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Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
1st Priority Physical Therapy LLC Group 1134422363 Detroit 8/2/2016 MDHHS-OIG
Summary Suspension
AGSS Properties LLC Home Help Agency Ann Arbor 8/29/2017 MDHHSA Dental Center PC - Dental Group Allen Park 5/20/2004 HHS 1128(a)(1)A Dental Center PC - Dental Group Southgate 7/20/2004 1128(a)(1)A Place Called Home Goree Jimmie
Non Emergency Transportation Detroit 6/1/2017 MDHHS
Abyssinia Love Knot Physical Therapy LLC Group 1255667556 Southfield 8/3/2016 MDHHS-OIG
Summary Suspension
Absolute Apothecary
Pharmacy/Medical Supplier Detroit 5301004065 5/24/1994 HHS 1128(b)(3)
Absolute Prescription Center
Pharmacy/Medical Supplier Detroit 5301004594 5/23/1994 HHS 1128(b)(3)
Advanced Care Services Group 1811290794 Oak Park 12/22/2015 HHS 6/8/2018 MDHHS-OIG
Summary Suspension Terminated
Advanced Homecare Pharmacy Pharmacy 1710923107 Redford 5301008284 10/14/2015
MI-Licensing and Regulatory Affairs
Voluntarily Surrendered
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Advanced Medical Services PLLC dba Advanced Sleep Diagnostic of Michigan Group 1922451632 Lansing 7/16/2018 MDHHS-OIG 8/15/2018 MDHHS-OIG
Summary Suspension Terminated
Advanced Sleep Neurodiagnostics PC Group 1134143654 Farmington Hills 10/15/2017
Summary Suspension
Alam, Waseem MD PC Medical Group 1184724114 Bloomfield Hills 7/29/2015
Summary Suspension
Ali Elhorr M.D.P.C. Medical Group 1558651422 Dearborn 5/19/2015 DCH-OIG
Summary Suspension
All American Pharmacy LLC Pharmacy 1609151109 Flint 2/14/2018
MI-Licensing and Regulatory Affairs
Volunatarily Surrendered - Controlled Substance Facilty License Only
Allied Geriatric Services PC Medical Group 1821196551 Birmingham
3/6/2013 DCHSummary Suspension
American Clinical Lab, Inc. Laboratory Flint 7/1/1988 DCH
Violation of Medicaid False Claim Act
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
American Medical Missionary Care Group 1578600920 Saginaw 12/5/2016 MDHHS-OIG 1/9/2017 MDHHS-OIG
Summary Suspension Termination
Americare LLC Williams James Home Help Saginaw 10/28/2016 MDHHS
Andy's Motown Pharmacy Pharmacy Detroit 5301008407 3/28/2011
MI-Licensing and Regulatory Affairs Suspended
Angels Touch Home Health Care LLC Home Health 1922252865 Taylor 3/6/2013 DCH
Summary Suspension
A.N.N. IncHome Health Agency 1598814501 Livonia 7/22/2015 MDHHS
Summary Suspension
A Plus Hospice & Palliative Care, Inc. Hopsice 1659648095 Livonia 7/22/2015 MDHHS
Summary Suspension
Applewood Manor Nursing Facility McMillan 48401 3/19/1999
MI-Licensing and Regulatory Affairs
License Revocation
Associated Physicians of Southeast Michigan P.C. Group 1336240951 Dearborn 8/3/2016 MDHHS-OIG
Summary Suspension
At Home Doctors P.C. Group 1851627053 Lansing 5/23/2013 DCH-OIG 6/4/2015 DCH-OIG
Suspended Terminated
AttarMD PC Group 1275720716 Livonia 9/19/2017 MDHHS-OIGSummary Suspension
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Awerbuch, Gavin MD PC Group 1003130352 Saginaw 6/19/2014 DCH-OIG
Summary Suspension
Bay City Vascular P.C. Group 1346424009 Bay City 9/30/2015 MDHHS
Summary Suspension
Belle Woods Continuing Care Center Nursing Facility Bellville 82439 10/30/1999
MI-Licensing and Regulatory Affairs
License Revocation and Summary Suspension
Benstar Pharmacy LLC Pharmacy 1255679924 Detroit
5315058298 5301010006 2/14/2018
MI-Licensing and Regulatory Affairs
5/15/2018 6/14/18 MDHHS-OIG
Voluntarily Surrendered Controled Substance Facility License only Summary Suspended Terminated
Beval Medical Equipment & Supplies Supplier 1235163551 Royal Oak 562580933 06/11/2015 CMS RevokedBirmingham Rehab & Physical Therapy Center, Inc.
Rehab Therapy Services Detroit 36687 12/18/2003 HHS 1128(a)(1)
BrightSmiles Dental Group 1508229014 West Bloomfield 20153421 1/26/2017 MDHHS TerminatedBrightSmiles PA 161 Dental Group 1083848311 Waterfrd 20152161 1/26/2017 MDHHS TerminatedBroadstreet Nursing Center Nursing Facility 83418 9/27/2000
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Buckley's Pharmacy 102
BerriColeRahman
SamirAnthonyShamimur Pharmacy 1962764506 Hazel Park 5301009840 5/22/2018 MDHHS-OIG
Summary Suspension
Buckley's Pharmacy 103
BerriCole
SamirAnthony Pharmacy 1902148356 Warren 5301010625 5/22/2018 MDHHS-OIG
Summary Suspension
Buckley's Pharmacy 104
BerriColeHamka
Samir Anthony Ghassan Pharmacy 1922421528 Detroit 5301010311 5/22/2018 MDHHS-OIG
Summary Suspension
Buckley's Pharmacy 105
BerriColeRahman
SamirAnthonyShamimur Pharmacy 1861882599 Warren 5301010625 5/22/2018 MDHHS-OIG
Summary Suspension
Canton Urgent Care P.C. Group 1992830863 Canton 5/18/2016
Summary Suspension
Carpenter Pharmacy Pharmacy 1578655627 Hamtramck 5315015095 6/14/2018
MI-Licensing and Regulatory Affairs
Controlled Substance C3-Facility license only summary suspended
Cedar Knoll Care Center Nursing Facility Grass Lake 3/7/2007 DCH
License Revocation
Centrad Healthcare LLC Group 1346243979 Naperville, IL 11/14/2017 MDHHS-OIG
Summary Suspension
Certified Air Respiratory Equipment, Inc. (aka CARE, Inc.) Medical Supplier Southfield 7/4/1996 HHS 1128(a)(1)
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Chiropractic Associates, Inc. Chiropractic Group Ludington 5/6/1996 HHS 1128(b)(8)Christina L Kimbrough PLLC Group 1770933194 Southfield 5/1/2018 MDHHS-OIG
Summary Suspension
Clinical Psychiatric Medicine PC Group 1386677185 Grandville 7/18/2013 DCH-OIG SuspendedCommerce Township Pharmacy Pharmacy 1851616452 Commerce Township 8/31/2011 DCH 5/30/2016 MDHHS-OIG
Summary Suspension Terminated
Community Rehabiltation Services Group 1669424776 Rose City 7/13/2016 MDHHS-OIG
Summary Suspension
Compassionate Doctors PC Group 1326153578 Southfield 7/30/2013 DCH-OIG 1128(a)(2)Complete Health, LLC Group Group 1083801500 Livonia 6/21/2011 HHSConant Plaza Pharmacy LLC Berri Samir R Pharmacy 1437202587 Detroit 5301007843 5/22/2018 MDHHS-OIG
Summary Suspension
Corner Drugstore of Detroit Pharmacy Detroit 5301003862 8/19/1988 DCH
Violation of Medicaid False Claim Act
Courtyard Manor Farmington Hills, INC Group Walled Lake 9/24/2012 HHS 1128(a)(2)
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Creams N Caps Pharmacy 1386972859 Southfield 5301010570 10/14/2015
MI-Licensing and Regulatory Affairs
Voluntarily Surrendered
Cutting Edge Orthopaedics LLC Group 1295070746 Sylvania, OH 9/15/2015 MDHHS-OIG SuspendedDai Care Services LLC Home Help Agency Farmington Hills 1/18/2017 MDHHS-OIG
Summary Suspension
Daneshvar, Gerald MD PLLC Medical Group 1316347917 West Bloomfield 7/29/2015 DCH-OIG
Summary Suspension
Davenport Pharmacy Pharmacy 1548585136 Saginaw 8/31/2011 DCH-OIG 5/23/2016 MDHHS-OIG
Summary Suspension Termination
Dearborn Family Medicine Center Medical Group 1467407080 Dearborn 7/8/2013 DCH-OIG 5/5/2016 MDHHS-OIG
Summary Suspension Terminated
Dearborn Internist P.C. Medical Group 1023314341 Dearborn 3/14/2017 MDHHS-OIG
Summary Suspension
Dearborn Pharmacy, Inc. Pharmacy Dearborn 2/20/2006 HHS 1128(a)(3)
Dearborn Nuro Clinic PC Group 1568638088 Dearborn 12/1/2016 MDHHS-OIG 4/12/2018 MDHHS-OIG
Summary Suspension Terminated
Dearborn Podiatric Surgeons PC Group 1447467485 Dearborn 12/3/2017 MDHHS-OIG
Summary Suspension
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Dearborn Rx Pharmacy Group 1982054383 Dearborn 5301010958 7/26/2017
MI-Licensing and Regulatory Affairs 12/13/2017
MI-Licensing and Regulatory Affairs
Summary Suspension Voluntary Termination
Dental Health Care Clinics, Inc. Dental Group Detroit 4/11/1995 HHS 1128(a)(1)Detroit Diverse Care, Inc. Physician Group Detroit 3/16/1997 HHS 1128(a)(1)Detroit Medical Clinic Medical Group 1245244110 Detroit 7/30/2013 DCH-OIG
Summary Suspension
Detroit Visiting Physicians PLLC Yasin Faris Medical Group 1801085022 Dearborn 7/11/2018 MDHHS-OIG
Summary Suspension
Diamond Pharmacy Pharmacy 1720380140 Kalamazoo NCPDP 2374724 8/19/2011 DCH 6/2/2016 MDHHS
Summary Suspension Termination
Downriver Medical Associates PLC Physician Group 1114055811 Monroe 3/21/2013 DCH 3/21/2013 DCH
Summary Suspension Termination
Durand Clinic PC Physician Group Durand 9/20/2001 HHS 1128(a)(3)Dwight E. Smith MD PC Physician Group 1003849753 Detroit 5/29/2012 DCH
Summary Suspension
East Village Pharmacy Pharmacy 1982928818 Dearborn 8/29/2016 MDHHS-OIG
Summary Suspension
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
EB James Nursing Center Nursing Facility Detroit 83422 2/12/2002
MI-Licensing and Regulatory Affairs
License revocation and summary suspension
Elrington Medical Center PLLC
Medical Supply Company 1205875697 Redford 10/22/2013 DCH-OIG
Summary Suspension
Elrose Health Services, Inc. SA Treatment Detroit 21431 4/17/1995
MI-Licensing and Regulatory Affairs 10/20/1998 HHS
10/20/98: 1128(a)(1)
Elrose Health Services, Inc. SA Treatment Detroit 21391 4/17/1995
MI-Licensing and Regulatory Affairs 10/20/1998 HHS
10/20/98: 1128(a)(1)
Elrose Health Services, Inc. SA Treatment Detroit 20731 4/17/1995
MI-Licensing and Regulatory Affairs 10/20/1998 HHS
10/20/98: 1128(a)(1)
Emergency Medical Clinic, Inc. Physician Group Hamtramck 12/23/1991 HHS 1128(a)(1)Enjoy Dental Care PC Dental Group Detroit 5/20/2004 HHS 1128(a)(1)Excellent Kare Home Agency for Michigan Knight Eugene Home Help Detroit 10/27/2016 MDHHS
Fleth Discount Pharmacy LLC Pharmacy 1245670447 Warren 5301010191 3/5/2018
MI-Licensing and Regulatory Affairs Revoked
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
EZ Sleep Supplies LLC Medical Supplier 1871640383 Okemos 7/16/2018 MDHHS-OIG 8/15/2018 MDHHS-OIG
Summary Suspension Terminated
Four Leaf Clover Inc Medical Group 1750451357 Westland 7/29/2015 MDHHS-OIG
Summary Suspension
Francis Street Medical Associaes P.C. Mdical Group 1730245499 Jackson 6/29/2016 MDHHS-OIG
Summary Suspension
Friendship Manor Nursing Home Nursing Facility Detroit 3/21/2006 DCH
License Revocation and Summary Suspension
Friendz Pharmacy Pharmacy 1396051629 Detroit 5301009394 6/27/2018 MDHHS-OIG
Summary Suspension
Fullerton Pharmacy
Pharmacy/ Medical Supplier Fairview 5301006260 3/10/1998 DCH
Violation of Medicaid False Claim Act
Georgetown Poidatric Surgeons PC Group 1508905985 Sterling Heights 12/3/2017 MDHHS-OIG
Summary Suspension
Geriatric Care Associates Group 1063648269 Canton 10/23/2017 MDHHS-OIG
Summary Suspension
Glen Saperstein LLC Medical Group 1184045296 Saginaw 3/15/2017 MDHHS-OIG
Summary Suspension
Global Health Pharmacy Pharmacy 1326342486 Pontiac 5301009521 6/27/2018 MDHHS-OIG
Summary Suspension
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Godoy, Charles MD PC Group 1912298902 Livonia 3/31/2016 MDHHS
Summary Suspension
Grand Blanc Apothecary, Inc.
