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Sanctioned Providers from Participation in Maryland

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Sanctioned Providers from Participation in Maryland 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.
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