sanctioned providers entities from participation in …...lp 07072 baxter steven aide hhs 8/19/2010...
TRANSCRIPT
Sanctioned Providers and Entities from Participation in MarylandMedicaid Program
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
A&E Home Care I, II Corporation HD 5/26/2005 1234 Cathedral Drive Glen Burnie MD 21061
Aalai Mehrdad M.D. F 8/15/1994 10524 Democracy Blvd Potomac MD D 26712
Abbas Muhmoud F M.D. F 6/10/1992 5411 Old Frederick Road Baltimore MD 21229
D 12722
Abundant Life Center, Inc. Corporation HHS 7/5/1989 30 South Broadway Baltimore MD 21231
Acree Virginia V. Nurse HHS 12/20/2009 derson, Glen Ray Road, Alderson, WV 24910
R088060
Adams Charlotte PCP HD 10/24/1994 5313 Barbara Avenue Baltimore MD 21206
Adams Hakki B. M.D. F 8/24/1983 6172 Oxon Hill Road Oxon Hill MD 20715
D 00472
Addison Denise PCP HD 9/9/1998 P.O. Box 6014 Baltimore MD 21231
Adedapo Abosede Aide HHS 2/11/1999 1471 Hadwick Drive Baltimore MD 21221
Adefolaju Adebowale Nurse HHS 7/20/2009 6405 Seta Drive Lanham MD 207060
LP41140
Adelanwa Gabriel W. LCPC F 2/18/2007 7100 Chesapeake Road Landover Hills MD
LC 1235
Tuesday, December 20, 2011 Page 1 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Aderibigbe Victoria O. Citizen HHS 5/22/1998 1380 Cherry Hill Road; #2 Beltsville MD 20705
Adewale Soloman P.D. HHS 6/19/2008 46 Warner Avenue, Apt. Landover Hills, MD
01198
Adeyemi Mukaila Citizen F 2/28/1997 25 Strawhat Road; 1‐C Owings Mills MD 21117
Adeyemi Nancy Citizen HHS 8/20/2008 7758 Finns Lane, Apt. 2 New Carrollton
Adger Rossanna PCP HD 9/9/1998 2140 Boyd Street Baltimore MD 21223
Adler Jane M. M.D. HHS 9/20/2001 9812 Falls Road; Ste 114 Potomac MD 20854
Advanced Clinical Ass Inc. Corporation F 10/2/1997 201 North Charles Street Baltimore MD 21201
Aggroia Abhay V. M.D. HHS 7/20/2006 13168 Kinnicut Drive Woodbridge MD 22192
‐055856VA; D‐53013
Aiken Stuart DPM HHS 5/5/2006 16 Dartmoor Court Olney MD 20832
5440
Aikens‐Afful Nathaniel M.D. F 4/18/1983 3706 Collier Road Randallstown MD 21133
D 13607
Ajong Eric Aide HHS 6/20/2011 13107 Serpentine Way Silver Spring MD 20904
MT0043727
Ajumobi Chukwudi Citizen HHS 8/19/2010 404 85th Avenue, Apt. T New Carrollton
Akande Dwanus Nurse HHS 1/20/2008 849 N. Central Expressw Dallas, TX 75231‐2114
LP31007
Tuesday, December 20, 2011 Page 2 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Akhigbe Ehigiator M.D. HHS 10/20/2010 Morgantown P.O. Box 1 Morgantown WV 26507
D 45218
Aksoy Yasar M.D. LB 7/17/2001 1423 Cedarcroft Road Baltimore MD 21239
D 19223
Akthar Waheed U. M.D. LB 9/9/2004 01 S. Theodore Green Blv White Plains MD 20695
D 31675
Alalouf Ophir D.D.S. LB 5/2/2008 812 Falls Road, Suite 11 Potomac MD 20854
12149
Al‐Attar Ali M.D. LB 4/22/2009 4900 Silver Hill Road Suitland MD 20746
D 50098
Albers Nancy Citizen HHS 1/20/2008 750 Farnham Place Bel Air MD 21014
Albrecht Frank M. Counselor HHS 8/20/2003 O.Box 877; 725 Elwood A Easton MD 21601
001160
Al‐Khatib Susan Nurse HHS 2/20/2008 014 Winchester Road, S Cumberland, MD 21502
R103787
Allen David M.D. LB 3/1/2011 5500 Point Lookout Roa Leonardtown MD 20650
D 25230
Ally Azad M. D.D.S. F 7/21/2004 1643 Agnes Avenue, S.E. Palm Bay FL 32909
11430
Almeida Carlos M.D. LB 5/23/2005 7900 Old Branch Avenue Clinton MD 20735
D 08275
Alperstein Arnold R.Ph HHS 1/20/2004 3202 Walnut Avenue Owings Mills MD 21117
07356
American Diagnostic L Corporation HHS 10/28/2008 5749 Crabbs Branch Wa Rockville MD 20855
01079
Tuesday, December 20, 2011 Page 3 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Amirgholi Mohammed H. M.D. LB 3/23/1988 9401 Indian Head Hwy Ft. Washington
D 00133
Anderson Richard H. M.D. LB 5/26/2001 13 Cedar Waxwing Road Hilton Head Island SC
D 00634
Anderson Susan Nurse HHS 12/19/2002 11554 Buckskin Court Lusby MD 20657
Anderson Morris PCP HD 7/21/1995 11 W. Baltimore; #1012 Hagerstown MD 21740
Andreadis Barbara L. LCSW F 5/20/2003 47 E. Main street Hancock MD 21750
08278
Andrews Lorenzo Nurse HHS 7/20/2004 8341 Canning Terrace Greenbelt MD 20770
561064
Angel Square Corporation HD 6/28/2005 2306 Breton Drive District Heights MD
Ann's Loving Care Corporation HD 9/5/2007 1536 Northgate Road Baltimore MD 21218
30AL128
Appel Lawrence W. R.Ph HHS 12/20/2004 4 Coachman Ct; Apt. 202 Randallstown MD 21133
08351
Arbogast Rebecca PCP F 1/6/2007 36856 Danny Lane Chaptico MD 20621
ARG Associates, Inc. Corporation HHS 5/20/2002 8314 Glenmar Road Ellicott City MD 21045
Arrey Pamela P.D. HD 8/15/2008 13850 Kennard Drive Glenelg MD 21737
11345
Arrington James PCP HD 4/17/1996 Woodhaven Avenue; Ap Baltimore MD 21216
Tuesday, December 20, 2011 Page 4 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Arroyo Jose C. M.D. HHS 6/18/1998 0 Baltimore Nat'l Pike #5 Baltimore MD 21228‐
D 02422
Arroyo Ruy Dan M.D. HHS 9/20/1996 1215 Evesham Ave Baltimore MD 21239
D 27436
Arung Mary Aide MFCU‐A 11/21/2010 14251 Oxford Drive Laurel MD 20707
Asemani Ghafour B. D.D.S HHS 7/18/2002 67 Town & Country Blvd Ellicott City MD 21043
Ashimi Karen Aide MFCU‐A 5/24/2007 24 Bridgehampton Drive Parkville MD 21234
Askins Annie Delois PCP HD 5/4/2006 3301 Ripple Road Baltimore MD 21244
Askins Private Care H Corporation HD 5/4/2006 3301 Ripple Road Baltimore MD 21244
Atlantic Health Care, I Corporation HHS 10/7/2007 7640 Fullerton Road Springfield VA 22153
Aurora Hlth Care Servi Coppedge, Debra A. Corporation HD 5/4/2005 14004 Silver Teal Way Upper Marlboro
Austin Dan E. M.D. LB 4/4/1999 12164 Central Ave Mitchelleville MD 20721
D 46605
Automated Billing Service Corporation HHS 6/12/1997 4701 Randolph Road Rockville MD
Averi Robert P.D. LB 7/21/1993 P.O. Box 667 Johnstown PA 15907
Averi Robert M. D.P.M. LB 5/9/1991 P.O. Box 230544 Montgomery AL 36123
Tuesday, December 20, 2011 Page 5 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Awele Treatment and Corporation HD 2/27/2007 300 North Calvert Stree Baltimore MD 21218
Ayers George J. PT HHS 2/20/2006 75 Beatrice Street Cumberland MD 21502‐
MD; PT 10641‐FL; PT
Aziz Ahmed D.D.S. LB 11/26/2003 6117 Marlboro Pike District Heights MD
09548
Azzato Nicholas M. M.D. HHS 10/4/1989 33 University Blvd; Wes Kensington MD 20895
D 00816
Babaturk Hidir M.D. HHS 9/30/1988 6578 Gulford Avenue Clarksville MD 21029
D 19050
Backmon Marquil D. Citizen HHS 2/15/1997 830 N. Kenwood Avenue Baltimore MD 21205
Bagby Victoria Citizen HHS 10/20/2008 435 N. Curley Street Baltimore MD 21224
Bagheri Farhad D.D.S. LB 8/15/2005 13529 Clopper Road Germantown MD 20874
11037
Bagwell Polla Darlene Aide HHS 2/1/1999 3127 Artaban Place Baltimore MD 21216
Bah Haja Aide HHS 6/20/2005 207 Toleda Place; Apt. 20 Hyattsville MD 20782
Baker Betty PCP HD 9/9/1998 524 W. Preston Street Baltimore MD 21202
Baker Cynthia Nurse HHS 6/19/2008 53 Hazelwood Circle, Apt Baltimore MD 21206
LP 19154
Banks Evelyn Citizen F 10/28/1987 2140 Pine Avenue Baltimore MD 21207
Tuesday, December 20, 2011 Page 6 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Baptiste Donna D.D.S. HHS 5/20/1998 4205 Liberty Heights Ave Baltimore MD 21207
09943
Barahona Leonel M.D. LB 11/19/2009 101 Maiden Choice Lane Baltimore MD 21229
D 21928
Barb's Mason Dixon H Corporation HD 7/31/2006 29233‐A West Line Road Delmar MD 21875
Barnes Georgia PCP HD 4/14/2003 12 Garrisonridge Court Owings Mills MD 21117
Barnette Dawn PCP HD 4/1/1994 SR6; Box 277‐13 LaPlata MD 20646
Barr Alvin Scott Nurse HHS 4/20/2004 8336 Evergreen Drive Lusby MD 20657
R 140640
Bass Mitzi Lucille Nurse HHS 7/18/2002 804 W. Nash Street Terrell TX 75160‐2510
TX 6564777
Bassett David W. M.D. LB 3/29/2006 , Inc; 500 W. Montgome Rockville MD 20850
D 32444
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
D 14392
Battle Jesse Citizen HHS 8/18/2011 6005 Tipton Drive Temple Hills MD 20748
Baumann Carol Nurse HHS 4/20/2004 3908 Eighth Street Brooklyn MD 21221
LP 07072
Baxter Steven Aide HHS 8/19/2010 8 Rochell Avenue, Apt. 1 Forestville MD 20747
Tuesday, December 20, 2011 Page 7 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Beachley Carroll L. Aide HHS 5/13/1998 10420 Bailey Road Hagerstown MD 21740
Beaverbrook Corner Corporation HD 2/1/2006 4994 Beaverbrook Road Columbia MD 21044
Beck Zina Yvonne PCP HD 6/19/1998 3925 Clark Lane, Apt. D Baltimore MD 21215
Beck Jeffrey R. D.O. LB 7/13/2006 22 S. Greene Street Baltimore MD 21201
H 55156
Beck Charlene PCP HD 9/9/1998 Route 1; Box 237 Rock Hall MD 21661
Bell Vadney Aide HHS 8/20/2000 16 Brubar Court; Apt. 2‐C Gwynn Oak MD 21207
Bell Guy Citizen F 2/27/2008 2712 Tallow Tree Drive Woodstock, MD 21163
Benchasil Sakda M.D. LB 10/30/1998 9 Slate Mills Ct Baltimore MD 21228
D 16940
Benchoff Richard R.Ph HHS 9/20/2009 139 E. Baltimore Street Hagerstown MD 21740
10514
Benn Stanley Junious Citizen F 7/14/2005 16 Arrowood Court Baltimore MD 21237
Benson, Jr. Fred D.D.S. HHS 6/6/1993 8055 13th Street Silver Spring MD 20910
Bernhard Larry DPM HHS 10/30/2007 446 Colonial Ridge Land Arnold MD 21012
00591
Best Morris D.D.S. F 9/15/1986 11409 Soward Drive Kensington MD 20795
Tuesday, December 20, 2011 Page 8 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Beverly Clarence E. M.D. HHS 6/27/1991 PO Box 786 Middletown NY 10940
D 27732
Bintou Fofana Aide HHS 8/18/2011 9207 Bluefield Road Springdale MD 20774
Biscoe Charles M.D. LB 1/26/2007 00 Garrison Blvd, Ste. 30 Baltimore MD 21216
D 42230
Blackmon Robert C. M.D. LB 7/26/1996 3230 Sequoia Ave Baltimore MD 21215
D 00860
Blancaflor Othneil Citizen HHS 5/22/1985 36 S. Charles Street Baltimore MD 21201
Blizzard Judy PCP HD 9/30/1993 1326 Deer Park Road Westminster MD 21157
Blue Star Assisted Livi Corporation HD 8/31/2006 5415 Lincoln Street Bethesda MD 20817
Bockover Carol Nurse HHS 8/20/2002 29180 Naylor Mill Road Salisbury MD 21811
Body Energetics, Inc. Corporation HHS 9/20/2001 Baltimore Nat'l Pike; Ste Ellicott City MD 21042
Boesen Peter V. M.D. HHS 3/20/2008 05‐030, USP, P.O. Box 10 Leavenworth KS 66048
D41757
Boggess Deland Michelle Toney Nurse HHS 9/20/2005 1789 Roxalana Road Dunbar WV 25064
MD;40698‐WV; 00011
Bohannon Wayne E. Ph.D. LB 9/30/2002 l Science Assoc; 10751 F Lutherville MD 21093
01601
Bolshinsky Igor PCP HHS 5/19/2005 10948 Whiterim Drive Potomac MD 20854
Tuesday, December 20, 2011 Page 9 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Bonovich Kermit M.D. LB 11/30/2010 754 Hickory Avenue Bel Air MD 21014
D 05593
Bordley Thomas Citizen HHS 12/20/1995 1531 Gleneagle Road Baltimore MD 21239
Bowens Michelle PCP HD 7/30/2002 600 N. Bentz St.; Apt. 8 Frederick MD 21701
Bowie, Jr. Charles Douglas D.D.S. F 3/20/2003 05 Liberty Heights Aven Baltimore MD 21207
04969
Boyd Seward D.O. LB 2/11/1991 556 Ingraham St Washington DC 20011
H 36148
Boykins Loretta Penny Citizen HHS 12/20/2001 1212 Whitelock Street Baltimore MD 21217
Bradbard Steven L. Ph.D. HHS 7/14/1993 8804 Saddle Lane Potomac MD 20854
Bradford Brenda Aide HHS 1/20/2004 06 Gresham Way; Apt. 3 Baltimore MD 21244
Bradley William R. M.D. LB 6/27/1997 7505 E. Brushfield Ct Baltimore MD 21237
D 33173
Branch Kelly Citizen HHS 3/25/1998 749 Linnard Street Baltimore MD 21229
Branch Freddie Citizen HHS 2/15/1997 35 Loring Court; D Baltimore MD 21219
Branch Bernadette PCP HD 3/20/1993 P. O. Box 33354 Baltimore MD 21218
Branton Robert D.O. LB 2/2/2011 05 Pemberton Dr., Ste. 1 Salisbury MD 21801
H50743
Tuesday, December 20, 2011 Page 10 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Braud Joseph M.D. HHS 1/20/2010 P.O. Box 5010 Oakdale LA 71463
MD01895(LA)
Breakfield James E. Citizen HHS 11/19/2009 954 Forrest Street Baltimore MD 21202
Brenner Myron M.D. LB 10/22/2008 14025 Cuba Road Hunt Valley MD 21030
D 21657
Bresslerman Mark J. D.D.S. LB 5/2/1990 6232 Montrose Road Rockville MD 20852
05180
Brice Charlene PCP HD 6/20/1995 8 Patamoke Way Cambridge MD 21613
Brigance Troy B. RCP HHS 11/20/2003 851 Park Avenue Baltimore MD 21201
L 03089
Britos‐Bray Anibal M.D. F 7/29/1995 16 Aberdeen Shopping P Aberdeen MD 21001
D 16953
Brock Deon M. Citizen F 5/29/2008 1127 N. Gilmor Street Baltimore MD 21217
Bronder Rosemary Nurse HHS 5/18/2000 4421 Saddle River Drive Mitchellville MD 20702
Brooks Myrtle Citizen 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
Brooks Wanda PCP HD 6/27/1990 70 Sturbridge Drive; Apt Baltimore MD 21234
Brooks Care Home Corporation HD 7/17/2005 1501 Bayly Road Cambridge MD 21613