Pharmacy /Medical Supplier Grand Blanc 5301004983 11/18/1999 HHS 1128(b)(4)
Greater Detroit Physical Therapy & Rehabilitation PC Group 1598713430 Westland 7/29/2015 MDHHS-OIG
Summary Suspension
Green Cross Medical Center P.C. Group 1427126655 Detroit 6/14/2016 MDHHS
Summary Suspension
Haggerty Drugs DME 1821033028 Canton 7/15/2015 CMS Revoked
Harmony Interational Group 1487717666 Detroit 1/16/2013 DCH-OIG 1/16/2013 DCH
Suspended Suspended Terminated
Harmony Turning Point PLLC Group 1588979686 Southfield 10/20/2013 HHS ExcludedHarper Dermatology PC Group 1598032070 Roseville 3/5/2018 MDHHS-OIG
Summary Suspension
Hartford Chiropractic Clinic Group 1063420529 Hartford 6/6/2017 MDHHS-OIG
Summary Suspension
Hatem Ataya M.D. PC Group 1528295375 Davison 6/18/2015 DCH-OIG
Summary Suspension
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Healing Hands Chiropractic Clinic LLC Group 1871779025 Coldwater 4/29/2015 DCH-OIG
Summary Suspension
Healing Hands Urgernt Care Medical Clinic, P.C. Group 1578868089 Bloomfield 5/13/2015 DCH-OIG 6/16/2015 DCH-OIG
Summary Suspension Termination
Healthy Hearts Group 1093908436 Livonia 7/25/2016 MDHHS-OIGSummary Suspension
Highland Park Pharmacy Pharamcy 1104097781 Warren 8/31/2011 DCH-OIG 5/25/2016 MDHHS-OIG
Summary Suspension Terminated
Hi-Tech Home Health Care INC.
Home Health Agency 1669702593 Farmington Hills 7/28/2016 HHS Terminated
Homecare Doctors LLC Group 1487723771 Detroit 7/30/2013 DCH-OIG
Summary Suspension
Home Clinic P.C. Group 1962645689 Southfield 12/29/2015 MDHHS Temination
Home Physician Services PC Group 1346347523 Troy 3/6/2013 DCH-OIG
3/6/2013 08/09/2016
DCH MDHHS-OIG
Summary Suspension Termination Termination
House Calls Physicians PLLC Group 1033273008 Allen Park 5/21/2013 DCH-OIG 5/5/2016 MDHHS-OIG
Summary Suspension Terminated
Independent Care Pharmacy LLC Pharmacy 1619131141 Dearborn 8/11/2011 DCH-OIG 5/23/2016 MDHHS-OIG
Summary Suspension Terminated
Jefferson Family Dental Center PC Dental Group Detroit 6/6/1988 HHS 1128(a)(1)
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Jefferson Medical Industrial Clinic P.C. Group 1407178627 Detroit 7/4/2016 MDHHS 1/9/2017 MDHHS-OIG
Summary Suspension Ternminated
Joe's Discount Pharmacy Pharmacy 1770953234 Detroit
53010107385315073432 6/13/2018
MI-Licensing and Regulatory Affairs
Voluntarily Surrendered
John R. Verbovsky D.O. P.C. Dental Group 1508153909 Sterling Heights 3/10/2015 MDHHS-OIG 12/14/2015 MDHHS-OIG
Suspended Terminated
Jones Psychological Services PLLC Medical Group 1295092310 Port Huron 5/9/2018 MDHHS-OIG
Summary Suspension
Josephson Nursing Home Nursing Facility 1700891504 Ironwood 1070000191 4/18/2012 DCH
Summary Suspension
K & S Family Practice Clinic PC Group 1023233855 Wayne 2/10/2015 DCH-OIG
Summary Suspension
Kalamazoo Footcare Specialists PC Podiatry Group Kalamazoo 4/10/2007 HHS 1128(b)(1)Kentwood Pharmacy Pharmacy 1346419892 Grand Rapids 11/24/2010 MDHHS-OIG 5/23/2016 MDHHS-OIG
Suspended Terminated
Kentwood Pharmacy Pharmacy 1558478610 Grand Rapids 11/24/2010 MDHHS-OIG 5/23/2016 MDHHS-OIG
Suspended Terminated
Kentwood Pharmacy Pharmacy 1841446192 Shepherd 11/24/2010 MDHHS-OIG 5/23/2016 MDHHS-OIG
Suspended Terminated
Kentwood Pharmacy Pharmacy 1548426992 Alma 11/24/2010 MDHHS-OIG 5/23/2016 MDHHS-OIG
Suspended Terminated
Kentwood Pharmacy Pharmacy 1760638019 Saint Louis 11/24/2010 MDHHS-OIG 5/23/2016 MDHHS-OIG
Suspended Terminated
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Kirk Anthony DPM PC Group 1578872438 Grand Rapids 7/18/2013 DCH-OIG Suspended
Krish Pharmacy Inc Pharmacy 1871698266 Chesterfield 7/30/2013 DCH-OIG 5/18/2016 MDHHS- OIG
Summarily Suspended Terminated
L & L Nursing Center, Inc. Nursing Facility Detroit 83430 10/8/1998
MI-Licensing and Regulatory Affairs
License Revocation
Lake MI Doctors Housecalls (D/B/A Lake MI Mobile Doctors, P.C) Group 1700950607 Southfield 12/3/2013 DCH-OIG
Summary Suspended
LaSalle Nursing Home Nursing Facility Detroit 83453 11/14/2003
MI-Licensing and Regulatory Affairs
License Revocation and decertification
Lexington Pharmacy Pharmacy Detroit 5301000141 6/27/1991 HHS 1128(b)(4)Liberty Express Care Group 1508066036 Saginaw 12/5/2016 MDHHS-OIG 2/9/2017
Summary Suspension
Life Care Sleep & Health Center LLC Group 1477584688 Lansing 7/16/2018 MDHHS-OIG 8/15/2018 MDHHS-OIG
Summary Suspension Terminated
Litchfield Nursing Centre Nursing Facility Litchfield 5/4/2007 HHS
Decertification
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
LiteMed Rx Inc Pharmacy 1457774366 Garden City 5301010314 2/4/2017 HHS Revoked
Little Traverse Bay Family Medicine Group 1417136425 Petosky 3/16/2015 DCH-OIG TerminatedLivernois Family Medical Service Group 1417985441 Livernois 4/6/2015 DCH-OIG 6/2/2016 MDHHS-OIG
Summary Suspension Termination
Livernois Family Pharmacy Pharmacy 1790866416 Detroit 5301007422 8/26/2014 DCH-OIG SuspendedLivestrong Pharmacy Pharmacy 1275925950 Detroit 12/25/2017 MDHHS-OIG
Summary Suspension
Livonia Care Pharmacy Pharmacy 1942560529 Port Huron
53010098025315054245 1/25/2018 MDHHS-OIG 6/13/2018
MI-Licensing and Regulatory Affairs
Summary Suspension CS- Facility License Suspended
Love Covers All MIHP MIHP 1548566334 Grosse Pointe Park 10/19/2016 MDHHS-OIG
Summary Suspension
Macomb Professional Lab, Inc Laboratory Sterling Heights 8/18/1988 HHS 1128(a)(1)
Madison Pharmacy Inc Pharmacy 1790961118 Madison Heights 5301009979 8/9/2017
MI- Licensing and Regulatory Affairs
Volunatarily Surrendered
Mancewicz & White DDS, PC Dental Group Grand Rapids 6/20/2002 HHS 1128(a)(1)
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Med Pharmacy, Inc. Pharmacy Ypsilanti 5301000072 8/19/1988 HHS 1128(b)(3)
Medaplex Dental Center Dental Group 1326343542 Oak PArk 1/18/2017 MDHHS-OIG 6/15/2018 MDHHS-OIG
Summary Suspension Terminated
Medicap Pharmacy
Pharmacy/ Medical Supplier Flint 5301006828 10/13/2004
MI-Licensing and Regulatory Affairs Suspended
Metro Home Visiting Physicians PLLC Chang Zongli Group 1730373440 Livonia 3/27/2018 MDHHS-OIG
Summary Suspension
Metro Mobile Physicians Group 1962704239 Ferndale 7/13/2016 MDHHS-OIG
Summary Suspension
Metro Pharmacy Pharmacy Detroit 5301003024 2/7/1994 HHS 1128(a)(1)Michigan Brain and Spine Ohysicians Group, PLLC Group 1760771117 Southfield 3/10/2015 DCH-OIG 4/26/2017 MDHHS-OIG
Summary Suspension Terminated
Michigan Home Visiting Physicians PC Yasin Faris Group 1346419223 Dearborn 7/11/2018 MDHHS-OIG
Summary Suspension
Midwest Family Diagnostics PLC Group 1184952053 Warren 7/3/2013 DCH-OIG 5/5/2016 MDHHS-OIG
Suspended Terminated
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Midwest Family Practice PLC Group 1770819864 Warren 7/3/2013 DCH-OIG 5/5/2016 MDHHS-OIG
Summary Suspension Terminated
Midwest Prostate & Urological Institute Group 1508834755 Saginaw 2/13/2017 MDHHS-OIG
Summary Suspension
Millner, Joel A MD PC Medical Group 1265715700 Ferndale 6/20/2014 DCH-OIG
Summary Suspension
Monroe Geriatric Evaluation and Management Services PLLC Group 1215117023 Monroe 3/21/2013 DCH-OIG
Summary Suspension
Monroe Medical Clinic PLLC Group 1972699312 Durand 9/18/2013 DCH-OIG
Summary Suspension/Termination
Moss, David M., DPM, PC Group Garden City 8/20/2003 HHS 1128(a)(1)Mykal Discount Pharmacy Pharmacy 1043549223 Detroit 5301009264 3/18/2011 DCH 7/11/2016 MDHHS-OIG
Summary Suspension Termination
MyKal Discount Pharmacy #2 Pharmacy 1780992750 Pontiac 5301009423 3/18/2011 DCH 7/11/2016 MDHHS-OIG
Summary Suspension Termination
My Visiting Physicians PC Group 1740512201 Southfield 1/16/2013 DCH-OIG
Summary Suspension/ Termination
Nat Lab Laboratory 1861934168 Detroit 12/25/2017 MDHHS-OIGSummary Suspension
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
National Laboratories Inc Laboratory 1144645235 Detroit 12/25/2017 MDHHS-OIG
Summary Suspension
Nestell's Pharmacy Pharmacy Saginaw 5301000078 9/26/1985 DCH 1128(a)(1)
Neuhoff Drugs, Inc. Pharmacy Detroit 5301004598 8/24/1989 DCH
Violation of Medicaid False Claim Act
Neuhoff Drugs, Inc. Group Detroit 5301004058 8/24/1989 DCH
Violation of Medicaid False Claim Act
New Beginning Adult Senior Care Center Group 1124431580 Livonia 7/25/2016 MDHHS-OIG
Summary Suspension
New Era Alternative Treatment Center, Inc. (NEAT) SA Treatment Highland Park 21310 9/20/2001 HHSNew Center Medical PC Group 1316482870 Detroit 12/18/2017 MDHHS-OIG
Summary Suspension
New Era Alternative Treatment Center, Inc. (NEAT) SA Treatment Flint 50219 9/20/2001 HHSNorthside Medical Clinic PC Group 1841357464 Cheboygan 4/4/2016 MDHS-OIG
Summary Suspension
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Northwest Industrial & Medical Services PC Group 1346364619 Detroit 7/3/2013 DCH-OIG Suspended
Omega Pharmacy Pharmacy 1508299710 Pontiac 5301010143 2/21/2016
MI-Licensing and Regulatory Affairs Suspended
One on One Care LLC Group 1871997775 Warren 10/15/2017 MDHHS-OIG
Summary Suspension
OURLAB Laboratory 1760461909 Nashville, TN 11/25/2013 State of TN
Suspended/debarred from state of TN
Park Dental of Okemos P.C. Dental Group 1477890689 Okemos 7/6/2016 MDHHS-OIG
Summary Suspension
Park Medical Clinic PC Medical Group Troy 7/29/1997 HHS 1128(a)(1)
Patient Choice Internal Medicine Group 1396094926 Detroit 7/13/2016 MDHHS-OIG
Summary Suspension
Peoples Pharmacy Corp Pharmacy 1255655130 Detroit 5315044450 10/14/2015
MI-Licensing and Regulatory Affairs
Voluntarily Surrendered
Phoenix Visiting Physicians PLLC Group 1235458217 Livonia 5/29/2012 DCH-OIG
Summary Suspension
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Pickens, Alex M.D.P.C. Group 1952529091 Detroit 8/23/2017 MDHHS-OIG
Summary Suspension
Pondview Personal Physician PC Group 1245430230 Madison Heights 11/14/2017 MDHHS-OIG
Summary Suspension
Precare Pharmacy Pharmacy 1346686854 Redford 5301010095 6/27/2018 MDHHS-OIG
Summary Suspension
Preferred Home Health Care Inc
Home Health Agency 1801871496 Mount Clemens 237457 7/30/2013 DCH-OIG Suspended
Preferred Pharmacy Pharmacy 1669616785 Troy 8/30/2011 DCH-OIG 5/25/2016 MDHHS-OIG
Summary Suspension Terminated
Preferred Pharmacy Pharmacy 1922322007 Troy 8/30/2011 DCH 5/25/2016 MDHHS-OIG
Summary Suspension Termination
Premier Medical Center PLLC Group 1659631265 Warren 7/3/2013 DCH-OIG 5/5/2016 MDHHS-OIG
Suspended Terminated
Primesource of Michigan LLC Group 1114364346 Southfield 3/28/2017 MDHHS-OIG
Summary Suspension
Professional Consultants, Inc Group 1063578045 Bloomington Hills 3/25/2015 DCH-OIG
Summary Suspension
Professional Consultants, Inc Group 1063578045 Bloomfield Hills 3/11/2015 DCH-OIG
Summary Suspension
Propelled Therapeutic Services, Inc. SA Treatment Detroit 21423 8/20/2003 HHS 1128(a)(1)
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Quality Clinical Lab Laboratory Detroit 6/11/1991 DCH-OIG 12/23/1991 HHS
6/11/91: Violation of Medicaid False Claim Act12/23/91: 1128(a)(1)
Qandil Family Medical and Urgent Care PLLC Medical Group 1013149616 Hamtramck 1/15/2013 DCH-OIG
Summary Suspension
Riverside Professional Drugs Inc. Pharmacy 1720196181 Trenton 5/15/2013
MI-Licensing and Regulatory Affairs
Summary Suspension
Rizwan Qadir MD PC Medical Group 1003095043 Detroit 7/29/2015 MDHHS -OIG
Summary Suspension
Rockafellow Psychological Services Group 1538444930 Oxford 7/6/2016 MDHHS-OIG
Summary Suspension
Rosewood Living Center Nursing Facility Detroit 83447 8/14/2003
MI-Licensing and Regulatory Affairs
License revocation and summary suspension
Rosewood Manor Nursing Facility Grand Rapids 41415 8/13/1999
MI-Licensing and Regulatory Affairs
Decertification
Roth, Michael A MD PC Group Farmington Hills 8/9/2016 MDHHS-OIG
Summary Suspension
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Saab Drugs, Inc.
