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

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

Davis Mark MD LB 2/1/2017 McAlpine Center, 9141 Baltimore Ellicott City, 21043 National Pike Davis Patricia Personal Care HD 10/16/1992 1527 W. Baltimore Street Baltimore MD 21223 Provider 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

Daza-Racines Enrique MD LB 1/25/2021 6420 Rockledge Dr, Ste 2500 Bethesda, MD 20817

Dee Rosita H. M.D. LB 8/14/2006 8830 Cameron Street; #206 Silver Spring MD 20910 Deepak Inc. T/A Bhawani Business Entity HD 12/19/2012 9946 Downsville Pike Hagerstown MD Manor Care 21740 Delcid Ever A. Individual MFCU-A 8/15/2006 2142 Collingwood Lane Frederick MD 21702

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

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

Dependable Nursing Business Entity F 4/8/2014 19616 Club Lake Road Montgomery Village Care Inc MD 20886 Deptula Richard Individual HHS 8/20/2003 1290 Folly Quarter Road Ellicott City MD 21042 Desrosiers Henri CRNA HHS 3/27/2017 12252 Williams Road, Suite 103 Cumberland, MD

Destiny Medical Supply, Business Entity HD 8/20/2016 12200 E Iliff Avenue Ste. C202 Aurora CO 80014 Inc. 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

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 20 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

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

Diamedix Healthcare, Business Entity HD 10/15/2015 4860 Cox Road Ste 300 Glen Allen VA 23060 LLC Dickerson Ronald G. Individual HHS 5/20/2008 6728 Vermont Court Landover MD 20785

Dickey Robert M.D. LB 7/30/2013 1647 38th Street SE Washington DC 20020 Dickinson Eva MD LB 12/28/2016 201 Hall Highway Crisfield, MD 21817

Diesen Kayla Personal Care HHS 2/18/2016 16A Skyline Drive Glasgow MT 59230 Provider Diggins Carolyn Personal Care HD 4/27/2006 3547 Millford Mill Road Baltimore MD 21207 Provider Diggins Carolyn L. Personal Care HD 7/13/2005 3547 Milford Mill Road Baltimore MD 21244 Provider Dishon Lori Ann Individual F 9/22/1999 3208 Fait Avenue Baltimore MD 21224

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

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

Dolly Judy Personal Care HD 10/16/1995 719 Sylvan Avenue Cumberland MD Provider 21502 Donovan James Individual HHS 11/15/1995 3906 Woodbine Avenue Baltimore MD 21207

Dooley Thomas M.D. LB 3/26/2016 13671 Georgia Avenue Silver Spring MD 20906 Dorsey Juanita L. Personal Care HD 1/10/1995 P. O. Box 42 Bryantown MD Provider 20617 Dorsey Cornell Personal Care HD 4/14/1993 2105 N. Charles Street Baltimore MD 21218 Provider 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

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 21 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

Drubetskoy Yevgeny Individual HHS 9/18/2014 100 Sunnyking Drive Reisterstown MD 21136 Dubin Samuel M.D. LB 6/30/1988 17904 Georgia Ave Olney MD 20832

Dubroff Seymour J. M.D. LB 12/31/1994 8905 Fairview Rd Silver Spring MD 20910 Dudley-Richardson Lynnette Personal Care HD 12/7/2004 5806 Prince George Street Baltimore MD 21207 Provider Duke Ellis J. Individual F 9/14/1984 10231 Carroll Place Kensington MD 20895 Duke Mary Ann M.D. LB 11/30/2004 10220 Democracy Blvd Potomac MD 20854

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

Dunham George Individual HHS 6/23/1989 Route 3, Box 144 Hagerstown MD 21741 Dunstan Carol Personal Care F 12/7/2013 1407 NE 56th Street, Apt. 104 Ft. Lauderdale FL Provider 33334 Dunsworth Joseph Aide MFCU-A 9/2/2010 218 E. Franklin Street Hagerstown MD 21740 Duong Linh DMD LB 6/13/2016 644 University Blvd East Silver Spring, MD 20901 Duvall Cheryl Nurse HHS 5/20/2014 2351 Eastbrook Drive Toledo OH 43613

Eastern Shore Business Entity HD 10/24/2015 23378 Commerce Drive Accomac VA 23301 Ambulance, Inc. Edwards Arthur Individual F 3/17/1992 17725 New Hampshire Avenue Ashton MD 20861

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

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 22 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

Eldersburg Health Mart Business Entity HD 10/29/2015 1708 Liberty Road Ste 1 Eldersburg MD 21784 Pharmacy Eldridge Marguerite L. Personal Care HD 5/12/1993 7115 Faulkner Road Hanover MD 21076 Provider Eleven Cedars of MD, Business Entity HD 10/29/2010 3120 Powder Mill Road Adelphi MD 20783 Inc. Ella's In-Home Care, Inc. Business Entity HD 9/11/2014 3007 Belair Road Baltimore MD 21213

Ellin Morton M.D. LB 3/14/2007 5310 Old Court Road #201 Randallstown MD 21133 Elliott Erin Nurse HHS 8/20/2007 926 Hammonds Lane Baltimore MD 21225

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

Ellis Julia Personal Care HD 8/14/1995 4701 Hamilton Avenue Baltimore MD 21206 Provider Ellis-Bales Theresa Nurse HHS 3/20/2003 1430 Dundalk Avenue Baltimore MD 21222

Ellison Raeford Acupuncture HHS 4/18/2002 8 N. Sacramento Avenue; Apt. A Ventnor City NJ 08406 Emamali Ronald Individual F 5/20/1993 14117 Peartree Lane; #33 Silver Spring MD 20906 Emerson Thomas Nurse HHS 9/20/2007 1911 Thayer Terrace Baltimore MD 21207

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

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

Eppelbaum Lawrence M.D. HHS 8/20/2014 Maxwell AFB, #62646-019 Montgomery AL 36112-0000 Epstein Ralph MD LB 6/3/2020 23 Crossroads Drive, Suite 215 Owings Mills, MD 21117 Eron's Home Health and Business Entity HD 11/4/2010 902 Milestone Drive Ste B100 Silver Spring MD Personal Care Services 20904 Ervin Christopher M.D. LB 3/22/2006 500 Upper Chesapeake Drive Bel Air MD 21014

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 23 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

Ervin Emma Jean Personal Care HD 7/15/1992 665 Queenstown Road Severn MD 21144 Provider Eseme Taba Aide F 4/27/2015 13915 Castle Boulevard Silver Spring 20904

Etheredge Personal Care Business Entity HD 9/27/2005 550 Glenn Court Glen Burnie MD 21067 Evangelista Gracia Nurse HHS 12/18/2008 FCI Danbury Route 37 Danbury CT 06811

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

Evans John Mark Nurse LB 10/28/2002 9000 Franklin Square Drive Baltimore MD 21237

Evans Christian MD LB 3/3/2020 219 N Washington Street Easton, MD 21601

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 Business Entity F 8/29/2008 1777 Reisterstown Road, Ste 204 Pikesville MD 21208 Enrichment Services, Inc. Family Dermatology of Business Entity HHS 5/18/2016 902 Washington Road, Suite E Westminster MD Pennsylvania 21157 Family Home Center Business Entity F 3/7/2003 5501 Oakland Mills Road Columbia MD 21045

Family Home Medical Business Entity HD 6/19/2014 7816 Parston Drive Forestville MD 20747 Equipment & Supplies Fant Lois Individual HHS 6/20/2011 7903 Orion Circle, Unit 224A Laurel MD 20724

Faulkner Howard Nurse LB 8/4/2015 208 N. Centre Street Cumberland MD 21502 Fechter Maury D.D.S. LB 12/23/2013 700 N. Linwood Avenue Baltimore MD 21205

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 24 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

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

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

Felder Constance Aide MFCU-A 8/20/2016 106 Hawthorne Avenue Pikesville MD 21208

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

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

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

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

Ferguson Mary Kate PA-C LB 4/11/2019 1500 Forest Glen Road Silver Spring, MD 20910 Fernandez Rosa LCSW HHS 6/19/2016 15 Haven Drive Georgetown DE 19947 Ferrer Romeo M.D. LB 9/8/2010 300 Hospital Drive #128 Glen Burnie MD 21061 Fiddermon Maryln Aide HHS 2/20/2000 10555 Campus Way, South Upper Marlboro MD 20772 Fiedler Kurt M.D. F 10/23/1992 325 Hospital Drive; #109 Glen Burnie 21061

Fielding Gregory Edward Personal Care HD 9/14/1994 1503 Adams Street, NE Washington DC Provider 20018 Fingal John Joseph Individual HHS 9/20/2001 10803 Kencrest Drive Mitchellville MD 20721 Finucan, Jr. Thomas E. M.D. LB 1/24/2001 3 Maudlin Ave North East MD 21901 Fioretti Thomas M.D. LB 2/11/2013 103-120th Street Unit J Ocean City MD 21842

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

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

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

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 25 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

Fletcher's Assisted Living Business Entity HD 5/5/2006 11754 Mansion Street Princess Anne MD 21853 Flo-Diamond Health Business Entity F 8/6/2016 3042 Mitchellville Road Bowie MD 20716 Care Services Floyd Beverly Personal Care HD 2/23/1995 2583 Edmondson Avenue Baltimore MD 21223 Provider Fobeteh Brandon Aide HHS 9/20/2015 9783 Good Luck Road Apt. 9 Lanham MD 20706

Fon Felix Aide HHS 6/18/2015 6731 New Hampshire Ave., Apt. Takoma Park MD 412 20912 Foster Robert N. M.R.T. HHS 10/19/2000 4701 Everlea Court Preston MD 21655

Foster, Jr. Grady D.D.S. HHS 6/20/2000 c/o 8730 Georgia Avenue; 404 Silver Spring MD 20910 Four Leaf Clover, Inc. Business Entity HHS 12/3/2013 3200 N. Federal Highway, Ste. 128 Boca Raton FL 33431

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

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

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

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

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

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

Freland Jessica Personal Care LB 7/8/2016 1629 Woodlands Run Hagerstown MD Provider 21742 French David W. Individual F 6/24/1999 51 Murphy Avenue Annapolis MD 21401

Fringer Susan D. Personal Care HD 9/30/1993 1322 Deer Park Lane Westminster MD Provider 21157 Frontera Miguel M.D. LB 11/6/2009 515 Fairmount Avenue Towson MD 21286

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

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

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 26 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

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

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

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

Futterman Steven D.D.S. HHS 5/20/1999 8901 Shady Grove Court Gaithersburg MD 20877 Gaber Tamer M.D. LB 4/20/2012 507 Henderson Avenue Cumberland MD 21502 Gaddis Merry Nurse LB 8/27/2013 301 St. Paul Place Baltimore MD 21202

Gallagher Martin M.D. LB 1/12/2015 124 East Baltimore Street Hagerstown MD 21740 Gambill Colin Aide MFCU-A 1/25/2010 10338 Old Liberty Road Frederick MD 21701

Gamez Jesus M.D. HHS 7/19/2012 3409 Olive Branch Drive Silver Spring MD 20719 Gammill Joan Nurse HHS 11/20/2006 53 Lafayette Avenue Annapolis MD 21401

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

Gardner Elmer M.D. HHS 9/10/1996 Box 137 Brookerville MD 20833 Gardner Jean Nurse LB 3/29/2012 1 Knoll North Drive Columbia MD 21045

Gardner-Baker Crystal MFCU 1/18/2017 1524 Farm Lane Greencastle, PA, 17225 Garner Wilma J. Aide HHS 6/20/2000 1618 Four Georges Court; #A-3 Baltimore MD 21222

Garner Tracy Personal Care HD 2/17/2011 P.O. Box 604 Lusby MD 20657 Provider Gbadamosi Ahmed P.A LB 8/29/2019 8118 Good Luck Rd Lanham, MD 20706

Gdula William J. M.D. HHS 2/20/2011 5920 Glenn Dale Road Glenn Dale MD 20769 Geier Mark M.D. LB 5/5/2011 5616 Shields Drive Bethesda MD 20817

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 27 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

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

Gholl John M.D. LB 11/17/2010 Old Hollywood Firehouse Rt 235 Hollywood MD 20636 P.O. Box 39 Gill William M.D. LB 9/8/2010 26423 Burton Avenue Crisfield MD 21817

Ginn David H. M.D. LB 7/28/2004 10006 Hillgreen Circle; Apt. K Cockeysville MD 21030 Girgis Raafat M.D. LB 12/27/2010 724 Maiden Choice Lane Catonsville MD 21228 Glenn Linnell Personal Care HD 8/26/1993 4119 Hayward Avenue Baltimore MD 21215 Provider Global Healthcare Inc. Business Entity F 8/6/2016 806 Jennings Mill Drive Bowie MD 20721

Global Healthcare Business Entity F 8/6/2016 600 Reisterstown Road 300A Pikesville MD 21208 Services Global Medical Inc. Business Entity HD 10/21/2013 14309 West 95th Street Lenexa KS 66215

Glover Adahlia Marye CC F 7/19/2019 11347 Laurelwalk Drive Laurel, MD 20708

Godwin-Hult Sandra Personal Care HD 7/10/1991 3507 Bantry Way Olney MD 20832 Provider Gold Alexandra M.D. LB 2/25/2014 4940 Eastern Avenue Baltimore MD 21224