Tuesday, December 20, 2011 Page 11 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Brown Louise PCP HD 9/9/1998 5414 Gist Avenue Baltimore MD 21215
Brown Shantay T. Aide HHS 7/13/2000 3520 Milford Mill Road Baltimore MD 21207
Brown Cynthia A. M.D. LB 2/23/1990 16816 5th Ave, SE Buthell WA 98012
D 26655
Brown Luwahn PCP HD 3/31/1994 Rt. 2; Box 2259 La Plata MD 20646
Brownstein Steven A. D.P.M. LB 3/11/1999 420 S. Crain Hgwy Glen Burnie MD 21061
00374
Bryant Tonya PCP HD 9/6/1995 3505 Carsdale Avenue Baltimore MD 21207
Bryson Rick Van DPM HHS 3/20/2006 15608 Henrietta Drive Accokeek MD 20607
486 (D.C.); 01186 (M
Buchanan Elizabeth PCP HD 1/9/1992 4114 Buckingham Road Baltimore MD 21207
Buchar Chris R. R.Ph HHS 5/10/2003 26114 Pelham Avenue Baltimore MD 21213
15040
Budnichuk Alfred D. Radiation Tech HHS 6/19/2003 1539 Redfield Road Bel Air MD 21015
Budnick Jean Citizen HHS 6/30/1994 4700 Leyden Way Ellicott City MD 20142
Burge Lisa M. Citizen HHS 2/6/1998 7934 Mayfair Circle Ellicott City MD 21043
Burks Teman L. M.D. HHS 2/19/1998 251 N. Fourth St Oakland MD 21550
D 45191
Tuesday, December 20, 2011 Page 12 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Butts Shayrie PCP HD 7/19/1991 306 Bishop Avenue Baltimore MD 21225
Calhoun Marvita PCP HD 8/19/1994 96 College Park Terrace Annapolis MD 21401
Calon Antonino H. M.D. LB 11/6/1998 611 S. Union Ave Havre De Grace MD
D 20655
Campbell Darlene CRT HHS 11/20/2000 3010 Spaulding Avenue Baltimore MD 21215
L 00984
Campbell Peter M.D. LB 10/13/2010 3001 Hospital Drive Cheverly MD 20785
D 26574
Cannon Anthony Citizen HHS 8/20/2000 Lewisburg Fed Prison, 5 Lewisburg PA 17837
Cardiotel Inc. Laboratory HHS 6/20/2002 36 Club House Road; Ste Gaithersburg MD 20886
Care Plus Ambulance Service, Inc Corporation F 9/13/1999 4 Woostream Court; #9 Owings Mills MD 21117
Caregivers, LLC Corporation HD 10/20/2008 5‐103 Little Patuxent Par Columbia MD 21044
Carpenter Gene P. Aide HHS 5/20/1999 7328 Church Hill Road Chestertown MD 21620
Carroll Candy PCP HD 1/5/2007 P.O. Box 151 Park Hall ND 20667
Carter Janet Citizen F 8/30/2009 1400 Falcon Ridge Cour Beltsville MD 20705
Carter Thomas N. M.D. LB 7/6/1994 9127 Georgia Ave Silver Spring MD 20910
D 01152
Tuesday, December 20, 2011 Page 13 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Caruana Patricia LCSW LB 9/12/2008 6611 Marietta Avenue Baltimore MD 21214
08427
Caulker Alex Nurse HHS 8/20/2002 45 N. Morgan Street; #2 Alexandria VA 22312
Certeza Humberto V. M.D. LB 7/31/1998 8946 Satyr Hill Rd Baltimore MD 21234
D 04364
Chaiet Melvin R.Ph HHS 1/18/2001 4606 Barbara Drive Beltsville MD 20705
05958
Chaiyupatumpa Nibondh M.D. LB 9/13/2011 517 Scott Street Baltimore MD 21230
D 18850
Chalk Ella PCP HD 3/18/1996 7 N. Patterson Park Ave Baltimore MD 21213
Chalkley Walter Citizen HHS 11/11/1993 8645 Oak Road Baltimore MD 21234
Chalom Albert I. M.D. HHS 8/14/1990 6002 Eastern Ave Baltimore MD 21224
D 01891
Chan Brian Citizen HHS 8/1/1997 8542 Hill Spring Drive Lutherville MD 21093‐
Chan AKA (Ng Fong) Cynthia Citizen HHS 8/1/1997 8542 Hill Spring Drive Lutherville MD 21093‐
Chance Irma Rivera M.D. LB 10/23/2002 405 Ireland Way Eastham MA 02642
D 31138
Chaney Marlo Citizen HHS 4/20/2010 523 Kerby Parkway Fort Washington
Chang Samuel M.D. F 10/28/1987 10005 Hall Rd Potomac MD 20854
D 14746
Tuesday, December 20, 2011 Page 14 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Charms One, LLC Corporation HD 9/28/2009 2021 Kennicott Road Baltimore MD 21244
Chase, Jr. Charles L. Citizen 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
D 04370
Chavis Darlene PCP HD 6/8/1993 619 Carlton Court Cambridge MD 21613
Cheeves Deborah Nurse HHS 8/19/2010 4206 Forsythia Lane Pasadena MD 21122
R 096908
Chellappa Mariam Audiologist LB 1/20/2001 7840 Eastern Avenue Baltimore MD 21224
03511
Chen Cecella A. M.D. LB 5/26/2001 603 Stags Head Ct Towson MD 21204
D 14193
Chertkov Lynn S. LCSW F 4/25/1991 400 East/West Highway Bethesda MD 20814
01585
Chigbue Brian M.D. LB 1/14/2008 7943 Central Avenue Capitol Heights
D 50457
Chorbajian James P. D.D.S. HHS 10/6/1994 1410 Peartree Lane Bowie MD 20721
7671
Chu Peter L. Corporation HHS 11/4/1988 12450 Parklawn Drive Rockville MD 20852
Chu and Chu, Inc. Corporation 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
8472
Tuesday, December 20, 2011 Page 15 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Clark Marva J. D.D.S. HHS 9/3/1997 3900 Bel Pre Road; Ste 1 Silver Spring MD 20906
09986
Clark Timothy P.D. HHS 2/4/1997 4510 Springdale Avenue Baltimore MD 21207
Clark Ann PCP HD 11/27/2006 4509 Wakefield Road Baltimore MD 21216
Clark Norman L. M.D. LB 1/23/2002 of MD Hosp; 22 S. Green Baltimore MD 21201
D 42095
Clayton Edith PCP HD 9/9/1993 0518 Marriottsville Road Randallstown MD 21133
Cleary Edward Paul PCP HD 11/10/2005 6723 Eldorado Road Federalburg MD 21632
Cleveland Tamara Jane Nurse HHS 2/19/2004 1003 Girard Street; NE Washington DC 20017
R 108856
Clopin Wanda PCP HD 9/9/1998 9214 Victoria Drive Ellicott City MD 21043
Coar Jemal PCP HD 6/11/2009 1652 Candlewood Court Edgewood MD 21040
Cochran Cheryl Citizen HHS 3/31/1999 639 Riverside Drive Annapolis MD 21403
Cochran Timothy Citizen HHS 3/31/1999 639 Riverside Drive Annapolis MD 21403
Cockeysville Pharmac Pharmacare, Inc. Corporation F 7/25/2000 10255 York Road Cockeysville MD
Cohen Adrian M. M.D. LB 3/15/1997 1404 Dennis Avenue Silver Spring MD 20902
D 04365
Tuesday, December 20, 2011 Page 16 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Coleman Angela PCP HD 9/9/1998 112 Big Chimney Branch Upper Marlboro
Coleman Rita M.D. HHS 2/23/1994 PO Box 9751 Baldwin MD 21013
D 15258
Collins Shireen Citizen HHS 8/20/2009 MR 9121 Autoville Drive College Park MD 20740
R05854
Colston Burley Phyllis Citizen HHS 2/15/1997 859 Woodbrook Avenue Baltimore MD 21217
Comeau John PCP HD 5/19/2010 218 Philos Avenue Westernport MD 21562
Commodore Josephine PCP HD 11/3/1992 722 E. Preston Street Baltimore MD 21202
Commodore Patricia W. Citizen F 6/23/1997 1910 Barclay Street Baltimore MD 21218
Community Care Phar Pharmacy LB 10/19/2006 730 Pennsylvania Avenu Baltimore MD 21217
P 04358
Compassionate Nursi Corporation HD 2/14/2007 15 Fenton Street, Suite 3 Silver Spring MD 20910
Conerly Rex A. P.D. HHS 6/6/1993 14 Breezewood Drive; #1 Greenbelt MD 20770
Connine Tad M.D. HHS 5/20/2007 N. Perry Parkway, Apt. Perry GA 31069
D 45752
Consistent Care Ambu Service Corporation F 1/21/2000 21 Govenor Court Baltimore MD 21244
Cook Elmer E. D.D.S. HHS 7/20/1999 2300 Paper Mill Road Phoenix MD 21131‐
Tuesday, December 20, 2011 Page 17 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Cooke, II Arthur Aide HHS 4/27/1992 100 Bolton Way; Apt 140 Baltimore MD 21201
Coombs Clarence M.D. F 10/15/1985 7410 Village Road Sykesville MD 21784
D 04111
Coplan Robert S. M.D. HHS 12/22/1988 407 Crain Hwy, SE Glen Burnie MD 21061
D 02097
Cordova Edmund M.D. HHS 3/22/1995 PO Box 1296 Pasadena MD 25096
D 25096
Corner Michael F. P.A. HHS 11/29/1989 305 Saybrooke View Dr Gaithersburg MD 20877
C 00651
Cornfeld Edward M.D. LB 5/23/2005 20428 Boland Farm Road Germantown MD 20876
D 01872
Cosca (Corp.) Ruben M.D. F 10/30/1989 6601 Sweetwater Dr Derwood MD 20855
D 04421
Costanzo Anthony DPM HHS 11/20/2001 11100 Luttrell Lane Silver Spring, MD 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
D 20918
Coulter Steven T. M.D. LB 5/28/2003 1140 Rockville Pike; #34 Rockville MD 20852
D 39934
Council Michael Delroy Aide HHS 6/16/2003 5143 Nelson Avenue Baltimore MD 21215
CPM Corporation Corporation F 3/13/2003 550 Baltimore Nat'l Pike Baltimore MD 21228
Tuesday, December 20, 2011 Page 18 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Crawford Steven PCP HD 2/23/2009 170 Hollingsworth Mano Elkton MD 21921
Crawford Gene O. M.D. LB 10/28/1992 401 Rexburg Ave Ft Washington
D 22772
Crisp Ronald M.D. HHS 6/24/1992 8288 Waterside Court Frederick MD 21701
Crowder Veronica PCP HD 2/16/2010 6670 Palmers Mill Road Hurlock MD 21643
Crumitie Audrey Aide HHS 9/25/1995 1616 North Bethel Baltimore Md 21213
Crutchley Valerie Nurse HHS 10/20/2005 20161 Sunnyside Drive Melfa VA 23410
27 ; T 20031191 MD;
Cudlipp Frederick P.T. HHS 4/20/2006 6865 Snowberry Court Frederick MD 21703
15319
Cummins David D.D.S. HHS 7/8/1993 2 W. Deerpark Road; #10 Gaithersburg MD 20877
Cunningham Dean S. M.D. LB 10/22/2003 rgantown FCI; POBox 10 Morgantown WV 26507
D 42521
Currie Wanda D. LCSW F 4/8/2011 112 Oak Moore Court Bel Air MD 21014
09961
Curtis Derek D.D.S. HHS 12/18/2008 P.O. Box 1000 Lewisburg PA 17837
5564
D & J Personal Care S Corporation HHS 11/19/2009 1011 Reverdy Road Baltimore MD 21212
Dabney Lillie PCP HD 4/25/2008 112 S. Symington Avenue Catonsville MD 21228
Tuesday, December 20, 2011 Page 19 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Dabney's Elder Care Corporation HD 4/25/2008 112 S. Symington Avenue Catonsville MD 21228
03AL0729
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
Dang Dien Hieu D.D.S. F 4/12/1985 Suite 3 Silver Spring MD 20902
Daniel George M.D. HHS 4/23/1990 11610 Milbern Drive Potomac MD 16280
D 31839
Danquah Gloria E. M.D. F 3/3/1987 6705 Surreywood Lane Bethesda MD 20817
D 27379
DaShiell Hilda T. PCP HD 10/29/2003 POBox 1148 Hurlock MD 21643
Davis Mark M.D. HHS 11/2/1990 PO Box 830 Belair MD 21014
D 23760
Davis Jane PCP HD 2/15/1994 1508 Rawlings Well Road Baltimore MD 21228
Davis Sigmond E. Aide HHS 5/20/1998 3205 Howard Park Ave Baltimore MD 21207
Davis Patricia PCP HD 10/16/1992 1527 W. Baltimore Stree Baltimore MD 21223
Dawson Robert Citizen HHS 7/20/1999 1422 Fernhill Court Forestville MD 20747
de la Cruz Maureen D.D.S. HHS 2/7/1997 5807 Lindar Lane Bethesda MD 20817
Tuesday, December 20, 2011 Page 20 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Dee Rosita H. M.D. LB 8/14/2006 30 Cameron Street; #20 Silvler Spring MD
D 21691
Delcid Ever A. Citizen MFCU‐A 8/15/2006 2142 Collingwood Lane Frederick MD 21702
Demonte Rose Aide HD 12/16/2008 114 Linwood Avenue Bel Air MD 21014
Deonarine Nelinee Citizen F 10/20/2006 1643 Agens Avenue, S.E. Palm Bay FL 32909
Deptula Richard Citizen HHS 8/20/2003 1290 Folly Quarter Road Ellicott City MD 21042
DeWitt Patrice Nurse HHS 6/20/2007 8247 N. Boundary Road Baltimore, MD 21222
LP24855
Dewitt Nancy Wanbui Kimani Aide MFCU‐A 9/12/2006 1308 Highland Drive Baltimore MD 21239
Dialysis with Heart Corporation F 6/28/2002 1 Nashua Court; Suite E Baltimore MD 21221
Dickerson Ronald G. Citizen HHS 5/20/2008 6728 Vermont Court Landover MD 20785
Diggins Carolyn L. PCP HD 7/13/2005 3547 Milford Mill Road Baltimore MD 21244
Diggins Carolyn PCP HD 4/27/2006 3547 Millford Mill Road Baltimore MD 21207
Dishon Lori Ann Citizen F 9/22/1999 3208 Fait Avenue Baltimore MD 21224
Diwani Selwa M.D. LB 6/10/2009 4900 Silver Hill Road Suitlant MD 20746
D 39713
Tuesday, December 20, 2011 Page 21 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Dolly Judy PCP HD 10/16/1995 719 Sylvan Avenue Cumberland MD 21502
Donovan James Citizen HHS 11/15/1995 3906 Woodbine Avenue Baltimore MD 21207
Dorsey Cornell PCP HD 4/14/1993 2105 N. Charles Street Baltimore MD 21218
Dorsey Juanita L. PCP HD 1/10/1995 P. O. Box 42 Bryantown MD 20617
Doswell Ronald J. LCSW F 7/12/1997 3311 The Alameda Baltimore MD 21218
06799
Doumbia Fatoumata Nurse HHS 6/20/2011 637 Colonel Fenwick Plac Upper Marlboro
R 152617
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
Dubin Samuel M.D. LB 6/30/1988 17904 Georgia Ave Olney MD 20832
D 02307
Dubroff Seymour J. M.D. LB 12/31/1994 8905 Fairview Rd Silver Spring MD 20910
D 02344
Dudley‐Richardson Lynnette PCP HD 12/7/2004 806 Prince George Stree Baltimore MD 21207
Duke Ellis J. Citizen 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
D 38796
Tuesday, December 20, 2011 Page 22 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Dunham George Corporation HHS 6/23/1989 Route 3, Box 144 Hagerstown MD 21741
Dunn James M.D. LB 6/25/2009 419 West Redwood Baltimore MD 21201
D 56049
Dunsworth Joseph Aide MFCU‐A 9/2/2010 218 E. Franklin Street Hagerstown MD 21740
A00001268
Duong Linh H. D.D.S. HHS 6/28/1999 8003 Hastings Hunt Cour Severn MD 21144
10972
Edwards Arthur Citizen F 3/17/1992 25 New Hampshire Aven Ashton MD 20861
Edwards Angela Eliane PCP HD 9/17/1998 2231 Aiken Street Baltimore MD 21218