Pharmacy/Medical Supplier 1538260633 Farmington Hills 5301007790 6/18/2009 HHS 1128(a)(4)
Saab Drugs, Inc. Pharmacy 1538260633 Livonia 5301007790 6/18/2009 HHS 1128(a)(4)Sav-Max Pharmacy Pharmacy 1750346557 Detroit 7/30/2013 DCH-OIG Suspended
Seaway Pharmacy Zaher Hani Pharmacy 1457525818 Taylor 5301008838 5/10/2018
MI-Licensing and Regulatory Affairs 6/13/2018 MDHHS-OIG
Controlled Substance license suspended Summary Suspension
Serv-U-Well Pharmacy Pharmacy 1275544785 Detroit 8/11/2015
MI-Licensing and Regulatory Affairs
Voluntarily Surrendered
Shelby Dental Center PC Dental Group 1154626687 Shelby Township 1/18/2017 MDHHS-OIG 6/15/2018 MDHHS-OIG
Summary Suspension Terminated
SKA at Home Visting Doctor PC Group 1043507379 Albion 7/3/2013 DCH-OIG 0/12/2016 MDHHS-OIG
Suspended Terminated
Sleep Diagnostics of Michigan PC Group 1407827900 West Branch 7/16/2018 MDHHS-OIG 8/15/2018 MDHHS-OIG
Summary Suspension Terminated
Soliman Medical Center PLLC Group 1952503559 Wayne 7/3/2013 DCH-OIG SuspendedSoliman Medical Center PLLC Group 1619946043 Wayne 7/3/2013 DCH-OIG Suspended
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Southwest Discounty Pharmacy Pharmacy 1578690186 Detroit 5301008142 6/13/2018
MI-Licensing and Regulatory Affairs
Voluntarily Surrendered
Southwest Visiting Physicians Group 1881868685 Warren 12/29/2015 MDHHS Terminated
Super Mart Pharmacy Pharmacy 1124322128 Detroit
53010094055315047522 3/14/2018
MI-Licensing and Regulatory Affairs
Summary Suspension
Taylor Medical and Substance Abuse Clinic Group 1386974335 Taylor 7/3/2013 DCH-OIG 4/15/2014 DCH-OIG
Suspended/Terminated
Tower Dental Care Group 1306019609 Detroit 2/18/2010 HHS 1128(b)(8)
Tri County Physician Group Group 1386942035 Detroit 2/7/2017 MDHHS-OIG 12/18/2017 MDHHS-OIG
Summary Suspension Summary Suspension
Tri State Physicians Group PC Group 1033654595 Detroit 11/12/2017 MDHHS-OIG
Summary Suspension
Trust Care Clinic PLLC Group 1053461848 Davison 6/18/2015 DCH-OIG SuspendedUnarex of Lincoln Park, Inc. Pharmacy Lincoln Park 5301000166 9/5/1988 HHS 1128(b)(3)
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Universal Home Medical Equipment & Supplies LLC Supplier 1730334939 Livonia 4/26/2016 CMS Revoked
Universal Pharmacy of Saginaw Pharmacy 1568868305 Saginaw 5315068278 4/11/2018
MI-Licensing and Regulatory Affairs
Controlled Substance license suspended
Venoy Nursing Center Nursing Facility Wayne 5/6/1998
MI-Licensing and Regulatory Affairs
Licensing Revocation and Summary Suspension
Village Pharmacy Pharmacy Southfield 5301003265 7/28/1988 HHS 1128(a)(1)Visiting Doctors of America PC Group 1659519981 Southfield 7/30/2013 DCH-OIG Suspended
W.D. Lee Center for Life Management, Inc. SA Treatment Detroit 21242 4/18/2002 HHS
Waldrake Pharmacy, Inc. Pharmacy West Bloomfield 5301004125 8/19/1988 DCH
Revoked/Violation of Medicaid False Claim Act
Wayne Pharmacy Pharmacy 1235437807 Detroit 8/30/2011 DCH 7/11/2016 MDHHS-OIG
Summary Suspension Termination
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Washington Blvd. Dental PC Dental Group Detroit 8/31/2007 HHS 1128(a)(1)
Weiner & Belkin DDS, PC Dental Group Detroit 2/8/1994 HHS 1128(a)(1)
White Oak Manor Nursing Facility Mio 68402 1/13/1999
MI-Licensing and Regulatory Affairs
Decertification
Woodward Nursing Center Nursing Facility Detroit 9/20/2004
MI-Licensing and Regulatory Affairs
Involuntary Termination
Woodward Urgent Care PLLC Medical Group 1861746893 Detroit 7/28/2015 MDHHS-OIG
Summary Suspension
World Health Care MC LLC Group 1952565160 Detroit 3/21/2013 DCH
Summary Suspension
Zagerman Enterprises, Inc. Group GrandVille 10/19/2005 DCH-OIG Suspended
Aagesen Larry K Dentist 1063572667 Bad Axe 2901009390 7/13/2013
MI-Licensing and Regulatory Affairs Suspended
Abcumby Keshuna Home Help Auburn Hills 8/21/2017 MDHHS
Ackerman Jr Robert A Physician 1487630075 North Muskegon 4301077358 5/18/2016
MI-Licensing and Regulatory Affairs
Summary Suspension
Adams Amy Home Help Mount Morris 6/24/2015 DCH
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Adams Angela Home Help Detroit 7/24/2017 MDHHSAdams Donald Lee Home Help Benton Harbor 11/30/2015 MDHHSAdams Jamal Home Help Detroit 7/6/2017 MDHHS
Addison ReginalsNon-Emergency Transportation Detroit 12/12/2017 MDHHS
Adlai Victor Physician 1699716407 Farmington Hills 4301070870 4/29/2018
MI-Licensing and Regulatory Affairs Revoked
Adray Allie A. Chiropractor Dearborn 2301006500 7/4/1996 DCH-OIG 1128(b)(14)
Agbebiyi Jonathon A Physician 1588734081 Southfield 4301041053 1/16/2013 DCH-OIGSummary Suspension
Ahmed Syed Arif Physician Marlette 4301038826 7/22/1991 HHS 1128(b)(4)
Akinwumi Abbey A Physician 1144244708 Detroit 4301071164 7/30/2013 DCH-OIG
11/16/2016 11/29/2016 03/31/2017
MI- Licensing and Regulatory Affairs MI- Licensing and Regulatory Affairs HHS
Suspended Suspended Summary Suspended Excluded
Alagbe Rosy U. Registered Nurse 1952428179 Grove City, OH 4704281554 6/2/2012
MI-Licensing and Regulatory Affairs Suspended
Alajrad Muhannad Physician Trenton 4301061516 5/6/1997 HHS 1128(b)(4)
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Alam Waseem Physician 1477571818 Bloomfield Hills 4301072403 7/29/2015 MDHHS-OIG
08/02/2017 9/20/2017 2/12/18
MI- Licensing and Regulatory Affairs HHS-OIG MI-Liceneing and Regulatory Affairs
Summary Suspension Summary Suspension Excluded Suspension Disolved Revoked
Alexander Mercedes Home Help Detroit 1/28/2015 DCH
Alexander Robert L Physician 1265475099 Plainwell 4301044385 11/22/2014
MI-Licensing and Regulatory Affairs
Summary Suspension
Alexander Sharon Denise Home Help Detroit 3/31/2015 DCHAllen Alicia Home Help Detroit 12/22/2015 MDHHSAllen Janice Home Help Nashville 5/8/2018 MDHHSAllen Robert Home Help Detroit 2/22/2016 MDHHS
Al-Murisi Verna Home Help Hamtramck 7/13/2016 MDHHS-OIG06/29/2017 3/10/2017
HHS MDHHS-OIG
Excluded Summary Suspension Terminated
Alt Nan B. Psychiatrist 1417139692 White Cloud 4301045669 7/18/2013 DCH-OIG 9/16/2012 01/20/2016
MI-Licensing and Regulatory Affairs HHS-OIG
Suspended Suspended Excluded
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Alt William J Physician- 1912998337 Holland 4301020997 7/18/2013 DCH-OIG1/20/2016 12/29/2016
MI-Licensing and Regulatory Affairs HHS-OIG
Suspended Suspended Terminated
Altantawi Bassel Physician 1497797526 Canton 4301074111 6/20/2016 MDHHS-OIG2/9/2017 08/20/2017
MI-Licensing and Regulatory Affairs HHS
Summary Suspension Summmary Suspension Excluded
Alyas Arkan Home Help Sterling Heights 4/11/2016 MDHHSAmerson Kevin Home Help Detroit 5/27/2015 DCH
Amin Mohammad N Physician 1083612840 Bloomfield Hills 4301048260 5/13/2015 DCH-OIG
Summary Suspension Terminated
U.S. Medical Supply, Inc. Amr Hussein M. Medical Supplier Livonia 11/5/2002 DCH 9/20/2004 HHS
11/5/02: Violation of Medicaid False Claim Act9/20/04: 1128(a)(1)
Andersen Judith C Physician 1073551198 Rochester 4301044420 6/22/2014
MI-Licensing and Regulatory Affairs Suspended
Anderson Carmen Home Help Benton Harbor 2/8/2016 MDHHSAnderson Connie Home Help Prescott 4/28/2016 MDHHSAnderson Coy Home Help Redford 5/24/2018 MDHHSAnderson Dantonetee Home Help Detroit 9/6/2016 MDHHSAnderson Gerald Home Help Detroit 9/21/2017 MDHHS
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Anderson Julius NEMT Detroit 4/18/2018 MDHHSAnderson Kelvin Lamont Home Help Detroit 3/24/2015 DCHAnderson Maurcie Home Help Detroit 12/28/2016 MDHHSAnderson Paula Home Help Iron Mountain 1/8/2015 DCHAndrews Christian Home Help Detroit 12/6/2017 MDHHSAndrews Glenn Walter Physician Detroit 4301407042 5/26/1997 HHS 1128(b)(4)Andrews Quenta Home Help Grand Rapids 1/19/2016 MDHHSAndrews Wunika Kenyetta Home Help Detroit 11/30/2015 MDHHS
Ansari Inamul Hag Physician Detroit 4301044238 8/29/1993 HHS 10/11/1993 DCH
8/29/93: 1128(a)(1)10/11/93: Violation of Medicaid False Claim Act
Anthony Kirk J Podiatrist 1144330556 Grand Rapids 5901400050 5/25/2013
MI-Licensing and Regulatory Affairs 7/18/2013 DCH-OIG
Suspended Suspended
Anthony Tora Home Help Detroit 11/30/2015 MDHHSAnuskziewicz Michael Home Help Port Huron 10/4/2016 MDHHSAranda Raul E. Physician Detroit 4301038425 3/15/1990 HHS 1128(b)(3)
Araujo MarioNon- Emergency Transportation Holland 7/20/2017 MDHHS
Elite Wellness LLC Arias
Raymond & Emelitza Physician Group 1174765515 Westland 5/29/2012 DCH 10/17/2013 DCH-OIG
Summary Suspension Termination
Arnold William J. Physician Detroit 4301015572 9/19/200205/24/2012 04/07/2015
DCH-OIG DCH-OIG
11/28(a)(3) Summary Suspension Termination
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Aronoff Joanne Medical Supplier Detroit 8/29/1994 4/10/1996
8/29/94: Violation of Medicaid False Claim Act4/10/96: 1128(b)(5)
Action Sales & Rental Company Aronoff Larry Medical Supplier Detroit 10/24/1989 HHS 1128Aa
Asbury Arnita Home Help Eastpointe 2/9/2015 DCHActon Rental & Sales Company Ashford Falusic Employee Ypsilanti 5/22/2012 DCH
Summary Suspension
Access Care Home Care, Inc Ashford Falusic Patient Recruiter 1134174006 Ypsilanti 5/22/2012 DCH
Summary Suspension
Ataya Hatem M Physician 1881664829 Davison 4301079461 6/18/2015 DCH-OIG
8/5/2015 10/30/2015 07/19/2017
MI-Licensing and Regulatory Affairs MI-Licensing and Regulatory Affairs HHS-OIG
Suspended Summary Suspension Summay Suspension Excluded
Atkins Irvin Home Help Grand Rapids 11/22/2016 MDHHS
Atluri Sunitha Physician Auburn Hills 4301062120 3/21/2007
MI-Licensing and Regulatory Affairs
License Suspended
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Attar Fakruddin Physician 1114968419 Livonia 4301067384 9/19/2017 MDHHS-OIGSummary Suspension
