Jaime Guerrero

Debarred entity

Born 28 Oct 1967 (58 years old),United States. Named in 5 sanctions listings.

Screen this subject

Summary

UPIN: G58949

License number: 30735

Sanctions and listings5

Effective
20 Oct 2016
List of Excluded Individuals/Entities (LEIE)
Department of Health and Human Services Office of Inspector GeneralUS Health and Human Services Inspector General ExclusionsUnited States
1128a1
Programme US-HHS-OIGoig.hhs.gov oig.hhs.gov
Effective
22 Jan 2015
Official designation
Kentucky Department for Medicaid ServicesUS Kentucky Terminated and Excluded ProvidersUnited States
Violation of KMAP Policy
chfs.ky.gov
Listed
21 Oct 2016
Effective
20 Oct 2016
Reciprocal
HHSUS SAM Procurement ExclusionsUnited StatesActive
Prohibition/Restriction
Excluded by the Department of Health and Human Services pursuant to section 1128 or other sections of the Social Security Act from participation in all Federal health care programs (the scope and effect of Federal health care program exclusions is described in 42 C.F.R. section 1001.1901).
sam.gov
Listed
3 Aug 2017
Effective
22 Feb 2017
Reciprocal
OPMUS SAM Procurement ExclusionsUnited StatesActive
Prohibition/Restriction
sam.gov
Effective
16 Jan 2015
Official designation
Indiana Family and Social Services AdministrationUS Indiana Medicaid Terminated Provider ListUnited States
in.gov

Positions held1

Period not retained
PAIN MANAGEMENT (PHYSICIAN (MD, DO))

Identifiers1

Identifier	Number
NPI number	1699748228

Other names1

Also known as1

Jaime Guerrero, MD

Addresses8

P O BOX 10, LISBON, OH 44432
Louisville, IN
LISBON, OH 44432
Kendallville, IN
Huntington, IN
Columbia City, IN
Jeffersonville, IN
Logansport, IN

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