Eisenband Nancy W. Nurse HHS 9/19/2002 100 Harbor View Drive Baltimore MD 21230
Eldridge Marguerite L. PCP HD 5/12/1993 7115 Faulkner Road Hanover MD 21076
Eleven Cedars of MD, Corporation HD 10/29/2010 3120 Powder Mill Road Adelphi MD 20783
16AL0140
Ellin Morton M.D. LB 3/14/2007 310 Old Court Road #20 Randallstown MD 21133
D 03078
Elliott Erin Nurse HHS 8/20/2007 926 Hammonds Lane Baltimore MD 21225
R49332
Ellis Lakeal Citizen HHS 7/20/2011 00 Blueridge Avenue Ap Wheaton MD 20902
Ellis Julia PCP HD 8/14/1995 4701 Hamilton Avenue Baltimore MD 21206
Tuesday, December 20, 2011 Page 23 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Ellis‐Bales Theresa Nurse HHS 3/20/2003 1430 Dundalk Avenue Baltimore MD 21222
Ellison Raeford Acupuncture HHS 4/18/2002 Sacramento Avenue; Ap Ventnor City NJ 08406
Emamali Ronald Citizen F 5/20/1993 4117 Peartree Lane; #33 Silver Spring MD 20906
Emerson Thomas Nurse HHS 9/20/2007 1911 Thayer Terrace Baltimore MD 21207
R 163950
Ennals Dominique Aide MFCU‐A 6/3/2010 1431 North Carey Street Baltimore MD 21217
Eron's Home Health a Corporation HD 11/4/2010 2 Milestone Drive Ste B1 Silver Spring MD 20904
Ervin Christopher M.D. LB 3/22/2006 0 Upper Chesapeake Dri Bel Air MD 21014
D 52310
Ervin Emma Jean PCP HD 7/15/1992 665 Queenstown Road Severn MD 21144
Etheredge Personal C Corporation HD 9/27/2005 550 Glenn Court Glen Burnie MD 21067
Evangelista Gracia Nurse HHS 12/18/2008 Route 37 Danbury CT 06811
R121367
Evans John Mark Nurse LB 10/28/2002 000 Franklin Square Driv Baltimore MD 21237
Ezeocha Obioma Aide MFCU‐A 1/7/2008 119 Townhill Road, Apt. Parkville MD 21234
Ezimora Nwakaego Nurse HHS 8/18/2011 559 Macintosh Circle Joppa MD 21085
LP 40768
Tuesday, December 20, 2011 Page 24 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Ezrine Edwin D.D.S. LB 12/31/1998 1811 A S. Crain Hwy Glen Burnie MD 21061
04604
Facey Sharon Citizen F 2/12/1997 8244 Church Lane Randallstown MD 21144
Fafinski Carol Ann Knabb Nurse HHS 9/20/2001 8210 Woodyard Road Clinton MD 20735‐1969
Fakuade Phyllis Demetrice Citizen MFCU‐A 12/19/2005 6611 Parr Avenue Baltimore MD 21215
Family & Children Enri Corporation F 8/29/2008 7 Reisterstown Road, Ste Pikesville MD 21208
Family Home Center Corporation F 3/7/2003 5501 Oakland Mills Road Columbia MD 21045
Fant Lois Citizen HHS 6/20/2011 03 Orion Circle, Unit 224 Laurel MD 20724
Farzanfar Mohammad R. M.D. LB 7/27/1994 930 N. Charles St Baltimore MD 21201
D 04295
Fatemi Mohammad Ali T. D.D.S. F 5/5/2004 1730 S. Plantation Drive Dunkirk MD 20754
11720
Fauter Harald H. M.D. LB 10/26/1994 8314 Liberty Rd Baltimore MD 21244
D 01943
Federroll Susan W. LCSW LB 2/10/2006 8 Ritchie Highway; Suite Pasadena MD 21122
02585
Feldman Martin J. M.D. LB 12/22/1987 05 E. Joppa Rd; Ste 2001 Towson MD 21204
D 01083
Felsenberg Stanley M.D. LB 7/24/1996 6310 Greenspring Ave Baltimore MD 21209
D 01085
Tuesday, December 20, 2011 Page 25 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Ferguson Sandra Aide HHS 8/27/1995 9805 Langs Road; Apt. L Baltimore MD 21220
Ferrer Romeo M.D. LB 9/8/2010 300 Hospital Drive #128 Glen Burnie MD 21061
D 09255
Fiddermon Maryln Aide HHS 2/20/2000 0555 Campus Way, Sout Upper Marlboro
Fiedler Kurt M.D. F 10/23/1992 325 Hospital Drive; #109 Glen Burnie 21061
D 01409
Fielding Gregory Edward PCP HD 9/14/1994 1503 Adams Street, NE Washington DC 20018
Fingal John Joseph Citizen 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
D 32395
Flegel Eric M.D. LB 6/22/2007 4994 Beaverbrook Road Columbia MD 21044
H 59852
Fletcher Jean Virgie PCP HD 5/29/2004 710 Leonards Lane Cambridge MD 21613
Fletcher's Assisted Livi Corporation HD 5/5/2006 11754 Mansion Street Princess Anne MD
Floyd Beverly PCP HD 2/23/1995 583 Edmondson Avenue Baltimore MD 21223
Folashade Charles M.D. LB 5/15/2009 108 Pine Bluff Road Salisbury MD 21801
D 50759
Forde Richard M.D. LB 11/26/1980 ncrest Btc‐Salisbury Cent New York NY 13454
D 08483
Tuesday, December 20, 2011 Page 26 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Foster Robert N. M.R.T. HHS 10/19/2000 4701 Everlea Court Preston MD 21655
R 04392
Foster, Jr. Grady D.D.S. HHS 6/20/2000 8730 Georgia Avenue; 4 Silver Spring MD 20910‐
Franks Denis M.D. LB 7/19/1997 1900 E. Northern Pkwy Baltimore MD 21239
D 17419
Franz Charles P. D.D.S. LB 2/18/2004 201 Hammons Ferry Roa Baltimore MD 21227
7882
Frederick Spinal Care Center Corporation HHS 4/20/1999 101 Baughmans Lane Frederick MD 21702
Freedenberg Gerald Citizen F 6/29/1992 7036 Vangough Plano TX 75093
Freeman Debra M.D. LB 2/14/2008 401 W. Belvedere Avenu Baltimore MD 21215
D 40730
French David W. Citizen F 6/24/1999 51 Murphy Avenue Annapolis MD 21401
Fringer Susan D. PCP HD 9/30/1993 1322 Deer Park Lane Westminster MD 21157
Frontera Miguel M.D. LB 11/6/2009 515 Fairmount Avenue Towson MD 21286
D 37559
Frost Rosalyn Citizen 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
5920E, 28388, 03607
Fulton Cynthia D. Aide HHS 6/27/1991 739 N. Kenwood Avenue Baltimore MD 21205
Tuesday, December 20, 2011 Page 27 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Fuster David E. D.D.S. HHS 6/20/2005 05 Old Germantown Ro Bethesda MD 20814
# 8287
Futterman Steven D.D.S.. HHS 5/20/1999 8901 Shady Grove Court Gaithersburg MD 20877
Gambill Colin Aide MFCU‐A 1/25/2010 10338 Old Liberty Road Frederick MD 21701
Gammill Joan Nurse HHS 11/20/2006 53 Lafayette Avenue Annapolis MD 21401
R 067585
Ganz Joel M.D. LB 6/7/2010 420 Strand Drive, Ste. 20 Rockville MD 20852
D 01544
Gardner Elmer M.D. HHS 9/10/1996 Box 137 Brookerville MD 20833
D 13039
Gardner Patrina Y. Aide HHS 3/20/2002 203 Parier Drive; Apt. H Elkton MD 21923
Garner Wilma J. Aide HHS 6/20/2000 8 Four Georges Court; # Baltimore MD 21222
Garner Tracy PCP HD 2/17/2011 P.O. Box 604 Lusby MD 20657
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
D 24250
Geist, Jr. William C. Citizen F 4/30/2004 1684 Nickerson Way Arnold MD 21012
Gentry Samantha Citizen F 4/28/2006 3530 Aldina Road Churchville MD 21029
Tuesday, December 20, 2011 Page 28 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Gershoni Daniel Citizen HHS 6/20/2002 6 Club House Road; Suite Gaithersburg MD 20886
Gholl John M.D. LB 11/17/2010 wood Firehouse Rt 235 P Hollywood MD 20636
D 34564
Gilbert Timothy M.D. LB 11/3/2011 22 S. Greene Street Baltimore MD 21201
D 42981
Gill William M.D. LB 9/8/2010 26423 Burton Avenue Crisfield MD 21817
D 15715
Ginn David H. M.D. LB 7/28/2004 006 Hillgreen Circle; Apt Cockeysville MD 21030
D 32043
Girgis Raafat M.D. LB 12/27/2010 724 Maiden Choice Lane Catonsville MD 21228
D 31726
Glenn Linnell PCP HD 8/26/1993 4119 Hayward Avenue Baltimore MD 21215
Godwin‐Hult Sandra PCP HD 7/10/1991 3507 Bantry Way Olney MD 20832
Gold Medical Corp. Corporation F 6/3/2010 417 Meanderwood Driv Burtonsville MD 20866
Goldbaum Henry R. Citizen 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
D 29617
Goldberg Harold L. D.D.S LB 4/21/2000 7501 Liberty Road Baltimore MD 21207
02524
Golden Crown Constr Corporation HD 3/18/2005 1007 Call Drive Upper Marlboro
Tuesday, December 20, 2011 Page 29 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Goldschmitt Neil Citizen F 6/3/2010 417 Meanderwood Driv Burtonsville MD 20866
Goldstein Howard R. M.D. HHS 10/12/2010 7300 Wallis Avenue Pikesville MD 21208
D 69728
Goldstein Robert B. M.D. LB 9/30/1998 1205 York Rd; Ste 34 Lutherville/Timonium
D 01275
Gonsalves Dia PCP HD 8/30/1995 7206 Oakhaven Circle Baltimore MD 21244
Gonzalez Ramon L. M.D. LB 5/16/1998 6207 Capella Ave Burke VA 22015
D 29566
Gopalani Hanif A. M.D. LB 6/12/2001 3004 Ohara Place Olney MD 20832
D 37448
Gordan Coral M.D. LB 10/1/1989 2122 Pot Spring Rd Timonium MD 21093
D 04375
Gordon Robert Chiropractor HHS 4/27/1994 118 W. Market Street Snow Hill MD 21863
Grace Pharmacy Pharmacy LB 1/18/2002 0‐A Martin Luther King H Glenarden MD 20706
P 01877
Graham Marva C. M.D. HHS 11/19/1998 One Cooperfield Ct Phoenix MD 21131
D 45552
Graham‐Melvin Assoc Corporation F 4/1/1997 60 Oakland Mills Road; # Columbia MD 21046
Graning Harold LCSW LB 7/30/2010 90 Georgetown Bouleva Eldersburg MD 21784
10333
Grant‐Grayton Miranda LCSW HD 8/10/2008 Minnesota Avenue, Ste Washington DC 20020
12509, LC303653
Tuesday, December 20, 2011 Page 30 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Grant‐Grayton Urban Corporation HD 7/18/2008 11 Branch Avenue; Ste 2 Temple Hills MD 20748
Gray Rowena Citizen HD 9/28/2009 2021 Kennicott Road Baltimore MD 21244
Gray Darrell M. M.D. LB 3/5/2000 810 Painted Post Ct Baltimore MD 21208
D 21711
Grayton James Citizen HD 7/18/2008 9006 Dangerfield Place Clinton MD 20735
Greco William M.D. HHS 12/4/1984 229 Hanover Pkwy, Ste. Greenbelt MD 20770
D 01485
Green Donald D.P.M. HHS 1/20/2004 60 Burbridge Road, SE, F Cumberland MD 21502
SC 001474L
Green Jacquetta Aide HHS 4/20/2005 03 Wakefield Road; Apt Baltimore MD 21216
Green Lynaya Nurse HHS 11/20/2000 14159 Castle Blvd; #301 Silver Spring MD 20904
Green Matthew R.Ph. HHS 6/20/2007 6216 Duntley Place Springfield VA 22152
13770
Greenberg Eric M.D. LB 4/16/2009 1125 Rockville Pike # 10 Rockville MD 20852
D 50275
Greenberg Alan S. M.D. HHS 8/20/2001 1537 Jarrettsville Road Jarrettsville MD 21084
D 04728
Greene Rose M. Citizen F 1/9/1998 501 W. Fairmount Avenu Baltimore MD 21223
Greene Yvonne Nurse HHS 7/20/2011 2530 Willow Spring Circl Germantown MD 20874
R 83414
Tuesday, December 20, 2011 Page 31 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Greenway Diane L. PCP HD 9/17/1998 1119 Riggs Avenue Baltimore MD 21217
Greer Douglas Ophthalmologist HHS 3/20/2008 P.O. Box 1000 Cumberland MD 21501
Grillo Aderonke A. Aide HHS 5/13/1998 5 Virunga Court; Apt. J Baltimore MD 21244
Grimes James M. P.A. HHS 5/18/2000 4620 Magnolia Ave Baltimore MD 21227
C 01204
Grooms Shelie W. Aide MFCU‐A 10/12/2006 1811 Ruxton Avenue Baltimore MD 21216
Gross Rhonda Aide HHS 4/10/1995 1809 E. Chase Street Baltimore MD 21213
Grossblatt Norton R.Ph F 10/17/2008 410 Garrison Farms Roa Pikesville MD 21208
Guerzon Rosario M.D. LB 7/10/1996 8821 Mayberry Ct Potomac MD 20854
D 02524
Gurley Archie PCP HD 9/23/2011 1520 Sullivan Road Westminster MD 21157
Gurley Theodore PCP HD 7/14/1995 4804 Hamilton Avenue Baltimore MD 21206
Hackney David M.D. HHS 9/18/2008 1 Southern Avenue, Apt Temple Hills MD 20748
Hailfmariam Mekuria M. PCP HD 6/10/1996 6159 64th Avenue Riverdale MD 20737
Hake Diane Nurse HHS 5/20/2007 15 W. 4th Street, Apt. 31 Williamsport PA 17701
Tuesday, December 20, 2011 Page 32 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Hakim Arcadius H. M.D. LB 10/7/2002 8701 Oxon Hill Road Oxon Hill MD 20744
D 06460
Hall Sandra Y. Citizen HHS 2/14/1997 3804 Byfield Road Baltimore MD 21207
Hall Lucille PCP HD 9/17/1998 . Adkins Avenue; Parkvie Willards MD 21874
Hallowitz Robert A. M.D. HHS 4/28/1993 Montgomery Village Ave Gaithersburg MD 20879
D 16524
Hamilton John M. M.D. HHS 4/1/1997 5430 Lynx Lane; #125 Columbia MD 21044
D 04895
Hamm Mary Lou Citizen HD 7/27/2005 8431 Newark Road Newark MD 21841
Harden Gerald Anthony Citizen HHS 8/20/2001 16829 Cashell Road Olney MD 20832‐2046
Harding James PCP HD 11/2/2009 835, 421 S. Main Street, Cambridge MD 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
D 21716
Harper Michael M.D. LB 9/24/2008 05 Hopkins Bayview Circ Baltimore MD 21224
D 30673
Harris Sabaina PCP HD 1/8/2001 722 Purdy Street; Apt. 4 Bronx NY 21203
Harris Leonard M.D. HHS 11/10/1992 PO Box 4654 Newark DE 19715
D 37915
Tuesday, December 20, 2011 Page 33 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Harris, Jr. Vernon Citizen HHS 8/20/1998 1244 Gittings Ave Baltimore MD 21239
Harris‐Chin Cheryl M.D. LB 5/26/2006 1708 W. Rogers Avenue Baltimore MD 21209
D 53865
Hart Velda Belinda Aide HHS 5/20/1998 519 E. 41st Street Baltimore MD 21218
Hart Barbara Citizen HHS 9/20/1999 7606 Brightside Avenue Baltimore MD 21237
Hatch Judith Louise D.C. HHS 8/20/2001 East West Highway; Apt. Silver Spring MD 20911
GA 3106
Haw Dante Lee M.D. HHS 1/10/1991 6410 La Mirada Ave Hollywood CA 90038
D 22466
Hayford Sheila M. M.D. LB 7/27/2005 50 S. Dupont Hwy; Suite Milford DE 19963
D 36731 04791
Haynes Carolyn Nurse HHS 11/14/2002 11247 Westport Drive Bowie MD 20720
Head Sue A. Citizen MFCU‐A 7/18/2003 995 East New Road Orrtanna PA 17353