August Jeffrey A. Podiatrist Clawson 5901001206 10/22/1991 HHS 1128(b)(4)Autman Nicole Home Help jackson 10/26/2017 MDHHS
AwadaSam- Hussein Physician 1811984594 Warren 4301079394 7/3/2013 DCH-OIG
1/21/2016 05/05/2016 06/20/2016
MI-Licensing and Regulatory Affairs MDHHS-OIG HHS
Suspended Summary Suspension Terminated Excluded
Awerbuch Gavin Physician 1811984487 Saginaw 4301405226 6/19/2014 DCH-OIGSummary Suspension
Ayers Antwone Home Help Roseville 2/3/2015 DCHAyoub Ferris Home Help Sterling Heights 1/30/2017 MDHHSBaber DeMarcus Home Help Saginaw 6/23/2016 MDHHSBailey Melvina Home Help New Haven 1/20/2016 MDHHSBaker Carmen Vietta Home Help Detroit 11/30/2015 MDHHSBaker Marques Home Help Kalamazoo 12/19/2016 MDHHSBalakrishna Banga M. Physician Southfield 4301031899 5/18/2000 HHS 1128(a)(1)Baldwin Jr. Milton Home Help Essexville 9/21/2015 MDHHSBallard Carlton Home Help Kalamazoo 4/7/2016 MDHHSBanks Angela A Home Help Jackson 11/30/2015 MDHHSBankston AUDREA Home Help Port Huron 1/14/2016 MDHHSBansil Chyawan K Physical Therapist 1306933908 Lansing 5501002045 3/18/2013 DCH Suspended Barclay Roy Home Help Detroit 11/7/2014 DCH
Barden John H Physician 1669495446 Taylor 5101006701 6/3/2011
MI-Licensing and Regulatory Affairs Suspended
Bargouthy Sameer Home Help Bay City 5/13/2016 MDHHSBarrera Jesse M Home Help Muskegon 1/5/2016 MDHHSBarrett Althea Home Help Saginaw 7/6/2017 MDHHS
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Barstow Bradley D Physician 1346221082 South Haven 5101008849 5/12/2017
MI-Licensing and Regulatory Affairs
Summary Suspension
Barth Timothy Paul Physician 1356512909 Southfield 4301049340 4/4/2017 MDHHS-OIG9/28/2017 2/12/18
MI- Licensing and Regulatory Affairs
Summary Suspension Summary Suspension Suspension Disolved Revoked
Bartz Nicholas William Physician Jackson 5101008283 4/27/2000 DCH 9/20/2000
4/27/00: Violation of Medicaid False Claim Act9/20/00: 1128(a)(a)
Baruti Timur A Physician 1417068628 Leslie 4301052165 7/9/2017
MI-Licensing and Regulatory Affairs
Limited /Restricted License
Bashir Javaid M Physician- MD 1427071059 Jackson 4301047107 7/3/2013 DCH-OIG
12/8/2014 0219/2015 06/04/2015 04/10/2015
MI-Licensing and Regulatory Affairs HHS DCH-OIG MI-Licensing and Regulatory Affairs
Suspended Suspended Excluded- HHS Terminated Revoked
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Bass Bernard A Home Help Detroit 11/30/2015 MDHHSBates sabrena Home Help Detroit 2/5/2018 MDHHSBattle Lashannua S Home Help Detroit 4/27/2015 DCHBayless Jeffrey Home Help Detroit 11/8/2017 MDHHSBaysinger Christopher Home Help Ludington 2/16/2017 MDHHS
Beale, Jr James Physician 1316934409 Southfiled 4301035963 5/22/2016
MI-Licensing and Regulatory Affairs Suspended
Beale, Jr Raymond Home Help Detroit 11/14/2016 MDHHSBean Dominique Home Help Detroit 10/13/2014 DCHBeard Rodney Home Help Detroit 3/23/2015 DCHBeard Tanya Home Help Detroit 12/20/2017 MDHHSBearden Michael Home Help Detroit 8/17/2017 MDHHSBearden Tiffany Home Help Roseville 8/28/2017 MDHHSBeasley Jermaine Home Help Belleville 10/5/2017 MDHHSBeasley Rogers Home Help Detroit 10/13/2017 MDHHSBeebe Michael Home Help Marion 4/25/2018 MDHHSBeech Melvin Home Help Grand Rapids 7/27/2016 MDHHSBeecham Paula Home Help Detroit 11/12/2014 DCH
Behnan Richard A Podiatrist 1306924337 Clarkston 5901001092 3/25/2013 DCHSummary Suspension
Bell Deangelo Home Help Flint 11/19/2015 MDHHS
Bell Harry T Dentist 1003985532 Portage 2901016361 8/11/2016
MI-Licensing and Regulatory Affairs
Voluntarily Surrendered
Bell James E Home Help Benton Harbor 3/23/2015 DCHBell Omar Home Help Detroit 5/7/2018 MDHHSBellamy Emmanuel Home Help Southfield 1/19/2016 MDHHSBellamy Herbert Home Help Sterling Heights 11/30/2015 MDHHS
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Bellinger Thomas M Physician 1457316655 Freeland 4301406493 5/10/2015
MI-Licensing and Regulatory Affairs 5/10/2015
Summary Suspension
Eaton Manor, Inc Benisatto Salvatore D. Nursing Facility Charlotte 7/20/2004 HHS 1128(a)(1)
Inkster Pharmacy Bennett Donald J. Pharmacy Inkster 5301004725 1/24/1994 DCH 8/10/1994
1/24/94: Violation of Medicaid False Claim Act8/10/94: 1128(a)(1)
Bennett TaraNon Emergency Transportation Kincheloe 6/8/2017 MDHHS
Bentley Melvin Home Help Detroit 12/5/2017 MDHHSBerbaum Gerald L. Chiropractor Brighton 2301002246 5/20/2001 HHS 1128(a)(3)
Bercu Bernard A Physician 1942345822 Bloomfield Hills 4301023677 5/17/2017
MI- Licensing and Regulatory Affairs
Voluntarily Surrendered
Bergman Gary D Physician 1740272061 Farmington Hills 4301024824 5/18/2016
MI-Licensing and Regulatory Affairs
Voluntarily Surrendered
Bergman Steven Paul Physician 1699739177 Caledonia 5101008850 10/3/2008
MI-Licensing and Regulatory Affairs
Summary Suspension
Bergran Harvey A. Physician Muskegon 5101005122 6/28/1992 HHS 1128(b)(3)Berk Richard I. Podiatrist Ann Arbor 5901001060 11/7/2000 HHS 1128(b)(4)
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Berry Alphonso Physician 1770553521 Farmington Hills 4301053422 7/30/2013 DCH-OIG 5/18/2017 HHSSuspended Excluded
Berry Corinthian Home Help Detroit 11/5/2015 MDHHS
Beseau Catherine Rebecca Physician 1194820068 Union Lake 4704226477 5/14/2009
MI-Licensing and Regulatory Affairs Suspended
Besemer Mikelle Home Help Cedar Springs 2/3/2015 DCHBessey Vicki Jo Home Help Grand Rapids 11/5/2014 DCHBetro Jospeh Home Help Novi 10/15/2017 MDHHS
Bilani Sami Suheil Dentist 1821140187 Hamtramck 290116822 4/12/2001 DCH 9/20/2001
4/12/01: Violation of Medicaid False Claim Act9/20/01: 1128(a)(1)
Bilani, Sami S., DDS, PC (aka Family Dentist PC) Bilani Sami Suheil Dental Group Hamtramck 4/12/2001 DCH 9/20/2001
4/12/01: Violation of Medicaid False Claim Act9/20/01: 1128(a)(1)
First Care Hamtramck Dental PC Bilani Sami Suheil Dental Group Hamtramck 4/12/2001 DCH 9/20/2001
4/12/01: Violation of Medicaid False Claim Act9/20/01: 1128(a)(1)
Billups Sherman Home Help Oak Park 5/22/2017 MDHHS
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Bischoff William H. Chiropractor Fenton 2301002126 12/22/1991 HHSLicense Revocation
Bivens Dontae Home Help Detroit 11/14/2016 MDHHSBlack Andrea Home Help Detroit 2/3/2016 MDHHSBlack Arvin D Home Help Dowagiac 3/6/2015 DCHBlack Lawrence Home Help Detroit 5/19/2015 DCHBlack Tasha Home Help Kalamazoo 11/30/2015 MDHHSBlackburn Patricia Ann Home Help Port Huron 6/2/2015 DCHBlackmon Kariaba Home Help Muskegon 8/11/2015 MDHHSBlair Patrick E Home Help Niagara 2/5/2015 DCHBlakeley Courtney Home Help Grand rapids 8/2/2017 MDHHSBlakney Donald William-ChHome Help Vermontville 4/10/2015 DCHBlanding Richard L. Dentist 1760665006 Detroit 2901010938 7/3/1988 HHS 1128(a)(1)
Blanzy Edward Anthony Physician 1740332600 Allen Park 5101010788 12/6/2007
MI-Licensing and Regulatory Affairs Suspended
Bledsoe Dayon Home Help Pontiac 3/22/2017 MDHHS
Bobb-Semple HubertPodiatrist/Medical Supplier Highland Park 5901000976 11/12/1990 DCH
Violation of Medicaid False Claim Act
Boggon Taryn Home Help Detroit 6/21/2016 MDHHSBohn Lindsey Home Help Port Huron 2/18/2016 MDHHSBolton Dennis Home Help Dearborn Heights 3/27/2015 DCHBonds Rashimme Omar Home Help Pontiac 11/20/2014 DCHBonner Sirece Home Help Detroit 11/5/2014 DCH
Bosley Crystal Home Help Saginaw 7/18/2016 MDHHS-OIGSummary Suspension
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Bossenbery Stephen Physician 1487680302 Grand Rapids 4301087079 7/15/2013
MI-Licensing and Regulatory Affairs Suspended
Botvinick Brad A Physician 1962497719 Detroit 4301089224 10/25/2012
MI-Licensing and Regulatory Affairs Suspended
Bowden Valerie Home Help Detroit 3/30/2015 DCHBowen Pamela Home Help Plainwell 9/19/2016 MDHHS
Bowers Philip CRNA 1376672527 Huntington woods 4704156709 1/12/2017
MI-Licensing and Regulatory Affairs Suspended
Bowman Daniel Home Help Prescott 3/5/2018 MDHHSBoyd Jermaine Anthony Home Help Kalamazoo 11/30/2015 MDHHSBradford Christopher HomeHelp Hamtramck 11/14/2017 MDHHSBradley John Wesley Home Help Detroit 12/15/2015 MDHHS Bradley Stewart Home Help Detroit 1/25/2016 MDHHS
Brandel Susan Mary Registered Nurse 1629006929 Grosse Pointe Farms 4704120861 6/7/2018
MI-Licensing and Regulatory Affairs
Voluntarily Surrendered
Brandon Darrall Home Help Kalamazoo 12/15/2015 MDHHSBranham Bradley Willis Chiropractor Coldwater 2301007189 9/20/2001 HHS 1128(a)(3)Brantley Ruth Home Help River Rouge 2/11/2014 DCH-OIG 7/7/2015 MDHHS-OIG TerminatedBraynt Jermaine Home Help Highland Park 7/27/2016 MDHHSBrazil Michael J. Physician Riverview 5101012432 10/19/1996 HHS 1128(a)(1)
Brevitz Linda S Physician 1790897288 Marshall 5101007224 9/21/2017
MI- Licensing and Regulatory Affairs Suspended
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Brewer Akeem Olajuwon Home Help Saginaw 1/30/2015 DCHBrewer David Home Help Inkster 4/19/2018 MDHHSBrewer Rosetta Home Help Battle Creek 11/30/2015 MDHHS
Brewster Mark Physician 1275773046 Birmingham 430109453 11/27/2017
MI-Licensing and Regulatory Affairs 5/16/2018
MI-Licensing and Regulatory Affairs
Summary Suspension Summary Suspension Dissolved Suspended
Bridgeman Sonya Home Help Benton Harbor 1/26/2015 DCHBritt Claudius Home Help Inkster 3/23/2017 MDHHS
Britz Joseph Physician 1811004617 Ludington 4301060161 3/12/2011
MI-Licensing and Regulatory Affairs
Suspended, Drug Diversion, Mental/Physical Inability
