THOMAS JACOB SHAKNOVSKY

Debarred entity

Born 22 Jan 1982 (44 years old),United States. Named in 5 sanctions listings.

Screen this subject

Summary

State license type / number: DO / 4296

Sanctions and listings5

Effective
20 Jan 2025
List of Excluded Individuals/Entities (LEIE)
Department of Health and Human Services Office of Inspector GeneralUS Health and Human Services Inspector General ExclusionsUnited States
1128b4
Programme US-HHS-OIGoig.hhs.gov oig.hhs.gov
Effective
20 Jan 2025
Official designation
New York State Office of the Medicaid Inspector GeneralUS New York State Medicaid ExclusionsUnited States
omig.ny.gov
Effective
20 Jan 2025
Official designation
Iowa Health & Human ServicesUS Iowa Medicaid Terminated Provider ListUnited States
Federal Exclusion
Sanction end as published: Federal Authority
OIG- 1128(b)(4)
hhs.iowa.gov
Effective
10 Jun 2025
Official designation
Iowa Health & Human ServicesUS Iowa Medicaid Terminated Provider ListUnited States
Sanction end as published: Indefinite
Termination
441 IAC 79.2(2)(m)(n)(v)
hhs.iowa.gov
Listed
24 Mar 2025
Effective
28 Feb 2025
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.
sam.gov

Positions held1

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

Identifiers2

Identifier	Number
ID number	00279956
NPI number	1568690014

Other names2

Also known as2

Thomas J. ShaknovskySHAKNOVSKY THOMAS JACOB

Addresses2

38468 EMERALD COAST PKWY, STE, DESTIN, FL 32541
DESTIN, FL 32541

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