Health Mngmt Enterprises Corporation F 6/24/1999 11 Chinquapin Round Rd Annapolis MD 21401
Heath Kera Aide MFCU‐A 10/22/2009 149 Mountwood Road # Baltimore MD 21229
Hebeka George M.D. HHS 7/8/1993 7939 Wise Avenue Baltimore MD 21222
D 05053
Hedeman John L. M.D. LB 6/24/1998 1407 Forest Dr Annapolis MD 21403
D 05259
Tuesday, December 20, 2011 Page 34 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Helmick Lori Nurse HHS 8/18/2011 135 Filly Lane Bruceton Mills WV
R 155776
Henderson Joseph M. Optician F 12/1/1992 P.O. Box 48547 Washington DC 20002
Henderson Freddie Citizen F 10/1/1992 2062 Harlequin Terrace Silver Spring MD 20904
Henderson Charles D.P.M. HHS 1/19/2011 3034 Remington Avenue Baltimore MD 21211
Hendler Nelson M.D. LB 2/6/2006 18 Greenspring Valley Ro Stevenson MD 21153
D 15330
Henry Victor E. D.P.M. LB 7/22/2001 450 Mercantile Lane #15 Largo MD 20774
00309
Henry Ricardo Citizen HHS 4/20/2009 O. Box 1000, #28577‐01 Cumberland MD 21501
Heritage House I & II Corporation HD 5/15/2005 1405 Crockett Lane Silver Spring MD 20904
Herlich Steven Citizen F 5/2/1990 1920 Eastridge Road Timonium MD 21093
Herrera Alfredo M.D. F 6/20/2001 10300 A Balt Nat'l Pike Ellicott City MD 21042
D 17863
Hewitt John H. M.D. LB 1/17/2003 150 Baughman's Lane Frederick MD 21702
D 27908
Heyward Donna Maria PCP HD 7/28/1993 319 B Suter Road Baltimore MD 21228
Hickory Plaza Pharma Pharmacy LB 6/1/2005 0805 Hickory Ridge Roa Columbia MD 21044
P 01791
Tuesday, December 20, 2011 Page 35 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Hicks Ernestine PCP HD 10/1/2008 814 North Brice Street Baltimore MD 21217
Hicks, Jr. Willie Howard Aide HHS 5/20/1999 516 W. 8th Street Laurel DE 19956
High Ronald Citizen F 1/21/2000 2 Horseman Court Randallstown MD 21133
Hill Denise PCP HD 7/23/1992 161 Reedbird Avenue Baltimore MD 21225
Hill Ezell PCP HD 7/27/1994 3722 Ellerslie Avenue Baltimore MD 21228
Hill James M.D. HHS 4/14/1994 Box 1722; Country Club r Cumberland MD 21502
D 8081
Hill Leo M.D. HHS 2/10/1997 1815 61st Ave Cheverly MD 20785
C 01305
Hill Brunetta PCP HD 5/3/2001 2409 Jefferson Street Baltimore MD 21205
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
D 12713
Hilliard Silas Aide HHS 9/16/1992 522 W. Lanvale Street Baltimore MD 21217
Hinds Sandra Marcia Aide HHS 5/19/2005 920 Kenbrook Drive Wheaton MD 20902
D 45096
Hines Larry Citizen F 2/24/1994 Reservoir Street; 2nd Fl Baltimore MD 21217
Tuesday, December 20, 2011 Page 36 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Hiotis Michael P. P.D. F 6/9/1993 1612 Gray Haven Court Baltimore MD 21222
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
D 12795
Hobelmann Joseph M.D. LB 8/11/2011 22 Bellona Avenue, Ste 3 Towson MD 21204
D 62884
Hodges Corvalis Gail Citizen HHS 9/20/2005 36 Alice Avenue; Apt #3 Oxon Hill MD 20745
Hodjati Hassan H. M.D. LB 3/20/2002 92 Oxon Hill Road; Ste 5 Oxon Hill MD 20745
D 23383
Holland Dannielle PCP HD 5/4/2009 99 Greystone Road North East MD 21901
Holland Rosetta Francine PCP HD 5/28/1993 . Harmony Lane; P.O. Bo Owings MD 20736
Holland Richard W. M.D. LB 6/20/1999 13700 Ivywood Lane Silver Spring MD 20904
D 48276
Holliday Mary PCP HD 3/31/2001 904 Central Avenue Cambridge MD 21613
Holman Antoinette Nurse HHS 1/20/2010 St. Nicholas Avenue, Apt New York, NY 10031
LP42184, NY228546
Holmes Teresa PCP HD 10/13/1994 1 Druid Lake Drive; Apt. Baltimore MD 21217
Holum Nahid I. M.D. LB 6/2/1981 9605 Burgess Lane Silver Spring MD 20901
D 14709
Tuesday, December 20, 2011 Page 37 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Home Feet Podiatric Corporation HD 2/8/2007 448 Luzerne Avenue Baltimore MD 21224
Home Medical Equip Corporation HHS 8/11/1997 1800 Belair Road; Ste. 4 Benson MD 21018
Hooper James M.D. LB 11/17/2010 3506 N. Calvert Street Baltimore MD 21218
D 08910
Hope Senior Assisted Corporation HD 5/23/2005 4825 Ellicott Woods Lane Ellicott City MD 21043
Hopkins Tracey PCP HD 9/24/2001 6‐B North Edgecombe Ci Baltimore MD 21215
Hopson Jessica PCP HD 2/13/2008 30 E. Baltimore Street Taneytown MD 21787
Horn Thomas Citizen HHS 8/19/2010 1620 Brimfield Circle Sykesville MD 21784
Horton Robert T. M.D. LB 1/9/2002 6501 N. Charles Street Baltimore MD 212285
D 54056
Horvath Edward DPM F 11/26/2009 8118 Clifford Court Laurel MD 20708
01207
Houck Donna PCP HD 11/13/2000 1498 W. 9 th Street Frederick MD 21702
Houck Romulus M.D. LB 6/1/1994 6500 Panorama Drive Sykesville MD 21784
D 05193
Hremt Pharmacy Pharmacy LB 5/14/2003 7701 Quaint Court Bowie MD 20720
P 02010
Hughes, Jr. Charles E. Chiropractor HHS 9/8/1993 811 Woodington Road Baltimore MD 21229
Tuesday, December 20, 2011 Page 38 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Human Development Corporation HD 3/1/2005 2700 Rambler Place Adelphi MD 20783
Humphries Sharon Nurse HHS 4/20/2004 P.O. Box 228 Chester MD 21619
R 086209
Hunt Jerry M.D. LB 2/23/2011 2009 Druid Hill Avenue Baltimore MD 21217
D 25373
Hunt Michael Citizen F 3/17/1992 1 Christopher Avenue; A Gaithersburg MD 20879
Hunter Thelma Citizen F 12/24/2003 335 S. Ballou Court Baltimore MD 21231
Hurey Jacqueline Citizen HHS 2/15/1997 6106 Carswell Terrace Suitland MD 20746
Husain Tasaduq Citizen HHS 7/6/1995 3126 Nestling Pine Court Ellicott City MD 21042
Hussain Yasin M. Citizen F 6/10/1996 11646 Sun Circle Way Columbia MD 21044
Huttinger Carol Ann Nurse HHS 5/20/1999 RD #3; Box 38A Hanover PA 17331
Hyde David Jefferson D.D.S. LB 7/12/2004 1009 University Blvd E Silver Spring MD 20903
8105
Hyson Mary Citizen HHS 6/12/1997 1012 Shaffner Drive Bel Air MD 21014‐2581
Hyson Bradford A. Citizen HHS 6/12/1997 3148 Sandy Hook Road Street MD 21154‐1807
Hyson Rodney Citizen HHS 6/12/1997 2413 Haddenhurst Court Falston MD 21047‐1361
Tuesday, December 20, 2011 Page 39 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Ibeh Cyriacus Chidi Nurse HHS 6/20/2006 625 Avebury Drive; Apt. Laurel MD 20708
Idowu Olusola A. Nutritionist F 11/19/2008 11047 Sani Lane Hagerstown MD 21742
Ige Moses Citizen HHS 2/20/2007 9005 Tarpleys Circle Baltimore MD 21237
Igwacho Florence N. Citizen HHS 4/20/2000 27 Edmonton Terrace; #3 Greenbelt MD 20770
Imperial Roland M.D. LB 12/10/1999 4977 Battery Lane Bethesda MD 20814
D 05276
Inocencio Narciso M.D. LB 4/14/2004 1400 Mercantile Ln; #180 Landover MD 20785
D 41106
Izat Sarah C. Aide HHS 7/27/1996 216 Maryland Avenue Cumberland MD 21502
Izzo Jaime Nurse HHS 1/18/2007 3161 Freestone Court Abingdon, MD 21009
R171283
Jack Joseph M.D. LB 4/15/1994 620 Towne Center Drive Jopp, MD 21085
D 05538
Jackson Theresa Citizen MFCU‐A 8/28/2005 620 Greenmount Avenu Baltimore MD 21218
Jackson Lionel Aide HHS 2/23/1997 28 Wakefield Road; Apt. Baltimore MD 21215
Jackson Howlett M.D. LB 11/7/2007 611 South Union Avenue Havre de Grace MD
D 20993
Jacobs Davita Citizen MFCU‐A 12/6/2006 8135 Scotts Level Road Pikesville MD 21208
Tuesday, December 20, 2011 Page 40 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Jacobs Virginia L. Chiropractor HHS 7/4/1997 555 Thayer Avenue Silver Spring MD 20901
Jacobs Joe L. Citizen HHS 3/7/1986 1422 Crain Hwy South Glen Burnie MD 21061
Janati Abdorasool M.D. HHS 9/20/2005 nd; Federal Correctl Inst; Cumberland MD 21501
0101‐044684
Jarboe James M.D. LB 8/11/2011 24035 Three Notch Road Hollywood MD 20636
D 06419
Jefferson Gary Citizen F 9/13/1999 02 Chippenham Place; #3 Baltimore MD 21244
Jenkins Sheretta PCP HD 7/29/2002 615 Thompson Town Roa East New Market MD
Jiggetts Wayne R. Nurse F 1/9/1998 010 Fallstaff Manor Cou Baltimore MD 21209
Jobes Philip Aide MFCU‐A 11/8/2004 2007 Frames Road Dundalk MD 21222
Johnson Darice PCP HD 5/14/1996 P. O. Box 35 St. Michaels MD 21663
Johnson Mark D.D.S. HHS 11/21/1993 c/o 6424 Elliot Place Hyattsville MD 20783
Johnson Subrina Aide HHS 5/19/1992 4918 Pallmer Avenue Baltimore MD 21215
Johnson Leslie Aide HHS 11/8/1994 123 Lewis Street Marks MS 38646
Johnson Andrea M. Nurse HHS 3/18/2004 1360 Running Deer Drive Keswick VA 22947
Tuesday, December 20, 2011 Page 41 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Johnson Constance PCP HD 2/1/1996 3703 Stoneybrook Road Randallstown MD
Johnson Frederick M.D. LB 11/21/2000 201 Howard Street La Plata MD 20646
D 06704
Johnson Heather A. PCP HD 2/13/2002 810 North Maple Avenue Brunswick MD 21716
Johnson Hazel Citizen HD 7/18/2011 0 Demar Road, P.O.Box White Plains MD 20695
Johnson Craig L. Citizen HHS 11/24/1991 1604 E. Chase Street Baltimore MD 21213
Johnson Constance S. PCP HD 12/11/2001 810 North Maple Avenue Brunswick MD 21716
Johnston Randolph M.D. LB 4/24/2009 6501 N. Charles Street Baltimore MD 21285
D 57175
Jones Ronald PCP HD 8/3/2002 6227 Jones Village Road Hurlock MD 21643
Jones Yvonne M.D. HHS 7/19/2001 146‐A Barrington Road Upper Darby, PA
039111E
Jones Estella Louise PCP HD 6/30/1998 417 Naylor Street Salisbury MD 21801
Jones Diane I. Aide HHS 12/6/1992 3051 Ascension Street Baltimore MD 21225
Jones Tania PCP HD 3/12/1998 902 N. Durham Street Baltimore MD 21205
Jones Roderick L. Citizen HHS 3/25/1990 3739 Parkfield Road Baltimore MD 21208
Tuesday, December 20, 2011 Page 42 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Jones Mary PCP HD 3/1/1994 P. O. Box 67453 Baltimore MD 21215
Joyce David M.D. LB 12/12/1997 003 Medical Pkwy; Ste 21 Annapolis MD 21401
D 45028
Jung Ha Yong M.D. F 9/15/1993 8534 Harvest View Ct Ellicott City MD 21043
D 28993
Kahntroff Bridget C. M.D. LB 3/30/2005 401 W. Belvedere Avenu Baltimore MD 21215
D 20788
Karlsberg Robert M.D. HHS 2/20/2008 14406 Coral Gables Way North Potomas
D 06842
Karmo Roosevelt Citizen HHS 11/15/1995 6655 Knottwood Court Baltimore MD 21214
Keefer Angela PCP HD 3/3/1997 6 W. Franklin Street; 2nd Hagerstown MD 21742
Keenan Robert M. M.D. LB 3/9/2004 1400 Generals Highway Crownsville MD 21032
D 42002
Keithley Mary Nurse HHS 6/20/2011 501 Bush Chapel Road Aberdeen MD 21001
R 152216
Kelly Wanda PCP HD 4/11/1994 8134 Hog Neck Road Pasadena MD 21122
Kelly Jo‐Anne B. M.D. LB 6/25/2003 401 Research Blvd; #330 Rockville MD 20850
D 21467
Kelly Sarah LCSW LB 9/12/2008 16 K Spindrift Circle Baltimore MD 21234
12677
Kelly's Kids Corporation HD 9/11/2006 955 Castle Court; Apt. 20 Frederick MD 21703
Tuesday, December 20, 2011 Page 43 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Kennedy Damion Citizen HHS 6/20/2011 910 Noyes Circle, Apt. 10 Randallstown MD 21133
Kennedy Damion Aide MFCU‐A 3/11/2011 910 Noyes Circle, Apt. 10 Randallstown MD 21133
Kennedy Jeffrey D. Nurse HHS 6/20/2006 4025 Belvoir Pines Drive Chattanooga TN 37412
Kenson Nursing Home Corporation F 5/12/1988 2922 Arunah Avenue Baltimore MD 21216
Kessler James P.D. F 7/25/2000 25 Tenby Court Timonium MD 21093
P 07800
Keyes Katherine H. Aide HHS 3/12/1992 005‐A Old Frederick Roa Baltimore MD 21228
Khandangle (Sadanan Eric Citizen 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
D 22212
Khayat Marwan Citizen HHS 5/20/2010 5 15th Street, N.W., Apt Washington, D.C. 20009
21674
Kiarie Patrick Aide MFCU‐A 9/27/2005 1407 Mcculloh Street Baltimore MD 21217
King Kentrina Citizen HHS 2/16/1997 7101 Burshire Drive Temple Hillsl MD 20748
Kioko Gideon M.D. LB 11/1/2005 3311 Todeddo Terrace Hyattsville, MD 20782
D 08283
Kirby Richard David Aide HHS 6/18/1998 16 W. University Pkwy, A Baltimore MD 21210
Tuesday, December 20, 2011 Page 44 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
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
D 42070
Kittrell Pamela PCP HD 3/28/1997 504 Clinton Street Cambridge MD 21613
Klimczak Robert Respiratory Pra HHS 10/20/2011 524 Goldsborough Street Easton MD 21601
L 03388
Klingenstein Keith G. R.Ph HHS 12/5/1994 9115 49th Place College Park MD 20740
10201
Knight Jessie Mae Citizen MFCU‐A 6/18/2004 5102 Oaklawn Road Baltimore MD 21207
Knott William Citizen HD 4/1/2010 1401 West Joppa Road Towson MD 21204
Kolander Trina Nurse HHS 5/20/2010 809 Tydings Road #RS Havre De Grace MD
R 161268
Kordon Melvin M.D. LB 5/26/2010 Old Annapolis Road; Ste Ellicott City MD 21042
D 06588
Korman William M.D. F 11/28/1989 High Stepper Court; #20 Baltimore MD 21208
D 06172
Korman Robert M.D. LB 10/27/2011 01 West Belvedere Aven Baltimore MD 21215
D 43797
Koroma Nyamakoro Nurse HHS 1/20/1998 PO Box 382 Bladensburg MD 20710
Krall Joseph D.D.S. HHS 12/20/1995 1318 Broadview Blvd Glen Burnie ME 21061
03418
