CHARLES M LIVINGSTON
Debarred entityBorn 28 Oct 1955 (70 years old),United States. Named in 3 sanctions listings.
Summary
UPIN: P33289
Sanctions and listings3
- Effective
- 24 Mar 2013
Official designation
New York State Office of the Medicaid Inspector GeneralUS New York State Medicaid ExclusionsUnited States
- Effective
- 20 May 2014
List of Excluded Individuals/Entities (LEIE)
Department of Health and Human Services Office of Inspector GeneralUS Health and Human Services Inspector General ExclusionsUnited States
1128a4
Programme US-HHS-OIGoig.hhs.govoig.hhs.gov
- Listed
- 28 May 2014
- Effective
- 20 May 2014
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).
Positions held1
Period not retained
PHYSICIAN ASSISTANT (IND- LIC HC SERV PRO)
Identifiers2
| Identifier | Number |
|---|---|
| ID number | 00004586 |
| NPI number | 1174625537 |
Other names1
Also known as1
Addresses2
MOBILE, AL 36608
9975 BRECKENRIDGE DR, MOBILE, AL 36608
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