SAMIR WAHIB
Debarred entityBorn 12 Jun 1967 (59 years old),United States. Named in 6 sanctions listings.
Summary
License number: 83671(GA) , 02005731A(IN) , 5101024373(M), 214272 (NY), 34.007302(OH) , OS0141111(PA)
Provider ID: 2154261, 0052027
Sanctions and listings6
- Effective
- 13 Feb 2024
Official designation
Ohio Department of MedicaidUS Ohio Medicaid Excluded and Suspended ProvidersUnited StatesExcluded
- Listed
- 6 Aug 2024; 11 Jun 2024
- Effective
- 12 Mar 2024
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.
- Effective
- 18 Jan 2024
Official designation
Department of Human ServicesUS Pennsylvania Medicheck listUnited StatesPrecluded
- Effective
- 18 Jan 2024
List of Excluded Individuals/Entities (LEIE)
Department of Health and Human Services Office of Inspector GeneralUS Health and Human Services Inspector General ExclusionsUnited States
Waiver start date: 2024-02-27, State: IN, Read more: https://oig.hhs.gov/exclusions/waivers.asp
1128a1
Programme US-HHS-OIGoig.hhs.govoig.hhs.gov
- Effective
- 18 Jan 2024
Official designation
New York State Office of the Medicaid Inspector GeneralUS New York State Medicaid ExclusionsUnited States
- Effective
- 18 Jan 2024
Official designation
Pennsylvania Department of Human ServicesUS Delaware Medicaid Sanctioned ProvidersUnited States
Positions held2
Period not retained
GYN/OBS (PHYSICIAN (MD, DO))
Period not retained
DO
Identifiers4
| Identifier | Number |
|---|---|
| ID number | OS014111 |
| ID number | 00214272 |
| NPI number | 1598960833 |
| NPI number | 1851353866 |
Other names4
Also known as4
Addresses3
(IN), (IN)
SULLIVAN, IN 47882
2204 N SECTION ST, SULLIVAN, IN 47882
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