Tuesday, December 20, 2011 Page 45 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Krektyshev Sergey PCP HD 4/1/2003 81 Norht Van Buren Stre Rockville MD 20850
Krulevitz Keaciel Kenneth M.D. F 5/16/1988 3306 Clarin Road Baltimore MD 21215
D 05946
Kundratic Diahann PCP HD 11/18/2002 17 Purple Plum Court Perry Hall MD 21236
Kuszmar Thaddeus P.A. HHS 9/20/2004 40 Sunrise Drive Rising Sun MD 21911
C 02205
Labertson Heather N. PCP HD 9/20/2004 31177 Rehobeth Road Westover MD 21871
Laboratory Managem Corporation F 10/24/1988 1008 Roxleigh Road Towson MD 21204
Lagmay Manuel R. Nurse HHS 6/20/2006 604 Menteth Point Drive Millersville MD 21108
Lake Anna Marie PCP HD 10/19/1996 L4976 Pintail Court Frederick MD 21701
Lakner Geroge S. M.D. LB 8/29/2005 70185 Fort McNair Washington DC 20024
D 25404
Lambertson Heather Nicole Aide HD 9/20/2004 31177 Rehobeth Road Westover MD 21871
Landesman Renee K M.D. HHS 9/20/1996 11073 Gaither Farm Rd Ellioctt City MD 21042‐
D 13405
Lane Angela P. Citizen HHS 2/16/1997 933 Chinquapin Parkwa Baltimore MD 21239
Lane Denise Washington Citizen F 10/11/1997 1025 Webb Court Baltimore MD 21202
Tuesday, December 20, 2011 Page 46 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Lang Joel J. D.P.M. HHS 3/20/2001 6839 Riverdale Rd Riverdale MD 20737
00234
Lange Paul A. M.D. LB 6/26/1997 1706 S. St, NE; #1 Washington DC 20009
D 14520
Lankford, Jr. James E. Citizen HHS 8/14/1995 15309 Old Hanover Road Upperco MD 21155
Lantz Denise Nurse HHS 8/18/2011 15 Hidden Cove Court Middle River MD 21220
R 109974
Laurel Park Pharmacy Pharmacy F 6/10/1996 11646 Sun Circle Way Columbia MD 21044
Lebow Frank L. D.P.M. HHS 8/17/1989 6611 Edenvale Road Baltimore MD 21209
#165
Lebson Arthur M.D. F 6/24/1991 3640 Fords Lane Baltimore MD 21215
D 17042
Lee Yung M. M.D. LB 7/6/2000 4414 Langtry Dr Glen Arm MD 21057‐
D 19817
Lee Terri Sha‐Nae Aide MFCU‐A 2/2/2005 3201 Lawnview Avenue Baltimore MD 21213
Lee Nadine PCP HD 6/30/2006 310 Crusader Road Cambridge MD 21613
Lee Michael Aide HHS 8/19/1999 512 Quincy Street, N.W. Washington DC 20011
Lester Andrew Todd Citizen HHS 8/20/1998 12402 Lime Kiln Rd Fulton MD 20759
Levi Ellis D.D.S. HHS 3/22/1995 17 Millstone Road Randallstown MD 21133
Tuesday, December 20, 2011 Page 47 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Levitsky Leon R. M.D. LB 1/15/2008 8100 Good Luck Road Lanham MD 20706
D 09187
Levitt Jeffrey M. M.D. LB 2/24/1993 11415 Orleans Way Kensington MD 20895
D 29875
Levitt Keith M.D. LB 12/1/2009 22 S. Greene Street Baltimore MD 21201
D 28247
Lewis Samuel R. M.D. F 5/12/1989 11102 Hudee Court Mitchellville MD 20716
D 06599
Libre Eugene MD LB 12/15/2010 00 Connecticut Avenue # Kensington MD 20895
D 09470
Lightfoote, II William E. M.D. HHS 11/20/2000 28 Southern Avenue, S. Washington DC 20032
DC‐4267
Lin Tsu‐Chun M.D. LB 3/20/2002 377‐B Gambrills Road Gambrills MD 21054
D 24756
Lindemann Keith Jan M.D. LB 8/30/2005 3140 Moakley St; Suite 2 Leonardtown MD 20650
D 50458
Lindsey Glenda L. D.D.S. HHS 6/1/1997 7819 Liberty Rd Baltimore MD 21244
D 01532
Lipnick Robert M.D. HHS 12/19/2002 6238 29th Street, NW Washington DC 20015
DC 11982
Lipscomb Bernadette Aide HHS 8/10/1994 837 Bolton Street; Apt. # Baltimore MD 21217
Little Albert G. M.D. LB 12/31/2008 5 Reisterstown Road, Ste Owings Mills MD 21117
D 19592
Logsdon Katherine PCP HD 7/10/1997 310 N. Cannon Avenue Hagerstown MD 21740
Tuesday, December 20, 2011 Page 48 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Londa Saleh Aide HHS 8/18/2005 202 Kaywood Drive; Apt. Mount Rainier MD
Loot‐Gayoso Ofelia M.D. LB 7/22/2009 5411 Old Frederick Road Baltimore MD 21229
D16328
Loveman Joseph Citizen HHS 11/25/1983 333 Harlem Lane Baltimore MD 21228
Loya Florentino M.D. LB 12/29/2007 6400 Marlboro Pike District Heights MD
D 41296
Lucas Dorothy PCP HD 4/15/1998 908 E. Valley Street; #11 Baltimore MD 21202
Luciuk James Nurse LB 8/28/2007 8536 Storch Woods Drive Savage MD 20763
R107868
Luckey Willie PCP HD 9/1/2001 6709 Kincheloe Avenue Baltimore MD 21207
Lyles Delores PCP HD 12/1/2007 00 W. South Street Apt. Frederick MD 21701
Lynch Ray A. M.D. HHS 4/22/1997 9559 Wandering Way Columbia MD 21045
Lynch Kevin P. R.Ph HHS 10/20/2003 4601 Burbridge Road, S. Cumberland MD 21502
RP 03701 1T
Mack Belinda Ann PCP HD 11/26/2001 South Hampton Drive; A Glen Burnie MD 21060
Macrey Angela V. PCP HD 9/26/1996 02 Moravia Park Drive; # Baltimore MD 21206
Madison Stanley M.D. F 2/28/1990 9 E North Ave; PO Box 23 Baltimore MD 21203
D 07094
Tuesday, December 20, 2011 Page 49 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Mahase Vidhyanand R.Ph HHS 12/20/2009 ort Dix FCI, P.O. Box 200 Fort Dix NJ 08640
17711
Major Godfrey W. M.D. LB 6/20/2007 7801 York Road Towson MD 21801
D 42197
Makker Ram S M.D. LB 10/14/2009 0 Upper Chesapeake Dri Bel Air MD 21014
D 48367
Malamud Yasmin Redon M.D. HHS 9/20/1998 110 Irving St, NW Washington DC 20010
DC 19142
Malekzodeh Assadullah Citizen F 6/8/1993 21 Park Lawn Drive; Ste. Rockville MD 20850
Mallory, III Herman C. Citizen F 2/16/1997 615 N. Rose Street Baltimore MD 21205
Manasan Eloida M.D. LB 4/9/1997 9602 Shipwright Drive Burke VA 22015
D 19597
Manekin Steven F. M.D. LB 5/18/2005 1049 S. Charles St Baltimore MD 21230
D 13700
Marcalus Steven R.Ph LB 9/9/1987 12312 Savanna Court Bishopville MD 21813
A1‐0001956‐DE
Margolius Jane Citizen F 6/21/1991 17 Tivoli Lake Court Silver Spring MD 20906
Marion Robert Aide MFCU‐A 10/7/2004 2548 Loyola Northway Baltimore MD 21215
Marsh Arthur M.D. LB 7/16/2010 0 East Main Street Ste. 1 Salisbury MD 21804
D 64981
Marshall Peter Citizen F 11/3/1993 3114 S. E. 17th Place Cape Coral FL 33904
Tuesday, December 20, 2011 Page 50 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Marshall Tinnie PCP HD 10/1/1997 4121 Woodhaven Baltimore MD 21216
Marshall Ashley PCP HD 4/15/2002 207 Wakefield Road Hagerstown MD 21740
Marshall‐Adams Tyvernica M.D. LB 10/22/2011 1536 Northbourne Road Baltimore MD 21239
T 02070
Martin Janet S. M.D. LB 12/8/2005 0 Kenilworth Avenue #2 Riverdale MD 20737
D 35386
Martinez Christine PCP HD 6/30/2003 6604 Maple Avenue Baltimore MD 21215
Martinez‐O'Hara Joseph J. M.D. LB 7/19/1997 1203 E. Ferguson Pharr TX 78577
D 24049
Mary Lou's Assisted Li Corporation HD 7/27/2005 8431 Newark Road Newark MD 21841
Mason, III Samuel M. Citizen HHS 10/20/2003 20 BON Oak Court Reisterstown MD 21136‐
Massey Dean D.D.S. HHS 8/24/1987 320 West Main Street Crisfield MD 21817
06959
Matthews Thomasina Citizen HHS 7/20/2005 8019 Mollye Road; Apt. F Pikesville MD 21208
Matthews Shandell Aide MFCU‐A 1/21/2003 3822 Regency Parkway Suitland MD 20746
McAllister Katrina Citizen F 12/20/1995 E. North Avenue; 3rd Fl Baltimore MD 21202
McAnally Bryan M. Aide HHS 1/28/2003 139 Lassiter Circle Finksburg MD 21048
Tuesday, December 20, 2011 Page 51 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
McBride Margo Shelia M.D. LB 4/12/2005 54 Regatta Bay Court Annapolis MD 21401
D 45096
McClain Vivian Regina PCP HD 4/28/1998 2227 W. Saratoga Street Baltimore MD 21223
McClary Rhonda Aide MFCU‐A 2/14/2006 4803 Overton Court Baltimore MD 21229
McCoy Julius Aide HHS 2/20/2010 2515 Boones Lane Forestville MD 20747
McCrary Bernard Citizen HD 4/1/2010 1416 Clarkview Road Baltimore MD 21209
McCready Leah T. Citizen HD 7/12/2006 5651 Burnstville Road Marion MD 21838
McDonald Allan D. D.D.S. HHS 9/20/1998 109 Wright Street Frostburg MD 21532
McGregor Clinton Aide HHS 11/4/2000 7930 Brock Bridge Road Jessup MD 20794
McKenna Karen Nurse HHS 8/20/2007 843 Kellogg Road Lutherville MD 21093
McKenzie Deana Citizen HHS 9/20/1999 19 Marview Drive Berlin MD 21811
McLaren Martin M.D. HHS 12/20/2009 etersburg Low, P.O. Box Petersburg VA 23804
D 16372
McLean Nakita S. Aide MFCU‐A 8/8/2005 6612 Eberle Drive Baltimore MD 212115
McNeil Robert D.D.S. LB 5/16/1998 6721 Ritchie Hwy Glen Burnie MD 21021
D 11761
Tuesday, December 20, 2011 Page 52 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Mehlman Susan K. Ph.D. F 5/24/2007 12103 Ridge Valley Road Owings Mills MD 21117
07150
Mehta Barry (Bahrat M.) Citizen F 3/13/2003 5501 Oakland Mills Road Columbia MD 21045
Meiller Morris M.D. LB 6/13/2005 5 Woodyard Road; Suite Clinton MD 20735
D 08540
Meldrom Carole J. Nurse HHS 10/20/2002 1145 Oakview Drive Crownsville MD 21032
Melvin‐Hodge Fayanna Citizen F 9/24/1997 2907 Rosalind Avenue Baltimore MD 21215
Merendino, Sr. John J. M.D. HHS 6/12/1997 4701 Randolph Road Rockville MD 20852
D 08544
Merillat Suzanne Marie Nurse HHS 12/20/2004 105 Rockdale Drive Silver Spring MD 20901
LP 27045‐MD
Merriweather Sue Grace Aide F 10/28/1999 6405 Brays Street Lanham MD 20706
Mid‐Atlantic Compass Corporation HD 2/4/2005 77 Wisconsin Ave; Ste 3 Bethesda MD 20814
Middleton William F. Citizen F 1/22/1993 21 Fenceline Drive Gaithersburg MD 20877
Middleton Barbara PCP HD 8/19/1994 420 A. Captain Circle Annapolis MD 21401
Midei Mark M.D. LB 7/13/2011 7505 Olser Drive #103 Towson MD 21204
D 30042
Milan Jose Antonio Olivari M.D. HHS 4/18/2002 Villa Olimpia 2: #A‐12 Yauco PR 00690
Tuesday, December 20, 2011 Page 53 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Miller Keith B. Chiropractor LB 11/30/2001 1618 Reisterstown Road Reisterstown MD 21136
S01427
Miller Edwin R. Citizen HHS 8/20/2001 4601 E. Monument St Baltimore MD 21205
Miller Louis M.D. LB 12/10/2007 Greene Tree Road, Suite Pikesville, MD 21208
D 07421
Miller Gerald A. M.D. HHS 2/1/1994 3455 Wilkens Ave Baltimore MD 21229
D 13275
Miller Carol D. P.D. F 4/19/2001 46 Cannon Drive Berlin MD 21811
10152
Miller Oram D.O. HHS 4/20/2004 P.O. Box 2223 Fairfield IOWA
2085(IA); H29971(MD
Miller Jewel Lynne Aide HHS 6/27/1991 3026 Tennessee Avenue Baltimore MD 21227
Miller, Jr. Thomas Aide HHS 4/8/1997 1217 Randalia Road Chesapeake City, MD
Mills Ronald J. Citizen F 3/17/1992 17 Water Street; Apt. #6 Gaithersbur MD 20877
Ming Bernell LMSW HHS 1/18/2007 294 Putnam Avenue Brooklyn NY 11216
G11284, 064132NY
Miranda‐Solari Artemio M.D. LB 7/31/2000 889 W. Lombard St Baltimore MD 21201
D 23276
Mireille Noumi N. PCP HD 11/23/2003 00 Highview Terrace; #3 Hyattsville MD 20782
Mistysyn Christine J. Aide HHS 6/20/2000 417 E. Mifflin Street Orwigsburg PA 17961
Tuesday, December 20, 2011 Page 54 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Mitchell Joshua M.D. LB 5/18/2010 2202 Garrison Blvd Baltimore MD 21216
D 08782
Mitchell Terita Aide HHS 7/7/1992 2756 Tivoly Avenue Baltimore MD 21218
Moaddab Mohammed B. D.D.S. LB 5/20/2003 5905 Ipswich Road Bethesda MD 20814
9427
Molina Gerardo Citizen HHS 9/19/2002 uesa St; Montibello Dev Hormiguero PR 00660
Molly's House of Hop Corporation HD 6/6/2006 2801 Meadowbrook Lan Waldorf MD 20601
Momah Clement I. M.D. LB 12/20/2000 8301 Ashford Blvd Laurel MD 20707‐5640
D 46933
Monroe Charles A. Citizen HHS 9/15/1992 1109 Ashburton St Baltimore MD 21216
Montgomery Jessica E. Aide HHS 7/20/2006 4 Crusader Road; Apt. 1 Cambridge MD 21613
Montgomery Co. Family Life Ctr. Corporation F 4/25/1991 1 Wisconsin Avenue; #1 Bethesda MD 20814
Montgomery County Corporation HHS 6/30/1994 806 S. Frederick Road Gaithersburg MD 20877
Moore Lillie Ruth Citizen HHS 10/20/2002 53 S. Center St.; Apt. 19A Orange NJ 07050
Morgan Rosa E. PCP HD 7/19/1991 2732 Parkwood Avenue Baltimore MD 21217
Morris Janice PCP HD 3/4/1991 06 W. Forest Park Avenu Baltimore MD 21207
Tuesday, December 20, 2011 Page 55 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Morris Andrea PCP HD 7/15/1997 8 Centerway Road; Cour Gaithersburg MD 20879
Morrison Sharese I. Aide HHS 10/18/1993 802 Dartmouth Baltimore MD 21212
Morton Denise Bell Aide HHS 6/30/1994 1305 Kitmore Road Baltimore MD 21239
Morton Charles Nurse HHS 4/12/1993 9108 Abigail Drive Crisfield MD 21237
Moss Brian Leslie Citizen F 3/17/1992 19731Framingham Drive Gaithersburg MD 20879
Motley Robin Aide HHS 8/20/2008 549 Southview Dr Apt. 10 Oxon Hill MD 20745
Mueller Annemarie RDH HHS 10/20/2004 260 Duke Street; Apt. 41 Alexnadra VA 22304
4304
Muhlhan Evelyn Nurse LB 10/6/2011 ast Rolling Crossroads #2 Catonsville MD 21228
R 060032
Mullan Paul A. M.D. LB 8/23/2000 7401 Olser Dr Towson MD 21204
D 08462
Muller Alfred M.D. LB 2/27/2002 1396 Piccard Drive Rockville MD 20850
D 15017
Mullings Rohan Saint‐Aubyn M.D. LB 2/14/2011 Memorial Avenue, Ste. Cumberland MD 21502
D 60913
