ROBERT EARL JR WINDSOR
Debarred entityBorn 27 Aug 1961 (65 years old),United States. Named in 6 sanctions listings.
Summary
Provider ID: 0070787, 2572096
UPIN: C23662
Sanctions and listings6
- Listed
- 18 May 2017
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
- 9 Nov 2016
Official designation
Georgia Department of Community HealthUS Georgia Healthcare provider exclusionsUnited States
- Listed
- 8 Sep 2017; 13 Nov 2017
- Effective
- 28 Jul 2017
- Effective
- 13 Dec 2016
Official designation
New York State Office of the Medicaid Inspector GeneralUS New York State Medicaid ExclusionsUnited States
- Effective
- 18 May 2017
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.govoig.hhs.gov
- Effective
- 4 Apr 2016
Official designation
Ohio Department of MedicaidUS Ohio Medicaid Excluded and Suspended ProvidersUnited StatesSuspended
Positions held1
Period not retained
PAIN MANAGEMENT (PHYSICIAN (MD, DO))
Identifiers3
| Identifier | Number |
|---|---|
| ID number | 00256871 |
| NPI number | 1235186636 |
| Registration number | 1235342559 |
Other names3
Also known as3
Addresses2
CUMMING, GA 30041
3780 CASAROGA DR, CUMMING, GA 30041
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