ANTOINE D JOHNSON

Debarred entity

Born 17 Dec 1970 (55 years old),United States. Named in 4 sanctions listings.

Screen this subject

Summary

UPIN: H02119

Sanctions and listings4

Effective
18 Oct 2012
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
Listed
2 Jan 2013
Effective
26 Nov 2012
Reciprocal
OPMUS SAM Procurement ExclusionsUnited StatesActive
Prohibition/Restriction
sam.gov
Listed
24 Oct 2012
Effective
18 Oct 2012
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
Effective
28 Feb 2009
Official designation
Washington State Health Care AuthorityUS Washington State Provider Termination and Exclusion ListUnited States
License Revoked
hca.wa.gov

Positions held1

Period not retained
FAMILY PRACTICE (PHYSICIAN (MD, DO))

Identifiers2

Identifier	Number
ID number	MD00039048
NPI number	1639136294

Other names1

Also known as1

Johnson, Antoine D MD

Addresses2

P O BOX 800, #61306-19, HERLONG, WA 96113
HERLONG, WA 96113

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