Broadnax Olivia Home Help Detroit 11/5/2016 MDHHSBrockitt Michelle Home Help Fort Gratiot 5/30/2018 MDHHSBrocks Alicia Home Help Muskegon 1/13/2016 MDHHSBrod Jason Stewart Home Help Oak Park 4/28/2015 DCHBrook Reginald Home Help Detroit 4/2/2015 DCHBrooks Donta Home Help Detroit 11/1/2017 MDHHSBrooks John C Home Help Detroit 11/30/2015 MDHHSBrooks Pamela Home Help Reed City 12/28/2016 MDHHSBrooks Sharon Home Help Detroit 3/6/2018 MDHHSBrower Carol T Home Help PawPaw 4/14/2015 DCHBrown Akeem Home Help Flint 5/1/2018 MDHHSBrown Anthony Home Help Detroit 12/17/2015 MDHHSBrown Bertha Home Help Detroit 4/14/2016 MDHHSBrown Carema Home Help Detroit 3/20/2018 MDHHSBrown Charles T Home Help Jackson 11/30/2015 MDHHSBrown Ebony Home Help Detroit 11/16/2015 MDHHS
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Brown Izell Home Help Detroit 1/19/2017 MDHHSBrown Jaremy Anton Home Help Port Huron 2/5/2015 DCHButler Koreen Home Help Lincoln Park 10/10/2016 MDHHSBrown Kwan Home Help Monroe 12/8/2015 MDHHSBrown Larry Home Help Eastpointe 12/14/2016 MDHHS
Brown Mark A Dentist 1740208172 Madison Heights 2901013422 11/5/2015
MI-Licensing and Regulatory Affairs
Summary Suspension
Brown Randy Home Help Saginaw 7/27/2016 MDHHS
Brown Scott Physician 1760581383 Lansing 5601002665 5/23/2011
MI-Licensing and Regulatory Affairs 5/3/2018
MI-Licensing and Regulatory Affairs
Summary Suspension Summary Suspension dissolved Disciplinary Limited
Brown Steven Deshawn Home Help Romulus 4/21/2015 DCH
Brown Zack B. Physician 1447331160 Detroit 4301036091 10/15/1988 DCH
Violation of Medicaid False Claim Act
Brubaker Leo D. Physician Muskegon Heights 5101003994 3/21/1990 HHS 1128(b)(4)
Buchner KasyNon-Emergency Transportation Alpena 3/23/2017 MDHHS
Buford Keith Home Help Detroit 11/5/2016 MDHHSBunn Scott Home Help Wyoming 9/20/2016 MDHHS
Burdette III James B. Physician Assistant 1235366162 Southfield 560100221 6/26/2018 MDHHS
Disciplinary Limited License
Burke Damarcus Home Help Flint 7/26/2016 MDHHSBurrell Johnathan Home Help Mount Clemens 1/20/2018 MDHHS
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Bryan Lauran A Physician 1972630259 Southfield 4301058462 3/17/2016
MI-Licensing and Regulatory Affairs
8/24/2016 4/4/18
MI-Licensing and Regulatory Affairs MI-Licensing and Regulatory Affairs
Summary Suspension Controlled Substance License Suspended
Bruns Frank Home Help Ypsilanti 5/3/2018 MDHHSBuckner Billy Joe Home Help Grand Rapids 12/26/2014 DCHBuie Leeshaun Home Help Detroit 11/30/2015 MDHHSBurgin Chandra S Home Help Baldwin 11/30/2015 MDHHS
Burke Jeffrey P Physical Therapist 1336141704 Gaylord 5501008037 12/7/2014
MI-Licensing and Regulatory Affairs
4/14/2015 10/20/2015
MI-Licensing and Regulatory Affairs MI-Licensing and Regulatory Affiars
Summary Suspension Summary Supension Summary Suspension
Burkes Derrick Ramone Home Help Detroit 11/24/2014 DCHBurleson Lisa Home Help Belleville 11/30/2015 MDHHS
Burman Matthew L. Physician 1427054899 Bloomfield Hills 4301030145 5/2/2009
MI-Licensing and Regulatory Affairs Suspended
Burton Daniel Home Help Delton 12/17/2015 MDHHSBusher Jason Home Help Detroit 6/25/2015 DCHBuszek Robert F. Physician Highland Park 5101006226 10/6/1994 HHS 1128(b)(4)
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Butler Dennis A Dentist 1053499475 Southfield 2901011373 1/24/2013
MI-Licensing and Regulatory Affairs Suspended
Butler Donzel Home Help Detroit 10/12/2016 MDHHSButler Earnest Leon Home Help Detroit 1/21/2015 DCHButler Tony Eugene Home Help Detroit 4/1/2015 DCH
Butler-Jackson Lois Michelle Physician 1508846320 Southfield 4301051182 8/3/2013
MI-Licensing and Regulatory Affairs 3/14/2012
MI-Licensing and Regulatory Affairs
Terminated Suspended
Byl Danny H. Dentist Potterville 2901013592 8/18/1997 HHS 1128(b)(4)Byrd Antwone Home Help Detroit 11/22/2016 MDHHSCain Wilhelmina Home Help Benton Harbor 6/21/2018Cajer Chochon Home Help Detroit 3/23/2017 MDHHSCalhoun-Gondeck Adreinne Home Help Port Huron 1/3/2018 MDHHSCallahan Keith H. Dentist Flint 2901014674 5/25/1997 HHS 1128(b)(3)Camak Toikinte Home Help Detroit 5/17/2018 MDHHSCamp Clarence L. Dentist 1649347212 Detroit 2901015197 10/20/1999 HHS 1128(b)(14)Campbell Cavin Home Help Wyandotte 1/21/2017 MDHHSCampbell Steven K. Physician Flint 4301048115 4/10/1991 HHS 1128(b)(4)Campbell Sylvester Home Help Highland Park 3/25/2015 DCH
Cantrell DonaldNon-Emergency Transportation Williamsburg 2/16/2017 MDHHS
Capper Bradford G. Physician Detroit 5101006432 9/5/1984 HHS 1128(a)(1)Capriccioso Richard P. Physician Detroit 4301047689 11/11/1992 HHS 1128(a)(2)Carpenter Samantha Home Help Hale 12/8/2015 MDHHSCarrier Nakisia Home Help Detroit 8/17/2016 MDHSCarrier Shannon Lyn Home Help Harrison Township 3/23/2015 DCH
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Carlyon Larry F Physician 1396851366 Ishpeming 4301040361 3/16/2016
Mi-Licensing and Regulatory Affairs
Voluntarily Surrendered
Carothers George G. Physician 1679531669 Grand Rapids 5101005885 6/25/2018 MDHHS
Disciplinary Limited License
Carter Gerald Home Help Detroit 3/15/2016 MDHHSCaver Latoya Home Help Detroit 1/6/2016 MDHHS
Castro-Urrutia Fernando Jose Physician 1578580411 Coldwater 4301067134 6/16/2017
MI-Licensing and Regulatory Affairs
Disciplinary Limted License
Castleberry Barbara Home Help Augusta 8/29/2017 MDHHSCelestino Karen Home Help Beaverton 5/1/2017 MDHHS
Chalfant Lance E. Chiropractor Jackson 2301006854 9/20/2013
MI-Licensing and Regulatory Affairs Suspended
Nu Care Medical PC Cham Harish Physician Group Detroit 5/4/1992 HHS 1128(a)(1)
Cham Kirishna Physician Detroit 8/10/1994 HHS 1128(a)(1)Chambers Charlanne Home Help Grand Rapids 11/6/2015 MDHHS
Chang Zongli Physician 1598807547 Livonia 4301087633 5/5/2017
MI-Licensing and Regulatory Affairs 3/27/2018 MDHHS-OIG
Summary Suspension
Chapman Oneal Home Help Saginaw 11/30/2015 MDHHSCharleston Adam Home Help Kalamazoo 11/30/2015 MDHHSCarter Corey Home Help Hazel Park 10/27/2017 MDHHSChastang Debra Home Help Detroit 10/10/2016 MDHHSChaverst Javon Home Help Harrison Township 8/23/2017 MDHHS
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Chears Ronald Home Help Detroit 3/20/2015 DCHChears Terrance Benard Home Help Detroit 3/6/2015 DCHCheathem JaWaun Home Help Detroit 7/17/2018 MDHHSCherry Joseph B Home Help Muskegon 11/30/2015 MDHHS
Cheeseman JacquelineNon- Emergency Transpotation DeTour Village 6/19/2017 MDHHS
Chun Kenneth K. Physician 1467511808 Bloomfield Hills 4301038189 9/13/2017
MI- Licensing and Regulatory Affairs
Voluntarily Surrendered
Chupka Thomas E Dentist 1790011450 Sault Sainte Marie 2901011891 2/21/2013
MI-Licensing and Regulatory Affairs Suspended
Church Aimee Home Help Caro 1/27/2018 MDHHSChurch Kortez Home Help Saint Claire Shores 5/10/2017 MDHHSCiesielski Leonard Home Help Bay City 8/11/2015 MDHHSClark Carla Home Help Grand Rapids 7/14/2016 MDHHSClark Frank L. Physician Petosky 4301042015 7/8/1993 HHS 1128(b)(3)Clark Gregory Home Help Grand Rapids 12/1/2015 MDHHSClark Lawrence Home Help Detroit 12/29/2016 MDHHSClark Valerie Home Help Grand Rapids 5/23/2017 MDHHSClay Gladys Home Help Detroit 2/9/2016 MDHHSClay Jermaine Home Help Detroit 11/12/2016 MDHHSCleveland Genea N Home Help Romulus 11/30/2015 MDHHS
Cloherty Anne F CRNA 1750357885 Farmington Hills 4704195084 3/23/2016
MI-Licensing and Regulatory Affairs 8/4/2016
MI-Licensing and Regulatory Affairs
Summary Suspension Summary Suspension
Cochran Lawrence Home Help Ferndale 4/17/2017 MDHHSCoates Brenda Lee Home Help Benton Harbor 3/30/2015 DCHCoates Richard Home Help Redford 7/13/2017 MDHHS
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Coffee MarcoNon Emergency Transportation Harper Woods 1/3/2018 MDHHS
Cohen Abbott B. Podiatrist Alpena 5901001980 8/19/2004 HHS 1128(a)(4)Cohen Stanley B Podiatrist 1326014358 Detroit 5901001139 2/9/2017 HHS RevokedColbert Marion Home Help Detroit 2/13/2017 MDHHSCole Diana Home Help Coleman 5/8/2017 MDHHS
Cole EarlNon Emergency Transportation Bay City 1/8/2018 MDHHS
Cole Katrina Home Help Grand Rapids 4/18/2016 MDHHSColeman Donald Home Help Center Lake 9/26/2017 MDHHSColeman Kenneth Home Help Warren 12/2/2016 MDHHSColeman Ray Home Help Lansing 1/13/2016 MDHHS 9/14/2017 MDHHSColeman richo Home Help Detroit 1/21/2017 MDHHSColes Arturo Home Help Detroit 12/19/2016 MDHHS
Collazo Luis M Physician 1699849885 Fraser 4301062191 7/30/2013 DCH-OIG8/20/2015 10/29/2015
HHS MDHHS-OIG
Suspended Excluded Terminated
Collier Jeffrey Home Help Sault Sainte Marie 7/8/2015 DCHCollingwood Carol Home Help Port Huron 7/10/2018 MDHHSCollins Travell Home Help Ypsilanti 10/31/2016 MDHHSConley Cheryl Home Help Detroit 2/3/2015 DCH
Connors Andrea J Nurse Practitioner 1124212113 Willis 4704239544 3/11/2015 LARA 3/11/2015 Suspeneded Coogan Cary Home Help Inkster 10/8/2015 MDHHS
Cook Brian W Physicain 1790727642 Howell 4301051801 5/17/2013
MI-Licensing and Regulatory Affairs Suspended
Cook Dwayne Physician 1447229125 Belding 4301074284 12/26/2017
MI-Licensing and Regulatory Affairs Suspended
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Cooke Jeffrey S. Podiatrist Centerville 5901001109 7/20/2005 HHS 8/20/2007 HHS
7/20/05: 1128(a)(1)8/20/07: 1128(a)(1)
Cool Patte Home Help Burton 10/29/2014 DCHCooper Elizabeth Home Help Lansing 4/1/2015 DCHCooper Grace Home Help Benton Harbor 11/23/2015 DCHCooper Judith Home Help Mantisique 1/30/2017 MDHHSCooper Lorena M Home Help Southfield 11/30/2015 MDHHS
Cooper Ronald J Dentist 1457443145 Grosse Pointe Shores 2901009405 8/10/2017
MI-Licensing and Regulatory Affairs
Voluntarily Surrendered
Corhn Brian Home Help Benton Harbor 11/30/2015 MDHHSCornelius Denice M. Physician Lansing 5101009416 5/20/2001 HHS 1128(a)(4)Corradi Martin Home Help Troy 10/29/2016 MDHHSCortez Samson Home Help Marysville 3/17/2015 DCH