Gold Medical Corp. Business Entity F 6/3/2010 4417 Meanderwood Drive Burtonsville MD 20866 Goldbaum Henry R. Individual HHS 5/20/1998 108 Deerfield Place Frederick MD 21702

Goldberg 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

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 28 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

Golden Crown Business Entity HD 3/18/2005 1007 Call Drive Upper Marlboro MD Construction 20774 Goldschmitt Neil Individual F 6/3/2010 4417 Meanderwood Drive Burtonsville MD 20866 Goldstein Robert B. M.D. LB 9/30/1998 1205 York Rd; Ste 34 Timonium MD 21093

Gonsalves Dia Personal Care HD 8/30/1995 7206 Oakhaven Circle Baltimore MD 21244 Provider Gonzalez Ramon L. M.D. LB 5/16/1998 6207 Capella Ave Burke VA 22015

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

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

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

Grace Pharmacy Pharmacy LB 1/18/2002 8000-A Martin Luther King Hwy Glenarden MD 20706 Graham Marva C. M.D. HHS 11/19/1998 One Cooperfield Ct Phoenix MD 21131

Graham-Melvin Business Entity F 4/1/1997 7060 Oakland Mills Road; #1 Columbia MD 21046 Associates Inc. Graning Harold LCSW LB 7/30/2010 6190 Georgetown Boulevard Eldersburg MD 21784 Grant Deanne Individual F 4/8/2014 19616 Club Lake Road Montgomery Village MD 20886 Grant-Grayton Miranda LCSW HD 8/10/2008 2412 Minnesota Avenue, Ste 201 Washington DC 20020 Grant-Grayton Urban Business Entity HD 7/18/2008 3611 Branch Avenue; Ste 201 Temple Hills MD Supports, Inc. 20748 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. B Greenbelt MD 20770

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 29 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

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

Green Lynaya Nurse HHS 11/20/2000 14159 Castle Blvd; #301 Silver Spring MD 20904 Green J Alex MFCU 6/12/2018 2115 N Charles Street, Suite 200 Baltimore, MD 21218

Green Donald D.P.M. HHS 1/20/2004 1460 Burbridge Road, SE, FCI Cumberland MD 21502 Greenberg Eric M.D. LB 4/16/2009 11125 Rockville Pike # 103 Rockville MD 20852

Greenberg Alan S. M.D. HHS 8/20/2001 1537 Jarrettsville Road Jarrettsville MD 21084 Greene Rose M. Individual F 1/9/1998 2501 W. Fairmount Avenue Baltimore MD 21223

Greene Yvonne Nurse HHS 7/20/2011 12530 Willow Spring Circle Germantown MD 20874 Greenway Diane L. Personal Care HD 9/17/1998 1119 Riggs Avenue Baltimore MD 21217 Provider Greer Douglas Opthalmologist HHS 3/20/2008 P.O. Box 1000 Cumberland MD 21501 Greiner Sonja HHS 7/16/2021 507 Henderson Ave Cumberland, MD 21502 Griffin Dione MFCU A 5/9/2018

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

Grimes Claude DME HHS 10/23/2016 4303 Dawn Place Baltimore, MD 21229

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

Grimes IV Claude Individual F 8/20/2016 4303 Dawn Place Baltimore MD 21229

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

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

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

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

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 30 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

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

Gurdon Rodger Pharm. Tech HHS 9/20/2016 P.O. Box 8000 Bradford PA 16701

Gurley Theodore Personal Care HD 7/14/1995 4804 Hamilton Avenue Baltimore MD 21206 Provider Gurley Archie Personal Care HD 9/23/2011 1520 Sullivan Road Westminster MD Provider 21157 Guruvareddy Ramakrishnan Individual F 12/23/2014 4207 Lytle Way Belcamp MD 21017

Hailfmariam Mekuria M. Personal Care HD 6/10/1996 6159 64th Avenue Riverdale MD 20737 Provider Hakim Arcadius H. M.D. LB 10/7/2002 8701 Oxon Hill Road Oxon Hill MD 20744

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

Hall Lucille Personal Care HD 9/17/1998 8 E. Adkins Avenue; Parkview Willards MD 21874 Provider Hall Vontina LCSW F 8/17/2012 1872 S. Queen Street York PA 17403

Hallowitz Robert A. M.D. HHS 4/28/1993 Montgomery Village Ave Gaithersburg MD 20879 Halstead Philip MD LB 6/24/2019 602 South Atwood Rd, Suite 101 Belair, MD 21014

Hameed Haroon MD LB 12/11/2020 116 Defense Hwy, suite 403 Annapolis, MD 21401

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

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

Harden Gerald Anthony Individual HHS 8/20/2001 16829 Cashell Road Olney MD 20832- 2046 Harding James Personal Care HD 11/2/2009 P.O. Box 835, 421 S. Main Street, Cambridge MD Provider P.O. 835 21643 Hardy Michelle D. Nurse HHS 3/20/2003 2501 Roslyn Avenue Baltimore MD 21216

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

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

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 31 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

Harring James MD HHS 1/15/2014 40499 Port Place Leonardtown, MD 20650 Harris Roshun CC F 8/5/2020 2505 Lord Baltimore Drive, Suite A- Windsor Mill, MD 102 21224 Harris Leonard M.D. HHS 11/10/1992 PO Box 4654 Newark DE 19715

Harris Sabaina Personal Care HD 1/8/2001 1722 Purdy Street; Apt. 4G Bronx NY 21203 Provider 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 Velda Belinda Aide HHS 5/20/1998 519 E. 41st Street Baltimore MD 21218

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

Hatch Judith Louise Chiropractor HHS 8/20/2001 1220 East West Highway; Apt. Silver Spring MD 1012 20911 Hatchett Maureen Nkolika MFCU 12/7/2017 6619 English Oak Rd, Apt E Parkville, MD 21234

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

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

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

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

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 32 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

Henderson Joseph M. Optician F 12/1/1992 P.O. Box 48547 Washington DC 20002 Henderson Freddie Individual F 10/1/1992 2062 Harlequin Terrace Silver Spring MD 20904 Henderson Robert MD LB 8/24/2020 10480 Little Patuxent Pkwy, Suite Columbia, MD 21044 220 Hendler Nelson M.D. LB 2/6/2006 1718 Greenspring Valley Road Stevenson MD 21153 Henry Victor D.P.M. HHS 7/19/2012 4000 Albemarle Street NW Washington DC 20016 Henry Victor E. D.P.M. LB 7/22/2001 1450 Mercantile Lane #151 Largo MD 20774

Henry Ricardo Individual HHS 4/20/2009 P.O. Box 1000, #28577-016 Cumberland MD 21501 Heritage House I & II Business Entity HD 5/15/2005 1405 Crockett Lane Silver Spring MD 20904 Herlich Steven Individual F 5/2/1990 1920 Eastridge Road Timonium MD 21093

Herrera Alfredo M.D. F 6/20/2001 10300 A Balt Nat'l Pike Ellicott City MD 21042 Hewitt John H. M.D. LB 1/17/2003 150 Baughman's Lane Frederick MD 21702

Heyward Donna Maria Personal Care HD 7/28/1993 319 B Suter Road Baltimore MD 21228 Provider Hicks Ernestine Personal Care HD 10/1/2008 814 North Brice Street Baltimore MD 21217 Provider Hicks, Jr. Willie Howard Aide HHS 5/20/1999 516 W. 8th Street Laurel DE 19956

High Ronald Individual F 1/21/2000 2 Horseman Court Randallstown MD 21133 Hill Ezell Personal Care HD 7/27/1994 3722 Ellerslie Avenue Baltimore MD 21228 Provider Hill James M.D. HHS 4/14/1994 PO Box 1722; Country Club road 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

Wednesday, August 4, 2021 Page 33 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

Hill Brunetta Personal Care HD 5/3/2001 2409 Jefferson Street Baltimore MD 21205 Provider Hill Denise Personal Care HD 7/23/1992 161 Reedbird Avenue Baltimore MD 21225 Provider Hill Leo M.D. HHS 2/10/1997 1815 61st Ave Cheverly MD 20785

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

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

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

Himberger Faith LCSW LB 3/19/2013 11235 Oak Leaf Drive #110 Silver Spring MD 20901 Hinds Sandra Marcia Aide HHS 5/19/2005 920 Kenbrook Drive Wheaton MD 20902

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

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

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

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

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

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

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

Holland Rosetta Francine Personal Care HD 5/28/1993 59 Mt. Harmony Lane; P.O. Box Owings MD 20736 Provider 400 Holland Dannielle Personal Care HD 5/4/2009 99 Greystone Road North East MD Provider 21901 Holland Richard W. M.D. LB 6/20/1999 13700 Ivywood Lane Silver Spring MD 20904 Holliday Mary Personal Care HD 3/31/2001 904 Central Avenue Cambridge MD Provider 21613 Hollywood Pavilion, LLC Business Entity HD 10/24/2015 1201 N. 37th Avenue Hollywood FL 33021

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 34 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

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

Holmes Teresa Personal Care HD 10/13/1994 901 Druid Lake Drive; Apt. 1-B Baltimore MD 21217 Provider Holum Nahid I. M.D. LB 6/2/1981 9605 Burgess Lane Silver Spring MD 20901 Home Feet Podiatric Business Entity HD 2/8/2007 448 Luzerne Avenue Baltimore MD 21224 Home Care Inc. Home Medical Equip Business Entity HHS 8/11/1997 1800 Belair Road; Ste. 4 Benson MD 21018

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

Hope Senior Assisted Business Entity HD 5/23/2005 4825 Ellicott Woods Lane Ellicott City MD Living 21043 Hopson Jessica Personal Care HD 2/13/2008 30 E. Baltimore Street Taneytown MD Provider 21787 Horizon Respiratory Business Entity HD 10/10/2015 1997 Annapolis Exchange Annapolis MD 21401 Medical Supply,LLC 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 Care HD 11/13/2000 1498 W. 9 th Street Frederick MD 21702 Provider Howe Tina Nurse HHS 1/19/2002 8 North Point Terrace Dundalk MD 21222

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

Hsu Jui-Chih MD LB 12/20/2017 223 W Main Street Elkton, MD 21921

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

Human Development Business Entity HD 3/1/2004 2700 Rambler Place Adelphi MD 20783 Assoc t/a Adelphia House III Human Services, Inc. Business Entity HD 2/28/2015 1215 Annapolis Road, Ste 202 Odenton MD 21113

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 35 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

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 Carl D.O. LB 7/24/2013 13605 Baden Westwood Road Brandywine MD 20613 Hunt Robert MD HHS 10/20/2014 1140 Proffesional Court Hagerstown, MD 21740 Hunt Michael Individual F 3/17/1992 401 Christopher Avenue; Apt. Gaithersburg MD 20879 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 Hussain Yasin M. Individual F 6/10/1996 11646 Sun Circle Way Columbia MD 21044

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

Hyde David Jefferson D.D.S. LB 7/12/2004 1009 University Blvd E Silver Spring MD 20903 Hyson Bradford A. Individual HHS 6/12/1997 3148 Sandy Hook Road Street MD 21154

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

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

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

Idowu Olusola A. Nutritionist F 11/19/2008 11047 Sani Lane Hagerstown MD 21742 Ige Moses Individual HHS 2/20/2007 9005 Tarpleys Circle Baltimore MD 21237

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

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

Wednesday, August 4, 2021 Page 36 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

Ita Asa Ene F 12/2/2020

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 Howlett M.D. LB 11/7/2007 611 South Union Avenue Havre de Grace MD 21078 Jackson Theresa Individual MFCU-A 8/28/2005 2620 Greenmount Avenue Baltimore MD 21218

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

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

Jacobs Joe L. Individual HHS 3/7/1986 1422 Crain Hwy South Glen Burnie MD 21061 Jacobs Virginia L. Chiropractor HHS 7/4/1997 555 Thayer Avenue Silver Spring MD 20901 Jacobs Davita Individual MFCU-A 12/6/2006 8135 Scotts Level Road Pikesville MD 21208

Jalali Kuehak MD LB 3/8/2018

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

Janati Abdorasool M.D. HHS 9/20/2005 FCI Cumberland; Federal Correctl Cumberland MD Inst; PO Box 1000 21501 Jefferson Gary Individual F 9/13/1999 7202 Chippenham Place; #303 Baltimore MD 21244

Jenkins Sheretta Personal Care HD 7/29/2002 5615 Thompson Town Road East New Market Provider MD 21631 Jeter Breonna Lashell MFCU 2/3/2017 1224 Brigadoon Trial Gwynn Oak, MD 21207 Jiggetts Wayne R. Nurse F 1/9/1998 3010 Fallstaff Manor Court Baltimore MD 21209

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

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

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

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 37 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

Johnson Constance Personal Care HD 2/1/1996 3703 Stoneybrook Road Randallstown MD Provider 21133 Johnson Constance S. Personal Care HD 12/11/2001 810 North Maple Avenue Brunswick MD 21716 Provider Johnson Joyce Aide HHS 8/20/2014 6948 Myersview Drive Middle River MD 21220 Johnson Mark D.D.S. HHS 11/21/1993 c/o 6424 Elliot Place Hyattsville MD 20783

