TERRY G GARDNER
Debarred entityBorn 1 Jan 1948 (78 years old),United States. Named in 4 sanctions listings.
Summary
License number: 2009015805
UPIN: A10548
Sanctions and listings4
- Effective
- 20 Nov 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.govoig.hhs.gov
- Listed
- 6 Dec 2012
- Effective
- 20 Nov 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).
- Effective
- 22 May 2012
Official designation
Missouri Medicaid Audit & ComplianceUS Missouri Medicaid Provider TerminationsUnited States
LICENSE REVOKED
- Listed
- 2 Jan 2013
- Effective
- 28 Dec 2012
Positions held1
Period not retained
OPHTHALMOLOGY (PHYSICIAN (MD, DO))
Identifiers1
| Identifier | Number |
|---|---|
| NPI number | 1083668172 |
Other names1
Also known as1
Addresses2
22 ARROWHEAD ESTATES LN, STE 1, CHESTERFIELD, MO 63017
CHESTERFIELD, MO 63017
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