David L Dickerman
Debarred entityBorn 9 Apr 1963 (63 years old),United States. Named in 4 sanctions listings.
Summary
UPIN: G82209
Sanctions and listings4
- Listed
- 12 Dec 2017
- Effective
- 28 Sep 2017
- Effective
- 20 Jul 2017
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.govoig.hhs.gov
- Effective
- 7 Oct 2016
Official designation
Washington State Health Care AuthorityUS Washington State Provider Termination and Exclusion ListUnited States
License Suspended
- Listed
- 20 Jul 2017
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
ANESTHESIOLOGY (PHYSICIAN (MD, DO))
Identifiers2
| Identifier | Number |
|---|---|
| ID number | MD00036697 |
| NPI number | 1962432591 |
Other names1
Also known as1
Addresses2
3409 W JOHN DAY AVE, KENNEWICK, WA 99336
Kennewick, WA 99336
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