Johnson John H. MD HHS 8/21/2017 217 Glenn Street, Suite 400 Cumberland, MD 21502 Johnson Craig L. Individual HHS 11/24/1991 1604 E. Chase Street Baltimore MD 21213

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

Johnson Darice Personal Care HD 5/14/1996 P. O. Box 35 St. Michaels MD Provider 21663 Johnson Subrina Aide HHS 5/19/1992 4918 Pallmer Avenue Baltimore MD 21215

Johnson Heather A. Personal Care HD 2/13/2002 810 North Maple Avenue Brunswick MD 21716 Provider Johnston Randolph M.D. LB 4/24/2009 6501 N. Charles Street Baltimore MD 21285

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

Jones Tania Personal Care HD 3/12/1998 902 N. Durham Street Baltimore MD 21205 Provider Jones Andrea Individual HHS 5/20/2015 FCI Danbury Route 37 Danbury CT 06811

Jones Estella Louise Personal Care HD 6/30/1998 417 Naylor Street Salisbury MD 21801 Provider Jones Ronald Personal Care HD 8/3/2002 6227 Jones Village Road Hurlock MD 21643 Provider Jones Diane I. Aide HHS 12/6/1992 3051 Ascension Street Baltimore MD 21225

Jones Mary Personal Care HD 3/1/1994 P. O. Box 67453 Baltimore MD 21215 Provider Jones (Warrick) Shavon Anissa LCSW F 8/14/2018 10204 Eyelet Court Clinton, MD 20735

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 38 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

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

Jung Ha Yong M.D. F 9/15/1993 8534 Harvest View Ct Ellicott City MD 21043 Jurand Joseph M.D. LB 9/11/2015 123 B South Duke Street Shepherdstown WV 25443 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

Kazemi Kambiz MD LB 2/11/2020 19514 Doctors Drive Germantown, MD 20874 Keefer Angela Personal Care HD 3/3/1997 736 W. Franklin Street; 2nd Fl Hagerstown MD Provider 21742 Keenan Robert M. M.D. LB 3/9/2004 1400 Generals Highway Crownsville MD 21032 Kehler James MD LB 2/20/2018 99 Cathedral Street Annapolis, MD 21401

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

Kelly Wanda Personal Care HD 4/11/1994 8134 Hog Neck Road Pasadena MD 21122 Provider Kelly Sarah LCSW LB 9/12/2008 16 K Spindrift Circle Baltimore MD 21234

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

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

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

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 39 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

Kennedy Jeffrey D. Nurse HHS 6/20/2006 4025 Belvoir Pines Drive Chattanooga TN 37412 Kennedy Damion Individual HHS 6/20/2011 3910 Noyes Circle, Apt. 101 Randallstown MD 21133 Kenson Nursing Home Business Entity F 5/12/1988 2922 Arunah Avenue Baltimore MD 21216

Kessler James P.D. F 7/25/2000 25 Tenby Court Timonium MD 21093

Keyes Katherine H. Aide HHS 3/12/1992 6005-A Old Frederick Road Baltimore MD 21228

Khandangle (Sadanand) Eric Individual HD 2/28/2006 101 Carlisle Drive Silver Spring MD 20904 Kharod Prabhakar M.D. LB 9/17/1997 8031 Ritchie Hwy Pasadena MD 21122

Khayat Marwan Individual HHS 5/20/2010 1715 15th Street, N.W., Apt. 19 Washington, D.C. 20009 Kiarie Patrick Aide MFCU-A 9/27/2005 1407 Mcculloh Street Baltimore MD 21217

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

King Kentrina Individual HHS 2/16/1997 7101 Burshire Drive Temple Hillsl MD 20748 Kirby Richard David Aide HHS 6/18/1998 116 W. University Pkwy, A3 Baltimore MD 21210

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

Kirkland Mattie Aide F 3/6/2002 1017 Vanderwood Road Catonsville MD 21228 Kirven Lisa M.D. LB 5/2/1998 4018 Seton Avenue Bronx, NY 10466

Kittrell Pamela Personal Care HD 3/28/1997 504 Clinton Street Cambridge MD Provider 21613 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 Knight Jessie Mae Individual MFCU-A 6/18/2004 5102 Oaklawn Road 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

Wednesday, August 4, 2021 Page 40 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

Knight Joseph MD HHS 3/27/2017 455 South Mineral Street Keyser, WV,26726

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

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

Kohn Nelson M.D. LB 9/25/2012 110 Hospital Road Prince Frederick 20678 Kolander Trina Nurse HHS 5/20/2010 809 Tydings Road #RS Havre De Grace MD 21078 Kordon Melvin M.D. LB 5/26/2010 9501 Old Annapolis Road; Ste. 302 Ellicott City MD 21042

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

Koroma Issa Pharm. Tech HHS 9/20/2016 P.O. Box 1000 Morgantown WV 26501 Koroma Nyamakoro Nurse HHS 1/20/1998 PO Box 382 Bladensburg MD 20710 Kotouc Joshua M.D. LB 5/14/2010 935 Whitehall Parkway Montgomery AL 36109 Koumbis Carolyn Nurse HHS 1/20/2015 290 Berlin Street, Apt.10 Clinton MD 01510

Krall Joseph D.D.S. HHS 12/20/1995 1318 Broadview Blvd Glen Burnie ME 21061 Kreger Laurie M.D. HHS 4/16/2015 4922 LaSalle Road Hyattsville MD 20782

Krektyshev Sergey Personal Care HD 4/1/2003 281 Norht Van Buren Street Rockville MD 20850 Provider Kromah Margaret D.D.S. LB 3/31/2016 4403 Moravia Road Ste. 2 Baltimore MD 21206

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

Kundratic Diahann Personal Care HD 11/18/2002 17 Purple Plum Court Perry Hall MD 21236 Provider Kwiatkowski David Radiology HHS 3/20/2014 FDC Philadelphia P.O. Box 562 Philadelphia MD Technician 19105 Labertson Heather N. Personal Care HD 9/20/2004 31177 Rehobeth Road Westover MD 21871 Provider

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 41 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

Laboratory Management Business Entity F 10/24/1988 1008 Roxleigh Road Towson MD 21204 Service Lagmay Manuel R. Nurse HHS 6/20/2006 604 Menteth Point Drive Millersville MD 21108

Lake Anna Marie Personal Care HD 10/19/1996 L4976 Pintail Court Frederick MD 21701 Provider Lake Shore Physicians, Business Entity HD 1/16/2016 4231 Postal Court Ste 103 Pasadena MD 21122 PA Lambertson Heather Nicole Aide HD 9/20/2004 31177 Rehobeth Road Westover MD 21871

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

Lane Craig HHS 11/20/2018 911 N Carey Steet Baltimore, MD 21217

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

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

Lansing Michael MD LB 4/28/2021 1838 Greentree Rd, suite 350 Pikesville, MD 21208

Lantz Denise Nurse HHS 8/18/2011 15 Hidden Cove Court Middle River MD 21220 Lashell Jeter Breonna MFCU 2/3/2017 900 Walker Avenue Baltimore, MD, 21228

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

Lee Dijon MFCU A 5/9/2018

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 42 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

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

Lee Joshua LCSW F 12/10/2018 2115 N Charles Street Baltimore, MD 21218

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

Levi Ellis D.D.S. HHS 3/22/1995 17 Millstone Road Randallstown MD 21133 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 Liao Jennifer MD LB 2/22/2017 1235 East Monument Street Baltimore, MD, 21202

Libre Eugene M.D. LB 12/15/2010 10400 Connecticut Avenue #606 Kensington MD 20895 Liegeois Nanette M.D. HHS 12/20/2015 120 Oakborok Center, Ste. 220 Oak Brook IL 60523

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

Lighthouse Medical LLC MD HHS 8/21/2017 217 Glenn Street, Suite 400 Cumberland, MD 21502 Lilly Elizabeth MD LB 10/16/2019 1306 Eva Gude Dr Crownsville, MD 21032 Lin Tsu-Chun M.D. LB 3/20/2002 377-B Gambrills Road Gambrills MD 21054

Lindemann Keith Jan M.D. LB 8/30/2005 23140 Moakley St; Suite 2 Leonardtown MD 20650 Lindsey Daniels F 4/12/2018 711 W 40th Steet, Suite 454A Baltimore, MD 21211

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

Linksz Justin LB 9/27/2016 1290 Bay Dale Drive Arnold, MD 21012

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 43 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

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 200 Pikesville MD 21208

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

Loftus Andrew M.D. LB 10/30/2015 1343 Q. St. NW Unit A Washington DC 20009 Logsdon Katherine Personal Care HD 7/10/1997 310 N. Cannon Avenue Hagerstown MD Provider 21740 Londa Saleh Aide HHS 8/18/2005 4202 Kaywood Drive; Apt. 8 Mount Rainier MD 20712 Loot-Gayoso Ofelia M.D. LB 7/22/2009 5411 Old Frederick Road Baltimore MD 21229

Loya Florentino M.D. LB 12/29/2007 6400 Marlboro Pike District Heights MD 20747 Loyd Crystal Individual F 2/21/2013 118 West Edgevale Road Baltimore MD 21225

Lucas Dorothy Personal Care HD 4/15/1998 908 E. Valley Street; #11 Baltimore MD 21202 Provider Luckey Willie Personal Care HD 9/1/2001 6709 Kincheloe Avenue Baltimore MD 21207 Provider Lutz Margaret Nurse LB 11/4/2015 720 S. Stokes Street Havre de Grace MD 21078 Luyanda Angel Individual MFCU-A 1/11/2012 3304 Auchentoroly Terrace #B Baltimore MD 21217

Lyles Delores Personal Care HD 12/1/2007 400 W. South Street Apt. B Frederick MD 21701 Provider Lynch Ray A. M.D. HHS 4/8/1997 9559 Wandering Way Columbia MD 21045

Lynch Kevin P. R.Ph HHS 10/20/2003 14601 Burbridge Road, S.E. Cumberland MD 21502 Lyons Ian LCSW LB 2/13/2015 37 Foxglove Row Riverhead NY 11901

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 44 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

Mack Belinda Ann Personal Care HD 11/26/2001 7812 South Hampton Drive; Apt. 1 Glen Burnie MD Provider 21060 Mackey Aishi Individual HHS 6/20/2013 703 Newington Avenue Apt. 1 Baltimore MD 21217

Macrey Angela V. Personal Care HD 9/26/1996 6002 Moravia Park Drive; #C-2 Baltimore MD 21206 Provider Madison Stanley M.D. F 2/28/1990 1529 E North Ave; PO Box 23231 Baltimore MD 21203

Mahase Vidhyanand R.Ph HHS 12/20/2009 Fort Dix FCI, P.O. Box 2000 Fort Dix NJ 08640

Major Godfrey W. M.D. LB 6/20/2007 7801 York Road Towson MD 21801

Makker Ram S M.D. LB 10/14/2009 500 Upper Chesapeake Drive Bel Air MD 21014

Malekzodeh Assadullah Individual F 6/8/1993 12221 Park Lawn Drive; Ste. 170 Rockville MD 20850

Mallory, III Herman C. Individual F 2/16/1997 615 N. Rose Street Baltimore MD 21205

Manekin Steven F. M.D. LB 5/18/2005 1049 S. Charles St Baltimore MD 21230

Mannava Venkata R.Ph F 9/19/2015 3300 East West Highway Apt 706 Hyattsville MD 20783

Manzer Ronald DDS LB 11/1/2017 PO Box, 306 Ridgeville Blvd Mt Airy, MD 21771

Marcus Tekia Pharmacy 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, #1015 McLean VA 22102

Marsh Arthur M.D. LB 7/16/2010 700 East Main Street Ste. 102 Salisbury MD 21804

Marshall Peter Individual F 11/3/1993 3114 S. E. 17th Place Cape Coral FL 33904 Marshall Tinnie Personal Care HD 10/1/1997 4121 Woodhaven Baltimore MD 21216 Provider Marshall Ashley Personal Care HD 4/15/2002 207 Wakefield Road Hagerstown MD Provider 21740

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 45 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

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 #2400 Riverdale MD 20737

Martinez Christine Personal Care HD 6/30/2003 6604 Maple Avenue Baltimore MD 21215 Provider Martinez-O'Hara Joseph J. M.D. LB 7/19/1997 1203 E. Ferguson Pharr TX 78577

Mary Lou's Assisted Business Entity HD 7/27/2005 8431 Newark Road Newark MD 21841 Living Mashali Fathalla M.D. HHS 4/20/2014 153 Pine Street Dover MA 02030

Mason, III Samuel M. Individual HHS 10/20/2003 20 BON Oak Court Reisterstown MD 21136 Massey Theodosia Individual - MFCU 9/25/2017 6 Driftowod Court Essex, MD 21221 Caretaker Mathew Rex MD HHS 5/1/2017 200 Memorial Avenue Westminister, MD 21157 Mathews George M.D. F 3/22/2014 110 Hospital Drive Ste. 301 Prince Frederick MD 20678 Mathur Rakesh M.D. HD 11/28/2015 2112 Bel Air Road #1 Fallston MD 21047