Murphy Leslie A. PCP F 2/28/2009 143 Haverhill Road Joppa MD 21085
Musikabhumma Anchaleee M.D. LB 6/28/2006 2300 Garrison Boulevard Baltimore MD 21216
D 17081
Tuesday, December 20, 2011 Page 56 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Naranjo Ynocencio Corporation HHS 10/29/1990 14720 Homecrest Road Silver Spring MD 20906
Nash Roderick PCP HD 12/20/1991 1536 Pentwood Road Baltimore MD 21239
Nathanson Barry M.D. LB 10/18/1993 2200 Defense Hwy; #103 Crofton MD 21114
D 23454
Nathenson Lucille D.D.S. LB 3/6/2002 6901 Security Boulevard Baltimore MD 21244
07998
National Cardio Labs, Corporation HHS 4/20/2010 1601 Alton Parkway Irvine CA 92606
Newcare Home Healt Pharmacy LB 1/5/2007 3027 E. Madison Street Baltimore MD 21205
PW0101
Ngang Ita Nurse F 8/28/2004 9482 Ridgeview Drive Columbia MD 21046
27475
Ngati Denetria Nurse HHS 7/20/2011 11406 Hawk Ridge Court Beltsville MD 20705
R 146619
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 01 Loch Raven Blvd; Ste 3 Baltimore MD 21239
D 39748
Nimley Lucia PCP HD 8/27/1996 350 Childress Terrace Burtonsville MD 20886
Norris Diana Lynn Dee Aide HD 6/5/2005 1022 Grove Hill Road Halethorpe MD 21227
North Catherine M.D. LB 12/10/2007 1100 Copper Hill Road Baltimore MD 21209
D 36128
Tuesday, December 20, 2011 Page 57 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Nukks Shelley Lynn PCP HD 3/5/2001 1088 Wadsworth Way Baltimore MD 21239
Nurse Express, LLC Corporation 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
10899
Obeahon Alexander C. Aide HHS 6/22/1998 34 Chapel Town Circle Baltimore MD 21236
Obeng Esther Aide HHS 9/20/2006 717 Tower Drive; Apt. 10 Alexandria VA 22306
1401‐095243
O'Berry Christin Nurse HHS 3/20/2008 21 Bridgeview Court Baltimore MD 21236
R156998
Ogbonna Chinonso Ndidi Aide HHS 9/22/2003 36 Heraldry Court Baltimore MD 21244
Oglesbee Megan Aide MFCU‐A 12/18/2005 204 Airport Street Keyser WV 26726
Ogundele Gbengo Benson Aide HHS 9/19/2002 800 Fairlawn Avenue; #2 Laurel MD 20707‐0000
Ogundeyi Aboyomi Aide MFCU‐A 9/9/2010 5221 Harford Road, #3 Baltimore MD 21214
Ohiokpehai Tajudeen M.D. LB 12/29/2006 00 Liberty Heights Aven Baltimore MD 21215
D 30115
Ojewoye Paul R.Ph HHS 6/20/2007 218 Karin Boulevard Townsend DE 19734
13396
Ojuko Absayo Citizen F 4/28/2007 Liberty Place Road, Apt Baltimore MD 21244
Tuesday, December 20, 2011 Page 58 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Okafor Augustine Nurse HHS 4/20/2006 3420 Maryvale Road Baltimore MD 21244
Okafor Ndubuisi M.D. HHS 3/19/2009 P.O. Box 759 Minersville PA 17954
D 43460
Oke Oluwole Citizen HHS 3/20/2007 P.O. Box 31902 Capitol Heights MD
PRC899
Okine Katerina PCP HD 1/3/2007 47 Squanto Court Middle River MD 21220
Okoye Godwin R.Ph HHS 8/20/2003 ry FPC; Montgomery Air Montgomery AL 36112
RI 020809
Omer Tarig A. Citizen HHS 7/20/2005 6337 Kinsey Terrace Lanham MD 20706
Open Arms Assisted Li Corporation HD 5/18/2005 104 Charles Street Sudlersville MD 21668
Oppenheim Steven Citizen HHS 9/26/1990 6 Sour Cherry Court Darnestown MD 20878
Optimum Care Medic Medical Ctr. Corporation HHS 9/20/2001 44 N. Frederick Ave; #30 Gaithersburg MD 20877
Orem Medical Corp Corporation HHS 6/12/1997 2413 Haddenhurst Court Fallston MD 21047‐
Orneus Renald Aide MFCU‐A 11/27/2008 765 Division Street Salisbury MD 21804
Orth Debra C. Aide HHS 10/18/2001 4300 Stanwood Avenue Baltimore MD 21206
Ortiz Armando L. Citizen HHS 2/20/2000 7082 MacBeth Way Sykesville MD 21784
Tuesday, December 20, 2011 Page 59 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Osborne Tamara PCP HD 11/7/2005 73 Swan Street Aberdeen MD 21001
O'Shaughnessy Timothy J. Citizen HHS 5/24/1999 6106 Pine Branch Rd Bethesd, MD 20816
O'Shea Frank M. M.D. LB 8/9/2000 3901 Fox Hill Dr Ellicott City MD 21042‐
D 27961
Oshodi Eunice R.Ph HHS 7/20/2008 730 Pennsylvania Avenu Baltimore MD 21217
14276
Osrud Vincent J. Nurse HHS 9/20/2000 R. R. 1; box 782 Hollywood MD 20636
Ostrovsky Roman M.D. F 8/16/2006 5018 Dorsey Hall Drive Ellicott City MD 21042
D 51563
Owens Eugene M.D. HHS 12/31/1993 1735 E. Federal St Baltimore MD 21213
D 12607
Oyler George A. M.D. LB 11/18/2003 2924 Guilford Avenue Baltimore MD 21218
D 46921
Pagalunan Gertrude Corporation HD 5/15/2005 9515 Lawnsberry Terrace Silver Spring MD 20901
Pagano Dwight M.D. HHS 5/19/2005 44 E. 20th Street; Apt. 3 New York NY 10009
D 26063
Page Bobbi Jo Aide HHS 1/20/2010 P.O. Box 105 Barnes City, IA 50027
1, CNA224636, CNA1
Pak Jim Su P.D. LB 4/7/2005 Pharmacy; 10805 Hickor Columbia MD 21044
Pal Bimal K. M.D. F 9/30/1995 3750 Chateau Ridge Dr Ellicott City MD 21042
D 12748
Tuesday, December 20, 2011 Page 60 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Palladeno Angela K. Aide HHS 2/27/1992 3‐D BywaySouth Baltimore MD 21221
Panteleakis Peter Citizen F 10/24/1988 1008 Roxleigh Road Towson MD 21204
Park Do Sun M.D. HHS 4/10/1995 13805 Turnmore Rd Silver Spring MD 20906
D 30102
Park Kyung S. M.D. LB 5/17/2000 1823 Duffield Lane Alexandria VA 22307
D 36375
Parker April R. Aide HHS 9/20/2000 3515 Madison Place Hyattsville MD 20782
Patel Ketankumar P.D. LB 7/14/2009 5951 Cecil Way Eldersburg MD 21784
10301
Pathak Arvind K. M.D. LB 7/18/2001 6930 Little River Turnpike Annandale VA 22003
D 12867
Paul Haendel Aide MFCU‐A 2/27/2008 10553 Jason Lane Columbia, MD 21044
Paulson John M.D. LB 4/14/2011 330 Cameron Street #20 Silver Spring MD 20910
D 38946
Paye Isiwatu Aide HHS 3/20/2007 Maidstone Court, Apt. M Rosedale MD 21237
Payne, Jr. Arnold R.Ph HHS 5/20/2001 49 Greenmount Avenue; Baltimore MD 21203
Pediatric Plus Corporation HD 1/15/2005 10 East Lee St; Ste 2406 Baltimore MD 21202
Perez Yolanda Aide HHS 12/18/2001 1752 Gorsuch Avenue Baltimore MD 21218
Tuesday, December 20, 2011 Page 61 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Perry Deborah Citizen HHS 2/11/1993 604 McCabe Ave Baltimore MD 21212
Persinger Virginia PCP HD 8/25/1993 Route 2; Box 179 Newberg MD 20664
Pertnooy Allen B. D.D.S. LB 10/23/2002 821 Eastern Boulevard Baltimore MD 21221
03749
Peters Colleen Nurse HHS 11/20/2007 288 Wye Knot Court Queenstown MD 21658
R158619
Peterson Jocelyn M. Citizen F 11/3/2005 29581 Bright Spot Road Highland CA 92346
Peterson Ralph M. Citizen F 11/3/2005 29581 Bright Spot Road Highland CA 92346
Peterson Patricia M. Citizen HHS 4/13/1994 1856 Beth Ridge Circle Forest Hill MD 21050
Petway Dena Joan PCP HD 8/26/1996 6309 Elliott Street Baltimore MD 21224
Phalsaphie Mansour M.D. LB 3/25/1998 4003 Hidden Creek Henderson KY 42420
D 39182
Pharmacare, Inc. Cockeysville Pharmacy Pharmacy F 7/25/2000 10255 York Road Cockeysville MD
P 01589
Phattiyakul Pricha M.D. LB 9/19/2001 ospital Road; Calvert Me Prince Frederick
D 17730
Phillips Patricia A. Aide HHS 10/18/2001 2325 Barclay Street Baltimore MD 21218
Pierce William David M.D. LB 3/9/2004 042 Nicholas Lane; Suite Berlin MD 21811
D 56681
Tuesday, December 20, 2011 Page 62 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Pittman Thomas A. M.D. HHS 7/17/1991 7498 Sea Change Columbia MD 21045
D 10875
Pitts Mark D.D.S. LB 2/10/2009 2100 Old Farm Drive Frederick MD 21702
11347
Pleas Barbara A Aide HHS 8/11/1997 3267 Queenstown Dr Mt Ranier MD 20712
Pointer Brenda Denise Aide HHS 9/19/2001 15 N. Calhoun St Baltimore MD 21223
Pollock Natasha Nurse HHS 2/18/2010 17008 Downing Street Gaithersburg MD 20877
AL 1‐105020
Pollock Hamilton Citizen HHS 12/20/1995 211 E. Lombard Street Baltimore MD 21201
Polsin Michael J. Nurse HHS 3/18/2004 34602 Blakistone Road Hollywood MD 20636
Poole Milton L. Citizen HHS 6/20/2006 3916 23rd Parkway; #22 Temple Hills MD 20748
Pooya Manoochehr M.D. LB 11/7/2007 700 7th Street SW #2 Washington DC 20024
DC4594, D 05507
Posner Marc M.D. LB 7/12/2011 1147 S. Hanover Street Baltimore MD 21230
D 19640
Potash Michael M.D. LB 12/16/2009 31 Old Court Road, Apt. 4 Baltimore MD 21208
D 09463
Pototsky Ronald M.D. LB 11/21/2011 821 N. Eutaw Street Baltimore MD 21201
D 13004
Powell Velma E. L. M.D. HHS 1/23/1992 6201 Greenbelt Road College Park MD 20740
D 25624
Tuesday, December 20, 2011 Page 63 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Powell Toni Darnell PCP HD 9/18/1995 2519 Marbourne Avenue Baltimore MD 21230
Powell Richard M.D. LB 8/25/2004 6501 N. Charles Street Baltimore MD 21285
D 58515
Powell Jack M.D. LB 1/26/2007 23704 Ocean Gateway Mardela Springs
D 36483
Powell Nicheia Aide HHS 9/19/2002 704 Winston Avenue Baltimoe MD 21212
Prager Harris J. D.P.M. HHS 10/27/1993 420 S. Crane Hgwy; #1 Glen Burnie MD 21061
00961
Prescimone Doreen Nurse HHS 10/20/2003 06 Berry Hill Circle; Apt. 1 Perry Hall MD 21128
R 116997
Press Zachary D.D.S. HHS 1/4/1995 4805 Garrison Blvd Baltimore MD 21215
09179
Pribadi Jean W. M.D. LB 6/13/2008 632 Little Patuxent Parkw Columbia MD 21044
D 30510
Progressive Care Amb Corporation F 4/27/2000 c/o P.O. Box 536 Jessup MD 20794
Pullen Sonia A. Citizen HHS 2/15/1996 N. Kenwood Avenue; 2nd Baltimore MD 21213
Pulliam's Contracting Corporation 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
D 09429
Tuesday, December 20, 2011 Page 64 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Qaiyumi Waheeda M.D. LB 2/5/2004 650 Santiago Road; #11 Columbia MD 21045
D 24705
QRSS Corporation HHS 6/12/1997 4701 Randolph Road Rockville MD
Queen Jennifer PCP HD 5/16/2005 4527 Northwood Drive Baltimore MD 21239
Rabb Willie DPM LB 8/1/2006 420 S. Crain Highway; #2 Glen Burnie MD 21061
01257
Radulski Joanne B. Citizen F 7/8/2010 2124 Oaklyn Drive Fallston MD 21047
Radvan‐Ziem Stanley A. M.D. HHS 11/1/1990 400 Old Georgetown Roa Bethesda MD 20814
D 10902
Raines Bannister L. M.D. LB 1/27/2005 660 Kenilworth Dr.; #206 Towson MD 21204
D 17735
Rakhunov Izabella PCP HD 12/17/2002 1 Russern Court; 2A Baltimore MD 21215
Ramirez Oscar M.D. LB 7/15/2011 1212 York Road Ste B101 Lutherville MD 21093
D 21826
Rancocas Valley Anest Corporation HHS 11/14/2002 Sunset Road Willingboro NJ 08046
Rapkin Harvey R.Ph F 12/19/2008 2207 Shefflin Court Baltimore MD 21209
Ray Douglas M.D. HHS 4/6/1992 10208 Prince Place Largo MD 20775
Regency Hlth Services Corporation HHS 5/6/2004 7420 Marlboro Pike Forestville MD 20028
Tuesday, December 20, 2011 Page 65 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Reid Jesse Aide HHS 9/20/1999 3806 Brighton Street Baltimore MD 21216
Reilly Elizabeth Citizen HD 9/15/2008 3100 North Ridge Road Ellicott City MD 21043
Rermgosakul Adul M.D. F 9/30/1995 632 Annapolis Rd‐Suite Bladensburg MD 20710
D 18441
Resolutions Unlimited Corporation F 3/2/2004 204 E. Joppa Road Towson MD 21286
Reynolds Angelo PhD 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
LP 30845
Rhee Aphonso Y. M.D. LB 12/4/1998 1224 Brook Hollow Road Towso, MD 21286‐1708
D 13631
Ricci Renzo M.D. LB 1/26/2007 25 Baltimore Blvd, Box 5 Finksburg MD 21048
D 25804
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
D 37919
Richardson Gravney A. M.D. HHS 8/10/1994 40 Joyceton Way Upper Marlboro
19756
Richardson Carolyn E. Citizen HHS 2/15/1996 Greenmount Avenue; 1st Baltimore MD 21218
Ritch Sherry Aide HHS 1/10/2002 5504 Windsor Mill Road Baltimore MD 21207
Tuesday, December 20, 2011 Page 66 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Rivera Rose M. Nurse HHS 6/17/2004 500 Wick Lane Blue Bell PA 19422
RN‐332695‐L
Riverview Nursing Ctr, Corporation HHS 10/18/2001 1 Eastern Boulevard Baltimore MD 21221
Roane Donald M.D. LB 5/21/2010 1616 Forest Drive Annapolis MD 21403
D 10698
Roark David Nurse HHS 4/20/2010 77 Geremma Drive, Apt. Ballwin MO 63011
R 129614
Roberts Isaac Aide MFCU‐A 1/18/2007 8500 Goshen View Drive Gaithersburg MD 20882
Roberts, Jr. Leroy Citizen HHS 3/7/1991 6 Papago Court Randallstown MD 21133
Robinson Lawrence PCP HD 5/3/1996 8806 Lanier Drive; #101 Silver Spring MD 20910
Roby Neil O. Citizen HHS 5/20/1998 13190 Linden Station Clarksville MD 21209
Rodkey Jeffrey Lee Pharmacy HHS 8/18/2005 23621 Cemetery Road Chance MD 21821
10073
Rodrigues Cheryl PCP HD 5/25/2005 23249 Colton Point Road Avenue MD 20609
Rodwell Dino Corporation HHS 6/20/2002 8314 Glenmar Road Ellicott city MD 21045
Roffman Benjamin Citizen HHS 8/17/1987 14 Greenspring Ave; Apt Baltimore MD 21207
Rogers Tena Citizen F 5/8/2003 2905 Garrison Boulevard Baltimore MD 21216
Tuesday, December 20, 2011 Page 67 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Romero Yolanda O.T. HHS 1/20/2004 P.O. Box 2784 Baltimore MD 21225