Cox Wyonia Home Help Detroit 3/10/2017
MI-Licensing and Regulatory Affairs Suspended
Coulter Deniesha Home Help Flint 5/24/2018 MDHHSCounts Anna Marie Home Help Ecorse 2/13/2015 DCHCrawford Keema Home Help Pontiac 3/20/2015 DCHCritchett Thomas Anthony Home Help Port Huron 2/10/2015 DCHCroft Timothy Home Help Detroit 12/12/2016 MDHHS 7/13/2017 MDHHSCroskey Kisean Lamar Home Help Pontiac 10/7/2014 DCHCross Linda K. Physician Lansing 4301041641 10/22/1991 HHS 1128(b)(4)Crothers Monica Home Help Hart 4/28/2016 MDHHSCruz Myrza Home Help Lansing 1/22/2015 DCHCummings Jessica Home Help Jacckson 12/19/2016 MDHHS
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Cunningham Darrell R Physician 1902998933 Stanton 5101012407 2/6/2013
MI-Licensing and Regulatory Affairs Suspended
Cunningham Bryan Home Help Detroit 4/8/2015 DCHCurry Robert Home Help Detroit 4/12/2017 MDHHSCurry Teisha Laann Home Help Highland Park 11/30/2015 MDHHSCurtis Joseph Home Help Romulus 9/21/2017 MDHHS
Cusumano Paul Social Worker 1215359948 Clarkston 6801094558 6/21/2018
MI-Licensing and Regulatory Affairs Suspended
Cutright Monterea Home Help Detroit 4/11/2017 MDHHS
Cywiak Seymour N. Physician 1780956524 Farmington Hills 5101005504 8/1/2013
MI-Licensing and Regulatory Affairs Suspended
Czertko George Physician Detroit 4301033892 HHS 1128(b)(4)
Dababneh Malik H Physician 1306853221 Dearborn 5101009532 4/10/2013
MI-Licensing and Regulatory Affairs
7/30/2013 12/29/2015 01/20/2015
DCH-OIG MDHHS-OIG HHS-OIG
Suspended Suspended Terminated Excluded
Dabbagh Mamoun Physician 1962552158 Warren 4301045473 3/3/2016
MI-Licensing and Regulatory Affairs
3/3/2016 02/10/2017
MI-Bureau of Licensing and Regulatory Affairs
Summary Suspension Revoked
Dallman James H. Physician Muskegon 4301055294 6/17/1999 HHS 1128(a)(1)Milena Care Home Company LLC Damisch Dildora Home Help Farmington Hills 11/15/2017 MDHHS
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Daneshvar Gerald Physician 1548427164 Warren 4301081745 7/29/2015 MDHHS-OIG4/20/2018 5/21/18
MI-Bureau of Licensing and Regulatory Affairs
Summary Suspension Summary Suspension Summary Suspension Disolved
Daniel Rajat Physician 1336203603 Bloomfield 4301060871 7/11/2013 DCH-OIG
5/26/2014 02/24/2015 09/20/2015
DCH-OIG MI-Licensing and regulatory Affairs HHS-OIG
Suspended Terminated Summary Suspension Excluded
Daniels Anthony Home Help Lincoln Park 5/3/2018 MDHHSDaniels Clarence Home Help Detroit 2/10/2016 MDHHSDaniels Reginald Home Help Pontiac 4/28/2015 DCHDaniels Tiffany Home Help Gaylord 2/13/2017 MDHHSDanis Christine Home Help Hastings 8/9/2016 MDHHS
Dasani Haridas M. Physician 1013999002 Toledo, OH 4301057203 3/15/2018
MI-Licensing and Regulatory Affairs
Summary Suspension
Davidson Zyra Home Help Lansing 3/30/2017 MDHHSDavis Cassandra Home Help Kalamazoo 12/7/2017 MDHHS
Davis Horace J Physician 1033126651 Jackson 5101007157 6/29/2016 MDHHS-OIG 8/7/2017
MI- Licensing and Regulatory Affairs
Summary Suspension Summary Suspension
Davis Joey Jay Home Help Utica 12/18/2014 DCHDavis Jurmel Home Help Detroit 10/22/2015 MDHHSDavis Keshia Home Help Southfield 11/6/2017 MDHHS
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Davis LindaNon Emergency Transportation Farwell 5/9/2017 MDHHS
Davis Lakeesa Home Help Detroit 5/19/2015 DCH-OIG Termination
Davis Marcella Home Help Detroit 8/11/2015 MDHHS -OIGSummary Suspension
Davis Marcus Home Help Muskegon 10/10/2017 MDHHS 4/19/2018 MDHHS
Davis Marilyn Home Help Harper Woods 11/11/2014 DCH-OIGSummary Suspension
Davis Mishondia Home Help Mount Clemens 3/14/2016 MDHHSDavis Sabourium Home Help Lansing 1/25/2015 MDHHSDavis Norman Home Help Detroit 10/17/2017 MDHHSDawood Rashawn Home Help Sterling Heights 3/15/2018 MDHHSDay Frank Home Help Detroit 12/28/2016 MDHHSDay Michael Home Help Roseville 12/9/2014 DCHDay Randy Home Help Eastpointe 10/10/2017 MDHHS
Thumb Physical Medicine & Rehab De Gunzman Joel Group 1104129303 Bad Axe 9/18/2013 DCH 10/18/2013 DCH
Summary SuspensionTerminated Excluded
De Witt Dana Andre Physician 1124016639 Jackson 5/15/2018
MI-Licensing and Regulatory Affairs
Summary Suspension
Dean Antonio NEMT Detroit 3/22/2018 MDHHS
Deck Robert E Optometrist 1437177342 Lake Orion 4901003566 10/30/2014
MI-Licensing and Regulatory Affairs
2/9/2015 05/20/2015
DCH - OIG HHS-OIG
Summary Suspension Terminated Excluded
DeGuzman Joel I Physician 1952433963 Dearborn 4301091071 7/18/2013
MI-Licensing and Regulatory Affairs 8/15/2013 DCH
TerminatedSuspended
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Dehaan Charles Physician 1144392499 Rockford, IL 4301056984 4/15/2014 DCH OIGSummary Suspension
Dela Cruz Fanny A Physician 1689742397 Livonia 4301036977 3/4/2016
MI-Licensing and Regulatory Affairs
7/20/2016 04/20/2017
MI-Licemsing and Regulatory Affairs HHS
Summary Suspension Voluntary Termination Excluded
Dendy Ronald Home Help Columbiaville 12/19/2016 MDHHSDenno Denise Home Help Grayling 12/7/2015 MDHHS
Derani Mohammad Physician 1902985310 Dearborn 4301045768 8/16/2017
MI-Licensing and Regulatory Affairs 12/27/2017
MI-Licensing and Regulatory Affairs
Suspended Revoked
Derosia StevenNon Emergency Transportation Millersburg 3/9/2017 MDHHS
Desai Jasubhai K. Physician Highland Park 4301031425 2/27/1997 HHS 1128(b)(4)Dewalt Alfred Home Help Pontiac 11/30/2015 MDHHS
DeWeese Paul N. Physician 1144326679 Holt 4301044882 7/15/2015
MI-Licensing and Regulatory Affairs
Summary Suspension
Dial, JR. Lino Sevandal Physician 1245228568 Ludington 5101014103 2/22/2012 DCH 8/7/2013 DCHTerminatedSuspended
Diaz Cynthia A Home Help Saginaw 12/2/2016 MDHHSDewilde Steven B. Physician Plymouth 5101009688 9/20/2005 HHS 1128(a)(4)Dick Guy Home Help Detroit 8/17/2016 MDHHSDickerson Patrick Home Help Lansing 5/1/2015 DCHDietz Brandon Home Help Alpena 11/2/2016 MDHHSDillard Michael Home Help Inkster 12/2/2015 MDHHSDixon Moses Home Help Kalamazoo 10/24/2017 MDHHS
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Dobbs JosephNon Emergency Transportation Ishpeming 3/9/2017 MDHHS
Donaldson Joaquin Home Help Grand Rapids 4/18/2017 MDHHS
Donnellon Thomas L Physician 1073546883 Fort Gratiot 4301052611 9/23/2016
MI-Licensing and Regulatory Affairs Suspended
Dorris Lisa Home Help Baldwin 10/10/2017 MDHHSDorris Machelle Home Help Baldwin 4/22/2015 DCHDorsey Ervin Home Help Detroit 7/16/2015 DCHDorsey Orondey Home Help Detroit 11/30/2015 MDHHSDougovito Michael F. Nurse Newberry 4704107350 4/20/2000 HHS 1128(b)(4)Downer JoAnn Home Help Detroit 2/1/2017 MDHHSDoyle Christopher Lee Home Help Pinckney 6/1/2015 DCHDrawdy Evelyn Home Help Cadillac 1/26/2015 DCHDreyfuss Donald S. Physician Bloomfield Hills 5101005825 9/20/2000 HHS 1128(a)(1)Dudley Janitta Home Help Clarkston 6/20/2018 MDHHSDrumm Randy E. Physician Edmore 5101009214 1/20/2003 HHS 1128(b)(4)
Duckett Bruce Devlon Dentist Flint 2901015928 3/30/2001 DCH 11/20/2002 HHS
3/30/01: Violation of Medicaid False Claim Act11/20/02: 1128(a)(1)
Dudley Kevin Home Help Detroit 2/8/2018 MDHHSDuskin Charles Home Help Detroit 2/10/2015 DCHDwight Heath H Home Help Detroit 11/30/2015 MDHHS
Abington Family Medical Center Inc. Dyke Edwin Physician Group Detroit 10/12/1993 HHS 1128(a)(1)
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Plymouth Medical Center Dyke Edwin Physician Group Detroit 10/12/1993 HHS 1128(a)(1)
Ebero Milagras Physician 1376552117 Dearborn Heights 7/3/2013 DCH-OIG Suspended
Eckert Ronald C. Dentist 1851504138 Okemos 2901007642 2/26/2001 DCH 8/20/2001 HHS
2/26/01: Violation of Medicaid False Claim Act8/20/01: 1128(a)(1)
Eckles Lisa Home Help Eastpointe 12/15/2016 MDHHSEdwards Merrell Home Help Detroit 6/14/2018 MDHHS
Ekeledo Iroham Brown Pharmacy Detroit 5301009352 2/22/2011
MI-Licensing and Regulatory Affairs Suspended
Ekeledo Discount Pharmacy Ekeledo Iroham Brown Office Manager Kalamazoo 1/19/2012 HHS 1128(b)f
Eldridge April M. Registered Nurse 1336444108 Commerce Township 4704271599 10/19/2016 MDHHS-OIGSummary Suspension
House Calls Physicians PLLC ElHorr Hicham A. Medical Group 1033273008 Allen Park 5/21/2013 DCH-OIG 6/20/2016 HHS
Summarily Suspended Excluded
Elhorr Ali A Physician 1730379983 Independence, OH 4301080821 5/6/2014 DCH-OIG 2/20/2017 HHS
Summary Suspension Excluded
El-Horr Hicham A Physician 1255314779 Melvindale 4301080756 5/21/2013 DCH-OIG 5/5/2016 MDHHS-OIG
Summary Suspension Terminated
Elliott Robert L. Chiropractor Redford 2301005227 12/20/1998 HHS 1128(b)(14)
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Ellis Bernadette Home Help Jackson 3/23/2016 MDHHSEllis Kenya Home Help Warren 5/24/2017 MDHHS
Elrington Errol Glenn Physician-MD 1568469294 Inkster 4301060303 10/22/2013 DCH 4/10/2015
MI-Licensing and Regulatory Affairs
Summary Suspension Summary Suspension
Elrington Errol G Physician 1568469294 Inkster 4301060303 12/11/2014
MI-Licensing and Regulatory Affairs 4/10/2015
MI-Licensing and Regulatiory Affairs
Summary Suspension Summary Suspension
Emanuel Esmerelda Home Help Orion 10/22/2015 MDHHSEmerson Marcellus Home Help Saginaw 11/21/2014 DCH
Emerson Paul Howard Physician 1053458638 Taylor 5101010627 4/2/2009
MI-Licensing and Regulatory Affairs
Voluntary Termination
Ensley Nancy J Physician 1699715060 Duluth, MN 48610 -MN 12/8/2012 HHS & DCH SuspendedErvin Elyah Home Help Detroit 9/12/2017 MDHHSEskew Jermaine Home Help Warren 6/19/2017 MDHHSEstep Jaimie Home Help Bay City 4/7/2016 MDHHSEstes Johnny Home Help East Lansing 1/21/2017 MDHHS
Modern Pharmacy, Inc. Eustice Maurice B.