Matthews Latia Aide HHS 3/19/2015 323 Holly Manor Road Baltimore MD 21228

Matthews Thomasina Individual HHS 7/20/2005 8019 Mollye Road; Apt. F Pikesville MD 21208

Matthews Shandell Aide MFCU-A 1/21/2003 3822 Regency Parkway Suitland MD 20746

Maximum Choice Business Entity HD 10/10/2015 21 Main Street Ste E Reisterstown MD Medical Supply, LLC 21136 McAllister Katrina Individual F 12/20/1995 428 E. North Avenue; 3rd Floor Baltimore MD 21202

McAnally Bryan M. Aide HHS 1/28/2003 139 Lassiter Circle Finksburg MD 21048 McBride Margo Shelia M.D. LB 4/12/2005 54 Regatta Bay Court Annapolis MD 21401

McCargo Lonnia Nurse LB 3/15/2012 3211 Batavia Avenue Baltimore MD 21214

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 46 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

McClain Vivian Regina Personal Care HD 4/28/1998 2227 W. Saratoga Street Baltimore MD 21223 Provider McClary Rhonda Aide MFCU-A 2/14/2006 4803 Overton Court Baltimore MD 21229

McClosky Robin Individual HHS 7/20/2016 Alderson FPC Glen Ray Road Alderwson WV 24910

McCoy Julius Aide HHS 2/20/2011 2515 Boones Lane Forestville MD 20747

McCrary Bernard Individual HD 4/1/2010 1416 Clarkview Road Baltimore MD 21209

McCready Leah T. Individual HD 7/12/2006 5651 Burnstville Road Marion MD 21838

McDonald Allan D. D.D.S. HHS 9/20/1998 109 Wright Street Frostburg MD 21532

McGavin Cameron M.D. HHS 1/20/2015 417 Boyd Street Turtle Creek PA 15145 McGinnis Kevin MD HHS 8/1/2015 101 Stadium Drive Morgantown, WV 26506 Mcginty Crystal MD LB 1/3/2019 4314 Montgomery Ave Bethesda, MD 20814

McGregor Clinton Aide HHS 11/4/2000 7930 Brock Bridge Road Jessup MD 20794

McGuckin James MD HHS 7/12/2021 7651 Matapeaka business Drive, Brandywine, MD suite 101 20613 McKenna Karen Nurse HHS 8/20/2007 843 Kellogg Road Lutherville MD 21093

McKenzie Deana Individual HHS 9/20/1999 19 Marview Drive Berlin MD 21811

McLaren Martin M.D. HHS 12/20/2009 FCI Petersburg Low, P.O. Box Petersburg VA 1000 23804 McLean John M.D. HHS 11/20/2013 P.O. Box 8908801 Oklahoma City OK 73189 Meagher H. Michael M.D. HHS 2/20/2013 2519 69th Avenue, S St. Petersburg FL 33712 Medalie G. Robert M.D. LB 10/1/2012 7601 Osler Drive Towson MD 21204

Mediquest Business Entity HD 10/24/2015 200-202 S. 24th Street Rogers AR 72758

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 47 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

Mehlman Susan K. Ph.D. F 5/24/2007 12103 Ridge Valley Road Owings Mills MD 21117 Mehta Barry (Bahrat M.) Individual F 3/13/2003 5501 Oakland Mills Road Columbia MD 21045

Meiller Morris M.D. LB 6/13/2005 9015 Woodyard Road; Suite 209 Clinton MD 20735

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 Business Entity HD 8/16/2011 1838 Greene Tree Road Ste. 535 Baltimore MD 21208 Cardiovascular Associates, P.A. Middleton William F. Individual F 1/22/1993 21 Fenceline Drive Gaithersburg MD 20877 Middleton Barbara Personal Care HD 8/19/1994 420 A. Captain Circle Annapolis MD 21401 Provider Midei Mark M.D. LB 7/13/2011 7505 Olser Drive #103 Towson MD 21204

Mihaescu Edith MD LB 1/24/2018 902 Washington Rd, #G Westminister, MD 21157 Milan Jose Antonio Olivari M.D. HHS 4/18/2002 Villa Olimpia 2: #A-12 Yauco PR 00690

Miller Gerald A. M.D. HHS 2/1/1994 3455 Wilkens Ave Baltimore MD 21229

Miller 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 Joseph MD LB 4/13/2018 3455 Wilkins Avenue, Suite 203 Baltimore, MD 21229

Miller Edwin R. Individual HHS 8/20/2001 4601 E. Monument St Baltimore MD 21205

Miller Carol D. P.D. F 4/19/2001 46 Cannon Drive Berlin MD 21811

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 48 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

Miller, Jr. Thomas Aide HHS 4/8/1997 1217 Randalia Road Chesapeake City MD 21915 Mills Mickey O. MD LB 12/15/2017 6334 Cedar Lane Columbia, MD 21044

Mills Ronald J. Individual F 3/17/1992 17 Water Street; Apt. #6 Gaithersburg MD 20877 Ming Bernell LCSW HHS 1/18/2007 294 Putnam Avenue Brooklyn NY 11216

Miranda-Solari Artemio M.D. LB 7/31/2000 889 W. Lombard St Baltimore MD 21201

Mireille Noumi N. Personal Care HD 11/23/2003 6800 Highview Terrace; #301 Hyattsville MD 20782 Provider Mirza Rehman Chiropractor F 7/23/2015 4509 Mosser Mill Court Woodbridge VA 22192 Mistysyn Christine J. Aide HHS 6/20/2000 417 E. Mifflin Street Orwigsburg PA 17961 Mitchell 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

Mohiuddin Mohammed MD LB 5/14/2021 110 Baughmans Lane Frederick, MD 21702

Molina Gerardo Individual HHS 9/19/2002 C-31 DuQuesa St; Montibello Hormiguero PR Development 00660 Molly's House of Hope Business Entity HD 6/6/2006 12801 Meadowbrook Lane Waldorf MD 20601

Momah Clement I. M.D. LB 12/20/2000 8301 Ashford Blvd Laurel MD 20707- 5640 Monique Ford MFCU 6/12/2018 1513 Clifton Avenue Baltimore, MD 21217

Monroe Charles A. Individual HHS 9/15/1992 1109 Ashburton St Baltimore MD 21216

Montgomery Jessica E. Aide HHS 7/20/2006 304 Crusader Road; Apt. 103 Cambridge MD 21613 Montgomery Co. Family Business Entity F 4/25/1991 7101 Wisconsin Avenue; #1404 Bethesda MD 20814 Life Ctr.

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 49 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

Montgomery County Taxi Business Entity HHS 6/30/1994 806 S. Frederick Road Gaithersburg MD 20877 Moon Youngsik MD LB 2/15/2018 24435 Mervell Dean Road Hollywood, MD 20636

Moore Mariah Larease F 8/8/2019

Moore Lillie Ruth Individual HHS 10/20/2002 353 S. Center St.; Apt. 19A Orange NJ 07050

Morgan Rosa E. Personal Care HD 7/19/1991 2732 Parkwood Avenue Baltimore MD 21217 Provider Moriarty Michael M.D. LB 2/15/2013 4 E. Rolling Crossroads Catonsville MD 21228

Morris Andrea Personal Care HD 7/15/1997 8978 Centerway Road; Court IV Gaithersburg MD Provider 20879 Morris Janice Personal Care HD 3/4/1991 4106 W. Forest Park Avenue Baltimore MD 21207 Provider 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. 102 Oxon Hill MD 20745

Moulsdale James M.D. LB 7/28/2016

Mozee Delize Aide LB 1/7/2016 7414 W. Park Drive Hyattsville MD 20783

Mueller Annemarie Dental Technician HHS 10/20/2004 5260 Duke Street; Apt. 411 Alexnadra VA 22304

Muhlhan Evelyn Nurse LB 10/6/2011 4 East Rolling Crossroads #207 Catonsville MD 21228

Mukala Eric Aide HHS 8/20/2015 4313 57th Avenue Apt. 11 Bladensburg MD 20710 Mukum Mirabel Aide HHS 6/18/2015 9003 Brightlea Court Lanham MD 20706

Muller Alfred M.D. LB 2/27/2002 1396 Piccard Drive Rockville MD 20850

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 50 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

Mullings Rohan Saint-Aubyn M.D. LB 2/14/2011 600 Memorial Avenue, Ste. 307 Cumberland MD 21502 Murphy Christopher MD LC 3/28/2017 200 Memorial Avenue Westminster, MD, 21157 Murphy Leslie A. Personal Care F 2/28/2009 143 Haverhill Road Joppa MD 21085 Provider Musikabhumma Anchaleee M.D. LB 6/28/2006 2300 Garrison Boulevard Baltimore MD 21216

Mvemba Willie M.D. LB 5/5/2014 413 Commonwealth Avenue Baltimore MD 21215

Najera Rolando MD LB 6/20/2017 138 Cathedral Street Elkton, MD, 21921

Namisango Teddy Nurse HHS 5/20/2014 7907 Mandan Road Aot, 201 Greenbelt MD 20770

Nanton Colleen LB 8/10/2018 3460 Old Washington Rd, Suite Waldorf, MD 20602 300 Naranjo Ynocencio Individual HHS 10/29/1990 14720 Homecrest Road Silver Spring MD 20906 Nash Roderick Personal Care HD 12/20/1991 1536 Pentwood Road Baltimore MD 21239 Provider 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, Business Entity HHS 4/20/2010 P.O. Box 5460 Stateline NV 89449 LLC Navarro Adela MD LB 9/10/2020 3001 S Hanover Street Baltimore, MD 21225

Neal Felicite LCSW F 9/14/2018 8629 Liberty Rd Randallstown, MD 21133 Nelson Paula M.D. HHS 5/18/2016 4499 Garmon Road, NW Atlanta GA 30327

Neodiagnostix Inc HHS 4/21/2016 9700 Great Seneca Highway Rockville, MD 20850

Neurology Institute for HD 7/2/2016 8280 Greensboro Drive Ste 240 McLean VA 22102 Brain Health and Fitness Newcare Home Health Pharmacy LB 1/5/2007 3027 E. Madison Street Baltimore MD 21205 Services, Inc.

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 51 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

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 Tuoc Kim D.D.S. HHS 6/17/1999 8003 Hasitng Hunt Court Severn MD 21144

Nguyen James An M.D. F 8/28/2005 5601 Loch Raven Blvd; Ste 301 Baltimore MD 21239

Nimetz Allen MD LB 7/19/2019 5530 Wisconsin Ave, Suite 700 Chevy Chase, MD 20814 Nimley Lucia Personal Care HD 8/27/1996 350 Childress Terrace Burtonsville MD Provider 20886 Nkongsah Ernest Aide HHS 4/20/2015 7851 Riverdale Road Apt. 202 New Carrollton MD 20784 Noar Mark MD LB 5/10/2019 7402 York Rd, Suite 100 Towson, MD 21204

Nolan Serena MD LB 1/29/2019 8831 Satyr Hill Rd, Suite 100 Baltimore, MD 21234

Norris Diana Lynn Dee Aide HD 6/5/2005 1022 Grove Hill Road Halethorpe MD 21227 Norris Rebecca LCPC F 7/9/2018 507 Henderson Ave Cumberland, MD 21502 Norris Counseling F 7/9/2018 126 West High Street Hancock, MD 21750 Services Norris Counseling F 7/9/2018 90 West Main Street Western Port, MD Services 21562 Norris Counseling F 7/9/2018 507 Henderson Ave Cumberland, MD Services 21502 North Catherine M.D. LB 12/10/2007 1100 Copper Hill Road Baltimore MD 21209

Nukks Shelley Lynn Personal Care HD 3/5/2001 1088 Wadsworth Way Baltimore MD 21239 Provider

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 52 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

Nurse Express, LLC Business Entity HD 1/15/2005 10 East Lee St; Ste 2406 Baltimore MD 21202

Nwaehiri Callixtus P.D. LB 1/5/2007 1439 Huntfield Way Jarrettsville MD 21084 Nwanna Ethel Individual HD 5/16/2013 13526 Collington Terrace Silver Spring MD 20904 Nwoga Susan Owner F 5/21/2019

Nwoke Franklin MD LB 5/9/2019 1001 Aliceanna Street, apt 907 Baltimore, MD 21202

Nyman Gary MD LB 12/13/2017 600 North Wolfe Street Baltimore, MD 21287

Obeahon Alexander C. Aide HHS 6/22/1998 34 Chapel Town Circle Baltimore MD 21236

O'Berry Christin Nurse HHS 3/20/2008 21 Bridgeview Court Baltimore MD 21236

Odunzeh Uche Individual HHS 12/19/2013 P.O. Box 630 #54731-037 Winton NC 27986

Ogbonna Chinonso Ndidi Aide HHS 9/22/2003 36 Heraldry Court Baltimore MD 21244

Oglesbee Megan Aide MFCU-A 12/18/2005 204 Airport Street Keyser WV 26726

Ogundeyi Aboyomi Aide MFCU-A 9/9/2010 5221 Harford Road, #3 Baltimore MD 21214

Ohiokpehai Tajudeen M.D. LB 12/29/2006 2600 Liberty Heights Avenue Baltimore MD 21215