01559
Rorie Valerie R. PCP HD 6/9/2004 5506 Wayne Avenue Baltimore MD 21207
Rose Manor Assisted Corporation HD 9/15/2008 3100 North Ridge Road Ellicott City MD 21043
Rosen Nancy Citizen F 5/26/2001 30 Greensboro Drive; #4 McLean VA 22102
Rosov Howard L. D.D.S. HHS 10/20/2004 1106 Spy Glass Drive Arnold MD 21012
5349
Ross Bradford A. M.D. LB 4/27/1998 200 Milton Avenue Fallston MD 21047
D 26689
Rothelder David D.D.S. HHS 5/18/1979 620 Aisquith Street Baltimore MD 21202
Rothman Leonard M.D. LB 4/24/1996 PO Box 5716 Incline Village NV
D 15256
Rothstein Binyamin D.O. LB 5/25/2005 hopping Ctr; 2835 Smith Baltimore MD 21209
H 30277
Roundtree Silverrene P M.D. HHS 6/28/1999 200 Oak St Mt. Pocono PA 18344
D 19789
Rowlette Bertha PCP HD 7/22/1998 8618 Bramble Lane Randallstown MD 21133
Rowley Bethany Aide MFCU‐A 6/8/2008 Box 632, 203 Clarence St Hyndman PA 15545
Royal Jeffrey L. Radiologist HHS 9/20/2000 4309 Glenrose Street Kensington MD 20895
R 03369
Tuesday, December 20, 2011 Page 68 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Rubin Seymour H. M.D. HHS 7/22/1991 111 Park Heights Avenu Baltimore MD 21208
D 10187
Rucyamuzi Kenny Aide HHS 4/20/2006 00 Old Coumbia Pike #1 Silver Spring MD 20904
1401105926 (VA)
Ruddock Thaddeus Citizen HHS 2/19/2009 7901 Bon Air Road Baltimore MD 21234
L01705
Rudman Michael M.D. HHS 8/22/2007 Elmer Harp Medical Ctr Middletown MD 21769
D 17106
Rudo Howard F. D.D.S. LB 8/24/2000 420 S. Crain Hwy; Ste 6 Glen Burnie MD 21061
03816
Ryan Michael LCSW F 1/14/2011 12417 Seabury Lane Bowie MD 20715
08600
Sadanand Home, Inc. Corporation 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‐
D 30549
Samie Abdul Citizen HD 5/19/2006 4918 Grindon Avenue Baltimore MD 21214
Sampson Michelle PCP HD 4/3/1996 1015 Washington Street Cambridge MD 21613
Sanborn Michele R. Nurse HHS 2/20/2001 72 Fairview Avenue; Apt. Annapolis MD 21403
Sanchuk Daniel Paul Citizen F 7/12/2000 9487 Canary Drive Bel Alton MD 20611
Sanders Kendall Aide HHS 2/15/2002 726 N. Carey Street Baltimore MD 21217
Tuesday, December 20, 2011 Page 69 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Sang Evadne M.D. LB 12/24/1991 Martin Luther King Ave Washington DC 20032
D 24228
Sanghera Anil M.D. LB 11/28/2007 6919 Harford Road Baltimore MD 21234
D 24722
Santana Maria Citizen HD 5/24/2006 8511 Allenswood Road Randallstown MD 21133
Santiago Feliciana PCP HD 3/1/2001 0920 Connecticut Avenu Kensington MD 20895
Santos Rene M.D. LB 1/15/2009 2835 Churchville Road Churchville MD 21028
D 14036
Sarabia Erlinda S. Citizen F 8/12/2006 8316 Elvation Road Millersville MD 21108
Satogkit Supoj M.D. LB 12/11/1990 101 Medical Blvd Stockbridge GA 30281
D 19665
Scandaltato Frank PCP HD 2/10/1998 102 Palmetto Drive Edgewood MD 21040
Schade John Chiropractor HHS 10/20/1998 03 Baughmans Lane; #20 Frederick MD 21702
Schauber Michael M.D. LB 4/25/2007 5 Dutchmans Lane, Suite Easton MD 21601
D 56373
Scheibe Melissa Lynn Aide HHS 6/20/2000 1111 St. Paul Place Baltimore MD 21221
Schlesinger Richard S. M.D. LB 6/2/2005 50 L Painters Mill Road Owings Mills MD 21117
D 23329
Schott Alan J. D.D.S. HHS 2/4/1997 8016 Nighwind Court Baltimore MD 21227
Tuesday, December 20, 2011 Page 70 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Schwartz Lyndell K. D.D.S. LB 11/15/2006 795 Aquahart Road Glen Burnie MD 21061
03818
Schwarzberg Allan M.D. LB 11/28/2011 9021 Shady Grove Court Gaithersburg MD 20877
D 10705
Scott Delores Elaine Nurse F 7/13/2006 11 Rebecca Lane Owings Mills MD
Scott Bernita E. Aide HHS 12/15/1993 602 Gibson Road Baltimore MD 21229
Searcey Vicky C. Nurse HHS 9/19/2002 3146 Middlesex Drive Toledo OH 43606
Senior Connections d/ Corporation HD 4/1/2010 1401 West Joppa Road Towson, MD 21204
Sera Carlos C. M.D. LB 9/30/1998 12000 Longridge Lane Bowie MD 20715
D 11001
Setaro John L. Psychologist HHS 3/10/1997 19 Melanie Court Baltimore MD 21234
02364
Setlen Williams Citizen HHS 4/19/1985 4527 Tapscott Road Pikesville MD 21208
Settles Diane Aide HHS 9/29/1996 11919 L Tarragon Road Reisterstown MD 21136
D 24228
Shade David M.D. F 6/20/1984 14 Warfield Avenue La Vale MD 21502
04758
Shah Dinesh M.D. LB 9/23/2010 7 Pulaski Highway, Ste. 1 North East, MD 21901
D 23334
Shamaeizadeh Ali M.D. LB 3/3/2004 10 Lisbon Center Dr; Ste Woodbine MD 21797
D 28857
Tuesday, December 20, 2011 Page 71 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Shandler Melvin LCSW HHS 4/20/2009 P.O. Box 1000 Cumberland MD 21501
00934
Shelton Pam PCP HD 4/26/1995 183 Fairfield Drive Frederick MD 21702
Shepherd Family Servi Corporation HD 2/6/2007 50 Laurel Fort Meade Ro Laurel MD 20724
Sheppard Millard C. Citizen F 4/27/2000 c/o P.O. Box 536 Jessup MD 20794
Sheridan Todd M.D. LB 9/28/2009 600 N. Wolfe Street Baltimore MD 21287
D 64256
Sherwood Shannon Dental Tech. HHS 12/20/2009 855 Aurora Road Ernul NC 28527
13266
Shiraldi Teresa Nurse HHS 6/20/2005 3700 Misty Valley Court Abingdon MD 21009
R 070048
Shirazi Mahmaud M.D. LB 6/18/2007 5671 Royal Mile Blvd Salisbury MD 21801
D 46962
Showell Cora Louise Aide MFCU‐A 12/6/2004 509 Bay Street Berlin MD 21811
Shpigelman Mikhail PCP HD 5/13/2002 2 Ameeht Court; 1C Baltimore MD 21215
Shraga Inessa PCP HD 5/30/2003 Wind Blown Court; Apt. 1 Baltimore MD 21209
Sichinava Inga PCP HD 3/7/2005 2001 Allanwood Court Silver Springs MD
Siegel Irving Optometrist HHS 9/10/1996 4251 Wilson Blvd Arlington VA 22203
0601‐000279
Tuesday, December 20, 2011 Page 72 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Sierra Myrna Luz Vigo M.D. HHS 4/18/2002 67 Toledo Street Bel Monte, Mayaguez,
Silverman David M.D. HHS 2/18/2010 17164 Braxton Street Granada Hills CA
G35319
Simmons Stephanie Citizen HHS 3/20/2001 2712‐A Gatehouse Drive Baltimore MD 21207
Simmons Kevin Citizen F 5/27/2006 10356 Kentsdale Drive Waldorf MD 20603
Simms Rena C. PCP HD 5/12/1993 3705 W. Forest Park Ave Baltimore MD 21215
Simon Jock M.D. LB 11/5/2008 30686 Satterfield Court Salisbury MD 21804
D 28257
Simons Evelyn Nurse HHS 12/20/1998 13631 Colgate Way Silver Spring MD 20904
Simpson Cleveland Cole PCP HD 2/20/1998 3019 Garrison Blvd Baltimore MD 21216
Singh Mahindra Nurse HHS 6/19/2008 2 Pissaro Court North Potomac
R050514
Singh Bhupinder M.D. LB 6/27/2008 0 Hospital Drive, Suite 5 Glen Burnie MD 21061
D 23341
Singletary Mitchell Aide HHS 9/1/1992 6646 Collinsdale Road Baltimore MD 21234
Singleton Faith R. Citizen HHS 6/11/1990 4408 Old Frederick Road Baltimore MD 21229
Singleton Celestyne Aide HHS 9/2/1992 17 Orenco Court Baltimore MD 21220
Tuesday, December 20, 2011 Page 73 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Skinner Hubert G. M.D. LB 5/8/2006 Little Patuxent Pkwy; Su Columbia MD 21044
D 10586
Skipworth Robert D. M.D. LB 10/31/1999 P O BOX 6 Laurel MD 20707
D 28906
Skrinskaya Natailya PCP F 10/1/2002 3720 Bel Pre Road; Apt. 9 Silver Spring MD 20906
Slavin Carl J. M.D. LB 7/26/2006 3231 Superior Lane; #A2 Bowie MD 20715
D 33271
Sliger Traci PCP HD 11/28/2000 05 George Washington H Oakland MD 21550
SMCHD Assignee of A. PCP HD 3/29/2006 19862 Preference Way Callaway MD 20620
Smith Tammara Aide HHS 6/17/1999 6466 Roots Drive Glen Burnie MD 27061
Smith Kevin P. Citizen HD 5/19/2006 9 Greenbrush Court Baltimore MD 21244
Smith Carla Y. PCP HD 5/19/2006 9 Greenbrush Court Baltimore MD 21244
Smith Elizabeth Ann Citizen MFCU‐A 11/8/2003 6102 Alta Avenue Baltimore MD 21206
Smith Lance C. Citizen F 10/1/1992 8800 Walkers Choice Roa Gaithersburg MD 20879
Smith Tammy LCSW F 8/29/2008 4228 Huntshire Road Foxridge MD 21133
09997
Smith Dorothy Julia Aide HHS 9/13/1997 912 Thompson Blvd Baltimore MD 21221
Tuesday, December 20, 2011 Page 74 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Smith Joseph H. M.D. HHS 5/16/1993 4705 Locust Hill Court Bethesda MD 20014
Smith Anthony Citizen F 8/29/2008 4228 Huntshire Road Foxridge MD 21133
Smith Joyce Nurse HHS 6/17/1999 26 Dowling Circle Baltimore MD 21234
Smith Dale A. Aide HHS 2/19/1998 6010 Valley Court Lexington Park MD
Smith Donny W. LCSW F 8/28/2005 3745 Maple Crest Drive Knoxville MD 21758
08197
Smoot Melanie PCP HD 8/25/1993 ute 3; Box 120 Oak Aven La Plata MD 20646
Snead Paul Nurse HHS 2/20/2001 08 Callow Avenue; Apt. Baltimore MD 21217
Snell Sherman Leon Citizen HHS 7/22/1991 P.O. Box 549 Jessup MD 20794
Sodipo Steven P.D. LB 1/5/2007 2403 Nora Court Forest Hill MD 21050
11532
Solomon Larry Citizen F 10/24/1988 613 19th Street, N.E. Washington DC 20002
Solomon Neil M.D. HHS 6/30/1994 Dulaney Valley Rd; Ste 6 Towson MD 21204
D 12963
Somaiya Mamta D. M.D. LB 11/16/2005 Trillium Circle; Apt. 170 Dothan AL 36301
D 57457
Soriano Asuncion M.D. LB 5/23/2007 19 Capitol Hgts Boulevar Capitol Heights MD
D 17128
Tuesday, December 20, 2011 Page 75 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Soriano, Jr. Cesar M.D. LB 7/3/2004 119 Capitol Heights Blvd Capitol Heights MD
D 14468
Soudah Truman F. M.D. LB 6/1/2010 Waltham Woods Road, St Baltimore MD 21234
D 18966
Spencer Deborah PCP HD 2/27/2007 429 Merryman Road Annapolis MD 21401
Srinivasan Sridhar Citizen HD 4/1/2010 20 Ft. Washington Avenu New York, NY 10040
Srivastava Pradeep M.D. LB 12/27/2010 7227‐B Hanover Parkway Greenbelt MD 20770
D 33483
SSS Nutrition & Dietet Corporation F 11/19/2008 235 Mill Street, Ste. 3 Hagerstown MD 21740
Stalling Reginal W. M.D. LB 11/17/1999 9211 S. Normal Street Chicago IL 60620
D 22887
Stark Thomas R.Ph. HHS 10/20/2010 P.O. Box 1000 Cumberland MD 21501
Starling Greg Citizen HHS 2/20/2008 3918 Elite Street Bowie MD 20716
Staton Kimberly V. Citizen HHS 6/11/1990 0 Duke of Windsor Ct; T Baltimore MD 21207
Steckler Scott D.D.S. F 2/15/2004 4002 Thistlebridge Way Rockville MD 20853
11778
Stepney Glenda PCP HD 8/18/1991 Box 535; Hunting Creek Huntingtown MD 20639
Stevens April Citizen MFCU‐A 1/8/2008 3 Crimson Tree Way, Ap Edgewood MD 21040
Tuesday, December 20, 2011 Page 76 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Stevenson Lawrence PCP HD 3/18/1996 6063 Marquette Road Baltimore MD 21206
Stewart Kevin R. Aide HHS 4/27/1992 11 Goodnow Road; Apt. Baltimore MD 21206
Stocks Gregory Nurse LB 3/23/2004 140 E. Centre Street Baltimore MD 21202
103773
Stone Nancy Nurse MFCU‐A 2/17/2006 02 Francis Nicholson Wa Annapolis MD 21401
RO46901
Stoner Alfred Citizen F 3/17/1992 1 S. Frederick Avenue; # Gaithersburg MD 20879
Storck Frederick D.D.S. HHS 11/25/1983 5220 Ten Oaks Road Clarksville MD 21029
Stratton Judith Z. Nurse HHS 4/20/2003 8 Featherwood Drive; Ap Silver Spring MD 20904
225977 NY
Stubbs Darryl Aide HHS 2/10/2002 11 23rd Avenue; Apt. 10 Temple Hills MD 20748
Stumpfel Ernest Ronald PCP HD 12/7/1993 411 Morven Road; Apt. Baltimore MD 21234
Sumler Robert A. Aide HHS 11/12/1990 500 E. Madison Street Baltimore MD 21202
Summers Holly R. D.D.S. LB 3/1/2005 Montgomery Village Prof Gaithersburg MD 20789
09207
Sungenis Albert M.D. LB 6/15/2006 5179 Harpers Farm Road Columbia MD 21044
D 37324
Supreme Health Syste Corporation HD 3/30/2008 4801 York Road Baltimore MD 21212
Tuesday, December 20, 2011 Page 77 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Sutton Veronica PCP HD 12/11/2009 1215 Etting Street Baltimore MD 21217
Sviriduk Ella PCP F 3/4/2007 18923 Lark Song Terrace Germantown MD 20874
Swartz Linda PCP HD 8/17/1995 116 Columbia Street Cumberland MD 21502
Tall Deborah A.Day D.D.S. HHS 2/7/1997 340 Tumbleweed Place Waldorf MD 20601
Tanna Peter M.D. F 12/31/1995 708 Serpentine Way; #3 Silver Spring MD 20904
D 24861
Tasher Jacob M.D. LB 5/26/2004 26 Erie Drive Slingerlands NY 12159
D 34871
Tasker Nelda L. Aide HD 6/10/2005 P.O. Box 1 Oakland MD 21550
Tauraso Nicola M.D. LB 8/12/2010 7051 Poole Jones Road Frederick MD 21702
D 0011324
Taylor Hester Ann PCP HD 5/2/1996 104 S. Somerset Avenue Crisfield MD 21817
Taylor Lafenus Donnell Aide MFCU‐A 4/13/2004 3002 Spaulding Avenue Baltimore MD 21215
Temkin Diane PCP HD 12/15/2004 005 Tarragon Road; Apt Reisterstown MD 21136
Temple Marion B. LCSW F 7/5/1989 14512 Sandy Ridge Road Silver Spring MD 20904
Teves‐Upshur Maria Citizen HHS 2/20/2008 P.O. Box 44714 Fort Washington
Tuesday, December 20, 2011 Page 78 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Than‐Riddle Khin Cho Cho M.D. LB 7/28/2004 1520 Crownsvile Road Crownsville MD 21032
D 52233
Thaung Phone Citizen F 3/17/1992 12636 Falconbridge Drive Darnestown MD 20878
