LEE ADAM BALAKLAW
Debarred entityBorn 7 Jan 1955 (71 years old),United States. Named in 5 sanctions listings.
Summary
UPIN: B81375
License number: 29892
Sanctions and listings5
- Effective
- 1 May 2013
Official designation
Kentucky Department for Medicaid ServicesUS Kentucky Terminated and Excluded ProvidersUnited States
HHS/OIG Exclusion
- Listed
- 20 Jun 2013
- Effective
- 1 May 2013
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
- 1 May 2013
Official designation
New York State Office of the Medicaid Inspector GeneralUS New York State Medicaid ExclusionsUnited States
- Effective
- 1 May 2013
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
- Listed
- 19 Aug 2013
- Effective
- 26 Jul 2013
Positions held1
Period not retained
ANESTHESIOLOGY (PHYSICIAN (MD, DO))
Identifiers2
| Identifier | Number |
|---|---|
| ID number | 00166887 |
| NPI number | 1396739736 |
Other names2
Also known as2
Addresses2
LOUISA, KY 41230
1057 MEADOWBROOK LANE, LOUISA, KY 41230
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