CREEL SAYRE JR CORNWELL
Debarred entityBorn 5 Dec 1943 (82 years old),United States. Named in 5 sanctions listings.
Sanctions and listings5
- Listed
- 18 Dec 2014
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).
- Effective
- 18 Dec 2014
List of Excluded Individuals/Entities (LEIE)
Department of Health and Human Services Office of Inspector GeneralUS Health and Human Services Inspector General ExclusionsUnited States
1128b4
Programme US-HHS-OIGoig.hhs.govoig.hhs.gov
- Effective
- 18 Dec 2014
Official designation
Department of Human ServicesUS Pennsylvania Medicheck listUnited StatesPrecluded
- Effective
- 18 Dec 2014
Official designation
Medicaid Management Information SystemUS West Virginia Medicaid Provider Exclusions and TerminationsUnited States
Excluded Indefinitely
License voluntarily surrendered to WV BOM
- Listed
- 21 Aug 2015
- Effective
- 30 Jan 2015
Reciprocal
OPMUS SAM Procurement ExclusionsUnited StatesActive
Prohibition/Restriction
Debarment or Suspension by U.S. Office of Personnel Management from participation as a health care provider in the Federal Employees Health Benefits Program (FEHBP), under the authority of 5 U.S.C. 8902a and implementing regulations at 5 CFR Part 890, Subpart J. Debarred or suspended providers are prohibited from receiving payment, directly or indirectly, from FEHBP funds for items or services furnished to an employee, annuitant, family member, or former spouse covered by a health benefits plan described by 5 U.S.C. 8903 or section 8903a. **** If both DHHS and OPM have a record for the same individual, please contact the Agency with the earlier Active date for verification.
Positions held1
Period not retained
INTERNAL MEDICINE (PHYSICIAN (MD, DO))
Identifiers1
| Identifier | Number |
|---|---|
| NPI number | 1265469472 |
Other names3
Also known as3
Addresses4
Clarksburg, WV 26301
120 Medical Park Drive, Suite 300, Bridgeport, WV 26330
(WV), (WV)
220 BUCKHANNON AVENUE, CLARKSBURG, WV 26301
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