ROGER DALE ANDERSON

Debarred entity

Born 22 Sep 1957 (69 years old),United States. Named in 6 sanctions listings.

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Summary

License number: PROMISe# 001050689

Provider ID: 2276880

Sanctions and listings6

Listed
31 May 2022
Effective
15 Oct 2020
Reciprocal
OPMUS SAM Procurement ExclusionsUnited StatesActive
Prohibition/Restriction
sam.gov
Effective
19 May 2022
Official designation
Department of Human ServicesUS Pennsylvania Medicheck listUnited StatesPrecluded
pa.gov
Effective
19 May 2022
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
28 Mar 2019
Official designation
Ohio Department of MedicaidUS Ohio Medicaid Excluded and Suspended ProvidersUnited StatesExcluded
medicaid.ohio.gov
Official designation
CDER; US Food and Drug AdministrationUS FDA Clinical Investigator Disqualification ProceedingsUnited StatesDisqualified
Last updated 10 Jan 2005fda.gov fda.gov
Effective
19 May 2022
Official designation
Pennsylvania Department of Human servicesUS Delaware Medicaid Sanctioned ProvidersUnited States
Federal and PA indefinite suspension Criminal Conviction
medicaid.dhss.delaware.gov

Positions held1

Period not retained
INTERNAL MEDICINE (PHYSICIAN (MD, DO))

Identifiers2

Identifier	Number
ID number	MD033488E
NPI number	1689676264

Other names3

Also known as3

Roger D AndersonRoger Dale Anderson, MD #78202-061Roger D. Anderson

Addresses4

P O BOX 300, #78202-061, WAYMART, PA 18472
FLEMING, OH 45729
Wayne, PA
Pittsburgh, PA

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