Ojuko Absayo Individual F 4/28/2007 16 Liberty Place Road, Apt. 8 Baltimore MD 21244

Okafor Augustine Nurse HHS 4/20/2006 3420 Maryvale Road Baltimore MD 21244

Oke Oluwole Individual HHS 3/20/2007 P.O. Box 31902 Capitol Heights MD 20731 Okine Katerina Personal Care HD 1/3/2007 47 Squanto Court Middle River MD Provider 21220 Okoye Godwin R.Ph HHS 8/20/2003 Montgomery FPC; Montgomery Air Montgomery AL Force Base 36112 Olwine Robert M.D. LB 5/1/2012 10611 St. Paul Avenue Woodstock MD 21163

Omer Tarig A. Individual HHS 7/20/2005 6337 Kinsey Terrace Lanham MD 20706

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 53 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

Omojola Tolulope Personal Care HHS 6/19/2014 8023 Molley Road Apt E Pikesville MD 21208 Provider Onyeka Roy Aide F 4/27/2015 9083 Meadow Heights Road Randallstown MD 21133 Open Arms Assisted Business Entity HD 5/18/2005 104 Charles Street Sudlersville MD Living 21668 Oppenheim Steven Individual HHS 9/26/1990 6 Sour Cherry Court Darnestown MD 20878 OptimumCare Medical Business Entity HHS 9/20/2001 444 N. Frederick Ave; #307 Gaithersburg MD Center 20877 Orem Medical Corp Business Entity HHS 6/12/1997 2413 Haddenhurst Court Fallston MD 21047

Orlino Robert J. MD LB 11/22/2017 315 Locust St, Suite 5B Johnstown, PA 15901

Orneus Renald Aide MFCU-A 11/27/2008 765 Division Street Salisbury MD 21804

Orth Debra C. Aide HHS 10/18/2001 4300 Stanwood Avenue Baltimore MD 21206

Ortiz Armando L. Individual HHS 2/20/2000 7082 MacBeth Way Sykesville MD 21784

Osborne Tamara Personal Care HD 11/7/2005 73 Swan Street Aberdeen MD 21001 Provider 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

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

Oxford Diabetic Supply, HHS 9/7/2016 107 Delaware Road Riegelsville, PA, Inc 18077 Pagalunan Gertrude Individual HD 5/15/2005 9515 Lawnsberry Terrace Silver Spring MD 20901

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 54 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

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 Entity HD 10/29/2015 2911 Piedmont Road NE Atlanta GA 30305

Pal Bimal K. M.D. F 9/30/1995 3750 Chateau Ridge Dr Ellicott City MD 21042 Palladeno Angela K. Aide HHS 2/27/1992 3-D BywaySouth Baltimore MD 21221

Panah Mansour M.D. LB 5/29/2013 6005 Landover Road Ste 6 Cheverly MD 20785

Panteleakis Peter Individual F 10/24/1988 1008 Roxleigh Road Towson MD 21204

Papachristou Marios MD HHS 6/29/2018 200 Lothrop Street, suite 3950 Pittsburgh, PA 15213

Park Do Sun M.D. HHS 4/10/1995 105 S. Washington Street Rockville MD 20850

Parker April R. Aide HHS 9/20/2000 3515 Madison Place Hyattsville MD 20782

Pasha Jabir Social Worker LB 9/8/2017 2125 Maryland Avenue Baltimore, MD 21218

Passarell Sherri MD LB 6/26/2018 9714 Healthway Drive Berlin, MD 21811

Patel Ketankumar P.D. LB 7/14/2009 5951 Cecil Way Eldersburg MD 21784

Patel Jigar Pharmacy F 4/17/2015 1138 6th Avenue Apt. 3 Berwick 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. M Rosedale MD 21237

Pease Lisa LCSW LB 7/28/2014 106 Milford Street Salisbury MD 21804

Pediatric Plus Business Entity HD 1/15/2005 10 East Lee St; Ste 2406 Baltimore MD 21202

Peet Joseph Personal Care F 10/30/2015 312 Belton Road Silver Spring MD Provider 20901

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 55 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

Perez Yolanda Aide HHS 12/18/2001 1752 Gorsuch Avenue Baltimore MD 21218

Perry Deborah Individual HHS 2/11/1993 604 McCabe Ave Baltimore MD 21212

Persinger Virginia Personal Care HD 8/25/1993 Route 2; Box 179 Newberg MD 20664 Provider Peters Colleen Nurse HHS 11/20/2007 288 Wye Knot Court Queenstown MD 21658 Peterson Jocelyn M. Individual F 11/3/2005 29581 Bright Spot Road Highland CA 92346

Peterson Ralph M. Individual F 11/3/2005 29581 Bright Spot Road Highland CA 92346

Peterson Patricia M. Individual HHS 4/13/1994 1856 Beth Ridge Circle Forest Hill MD 21050

Petway Dena Joan Personal Care HD 8/26/1996 6309 Elliott Street Baltimore MD 21224 Provider Phalsaphie Mansour M.D. LB 3/25/1998 4003 Hidden Creek Henderson KY 42420

Pharmacare Inc. Business Entity F 7/25/2000 10255 York Road Cockeysville MD 21030 Phattiyakul Pricha M.D. LB 9/19/2001 100 Hospital Road; Calvert Prince Frederick Memorial MD 20678 Phillips Patricia A. Aide HHS 10/18/2001 2325 Barclay Street Baltimore MD 21218

Phoenix Behavioral HHS 3/4/2019 300 East Pulaski HWY, STE 113B Elkton, MD 21921 Health Center Physical Therapy & PT HHS 9/30/2016 8380 Colesvill Rd, Suite 200 Silver Spring, MD Sports Assessment 20910 Physician's Analytical Business Entity HHS 8/20/2012 P.O. Box 26020 Beaumont TX 77720 Services, Inc. Pickert Steven M.D. LB 8/28/2013 100 South Center Street Thurmont MD 21788

Pinkard Wendy Individual HHS 3/20/2014 FPC Alderson Glen Ray Rd Box A Alderson WV 24910

Pittman Thomas A. M.D. HHS 7/17/1991 7498 Sea Change Columbia MD 21045

Pleas Barbara A Aide HHS 8/11/1997 3267 Queenstown Dr Mt Ranier MD 20712

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 56 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

Pointer Brenda Denise Aide HHS 9/19/2001 15 N. Calhoun St Baltimore MD 21223

Polley Frederickay Nurse HHS 5/20/2015 2958 Del Paso Boulevard, Apt. #12 Sacramento CA 95815 Pollock Hamilton Individual HHS 12/20/1995 211 E. Lombard Street Baltimore MD 21201

Pollock Natasha Nurse HHS 2/18/2010 17008 Downing Street Gaithersburg MD 20877 Polsin Michael J. Nurse HHS 3/18/2004 34602 Blakistone Road Hollywood MD 20636

Pooya Manoochehr M.D. LB 11/7/2007 700 7th Street SW #2 Washington DC 20024 Poplar Grove Pharmacy F 5/21/2019

Potash Michael M.D. LB 12/16/2009 2331 Old Court Road, Apt. 409 Baltimore MD 21208

Pototsky Ronald M.D. LB 11/21/2011 821 N. Eutaw Street Baltimore MD 21201

Powell Jack M.D. LB 1/26/2007 23704 Ocean Gateway Mardela Springs MD 21837 Powell Toni Darnell Personal Care HD 9/18/1995 2519 Marbourne Avenue Baltimore MD 21230 Provider Powell Velma E. L. M.D. HHS 1/23/1992 6201 Greenbelt Road College Park MD 20740 Powell Nicheia Aide HHS 9/19/2002 704 Winston Avenue Baltimoe MD 21212

Prabhakar Madura M.D. LB 10/24/2012 6101 Park Heights Avenue Baltimore MD 21215

Prager Harris J. D.P.M. HHS 10/27/1993 420 S. Crane Hgwy; #1 Glen Burnie MD 21061 Prescimone Doreen Nurse HHS 10/20/2003 4806 Berry Hill Circle; Apt. 103 Perry Hall MD 21128

Pribadi Jean W. M.D. LB 6/13/2008 10632 Little Patuxent Parkway Columbia MD 21044

Price Ashanti Aide HHS 7/20/2015 FPC Alderson Glen Ray Road, Alderson WV 24910 Box A Price Paula Individual HHS 5/20/2012 2009 Brae Trail Birmingham AL 35242

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 57 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

Progressive Care Business Entity F 4/27/2000 c/o P.O. Box 536 Jessup MD 20794 Ambulance Serv. Prunier Paul M.D. LB 5/31/2016 15441 Narcissus Way Rockville MD 20853

Pujol Jackie M.D. LB 2/6/2015 1416 Carrington Lane Vienna VA 22182

Pullen Sonia A. Individual HHS 2/15/1996 1308 N. Kenwood Avenue; 2nd Baltimore MD 21213 Floor Pulliam's Contracting Business Entity HD 10/20/2009 45464 Stoney Run Drive Great Mills MD 20634 Purdum Pharmacy Pharmacy F 10/17/2008 6901 York Road Baltimore MD 21212

Purnell Elmer A. M.D. LB 12/11/1992 652 W. Main Street Salisbury MD 21801

Qaiyumi Waheeda M.D. LB 2/5/2004 9650 Santiago Road; #110 Columbia MD 21045

QRSS Business Entity HHS 6/12/1997 4701 Randolph Road Rockville MD 20852

Quality Diagnostics LLC HHS 8/8/2019 127 Lubrano Dr, Suite L-2 Annapolis, MD 21401

Queen Jennifer Personal Care HD 5/16/2005 4527 Northwood Drive Baltimore MD 21239 Provider Rabb Willie D.P.M. LB 8/1/2006 420 S. Crain Highway; #2 Glen Burnie MD 21061 Radulski Joanne B. Individual F 7/8/2010 2124 Oaklyn Drive Fallston MD 21047

Radvan-Ziemnowicz Stanley A. M.D. HHS 11/1/1990 9400 Old Georgetown Road Bethesda MD 20814

Rafi 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 Care HD 12/17/2002 1 Russern Court; 2A Baltimore MD 21215 Provider 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

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 58 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

Ramirez Oscar M.D. LB 7/15/2011 1212 York Road Ste B101 Lutherville MD 21093

Ranbaxy USA, Inc. Business Entity HHS 5/20/2014 750 E. Pratt Street Ste. 900 Baltimore MD 21202

Rancocas Valley Business Entity HHS 11/14/2002 Sunset Road Willingboro NJ 08046 Anesthesia Assoc Randall, Jr. Joseph M.D. LB 7/13/2016 5808 Belcher Farm Road Centreville VA 20120

Randolph Aisha Individual HHS 8/20/2014 9907 Maidbrook Road Parkville MD 21234

Rao Nagbhushan MD LB 7/22/2019 5051 Greenspring Ave, Suite 300 Baltimore, MD 21209

Rapkin Harvey R.Ph F 12/19/2008 2207 Shefflin Court Baltimore MD 21209

Ravenwood Healthcare, HHS 9/21/2016 501 West Franklin Street Baltimore, MD, 21201 Inc Ray Douglas M.D. HHS 4/6/1992 10208 Prince Place Largo MD 20775

Redondo-Malamud Yasmin M.D. HHS 9/20/1998 1419 Crestridge Drive Silver Spring MD 20910 Reedy Erin D.D.S. LB 1/20/2016 1821 South Charles Street Baltimore MD 21230

Regency Hlth Services, Business Entity HHS 5/6/2004 1535 Meadows Lane Glen Mills PA 19342 Inc. 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 Reilly Robert MD LB 4/16/2018 505 E Main Street Salisbury, MD 21804

Renaud Kevin Nurse HHS 2/18/2016 652 Washington Street Apt. Brookline MA 02446

Rermgosakul Adul M.D. F 9/30/1995 5632 Annapolis Rd-Suite 8 Bladensburg MD 20710 Resolutions Unlimited, Business Entity F 7/14/2005 16 Arrowood Court Baltimore MD 21237 Inc. 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

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 59 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

Ricci Renzo M.D. LB 1/26/2007 3125 Baltimore Blvd, Box 500 Finksburg MD 21048

Richardson Gravney A. M.D. HHS 8/10/1994 40 Joyceton Way Upper Marlboro MD 20772 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 Riley Kenneth D.D.S. HHS 5/20/2012 P.O. Box 100 Cumberland MD 21501 Ritch Sherry Aide HHS 1/10/2002 5504 Windsor Mill Road Baltimore MD 21207

Ritter Theodore Nurse LB 8/7/2012 1931 Greenspring Drive Timonium MD 21093

River Rx, Inc. Pharmacy F 12/23/2014 5257 River Road Bethesda MD 20816

Rivera Rose M. Nurse HHS 6/17/2004 500 Wick Lane Blue Bell PA 19422

Riverview Nursing Ctr, Business Entity HHS 10/18/2001 1 Eastern Boulevard Baltimore MD 21221 Inc. Roane Donald M.D. LB 5/21/2010 1616 Forest Drive Annapolis MD 21403

