WILSON THEOPHILO ASFORA

Debarred entity

Born 27 Dec 1954 (71 years old),United States. Named in 6 sanctions listings.

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Summary

State license type / number: MD / SD 03404

Sanctions and listings6

Effective
30 Apr 2021
Official designation
North Dakota Health and Human ServicesUS North Dakota Medicaid Terminated Provider ListUnited States
Failure to comply with rules and regulations.
hhs.nd.gov
Effective
30 Apr 2021
List of Excluded Individuals/Entities (LEIE)
Department of Health and Human Services Office of Inspector GeneralUS Health and Human Services Inspector General ExclusionsUnited States
1128b7
Programme US-HHS-OIGoig.hhs.gov oig.hhs.gov
Effective
30 Apr 2021
Official designation
Iowa Health & Human ServicesUS Iowa Medicaid Terminated Provider ListUnited States
Federal Exclusion
Sanction end as published: Indefinite
OIG - 1128(b)(7)
hhs.iowa.gov
Listed
23 Jun 2021
Effective
30 Apr 2021
Reciprocal
HHSUS SAM Procurement ExclusionsUnited StatesActive
Prohibition/Restriction
sam.gov
Listed
13 Oct 2021
Effective
29 Jul 2021
Reciprocal
OPMUS SAM Procurement ExclusionsUnited StatesActive
Prohibition/Restriction
Debarment or Suspension by the U.S. Office of Personnel Management under the authority of 5 U.S.C. 8902a and implementing regulations at 5 CFR Part 890, Subpart J, excludes health care providers from participation in the Federal Employees Health Benefits Program (FEHBP). Debarred or suspended health care 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 federal health benefits plan.
sam.gov
Effective
30 Apr 2021
Official designation
Iowa Health & Human ServicesUS Iowa Medicaid Terminated Provider ListUnited States
Sanction end as published: Indefinite
Termination
441 IAC 79.2(2)(n)(o)
hhs.iowa.gov

Positions held1

Period not retained
NEUROLOGY (PHYSICIAN (MD, DO))

Identifiers1

Identifier	Number
NPI number	1194706754

Other names2

Also known as2

Wilson T AsofraAsfora, Wilson

Addresses3

800 W WATERCRESS CIRCLE, SIOUX FALLS, SD 57108
SIOUX FALLS, SD 57108
1210 W 18th St Ste 100, Sioux Falls, SD 57104

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