Pharmacy/Medical Supplier Onaway 5301002064 5/4/1992 HHS 1128(a)(1)
Ewing Calvin Home Help Grand Rapids 11/9/2016 MDHHSEyestone Amanda Home Help Ludington 2/26/2018 MDHHSFaison Ashlie Home Help Warren 12/14/2017 MDHHSFalls Tiffany Home Help Saginaw 3/13/2018 MDHHS
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Fares Adbdelkader H Physician 1083751085 Dearborn 4301043357 11/3/2014 DCH-OIG10/21/2015 10/16/2015
MDHHS-OIG MI-Licesning and Regulatory Affairs
Suspended Terminated Summary Suspension Excluded Revoked
Farmer (Gaylord) Dena Kathryn Physician 1477655207 Linden 5101012166 12/20/2009 HHS 1128(b)(4)Farrington Michael Home Help Hazel Park 4/26/2018 MDHHSFason Leroy Home Help Detroit 10/10/2016 MDHHS
Michigan Hematology Oncology PC Fata Farid Tanios Group 1801942453 Rochester Hills 8/13/2013 DCH
12/02/2015 01/05/2016
DCH-OIG DCH-OIG
Summary Suspension Summary Suspension Termination
Fata Farid Tanios Physician 1417065186 Rochester Hills 4301072629 8/13/2013 DCH12/02/2015 01/05/2016
DCH-OIG DCH-OIG
Summary Suspension Summary Suspension Termination
United Diagnostics PLLC Fata Farid Tanios Group 1003160755 Rochester Hills 8/6/2013
MI-Licensing and Regulatory Affairs
Fattic Grover R. Physician Niles 4301017283 7/15/1988 DCH 4/18/1989 HHS
7/15/88: Violation of Medicaid False Claim Act4/18/89: 1128(b)(5)
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Alpha Medical Equipment, Inc. Fausto Antaran Medical Supplier Woodhaven 7/25/1990 HHS 1128(a)(1)
Feldman James D. Dentist 1457456634 Southfield 2901010597 9/27/2013
MI-Licensing and Regulatory Affairs Suspended
Felger Voctoria Home Help Reed City 10/24/2016 MDHHS
Ferguson Richard D Physician 1497812010 Petosky 5101012069 3/16/2015 DCH-OIG6/18/2015 07/24/2015
HHS-OIG MI-Licensing and rgulatory Affairs
Terminated Excluded Revoked
Fernandez Jose A Home Help Detroit 11/30/2015 MDHHSFernandez Todd Home Help Lansing 12/12/2016 MDHHSFesler Jonthan home Help Dowagiac 8/17/2017 MDHHSFinch David L Home Help Jackson 11/30/2015 MDHHS
Weidman Pharmacy Fiorillo Louis J. Pharmacy Weidman 5301002898 6/22/1994 DCH 8/10/1994 HHS
6/22/94: Violation of Medicaid False Claim Act8/10/94: 1128(a)(1)
Firestone Morey H. Optometrist Dearborn 4901001455 11/19/1997 HHS 1128(a)(2)Fish Jason Home Help Pontiac 8/17/2017 MDHHSFisher Alvin Home Help Detroit 8/3/2017 MDHHS
Flack Ronald J Nurse Practitionerr 1477606614 Jackson, MI 4704149271 5/15/2015 HHS ExcludedFletcher Robert Home Help Crystal 8/11/2015 MDHHSFloyd-Martin Gerald Home Help Grand Rapids 7/24/2017 MDHHS
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Flusty Richard Chiropractor 1275675415 Warren 2301004626 8/28/2012
MI-Licensing and Regulatory Affairs Suspended
Ford Allen Home Help Benton Harbor 12/22/2014 DCHForsythe Tina Home Help Monroe 5/16/2018 MDHHS
Fort Newland C. Podiatrist Detroit 5901000496 3/18/1987 DCH 4/21/1988 HHS
3/18/87: Violation of Medicaid False Claim Act4/21/88: 1128(a)(1)
Forte Sandra L. Chiropractor Detroit 2301005177 1/6/1997 HHS 1128(b)(14)
Fortner BrianNon Emergency Transportation Alpena 2/27/2017 MDHHS
Fortner Sean D Home Help Flint 5/19/2015 DCHFortune Aaron Home Help Detroit 12/16/2015 MDHHSFossett Tyrone Home Help Detroit 3/28/2016 MDHHSFoster Charles Home Help Benton Hrabor 8/22/2016 MDHHSFoster Larry Earl Home Help Detroit 5/15/2015 DCH
Fowler Carl D Physician 1417989476 Detroit 4301045243 7/3/2013 DCH-OIG
4/15/2014 01/23/2015 03/19/2015 04/10/2015
DCH-OIG MI-Licensing and Regulatory Affairs HHS MI-Licensing and Regualtory Affairs
Suspended Terminated Summary Suspension Excluded Revoked
Fox Linda Home Help Kalamazoo 8/11/2015
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Frank Brian Home Help Pontiac 8/1/2017 MDHHSFranklin Dshaun Home Help Detroit 5/4/2017 MDHHS
Franklin Jennifer Physician 1013115914 Harrison Township 4301095983 3/31/2016 MDHHS 3/29/2018
MI-Bureau of Licensing and Regulatory Affairs
Summary Suspension Summary Suspension
Frazier Marion Home Help Detroit 12/28/2016 MDHHSFredal Pharmacy Fredal Thomas Pharmacy Gross Pointe Farms 5301004236 5/23/1994 HHS 1128(b)(3)
Freedland Joel E. Physician Lincoln Park 5101007189 8/7/1987 HHS 1128(a)(1)Freeman Richard F. Physician Detroit 4301026316 5/20/1998 HHS 1128(b)(4)Freeman Sean Home Help Detroit 2/22/2018 MDHHSFreeney Antoine Home Help Southgate 3/28/2016 MDHHS
Freidl Harold D Physician 1962470435 Kalamazooo 4301036711 1/15/2013
MI-Licensing and Regulatory Affairs Suspended
Friedman Kenneth M. Dentist Roseville 2901014795 10/20/2003 HHS 1128(a)(2)Frierson Andre Home Help Muskegon 6/8/2017 MDHHSFrye Kenneth W. Physician Byron Center 5101003654 9/2/1997 HHS 1128(b)(4)Fuentes Leo Maupo Physician 1487873303 Detroit 4301034718 10/28/1981 HHS 1128(a)(1)Fulbright Leon Home Help Pontiac 1/23/2015 DCHFuller Damon Home Help Detroit 9/21/2016 MDHHS
Funderburg Clinical & Community Services Inc.
Funderburg, Jr. Gerald R. Physician Group 1225254279 Detroit 5/29/2012 DCH
Summary Suspension
Fyn Mark Stephen Physician 1669624201 Roseville 4704201153 9/15/2009
MI-Licensing and Regulatory Affairs Suspended
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Gaft Richard S Nurse Practitioner 1578626735 Gladwin 4704201154 8/13/2016
MI-Licensing and Regulatory Affairs Suspended
Ganinous Anthony Home Help Detroit 11/14/2017 MDHHSGalbriath Donnie Home Help Alpena 11/30/2015 MDHHSGalmore Terry Home Help Lansing 12/31/2016 MDHHS
Gandy Kyle D Physician Assistant 1154502623 Midland 5601005166 4/15/2016
MI-Licensing and Regulatory Affairs 7/20/2016 HHS-OIG
Summary Suspension Excluded
Garcia Curtis Home Help Chesterfield 7/7/2016 MDHHSGardner Sara Home Help Warren 11/30/2015 MDHHSGarner James Home Help Warren 4/7/2016 MDJHHSGarrison Earl Home Help Detroit 12/6/2017 MDHHSGarvie Joline HomeHelp Charlotte 11/30/2017 MDHHSGarvin Emily S. Registered Nurse Adian 4704245386 10/1/2013 HHS 1128(a)(4)
American Orthopedic Service, Inc. Gaskins Lawrence L.
Orthotist/Prosthetist Bay City 11/25/1991 HHS 1128(a)(1)
Gebhardt Mark James Home Help Houghtan Lake 3/31/2015 DCH 5/10/2018 MDHHSGeha, James G. DPM, PC Geha James G. Podiatry Group Madison Heights 5901001042 3/18/1999 HHS 1128(a)(1)
George Laheeb Home Help Sterling Heights 8/31/2016 MDHHSGeorge Lisa Home Help Pontiac 2/18/2016 MDHHS
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Geralt John A Physician 1972839447 Roseville 4301021869 7/30/2013 DCH-OIG
8/18/2016 01/31/2017 08/07/2017
HHS-OIG MI-Licensing and Regulatory Affairs MI- Licensing and Regulatory Affairs
Suspended Excluded Summary Suspension Revoked
Geter Nancy Home Help Detroit 11/30/2015 MDHHSGibbs Ebony Home Help Grand Rapids 10/17/2016 MDHHSGiles Jeff Home Help Detroit 11/30/2015 MDHHSGill William T Home Help Highland Park 11/30/2015 MDHHS
Gillihan Todd M Physician 1255474045 Chelsea 4901004251 10/20/2014
MI-Licensing and Regulatory Affairs 2/24/2016
MI-Licensing and Regulatory Affairs
Summary Suspension Summary Suspension
Gipson Dion Home Help Detroit 2/8/2018 MDHHSGipson James E Home Help Saginaw 12/3/2014 DCH
Gliha Gregory Physician Assistant 1447389044 Wayne 5601001483 6/26/2018 MDHHS
Disciplinary Limited License
Glover Jamal Home Help Flint 10/18/2016 MDHHSGlover Michelle Home Help Grand Rapids 7/7/2016 MDHHS
Godiali VassoGodziashvili Physician 1861572000 Bay City 4301065556 9/30/2015 MDHHS
Summary Suspension
Godoy Carlos Physician 1881654705 Livonia 4301033015 3/31/2016 MDHHS-OIGSummary Suspension
Goins Rondy D Podiatrist 1508904798 Detroit 5901001535 6/7/2012 DCH Suspended Golden Takah Home Help Muskegon 8/23/2016 MDHHS
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Goldfein Aaron S Physician 1053354787 Dearborn 4301082782 5/6/2014 DCH-OIG
2/14/2016 05/17/2017 6/20/18
MI-Licensing and Regulartory Affairs MI- Licensing amd Regulatory Affairs HHS-OIG
Summary Suspension and Termination Suspension Suspended Excluded
Gomez Alexander R Home Help Pinconning 4/9/2015 DCHGonzales Edward Home Help Detroit 4/19/2018 MDHHSGonzalez-Tapi SanJuanita Home Help Lansing 4/24/2015 DCHGooden laurence Home Help Detroit 12/12/2017 MDHHSGoodman Jaimar Home Help Detroit 9/6/2016 MDHHS
Gordon Carolyn Home Help Flint 6/4/2015 DCH-OIGSummary Supension
Gordon Ken Home Help Lansing 12/17/2015 MDHHSGorosh Richard P. Podiatrist Lansing 5901001179 2/20/2001 HHS 1128(a)(1)
Gotcher Latrise Home Help Detroit 7/13/2016 MDHHS-OIG 4/20/2017 HHS
Summary Suspension Excluded
Gotham James E. Physician Detroit 4301022173 10/11/1990 HHS 1128(a)(1)Graham Theodore N. Physician Detroit 4301024579 7/30/1990 HHS 1128(a)(1)Gramm Donna Home Help Battle Creek 6/20/2018Gramse Lawrence Home Help Flint 2/26/2015 DCHGrant Kelvin Renald Home Help Detroit 1/14/2015 DCHGrant Tammy Home Help White Cloud 8/23/2017 MDHHSGrappin Brian L. Chiropractor 1003931999 Flushing 2301002891 9/19/2002 HHS 1128(a)(3)Gray William Home Help Detroit 1/14/2015 DCH
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Gray Yev Podiatrist 1821006396 Chicago 5901002069 9/21/2017
MI- Licensing and Regulatory Affairs Suspended
Green Anthony Home Help Ludington 5/3/2016 MDHHSGreen Kejuan Home Help Detroit 7/12/2016 MDHHSGreen Kevin Home Help Southfield 3/6/2018 MDHHSGreen Rosezetta Home Help Detroit 9/18/2015 MDHHS
Greenbain Mark Psychiatrist 1326093709 Clinton 4301030022 9/26/2011 DCHSummary Suspension
Greenberg William A. Optometrist Harper Woods 4901002254 10/19/2006 HHS 1128(a)(2)Greene Antonio Home Help Kalamazoo 7/10/2015 DCHGress Raymond C. Chiropractor Lake City 2301004963 4/10/1997 HHS 1128(b)(14)
Grewal Virinder S Physician 1427202050 Okemos 4301030430 3/21/2013 DCH 12/29/2015 MDHHS-OIG
Summary Suspension Terminated
Griffin Andrae Home Help Eastpointe 8/17/2017 MDHHSGriffin Erma Home Help Battle Creek 10/9/2014 DCHGriffin Lonnie Leandry Home Help Pontiac 10/20/2014 DCHGriffin Kendricks Home Help Pontiac 2/14/2017 MDHHSGriffin Willedtra Home Help Detroit 5/3/2016 MDHHSGriffith Curtis Evan Home Help Detroit 11/30/2015 MDHHSGrimmitt Joseph C Home Help Westland 11/21/2014 DCHGrissom Stanley Willis Home Help Muskegon 11/19/2014 DCHGross Charles Home Help Edwardsburg 3/7/2016 MDHHSGross Robert Home Help Midland 11/3/2015 MDHHS