Roark David Nurse HHS 4/20/2010 277 Geremma Drive, Apt. B Ballwin MO 63011

Robalino Joffre M.D. HHS 4/18/2013 FCI Cumberland PO Box 1000 Cumberland MD 21501 Robb Paul Aide F 6/20/2015 5804 Annapolis Road #613 Bladensburg MD 20710 Roberts Isaac Aide MFCU-A 1/18/2007 8500 Goshen View Drive Gaithersburg MD 20882 Roberts, Jr. Leroy Individual HHS 3/7/1991 6 Papago Court Randallstown MD 21133 Robinson Felipe M.D. LB 5/14/2014 7227 B. Hanover Parkway Greenbelt MD 20770

Robinson Lawrence Personal Care HD 5/3/1996 8806 Lanier Drive; #101 Silver Spring MD Provider 20910 Roby Neil O. Individual HHS 5/20/1998 13190 Linden Station Clarksville MD 21209

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 60 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

Rodkey Jeffrey Lee Pharmacy HHS 8/18/2005 23621 Cemetery Road Chance MD 21821

Rodrigues Cheryl Personal Care HD 5/25/2005 23249 Colton Point Road Avenue MD 20609 Provider Rodwell Dino Individual HHS 6/20/2002 8314 Glenmar Road Ellicott City MD 21045

Roe William M.D. LB 8/14/2013 1001 Cromwell Bridge Road Towson MD 21286

Roffman Benjamin Individual HHS 5/23/1988 6314 Greenspring Ave; Apt. 6 Baltimore MD 21207

Rogers Tena Individual F 5/8/2003 2905 Garrison Boulevard Baltimore MD 21216

Romero Yolanda O.T. HHS 1/20/2004 P.O. Box 2784 Baltimore MD 21225

Rorie Valerie R. Personal Care HD 6/9/2004 5506 Wayne Avenue Baltimore MD 21207 Provider Rose Manor Assisted Business Entity HD 9/15/2008 3100 North Ridge Road Ellicott City MD 21043 Living Rosen Nancy Individual F 5/26/2001 8330 Greensboro Drive; #423 McLean VA 22102

Rosov Howard L. D.D.S. HHS 10/20/2004 1106 Spy Glass Drive Arnold MD 21012

Ross Bradford A. M.D. LB 4/27/1998 200 Milton Avenue Fallston MD 21047

Rothelder David D.D.S. HHS 5/18/1979 620 Aisquith Street Baltimore MD 21202

Rothstein Binyamin D.O. LB 5/25/2005 Greenspring Shopping Ctr; 2835 Baltimore MD 21209 Smith Ave; Ste 209 Roundtree Silverrene P M.D. HHS 6/28/1999 200 Oak St Mt. Pocono PA 18344 Rout Preeti MD LB 11/29/2017 4475 Regency Place White Plains, MD 20695 Rowlette Bertha Personal Care HD 7/22/1998 8618 Bramble Lane Randallstown MD Provider 21133 Rowley Bethany Aide MFCU-A 6/8/2008 P.O. Box 632, 203 Clarence Street Hyndman PA 15545

Royal Jeffrey L. Radiologist HHS 9/20/2000 4309 Glenrose Street Kensington MD 20895

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 61 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

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 6 Glen Burnie MD 21061 Russell William MD LB 10/17/2017 2300 Garrison Blvd #102 Baltimore, MD 21216

Russell James R.Ph HHS 6/18/2015 114 Trout Brook Road Dracut MD 01826

Russo David R.Ph HHS 10/20/2014 FCI Cumberland, P.O. Box 1000 Cumberland MD 21501 Russo's RX Business Entity HD 10/24/2015 25 N. Cannon Avenue Hagerstown MD 21740 Rustagi Ravinder MD LB 4/19/2018 3100 Hospital Drive Cheverly, MD 20785

Ryan Michael LCSW F 1/14/2011 12417 Seabury Lane Bowie MD 20715

Sacks Martin Personal Care F 6/18/2014 6225 York Road Apt. N-116 Baltimore MD 21212 Provider Sadanand Home, Inc. Business Entity HD 2/28/2006 101 Carlisle Drive Silver Spring MD 20904 Sadri Manouchehr M.D. F 11/30/1996 2 Piney Meetinghouse Ct Potomac MD 20854

Sahandy Parviz MD LB 7/8/2019 1831 Forest Drive, Suite A Annapolis, MD 21401

Salihi Akram MD LB 7/15/2020 6918 Ridge Road, Suite 5 Rosedale, MD 21237

Samie Abdul Individual HD 5/19/2006 4918 Grindon Avenue Baltimore MD 21214

Sampson Michelle Personal Care HD 4/3/1996 1015 Washington Street Cambridge MD Provider 21613 Sanborn Michele R. Nurse HHS 2/20/2001 772 Fairview Avenue; Apt. C Annapolis MD 21403

Sanchuk Daniel Paul Individual F 7/12/2000 9487 Canary Drive Bel Alton MD 20611

Sanders Nakiatia Individual HHS 9/20/2015 4931 Lanier 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

Wednesday, August 4, 2021 Page 62 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

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 Care HD 3/1/2001 10920 Connecticut Avenue Kensington MD Provider 20895 Santos Rene M.D. LB 1/15/2009 2835 Churchville Road Churchville MD 21028 Sarabia Erlinda S. Individual F 8/12/2006 8316 Elvation Road Millersville MD 21108

Sarpong Sampson MD LB 8/17/2017 10756 Rhode Island Ave Beltsville, MD 20705

Satogkit Supoj M.D. LB 12/11/1990 101 Medical Blvd Stockbridge GA 30281 Scandaltato Frank Personal Care HD 2/10/1998 102 Palmetto Drive Edgewood MD 21040 Provider Schade John Chiropractor HHS 10/20/1998 103 Baughmans Lane; #204 Frederick MD 21702

Schaffner Stephen Counselor HHS 4/20/2016 FCI Petersburg Medium P.O. Box Petersburg VA 1000 23804 Schanus Larry Psychologist HHS 3/19/2015 2841 Ardmore Avenue Maple Plain MN 55259 Schauber Michael M.D. LB 4/25/2007 505 Dutchmans Lane, Suite B Easton MD 21601

Scheibe Melissa Lynn Aide HHS 6/20/2000 1111 St. Paul Place Baltimore MD 21221

Schlenoff Elizabeth M.D. LB 4/1/2013 16918 York Road Ste. 100 Monkton MD 21111

Schlenoff MD PA Elizabeth M.D. LB 4/1/2013 16918 York Road Ste. 100 Monkton MD 21111

Schnitzlein Robert MD LB 1/14/2020 8967 Yellow Brick Road Rosedale, MD 21237

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 63 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

Schott Alan J. D.D.S. HHS 2/4/1997 8016 Nighwind Court Baltimore MD 21227

Schultz Inca Nurse F 10/12/2016 20979 5th Avenue W Cudjoe Key FL 33042

Schwartz Lyndell K. D.D.S. LB 11/15/2006 795 Aquahart Road Glen Burnie MD 21061 Schwarzberg Allan M.D. LB 11/28/2011 9021 Shady Grove Court Gaithersburg MD 20877 Scotland Errol Individual F 10/20/2014 2900 Boarman Avenue Baltimore MD 21215

Scotland Manor Business Entity F 10/20/2014 2900 Boarman Avenue Baltimore MD 21215

Scott Delores Elaine Nurse F 7/13/2006 11 Rebecca Lane Owings Mills MD 21117 Scott Tatiana Aide MFCU-A 12/3/2014 1022 Wedgewood Road Baltimore MD 21229

Scott Bernita E. Aide HHS 12/15/1993 602 Gibson Road Baltimore MD 21229

Searcey Vicky C. Nurse HHS 9/19/2002 3146 Middlesex Drive Toledo OH 43606

Semaie Ermias LB 7/8/2019 5813 Eastern Ave Hyattsville, MD 20782

Senior Connections d/b/a Business Entity HD 4/1/2010 1401 West Joppa Road Towson MD 21204 SK Adult Daycare Sera Carlos C. M.D. LB 9/30/1998 12000 Longridge Lane Bowie MD 20715

Setaro John L. Psychologist HHS 3/10/1997 19 Melanie Court Baltimore MD 21234

Setlen Williams Individual HHS 4/19/1985 4527 Tapscott Road Pikesville MD 21208

Settles Diane Aide HHS 9/29/1996 11919 L Tarragon Road Reisterstown MD 21136 Shade David M.D. F 6/20/1984 14 Warfield Avenue La Vale MD 21502

Shah Dinesh M.D. LB 9/23/2010 2327 Pulaski Highway, Ste. 101A North East MD 21901 Shamaeizadeh Ali M.D. LB 3/3/2004 710 Lisbon Center Dr; Ste H Woodbine MD 21797

Shandler Melvin LCSW HHS 4/20/2009 P.O. Box 1000 Cumberland MD 21501

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 64 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

Shavers John M.D. LB 9/26/2012 518 Camp Meade Road Linthicum MD 21090

Shaw-Taylor Kofi MD F 8/2/2018 4419 Falls Road, Suite D Baltimore, MD 21211

Shaw-Taylor Kofi MD LB 5/9/2017 4419 Falls Road, Suite D Baltimore, MD 21211

Shea Robert Individual HHS 10/21/2013 4902 W. 144th Street Overland Park KS 66224 Sheldon-Cost Priscilla M.D. LB 9/13/2012 1407 York Road Ste. 309 Lutherville MD 21093

Shelton Pam Personal Care HD 4/26/1995 183 Fairfield Drive Frederick MD 21702 Provider Shepherd Family Business Entity HD 2/6/2007 3450 Laurel Fort Meade Road Laurel MD 20724 Services, Inc. Sheppard Millard C. Individual F 4/27/2000 c/o P.O. Box 536 Jessup MD 20794

Sheppard Shirleen Aide MFCU-A 3/23/2012 938 Argonne Drive Baltimore MD 21218

Sherwood Shannon Dental Technician HHS 12/20/2009 855 Aurora Road Ernul NC 28527

Shiraldi Teresa Nurse HHS 6/20/2005 3700 Misty Valley Court Abingdon MD 21009

Shirazi Mahmaud M.D. LB 6/18/2007 5671 Royal Mile Blvd Salisbury MD 21801

Showell Cora Louise Aide MFCU-A 12/6/2004 509 Bay Street Berlin MD 21811

Shpigelman Mikhail Personal Care HD 5/13/2002 2 Ameeht Court; 1C Baltimore MD 21215 Provider Shpritz Louis M.D. LB 3/28/2012 24 Caveswood Lane Owings Mills MD 21117 Shraga Inessa Personal Care HD 5/30/2003 5 Wind Blown Court; Apt. 102 Baltimore MD 21209 Provider Sichinava Inga Personal Care HD 3/7/2005 2001 Allanwood Court Silver Springs MD Provider 20906 Siegel Irving Optometrist HHS 9/10/1996 4251 Wilson Blvd Arlington VA 22203

Sierra Myrna Luz Vigo M.D. HHS 4/18/2002 67 Toledo Street Bel Monte, Mayaguez PR 00680

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 65 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

Sila Basri MD LB 3/13/2017 1205 York Road Suite 39 Lutherville, MD

Simmons Kevin Individual F 5/27/2006 10356 Kentsdale Drive Waldorf MD 20603

Simms Rena C. Personal Care HD 5/12/1993 3705 W. Forest Park Ave Baltimore MD 21215 Provider Simon Jock M.D. LB 11/5/2008 30686 Satterfield Court Salisbury MD 21804

Simons Evelyn Nurse HHS 12/20/1998 13631 Colgate Way Silver Spring MD 20904 Simpson Cleveland Cole Personal Care HD 2/20/1998 3019 Garrison Blvd Baltimore MD 21216 Provider Singh Bhupinder M.D. LB 6/27/2008 200 Hospital Drive, Suite 500 Glen Burnie MD 21061 Singh Surinder MD LB 6/14/2018 9801 Georgia Avenue Silver Spring, MD 20910 Singh Mahindra Nurse HHS 6/19/2008 2 Pissaro Court North Potomac MD 20878 Singh Inder MD LB 6/14/2019 2301 Annapolis Rd Baltimore, MD 21230

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 Pkwy; Suite Columbia MD 21044 205 Skrinskaya Natailya Personal Care F 10/1/2002 3720 Bel Pre Road; Apt. 9 Silver Spring MD Provider 20906 Slavin Carl J. M.D. LB 7/26/2006 3231 Superior Lane; #A2 Bowie MD 20715

Sliger Traci Personal Care HD 11/28/2000 8505 George Washington Hwy Oakland MD 21550 Provider Smart Lab LLC HHS 6/26/2019 10385 Ironwood Rd, Suite 130 Plam Beach Gardens, FL 33410

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 66 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

Smith Dale A. Aide HHS 2/19/1998 6010 Valley Court Lexington Park MD 20553 Smith Lance C. Individual F 10/1/1992 18800 Walkers Choice Road Gaithersburg MD 20879 Smith Anthony Individual F 8/29/2008 4228 Huntshire Road Foxridge MD 21133