The Dixon Home Corporation HD 9/28/2009 9 North Lakewood Aven Baltimore MD 21224
30AL2547
The Medicine Shoppe Corporation HD 8/15/2008 8035 A Liberty Road Baltimore MD 21244
The Medicine Shoppe Corporation HD 11/15/2006 burg Village Shopping Ce Frostburg MD 21532
The Medicine Shoppe Corporation HD 8/15/2008 8035 A Liberty Road Baltimore MD 21244
P 01709
The Medicine Shoppe Corporation LB 7/14/2009 813 1/2 Reisterstown Ro Reisterstown MD 21136
P 01686
The Medicine Shoppe Corporation LB 11/15/2006 burg Village Shopping Ce Frostburg MD 21532
P 01901
The Medicine Shoppe Corporation HD 8/15/2008 5900 Reisterstown Road Baltimore MD 21215
P 01909
The Smith House Corporation HD 1/1/2007 7117 Campfield Road Baltimore MD 21207
Thomas Henry Maurice Aide HHS 9/20/1999 426 Edmondson Avenue Baltimore MD 21229
Thomas Tamara PCP HD 12/8/1997 90 Waverly Drive; #JJ102 Frederick MD 21702
Thomas Liston Citizen HHS 10/20/1998 4601 Burnside Southwes Cumberland MD 21502
Tuesday, December 20, 2011 Page 79 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Thomas Barbara Citizen HHS 12/5/1994 2135 Freemantle Court Waldorf MD 20601
Thomas Dwight N. PCP HD 9/17/1998 7049 Caldwell Road Pasadena MD 21122
Thomas Lindwall D.D.S. HHS 6/5/1995 10912 Lockwood Drive Silver Spring MD 20901
Thomas Patricia F. Aide HHS 9/19/1999 ectional Inst‐Women; P.O Jessup MD 20794
Thompson Carl N. PCP HD 7/24/1992 7412 Beech Avenue Baltimore MD 21206
Thompson Regina PCP HD 5/7/2003 524 Cedar Street Cambridge MD 21613
Thompson Stephanie Aide HHS 2/18/2010 008 Gallery Place, Apt. 3 Waldorf MD 20602
702685
Thompson Yvonne PCP HD 3/27/1996 914 E. Biddle Street Baltimore MD 21202
Thompson Colleen Nurse MFCU‐A 5/17/2005 312 Boardwood Drive Rockville MD 20850
Thornton Martha PCP HD 6/16/1993 402 Cedar Street Pocomoke MD 21851
Thornton Keisha PCP HD 3/12/2002 307 Barclay Street Salisbury MD 21853
Tilghman Anitra Citizen 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
1975WV; 13815KY; M
Tuesday, December 20, 2011 Page 80 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Tolliver John M.D. HHS 8/20/1998 8629 Cross Chase Court Fairfax Station VA
D 36868, 17373
Tom Victoria PCP HD 12/10/2004 Poplar Springs Road; Ap Rockville MD 20850
Tomboyeke Idrisa Aide MFCU‐A 7/25/2005 408 Torrington Place Silver Spring MD 20901
Tompkins Lauren Nurse HHS 10/20/2005 601 N. Eutaw Street Baltimore MD 21201
R 093760
Torain Doris Citizen HHS 5/6/1988 2359 Sundew Terrace Baltimore MD 21209
Towers, Jr. Earl Madison P.D. LB 10/15/1990 4335 E C I; Route 1, Box 5 Westover MD 21871
Towns Charles D.D.S. HHS 11/25/1983 6400 Rossville Blvd Baltimore MD 21237
Treece Thaddeus R. PCP HD 3/15/1994 2628 E. Madison Street Baltimore MD 21205
Truby Derrick P.D. HHS 10/20/2010 7018 Hamlet Avenue Parkville MD 21234
12736
Tuason Rhonda Nurse HHS 9/19/2002 25 Halfpenny Lane Baltimore MD 21228
Tullner William W. M.D. LB 1/27/2006 901 Medical Center Driv Rockville MD 20850
D 25136
Turner Joseph Citizen F 9/16/1993 807 Benninghouse Road Baltimore MD 21212
Twenty Four Seven H Corporation HD 7/28/2005 W. Seventh Street; PMB Frederick MD 21702
Tuesday, December 20, 2011 Page 81 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Tyco Clinical Lab. T. Husain Citizen 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
Uche Hyacinth R.Ph F 12/7/2003 1413 King William Drive Baltimore MD 21228
11960
Udebiuwa Oparaugo M.D. F 11/30/2006 450 West Central Avenue Davidsonville MD 21035
D 44603
United Medical, Inc. Corporation HHS 1/7/1998 639 Riverside Drive Annapolis MD 21403
Uplift Medical Corporation HD 3/22/2011 10 Riviera Street, Suite 1 Temple Hills MD 20748
Valentine Lisa D.D.S. HD 11/1/2010 111 Park Avenue Baltimore MD 21201
12365
Valentine Eugene Citizen HHS 10/20/2002 P. O. Box 867 Arnold MD 21012
Valerie's Assisted Livi Corporation HD 3/24/2004 5506 Wayne Avenue Baltimore MD 21207
Valove Paul M.D. LB 1/24/2007 1085 Little Patuxent Pkw Columbia MD 21044
D 17463
Van Horn Eugean C. Corporation HHS 9/15/1989 8163 Murry Hill Drive Fort Washington
Vandi Solomon Daniel Aide HHS 1/20/2006 0 Edmonston road; Apt. Greenbelt MD 20770
Varga Pal M.D. HHS 12/31/1991 213 Philadelphia Avenue Salisbury MD 20801
Tuesday, December 20, 2011 Page 82 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Vasiliades Minus M.D. LB 11/3/2011 101 Franklin Square Driv Baltimore MD 21237
D 64755
Vassallo Anthony Michael PCP HD 11/1/2006 455 N. Centre Street Cumberland MD 21502
Vaters Willa J. Corporation HHS 5/2/1989 Route 3, Box 144 Hagerstown MD 21741
Vaughn Hope L. Aide HHS 10/18/1993 1940 W. North Avenue Baltimore MD 21217
Vegetarian Institute Corporation F 11/3/2005 85 Columbia‐Gateway Dr Columbia MD 21046
Villars Maureen PCP HD 5/10/1996 11308 Gilsan Street Silver Spring MD 20902
Villaruz Rogelio M.D. F 6/28/1988 576 Stocketts Run Road Davidsonville MD 21035
D 20839
Wagner Keith Citizen F 6/5/1991 9304 Warren Street Silver Spring MD 20910
Waison Marion Smith M.D. LB 9/16/2005 oman Comp Care; Hicko Columbia MD 21044
D 28668
Waites Regina Marie Nurse F 8/2/2002 16425 Calla Hill Road NW Mount Savage MD
R 071263
Walker Tonya Aide HHS 3/13/1999 416 Brinkley Road; #402 Temple Hills MD 20748
Wallace Michelle PCP HD 12/27/2002 9409 Jolean Road Randallstown MD 21133
Wallach Daniel E. M.D. F 12/21/1992 90‐B Painters Mill Road Owings Mills MD 21117
D 24863
Tuesday, December 20, 2011 Page 83 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Ward David C. M.D. HHS 2/19/1999 317 Mondawmin Avenu Baltimore MD 21216
Warren Vinita Citizen HHS 12/20/1995 003 Georgian Wood Plac Wheaton MD 20902
Watkins Mildred PCP HD 8/7/2008 South Cedar Street, Apt Cumberland MD 21502
Watkins Rose PCP HD 9/30/2008 1027 Cosby Avenue Cambridge MD 21613
Wattay Ellen G. P.T. LB 1/17/2006 408 Parkwood Drive Salisbury MD 21804
13600
Watts Sherrie Citizen F 10/28/1987 1907 Forest Park Apt; 53 Baltimore MD 21207
Waxler Richard M. Citizen HHS 6/19/2003 6015 Middewater Court Columbia MD 21044
Weaver Darlynn PCP HD 8/6/1997 1503 East 29th Street Baltimore MD 21218
Weaver Brian M.D. LB 4/29/2010 1124 N. Main Street Sikeston MO 63801
D 42017
Webster Dewitt D.D.S. LB 8/1/1990 6409 Ager Road Hyattsville MD 20782
4123
Weems George M.D. LB 7/1/1994 BOX 262‐C Prince Frederick
D 12969
Wehren Lois M.D. LB 3/13/1997 4098 Fragile Sail Way Ellicott City MD 21042
D 21325
Weiss Sam Arthur Aide HD 6/11/2004 3506 Glen Avenue Baltimore MD 21215
Tuesday, December 20, 2011 Page 84 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Weissfuss Meaghan N. Citizen MFCU‐A 12/7/2005 934 North Street; Apt. 5 Libertown MD 21762
Weitzman Warren Citizen HHS 10/20/2002 107 Thomas Branch Driv Bethesda MD 20817
Welch Barbara Jean Nurse HHS 6/20/2006 outhern Avenue; Bldg 9 Tempe AZ 85282
Wells Luititia D. PCP HD 7/1/2002 P.O. Box 205 Newburg MD 20664
Weneck Bruce M.D. F 8/27/1986 303 Memorial Blvd Hagerstown MD 21740
D 22698
Werner Stephanie A. Nurse HHS 4/20/2004 423 Lincoln Avenue Glen Burnie MD 21061
R 097064
Weston Danly P. D.D.S. HHS 4/22/1997 12821 Old Fort Road Fort Washington
Wetmore Thomas LCSW LB 4/8/2011 0‐K Chinquapin Round Ro Annapolis MD 21401
12570
Wheeler, Jr. Rudolph D. Citizen F 2/14/1997 2007 Mayfield MD Baltimore MD 21213
White Sandra E. Aide HHS 4/12/1993 4604 Bromley Ave Suitland MD 20746
White Puanani J. Citizen HHS 10/20/2004 405 Parsonage Lane Saint Michaels
White, Jr. Charles Edward P.A. HHS 9/26/1990 2921 Pulaski Highway Baltimore MD 21224
Whitehead Jessica PCP HD 5/16/1996 6713 Newport Road Hyattsville MD 20784
Tuesday, December 20, 2011 Page 85 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Wiesman Albert M.D. HHS 4/12/1993 605 Orchard Brook Terra Rockville MD 20854
Wilborne Victor G. Citizen HHS 9/2/1992 606 McClean Blvd; Apt. Baltimore MD 21212
Wilder Craig R. M.D. HHS 7/20/2010 10 Moores Plans Bouleva Upper Marlboro
430, A77700, MD034
Wilkes Darryl Ivan Citizen HD 9/21/2005 12428 Gable Lane Ft. Washington
Wilkinson Morris A. M.D. HHS 4/13/1993 7815 Old Reciever Rd Frederick MD 21702
D 20279
Wilks Deborah Citizen HHS 11/15/1995 23 Woodlawn Drive; Apt Baltimore MD 21207
Williams Thomas C. Aide MFCU‐A 3/2/2004 1113 Bonaparte Avenue Baltimore MD 21218
Williams Sharon PCP HD 10/7/1996 O. Box 316; Peabody Stre Leonardtown MD 20650
Williams Carter M.D. F 4/14/1993 3104 Woodholme Ave Baltimore MD 21234
D 27537
Williams Arnita L. PCP HD 2/18/1998 1025 Webb Court Baltimore MD 21202
Williams Joanie PCP HD 9/26/1997 reenmount Avenue; 2nd Baltimore MD 21218
Williams Cleveland M.D. LB 8/20/1991 1111 Spring St; Ste 103 Silver Spring MD 20910
D 26740
Williams Lillian Nurse HHS 4/20/2003 8925 Footed Ridge Columbia MD 21045
Tuesday, December 20, 2011 Page 86 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Williams Deborah PCP HD 9/17/1998 5409 Schley Avenue Baltimore MD 21213
Williams Joanie Linden PCP HD 9/26/1997 reenmount Avenue; 2nd Baltimore MD 21218
Williams Barbara L. Aide HHS 11/10/1992 6934 Walker Rd; #B‐1 Capitol Heights MD
Williams Daniella Citizen F 4/23/2003 1523 Ellamont Avenue Baltimore MD 21206
Williams Olivette PCP HD 1/6/1998 6237 Maxwell Drive Camp Springs MD
Williams Fortune J. M.D. HHS 9/20/2005 5010 York Road Baltimore MD 21212
D 30591
Williams, III Robert X. M.D. HHS 10/19/2006 3913 Fleetwood Avenue Baltimore MD 21206
D 62991
Willis Vida Marie Aide HHS 5/21/1997 16 Towanda Ave; 1st Flo Baltimore MD 21215
Wilson Tasha Aide MFCU‐A 3/11/2011 33 Deepspring Court Reisterstown MD 21136
Wilson Donisha Aide MFCU‐A 6/16/2006 11031 Kristin Way Worten MD 21678
Wilson Tamela PCP HD 9/27/1995 751 Woods Road Cambridge MD 21613
Wilson Stuart K. M.D. LB 12/20/2000 717 Oyster Cove Dr Grasonville MD 21638
D 35598
Wilson Rose PCP HD 5/15/1998 2926 Miles Avenue Balitmore MD 21211
Tuesday, December 20, 2011 Page 87 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Winder Tyrone Citizen HHS 12/20/1995 4608 Marble Hall Road Baltimore MD 21239
Windsor Respite Corporation HD 9/20/2005 7407 Castlemoore Road Windsor Mill MD 21244
Wingate Shonelle PCP HD 11/27/2009 8601 Greens Lane Baltimore MD 21224
Wischer Noreen Ann PCP HD 3/19/2005 311 S. Robinson St. Baltimore MD 21224
Witriol Sol M.D. LB 9/26/2001 8679 Ft. Smallwood Road Pasadena MD 21122
D 29137
Wongus Rosalie Citizen F 11/27/1999 530 N. Curley Street Baltimore MD 21205
Woodard Dale Avery Aide MFCU‐A 12/30/2003 206 Slitting Mill Place Baltimore MD 21228
Woods Joyce V. Ph.D. HHS 5/8/1991 17525 Sir Galahad Way Ashton MD 20861
Wooldridge Judith Nurse HHS 9/19/2003 1306 Willow Oak Drive Frederick MD 21701
R 043792
Wright Stephanie Aide HHS 2/27/2000 P. O. Box 11949 Baltimore MD 21207‐
Wright Cynthia McGinnis Nurse HHS 10/19/2006 42825 Shaler Street Chantilly VA 20152
092200(VA); R078532
Yarborough Pamela PCP HD 3/22/2004 37 Faywood Court; Apt. Glen Burnie MD 21060
Yazdani Farshad M.D. LB 4/4/1999 339 E. Antietam St Hagerstown MD 21740
D 37046
Tuesday, December 20, 2011 Page 88 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department
LAST NAME FIRST NAME SPECIALTY SANCTION TYPE
SANCTION DATE ADDRESS CITY/STATE/ZIP
LICENSE #
Yoshabell's House, I,II, Corporation HD 5/24/2006 511 Allenswood Road, et Randallstown MD
Youmatz Henry F. D.D.S. F 12/11/1981 503 West Lombard Stree Baltimore MD 21223
Young Sara PCP HD 5/16/1995 381‐D Willows Road Lexington Park MD
Young Jennifer PCP HD 3/3/2005 6771 Johnson Creek Roa Crisfield MD 21817
Young Leonard H. Citizen HHS 8/20/2009 7003 Targuin Avenue Temple Hills MD 20748
Young Henry A. M.D. HHS 2/13/1995 901 Eastern Avenue Baltimore MD 21221
D 33875
Yu Young H. M.D. LB 9/21/2001 1205 York Place; Ste. 30A Towson MD 21204
D 09075
Zakriya Khwaja MD LB 12/16/2010 4940 Eastern Avenue Baltimore MD 21224
D 56141
Zakrzeski Paul Nurse F 6/28/2002 210 S. Sunset Drive Shrewsbury PA 17361
Zazo Loretta Nurse HHS 12/18/2008 ox 219 4 Water St. Pier A Charlestown MD 21914
Ziscovici Silviu M.D. LB 12/1/2010 400 Rockville Pike Ste. 5 Rockville MD 20852
D 47167
Zuckerman David M.D. LB 7/29/2009 5 Medical Center Drive # Rockville MD 20850
D 38315
Tuesday, December 20, 2011 Page 89 of 89
Sanction Type:MFCU‐A = Medicaid Fraud Control Unit Adult Abuse Control
HHS = Department of Health and Human Services ‐ Medicare Exclusion
LB = Licensing Board
F = Individual or Entity Convicted of Medical Fraud
HD = Health Department