Smith Tammy LCSW F 8/29/2008 4228 Huntshire Road Foxridge MD 21133

Smith Joseph H. M.D. HHS 5/16/1993 4705 Locust Hill Court Bethesda MD 20014

Smith William M.D. LB 2/23/2012 1900 E. Northern Parkway #210 Baltimore MD 21239

Smith Dorothy Julia Aide HHS 9/13/1997 912 Thompson Blvd Baltimore MD 21221

Smith Tammara Aide HHS 6/17/1999 6466 Roots Drive Glen Burnie MD 27061 Smith Elizabeth Ann Individual MFCU-A 11/8/2003 6102 Alta Avenue Baltimore MD 21206

Smith Joyce Nurse HHS 6/17/1999 26 Dowling Circle Baltimore MD 21234

Smoot Melanie Personal Care HD 8/25/1993 Route 3; Box 120 Oak Avenue La Plata MD 20646 Provider Snead Paul Nurse HHS 2/20/2001 2108 Callow Avenue; Apt. #1 Baltimore MD 21217

Snell Sherman Leon Individual HHS 7/22/1991 P.O. Box 549 Jessup MD 20794

Snyder Robert M.D. LB 7/24/2013 1500 Forest Glen Road Silver Spring MD 20910 Sodipo Steven P.D. LB 1/5/2007 2403 Nora Court Forest Hill MD 21050

Solomon Larry Individual F 10/24/1988 613 19th Street, N.E. Washington DC 20002 Solomon Neil M.D. HHS 6/30/1994 901 Dulaney Valley Rd; Ste 602 Towson MD 21204

Sood Salah Eldean Khader Chesapeake HHS 10/23/2016 401 East Madison Street Baltimore, MD, 21202 Detention Facility Soriano Asuncion M.D. LB 5/23/2007 119 Capitol Hgts Boulevard Capitol Heights MD 20743

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 67 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

Soriano, Jr. Cesar M.D. LB 7/3/2004 119 Capitol Heights Blvd Capitol Heights MD 20743 Soudah Truman F. M.D. LB 6/1/2010 8813 Waltham Woods Road, Ste. Baltimore MD 21234 101 Spinnakers HHS 8/9/2016 18118 Chesterfield Airport Road Chesterfield, MD 63005 Spriggs Donte Aide MFCU-A 11/8/2013 1805 Ashburton Street Baltimore MD 21216

Srinivasan Sridhar Individual HD 4/1/2010 720 Ft. Washington Avenue New York NY 10040

SSS Nutrition & Dietetic Business Entity F 11/19/2008 235 Mill Street, Ste. 3 Hagerstown MD Srvcs, Inc. 21740 Stachowski Gina Nurse HHS 4/19/2012 1645 Manor Road Dundalk MD 21222

Stalling Reginald W. M.D. LB 11/17/1999 9211 S. Normal Street Chicago IL 60620

Stark Thomas R.Ph HHS 10/20/2010 P.O. Box 1000 Cumberland MD 21501 Starling Greg Individual HHS 2/20/2008 3918 Elite Street Bowie MD 20716

Staton Kimberly V. Individual HHS 6/11/1990 10 Duke of Windsor Ct; T4 Baltimore MD 21207

Stein Marsha M.D. HHS 1/20/2015 5936 Howe Street Pittsburgh PA 15232

Stevens April Individual MFCU-A 1/8/2008 1723 Crimson Tree Way, Apt D Edgewood MD 21040

Stewart Kevin R. Aide HHS 4/27/1992 5211 Goodnow Road; Apt. D Baltimore MD 21206

Stillons Duane MD LB 3/9/2021 2401 Research Blvd, Suite 350 Rockville, MD 20850

Stocks Gregory Nurse LB 3/23/2004 140 E. Centre Street Baltimore MD 21202

Stone Nancy Nurse MFCU-A 2/17/2006 502 Francis Nicholson Way Annapolis MD 21401

Stoner Alfred Individual F 3/17/1992 511 S. Frederick Avenue; #10 Gaithersburg MD 20879 Stratton Judith Z. Nurse HHS 4/20/2003 12308 Featherwood Drive; Apt. 13 Silver Spring MD 20904

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 68 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

Stubbs Darryl Aide HHS 2/10/2002 4311 23rd Avenue; Apt. 1006 Temple Hills MD 20748 Stumpfel Ernest Ronald Personal Care HD 12/7/1993 8411 Morven Road; Apt. I Baltimore MD 21234 Provider Suburban Medical Business Entity HD 6/19/2014 505 Hampton Park Blvd. Capitol Heights MD Equipment & Supplies 20743 Sudhakar Kempana MD LB 12/13/2019 7610 Carrol Ave #230 Takoma Park, MD 20912 Sumler Robert A. Aide HHS 11/12/1990 500 E. Madison Street Baltimore MD 21202

Summers Holly R. D.D.S. LB 3/1/2005 19221 Montgomery Village Gaithersburg MD Professional 20789 Sungenis Albert M.D. LB 6/15/2006 5179 Harpers Farm Road Columbia MD 21044

Supreme Health Business Entity HD 3/30/2008 4801 York Road Baltimore MD 21212 Systems, Inc. Survival Place Assisted Business Entity HD 3/26/2014 201 North Main Street PO Box Hurlock MD 21643 Living Sutton Veronica Personal Care HD 12/11/2009 1215 Etting Street Baltimore MD 21217 Provider Sviriduk Ella Personal Care F 3/4/2007 18923 Lark Song Terrace Germantown MD Provider 20874 Swartz Linda Personal Care HD 8/17/1995 116 Columbia Street Cumberland MD Provider 21502 Tachie-Menson Vanessa Nurse HHS 4/20/2016 17520 Bridle Court Apt. 201 Jupiter FL 33478

Taku Wilfred Nurse F 6/13/2013 6425 Tiffany Court Lanham MD 20706

Tanna Peter M.D. F 12/31/1995 12708 Serpentine Way; #307 Silver Spring MD 20904 Tarkeh Victor Aide HHS 8/20/2015 15902 Bishopstone Terrace Upper Marlboro MD 20774 Tasher Jacob M.D. LB 5/26/2004 26 Erie Drive Slingerlands NY 12159 Tasker Nelda L. Aide HD 6/10/2005 P.O. Box 1 Oakland MD 21550

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 69 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

Tauraso Nicola M.D. LB 8/12/2010 7051 Poole Jones Road Frederick MD 21702

Taylor Lafenus Donnell Aide MFCU-A 4/13/2004 3002 Spaulding Avenue Baltimore MD 21215

Taylor Hester Ann Personal Care HD 5/2/1996 104 S. Somerset Avenue Crisfield MD 21817 Provider Temkin Diane Personal Care HD 12/15/2004 12005 Tarragon Road; Apt. G Reisterstown MD Provider 21136 Temple Marion B. LCSW F 7/5/1989 14512 Sandy Ridge Road Silver Spring MD 20904 Teves-Upshur Maria Individual HHS 2/20/2008 P.O. Box 44714 Fort Washington MD 20749 Thaker Nilay MD LB 3/24/2020 1502 S Main Street, Suite 202 Mt Airy, MD 21771

Than-Riddle Khin Cho Cho M.D. LB 7/28/2004 1520 Crownsvile Road Crownsville MD 21032 Thaung Phone Individual F 3/17/1992 12636 Falconbridge Drive Darnestown MD 20878 The Dixon Home Business Entity HD 9/28/2009 409 North Lakewood Avenue Baltimore MD 21224

The Medicine Shoppe Business Entity HD 8/15/2008 8035 A Liberty Road Baltimore MD 21244

The Medicine Shoppe Business Entity LB 7/14/2009 11813 1/2 Reisterstown Road Reisterstown MD 21136 The Medicine Shoppe Business Entity HD 11/15/2006 Frostburg Village Shopping Center Frostburg MD 21532

The Medicine Shoppe Business Entity HD 8/15/2008 8035 A Liberty Road Baltimore MD 21244

The Medicine Shoppe Business Entity HD 8/15/2008 5900 Reisterstown Road Baltimore MD 21215

The Smith House Business Entity HD 1/1/2007 7117 Campfield Road Baltimore MD 21207

Theodore Roger HHS 7/31/2021 7505 Osler Drive, Ste 216 Baltimore, MD 21204

Thomas Lindwall D.D.S. HHS 6/5/1995 10912 Lockwood Drive Silver Spring MD 20901 Thomas Patricia F. Aide HHS 9/19/1999 M.D. Correctional Inst-Women; Jessup MD 20794 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

Wednesday, August 4, 2021 Page 70 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

Thomas Liston Individual HHS 10/20/1998 14601 Burnside Southwest Cumberland MD 21502 Thomas Henry Maurice Aide HHS 9/20/1999 3426 Edmondson Avenue Baltimore MD 21229

Thomas Barbara Individual HHS 12/5/1994 2135 Freemantle Court Waldorf MD 20601

Thomas Tamara Personal Care HD 12/8/1997 90 Waverly Drive; #JJ102 Frederick MD 21702 Provider Thomas Spencer MD LB 10/2/2019 7503 Surratts Road Clinton, MD 20735

Thomas Dwight N. Personal Care HD 9/17/1998 7049 Caldwell Road Pasadena MD 21122 Provider Thomas/ Tisdale-Cornish Candice LCSW-C HHS 4/28/2018 200 E Joppa Road, Suite 400 Towson, MD 21286

Thompson Carl N. Personal Care HD 7/24/1992 7412 Beech Avenue Baltimore MD 21206 Provider Thompson Yvonne Personal Care HD 3/27/1996 914 E. Biddle Street Baltimore MD 21202 Provider Thompson Colleen Nurse MFCU-A 5/17/2005 312 Boardwood Drive Rockville MD 20850

Thompson Regina Personal Care HD 5/7/2003 524 Cedar Street Cambridge MD Provider 21613 Thompson Stephanie Aide HHS 2/18/2010 3008 Gallery Place, Apt. 33 Waldorf MD 20602

Thornton Keisha Personal Care HD 3/21/2002 307 Barclay Street Salisbury MD 21853 Provider Thornton Martha Personal Care HD 6/16/1993 402 Cedar Street Pocomoke MD Provider 21851 Tighe Shellieanna Nurse HHS 5/20/2014 6585 NW Monticello Drive Kansas City MO 64152 Tilghman Anitra Individual HHS 12/20/1995 3 Valley Arbor Court Essex MD 21221

Tinnin Louis Watson M.D. HHS 3/27/2006 RR 1; Box 215 Brucetonw Mill WV 26525 TKPSYC Services, Inc. Business Entity F 4/7/2013 1005 8th Street Laurel MD 20707

Tofigh Hamid D.D.S. LB 3/19/2014 7500 Hanover Parkway Ste. 106 Greenbelt MD 20770

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 71 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

Tolliver John M.D. HHS 8/20/1998 8629 Cross Chase Court Fairfax Station VA 23039 Tom Victoria Personal Care HD 12/10/2004 201 Poplar Springs Road; Apt. I Rockville MD 20850 Provider 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

Treece Thaddeus R. Personal Care HD 3/15/1994 2628 E. Madison Street Baltimore MD 21205 Provider Tristate Hand and Business Entity HHS 5/31/2016 200 Glenn Street Cumberland, MD, Occupational Therapy, 21502 Inc Truby Derrick P.D. HHS 10/20/2010 7018 Hamlet Avenue Parkville MD 21234

Tuason Rhonda Nurse HHS 9/19/2002 25 Halfpenny Lane Baltimore MD 21228

Tullner William W. M.D. LB 1/27/2006 9901 Medical Center Drive Rockville MD 20850

Turner Joseph Individual F 9/16/1993 807 Benninghouse Road Baltimore MD 21212

Turner Heather Respiratory HHS 5/20/2014 914 S. Hanover Street Apt 3S Baltimore MD 21230 Therapist Twenty Four Seven Business Entity HD 7/28/2005 905 W. Seventh Street; PMB 302 Frederick MD 21702 Home Health Care Tyco Clinical Lab. T. Husain Individual F 3/1/1995 405 Frederick Road; #158 Catonsville MD 21228 Tymiuk Wasyl P.D. LB 7/21/1993 2405 Mayfield Avenue Baltimore MD 21213

Tzou Norman M.D. LB 9/24/2012 196 Thomas Johnson Drive Ste. Frederick MD 21702 135

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 72 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

Uche Hyacinth R.Ph F 12/7/2003 1413 King William Drive Baltimore MD 21228

Udebiuwa Oparaugo M.D. F 11/30/2006 450 West Central Avenue Davidsonville MD 21035 Union Multicare Medical Business Entity HD 10/10/2015 10801 Lockwood Drive Ste. 140 Silver Spring MD Center 20901 United Medical, Inc. Business Entity HHS 1/7/1998 639 Riverside Drive Annapolis MD 21403

Universal Medical Business Entity HD 5/14/2016 11362 Amalgam Way, Ste. E Gold River CA 95670 Supplies and Rental, Inc. Uplift Medical Business Entity HD 3/22/2011 3710 Riviera Street, Suite 1A Temple Hills MD 20748 USA Rehab LLC DME/DMS HHS 9/21/2017 105 Sudbrook Lane Baltimore, MD 21208

UTC Labs Inc HHS 9/30/2019 1441 Canal Street, Ste 401 New Orleans, LA 70112 Vaghi Vincent MD HHS 11/9/2016 9 River Falls Court, Potomac, MD 20854

Valentine Eugene Individual HHS 10/20/2002 P. O. Box 867 Arnold MD 21012

Valerie's Assisted Living Business Entity HD 3/24/2004 5506 Wayne Avenue Baltimore MD 21207

Valove Paul M.D. LB 1/24/2007 11085 Little Patuxent Pkwy. Columbia MD 21044

Van Horn Eugean C. M.D. HHS 9/15/1989 8163 Murry Hill Drive Fort Washington MD

Vandi Solomon Daniel Aide HHS 1/20/2006 9340 Edmonston road; Apt. 201 Greenbelt MD 20770

Varga Pal M.D. HHS 12/31/1991 213 Philadelphia Avenue Salisbury MD 20801

Vassallo Anthony Michael Personal Care HD 11/1/2006 455 N. Centre Street Cumberland MD Provider 21502 Vaswani Surender MD LB 1/14/2019 8860 Columbia 100 Pkwy, #210 Columbia, MD 21045

Vaters Willa J. Individual HHS 5/2/1989 Route 3, Box 144 Hagerstown MD 21741 Vaughn 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

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 73 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

Vaughn William S MD LB 1/5/2018 Prince Phillip Drive Montgomery, MD 20832 Vegetarian Institute Business Entity F 11/3/2005 7185 Columbia-Gateway Drive Columbia MD 21046

Vesay Virginia Physician Assistant HHS 10/20/2016 409 Saint Francis Street Minersville, PA 17954

Villars Maureen Personal Care HD 5/10/1996 11308 Gilsan Street Silver Spring MD Provider 20902 Villaruz Rogelio M.D. F 6/28/1988 576 Stocketts Run Road Davidsonville MD 21035 Vinedale Healthcare Business Entity HD 1/3/2016 2240 W. Desert Cove Avenue Ste Phoenix AZ 85029 Incorporated 105 Vines Sheila F 9/6/2019 3202 Normount Ave Baltimore, MD 21216

Vitarello Jr John MD LB 12/19/2020 180 Thomas Johnson DR #202 Frederick, MD 21702

Wagner Keith Individual F 6/5/1991 9304 Warren Street Silver Spring MD 20910 Waison Marion Smith M.D. LB 9/16/2005 Woman to Woman Comp Care; Columbia MD 21044 Hickory Ridge Road Waites Regina Marie Nurse F 8/2/2002 16425 Calla Hill Road NW Mount Savage MD 21545 Walker Joel M.D. LB 8/1/2014 9105 Franklin Square Drive Baltimore, MD 21237

Walker Tonya Aide MFCU-A 3/13/1999 3416 Brinkley Road; #402 Temple Hills MD 20748 Wallace Michelle Personal Care HD 12/27/2002 9409 Jolean Road Randallstown MD Provider 21133 Wallace Nathan Individual - MFCU 9/21/2017 Caregiver 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

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 74 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

Warrick Patricia LCSW F 6/25/2015 5203 Janesdale Court Glenn Dale MD 20769 Warshanna Mohammed LB 7/19/2019 405 Frederick Rd, Suite 150 Catonsville, MD 21228

Washington Orthopedic MD HHS 9/21/2017 6144 Oxon Hill Rd Oxon Hill, MD 20745 Center LLC Washington Pain F 10/17/2015 7327-A Hanover Parkway Greenbelt MD 20770 Medicine Center Wasson Janet MD LB 4/25/2017 2002 Medical Parkway Annapolis, MD 21404

Watkins Mildred Personal Care HD 8/7/2008 412 South Cedar Street, Apt #2 Cumberland MD Provider 21502 Watkins Rose Personal Care HD 9/30/2008 1027 Cosby Avenue Cambridge MD Provider 21613 Wattay Ellen G. P.T. LB 1/17/2006 408 Parkwood Drive Salisbury MD 21804

Watts Sherrie Individual F 10/28/1987 1907 Forest Park Apt; 53 Baltimore MD 21207

Wave Care Health F 7/25/2018 1405 H St NE, Suite 2 Washington, DC Services 20002 Waxler Richard M. Individual HHS 6/19/2003 6015 Middewater Court Columbia MD 21044

Weaver Brian M.D. LB 4/29/2010 1124 N. Main Street Sikeston MO 63801

Weaver Darlynn Personal Care HD 8/6/1997 1503 East 29th Street Baltimore MD 21218 Provider Webster Dewitt D.D.S. LB 8/1/1990 6409 Ager Road Hyattsville MD 20782

Wee Melissa Pharm. Tech F 9/21/2012 22 Nann Avenue Baltimore MD 21225

Wehren Lois M.D. LB 3/13/1997 4098 Fragile Sail Way Ellicott City MD 21042 Weiss Sam Arthur Aide HD 6/11/2004 3506 Glen Avenue Baltimore MD 21215

Weissfuss Meaghan N. Individual MFCU-A 12/7/2005 11934 North Street; Apt. 5-3 Libertown MD 21762

Weitzman Warren Individual HHS 10/20/2002 7107 Thomas Branch Drive Bethesda MD 20817

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 75 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

Welch Barbara Jean Nurse HHS 6/20/2006 1628 E. Southern Avenue; Bldg 9 Tempe AZ 85282 PMB 139 Wells Luititia D. Personal Care HD 7/1/2002 P.O. Box 205 Newburg MD 20664 Provider Wendel Christopher M.D. LB 2/7/2017 P.O. Box 250 Hockessin, DE 19707

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 Weston Danly P. D.D.S. HHS 4/22/1997 12821 Old Fort Road Fort Washington MD 20744 Wetmore Thomas LCSW LB 4/8/2011 420-K Chinquapin Round Road Annapolis MD 21401

Wheeler, Jr. Rudolph D. Individual F 2/14/1997 2007 Mayfield MD Baltimore MD 21213

Whitby Linda MD LB 3/29/2017 5804 Baltimore Avenue Hyattsville, MD 20781

White Puanani J. Individual HHS 10/20/2004 405 Parsonage Lane Saint Michaels MD 21663 White Sandra E. Aide HHS 4/12/1993 4604 Bromley Ave Suitland MD 20746

White, Jr. Charles Edward PA HHS 9/26/1990 2921 Pulaski Highway Baltimore MD 21224

Whitehead Jessica Personal Care HD 5/16/1996 6713 Newport Road Hyattsville MD 20784 Provider Wiesman Albert M.D. HHS 4/12/1993 12605 Orchard Brook Terrace Rockville MD 20854

Wilborne Victor G. Individual HHS 9/2/1992 5606 McClean Blvd; Apt. C Baltimore MD 21212

Wilder Craig MD LB 6/19/2019 701 East Charles Street Laplata, MD 20646

Wilkerson Joel MD LB 10/17/2018 204 Medical Center Rd Grasonville, MD 21638 Wilkerson Mark F 8/22/2019

Wilkes Darryl Ivan Individual HD 9/21/2005 12428 Gable Lane Ft. Washington MD 20744

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 76 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

Wilkinson Morris A. M.D. HD 4/13/1993 7815 Old Receiver Rd Frederick MD 21702

Wilks Deborah Individual HHS 11/15/1995 2023 Woodlawn Drive; Apt. B Baltimore MD 21207

Williams Joanie Linden Personal Care HD 9/26/1997 3901 Greenmount Avenue; 2nd Baltimore MD 21218 Provider Floor Williams Tashaya F 7/16/2021 3824 Regency PKWY, 202 Suitland, MD 20746

Williams Robert M.D. LB 6/26/2013 5602 Baltimore National Pike Baltimore MD 21228

Williams Cleveland M.D. LB 8/20/1991 1111 Spring St; Ste 103 Silver Spring MD 20910 Williams Carter M.D. F 4/14/1993 3104 Woodholme Ave Baltimore MD 21234

Williams Barbara L. Aide HHS 11/10/1992 6934 Walker Rd; #B-1 Capitol Heights MD 20743 Williams Lillian Nurse HHS 4/20/2003 8925 Footed Ridge Columbia MD 21045

Williams Arnita L. Personal Care HD 2/18/1998 1025 Webb Court Baltimore MD 21202 Provider Williams Daniella Individual F 4/23/2003 1523 Ellamont Avenue Baltimore MD 21206

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 Bryan M.D. LB 5/18/2016 11405 Piedmont Court Clarksburg, MD 20871

Williams Olivette Personal Care HD 1/6/1998 6237 Maxwell Drive Camp Springs MD Provider 20746 Williams Wendie Renee MD LB 1/17/2018 900 Caton Ave Baltimore, MD 21229

Williams Sharon Personal Care HD 10/7/1996 P. O. Box 316; Peabody Street Leonardtown MD Provider 20650 Williams Joanie Personal Care HD 9/26/1997 3901 Greenmount Avenue; 2nd Baltimore MD 21218 Provider Floor Williams Deborah Personal Care HD 9/17/1998 5409 Schley Avenue Baltimore MD 21213 Provider

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 77 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

Williams, III Robert X. M.D. HHS 10/19/2006 3913 Fleetwood Avenue Baltimore MD 21206

Willis Vida Marie Aide HD 5/21/1997 3816 Towanda Ave; 1st Floor Baltimore MD 21215

Wilson Tamela Personal Care HD 9/27/1995 751 Woods Road Cambridge MD Provider 21613 Wilson Leon LCPC F 8/30/2014 15388 Bassford Road Waldorf MD 20601

Wilson Anita Personal Care Aide MFCU 9/28/2017 22796 Laurence Avenue, PO Box Compton, MD 20627 284 Wilson Donisha Aide MFCU-A 6/16/2006 11031 Kristin Way Worten MD 21678

Wilson Tasha Aide MFCU-A 3/11/2011 33 Deepspring Court Reisterstown MD 21136 Wilson Rose Personal Care HD 5/15/1998 2926 Miles Avenue Balitmore MD 21211 Provider Winder Tyrone Individual HHS 12/20/1995 4608 Marble Hall Road Baltimore MD 21239

Windsor Respite Business Entity HD 9/20/2005 7407 Castlemoore Road Windsor Mill MD 21244 Wingate Shonelle Personal Care HD 11/27/2009 8601 Greens Lane Baltimore MD 21224 Provider Wischer Noreen Ann Personal Care HD 3/19/2005 311 S. Robinson St. Baltimore MD 21224 Provider 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 Cynthia McGinnis Nurse HHS 10/19/2006 42825 Shaler Street Chantilly VA 20152

Wright Stephanie Aide HD 2/27/2000 P. O. Box 11949 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

Wednesday, August 4, 2021 Page 78 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

Yarborough Pamela Personal Care HD 3/22/2004 137 Faywood Court; Apt. 5 Glen Burnie MD Provider 21060 Yassin Mahmoud M.D. HHS 12/19/2013 1503 North Jackson Street Robinson IL 62454

Yazdani Farshad M.D. LB 4/4/1999 339 E. Antietam St Hagerstown MD 21740 Yazhary Randall D.D.S. LB 12/22/2014 7508 Wisconsin Avenue Bethesda MD 20814

Yoshabell's House, I,II, III Business Entity HD 5/24/2006 8511 Allenswood Road Randallstown MD 21133 Youmatz Henry F. D.D.S. F 12/11/1981 1503 West Lombard Street Baltimore MD 21223

Young Belinda Individual - MFCU 9/21/2017 Caregiver Young Sara Personal Care HD 5/16/1995 381-D Willows Road Lexington Park MD Provider 20653 Young Leonard H. Individual HHS 8/20/2009 7003 Targuin Avenue Temple Hills MD 20748 Young Jennifer Personal Care HD 3/3/2005 26771 Johnson Creek Road Crisfield MD 21817 Provider Young Henry A. M.D. HHS 2/13/1995 901 Eastern Avenue Baltimore MD 21221

Young Adult Institute MFCU 4/4/2018 8308 Liberty Road Baltimore, MD 21244

Yu Young H. M.D. LB 9/21/2001 1205 York Place Ste. 30A Towson MD 21204

Yusufov Salim Individual HHS 8/20/2015 7010 Rock Stream Court Baltimore MD 21209

Zakrzeski Paul Nurse F 6/28/2002 210 S. Sunset Drive Shrewsbury PA 17361 Zazo Loretta Nurse HHS 12/18/2008 P.O. Box 219 4 Water St. Pier A, Charlestown MD #133 21914 Zielke Andrzej MD LB 11/21/2017 200 Lothrop Street Pittsburgh, PA 15213

Ziem Grace M.D. LB 12/11/2015 16926 Eylers Valley Road Emmitsburg MD 21727 Ziscovici Silviu M.D. LB 12/1/2010 11400 Rockville Pike Ste. 513 Rockville MD 20852

Sanction Type: MFCU A = Medicaid Fraud Control Unit Adult Abuse LB = Licensing Board HD = Health Department

HHS = Department of Health and Human Services Medicaid Medicare Services F = Individual or Entity Convicted of Medicaid Fraud

Wednesday, August 4, 2021 Page 79 of 80 LAST NAME FIRST NAME SPECIALTY SANCTION TYPE TERMINATION DATE ADDRESS CITY/STATE/ZIP

Zuckerman David M.D. LB 7/29/2009 9715 Medical Center Drive #530 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

Wednesday, August 4, 2021 Page 80 of 80