Grove Frederick Walter Physician 1538532833 Springport 4301033991 4/25/2018
MI-Licensing and Regulatory Affairs
Summary Suspension
Grubaugh Lisa Marie Home Help Harrison 6/12/2015 DCHGuerra Robert Home Help Flint 10/20/2014 DCH
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Guest Noelle Home Help Merritt 7/21/2016 MDHHS
Be Well Pharmacy Gujarathi Chetan Pharmacy 1891028759 Berkley NCPDP 2373227 8/19/2011 DCH 5/30/2016 MDHHS- OIG
Summary Suspension Termination
Gunner Concetta Home Help Detroit 11/30/2015 MDHHSGutz Donald Home Help Wyandotte 4/28/2016 MDHHSGuyton Jimmie Home Help Detroit 12/17/2015 MDHHS
Ha Hien D Pharmacist 1306070982 Sterling Heights 5302032761 6/14/2018
MI-Licensing and Regulatory Affairs
Summary Suspension
Haacke Tracy Home Help Alpena 5/10/2016 MDHHS
Airport Apothecary Haber Maria Pharmacy 1831422294 Waterford NCPDP 2373253 8/23/2011 DCH 6/2/2016 MDHHS-OIG
Summary Suspension Terminated
Rx Now Pharmacy Haber Maria Pharmacy 1619297553 Livonia NCPDP 2374116 8/19/2011 DCH 6/2/2016 MDHHS-OIG
Summary Suspension Terminated
Tri-City Apothecary Haber Maria Pharmacy 1144554106 Saginaw NCPDP 2373265 8/19/2011 DCH 5/23/2016 MDHHS-OIG
Summary Suspension Termination
Hakim Marvin Home Help Oak Park 6/13/2017 MDHHS
Hakim Sakina S Physician 1659555621 Lexington, KY 5601005216 3/27/2017
MI-Licensing and Regulatory Affairs
5/18/2017 4/24/18
HHSMI-Licensing and Regulatory Affairs
Summary Suspension ExcludedSummary Suspension Dissolved Revoked
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Halaberda Daniel Chiropractor 1437273364 Wayne 2301004191 12/17/1989 HHS 12/21/1989 DCH
12/21/89: Violation of Medicaid False Claim Act12/17/89: 1128(b)(1)
Hall Booker Home Help Lansing 6/17/2015 DCHHall Bruce Home Help Leonard 12/31/2016 MDHHS
Hall Claude W Physician 1669404513 Farmington Hills 4301041684 8/30/2017
MI-Licensing and Regulatory Affairs 1/17/2018
MI-Licensing and Regulatory Affairs
Summary Suspension Summary Suspension
Hall Joey Lee Home Help Redford 2/20/2015 DCHHalm Steven Home Help Gwinn 6/28/2017 MDHHS
Hallak Kassem M Physician 1629140447 Charlotte 4301062401 12/16/2011
MI-Licensing and Regulatory Affairs
10/10/2013 11/09/2013
DCH DCH
SuspendedSummary SuspensionTerminated
Halthon Tony Home Help Detroit 3/30/2017 MDHHSHamama Nary Home Help Saint Clair Shores 11/3/2016 MDHHS
Hammond-Koskey David Physician Assistant 1871676254 Ludington 5601004543 9/18/2013 DCH 12/20/2014 HHS
Summary Suspension Excluded
There and Back Transportation Hampton Harry
Non Emergency Transportation Belleville 1/4/2018 MDHHS
Hansen Terry Home Help Port Huron 10/31/2014 DCH
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Haq Abdul Physician 1962422329 Ypsilanti 4301033697 7/12/2017
MI-Licensing and Regulatory Affairs
Disciplinary Limited License
Hardman Donald J Physician 1013906700 Flint 4301062726 11/28/2015
MI-Licensing and Regulatory Affairs Suspended
Hardrick Michael Home Help Detroit 6/26/2018 MDHHSHardrick Tanya Home Help Detroit 10/19/2016 MDHHSHarvey Kelvin Home Help Detroit 9/26/2017 MDHHSHardville Travis C Home Help Detroit 6/2/2015 DCHHardy Andrew Physician 1710101688 Traverse City 4301046774 11/20/2002 HHS 1128(a)(1)
Harper George Home Help Eastpointe 7/22/2015 MDHHS-OIG
Summary Suspension and Termination
Harper Samuel Home Help Manistee 3/7/2016 MDHHSHarrell Ebony Home Help Detroit 5/11/2017 MDHHSHarrell Pamela Home Help Warren 11/10/2014 DCHHarrell William Home Help Detroit 4/19/2016 MDHHSHarrien Braandon Home Help Muskegon 1/4/2016 MDHHSHarris Cedrick Home Help Three Rivers 3/20/2015 DCHHarris Frank W. Dentist 1578615209 Detroit 2901008049 5/26/1997 HHS 1128(b)(4)Harris Martinez Home Help Warren 11/30/2015 MDHHSHarris Tracey Home Help Detroit 4/4/2016 MDHHSHarris-Ivey Marion Home Help Flint 4/7/2015 DCHHarsten Kidadah Home Help Detroit 10/29/2016 MDHHS
Hartsuff Jenni Physician 1972544518 East Lansing 4704178226 10/28/2008
MI-Licensing and Regulatory Affairs
Summary Suspension
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Harvey Tamika Home Help Detroit 12/17/2015 MDHHSHasan Nafeesa Home Help Pontiac 9/19/2017 MDHHSHasberry Michael Home Help Southfield 12/17/2014 DCHHatten Towanda Home Help Grand Rapids 11/7/2016 MDHHSHawkins Brittany Home Help Holland 2/22/2018 MDHHSHawkins Mary Home Help Owosso 9/15/2015 MDHHSHayes Antwaune Home Help Saginaw 12/10/2014 DCHHayes Norman Home Help Port Huron 1/18/2018 MDHHSHayes William Home Help Detroit 3/7/2016 MDHHSHeath Beverly Home Help Detroit 6/21/2016 MDHHSHearns Ben J. Dentist Detroit 2901014305 2/5/1997 HHS 1128(b)(14)Hedgecorth Julia Anne Physician Albion 4301045086 4/2/2001 HHS 1128(b)(4)Heeren Nancy Home Help Grand Rapids 7/25/2017 MDHHSHeidenga Scott Home Help Holland 2/12/2018 MDHHS
Heiney Jake P Physician 1215081773 Lambertville 35090990 9/15/2015 MDHHS-OIG6/28/2016 02/10/2017
MI-Licensing and Regulatory Affairs MI-Licensing and Regulatory Affairs
Summary Suspension Summary Suapension Revoked
Heinze Adam Home Help Cheboygan 11/28/2016 MDHHSHemphill Robert A. Physician 1073608774 Saginaw 5101006231 8/20/2002 HHS 1128(a)(3)Henderson Ericka Home Help Mount Morris 4/7/2016 MDHHSHenderson Phillip John Home Help Detroit 4/21/2015 DCHHenderson Richard M. Dentist North Pontiac 2901006073 2/4/1992 HHS 1128(a)(1)Henderson Sean Home Help Clint Twp 12/1/2014 DCHHenderson Malik Home Help Detroit 12/4/2015 MDHHS
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Hennessy Michael E Dentist 1396820460 Farmington Hills 2901014529 12/12/2011
MI-Licensing and Regulatory Affairs Suspended
Hernandez Laureane Home Help Pontiac 2/6/2015 DCHHernandez Jose Home Help Clinton township 4/19/2016 MDHHS
Herold Arthur D Physician 1982602686 West Bloomfield 5101005640 3/30/2017
MI-Licensing and Regulatory Affairs 7/19/2017 HHS-OIG
Summary Suspension Excluded
Herrero Adelina W Physician 1740340264 Ypsilanti 4301032776 4/15/2014 DCH-OIG
11/22/2014 12/18/20144/10/2015
MI-Licensing and Regulatory Affairs HHS MI-Licensing and Regulatory Affairs
Summary Suspension Summary Suspension Excluded Revoked
Herrick Ebony Home Help Grand Rapids 6/21/2017 MDHHS
Hertzfeld Robert James Physician 1932104460 Northwood, OH 4301079137 2/24/2012
MI-Licensing and Regulatory Affairs Suspended
Hibler Anton Deshon Home Help Saginaw 12/9/2014 DCHHickerson Nicole Home Help Shepherd 2/9/2017 MDHHSHicks Felicia Home Help Detroit 4/4/2017 MDHHSHiggwe Golden Goye Podiatrist Southfield 5901001783 10/20/2003 HHS 1128(a)(3)Hijazi Mohamad Dentist Dearborn 2901014717 11/11/1992 HHS 1128(a)(1)Hildebrandt Henry Mark Physician 1124021647 Ypsilanti 4301021381 12/20/2005 HHS 1128(b)(1)Higgins Charles Home Help Kalamazoo 7/26/2018 MDHHSHiggs Rose Home Help Otsego 7/26/2017 MDHHS
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Hill Bradley Home Help River Rouge 11/19/2016 MDHHSHill Jerry Home Help Saginaw 12/2/2016 MDHHSHill Qunatrell Home Help Inkster 8/29/2016 MDHHS
Hines Derrick Home Help Detroit 6/8/2015 DCH-OIG
Suspended and Terminated
Hinman Pharmacy (dba Medical Arts Pharmacy) Hinman William Pharmacy Grand Blanc 5301004202 1/3/1989 HHS 1128(a)(1)
Hintz Laura Nurse Practitioner 1528035342 Saginaw 4704195930 2/2/2017 MDHHSVountarily Surrrendered
Hitz Leticia Home Help Saginaw 7/13/2016 MDHHS
Hoard JohnNon Emergency Transportation Gladwin 6/28/2017 MDHHS
Hoch Jeffrey C. CRNA 1215040589 Jackson 4704146933 3/2/2015
MI-Licensing and Regulatory Affairs
Summary Suspension
Hoda SyedTanweerul Physician Trenton 4301060045 10/20/2005 HHS 1128(b)(4)
Hodge Andrea Home Help Detroit 11/7/2017 MDHHSHodges Carla Home Help Grand Rapids 4/18/2018 MDHHS
Hoeltzel Mark F Physician 1801910617 Ann Arbor 4301083829 12/21/2017
MI-Licensing and Regulatory Affairs 6/26/2018
MI-Licensing and Regulatory Affairs
Summary Suspension Summary Suspension Dissolved Revoked
Hoffmeister Martin Glenn Physician 1699839365 Grand Rapids 5901001390 2/25/2014 DCH-OIGSummarily Suspended
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Hogan Frederick A. Physician 1801974050 Lansing 5101009418 5/24/2010
MI-Licensing and Regulatory Affairs Suspended
Hogue April Home Help Dowagiac 7/8/2015 DCH
Holbrook AngieNon Emergency Transportation Cadillac 9/12/2017 MDHHS
Holda Michael Physician 1427029925 Howell 4301036662 10/22/2013 DCH3/26/2013 07/20/2015
MI-Licensing and Regulatiory Affairs
Summary Suspension Suspended
Holet James Home Help Westland 5/8/2015 DCHHoliday Jermaine R Home Help Grand Rapids 11/30/2015 MDHHSHollida Sharieffe L Home Help Highland PArk 1/28/2017 MDHHSHolloway Lawrence M. Physician Flint 5101008603 11/19/1997 HHS 1128(b)(4)Holloway Nathaniel Dentist Ypsilanti 2901006451 8/7/1997 HHS 1128(a)(1)Holmes Jerrain Home Help Detroit 10/8/2015 MDHHS
Holmes Martin Physician 1508821034 Lansing 4301069035 5/22/2018
MI-Licensing and Regulatory Affairs
Disciplinary Limited License
Holyway Craig Taylor Dentist Southfield 2901016274 12/7/1994 HHS 9/7/1994 DCH HHS
12/7/94: 1128(a)(1)9/7/94: Violation of Medicaid False Claim Act Excluded
Hopkins Bennett Home Help Ecorse 12807/2017 MDHHSHopkins Danny Home Help Grand Rapids 5/18/2017 MDHHS
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Hooper Mary K Registered Nurse 1700076684 Ishpeming 4704244897 11/21/2012
MI-Licensing and Regulatory Affairs Suspended
Hooks Jermaine Home Help Pontiac 10/11/2017 MDHHSHopkins Danial Physician Mount Pleasant 4301405717 5/20/2001 HHS 1128(a)(1)Hopkins Kenneth R Home Help Pinckney 3/27/2015 DCHHoward Danny Home Help Rives Junction 9/29/2016 MDHHSHoward Demetrius D Home Help Detroit 5/22/2015 DCHHoward Earl Home Help Detroit 11/15/2017 MDHHSHoward Fred Jerome Home Help Gobles 3/25/2015 DCHHoward Lillardo Home Help Flushing 12/12/2016 MDHHSHoward Terrence Home Help Detroit 12/16/2015 MDHHSHoward Timothy Devon Home Help Lansing 3/6/2015 DCH
Howe Clarence G. Physician Detroit 5101003031 3/18/1987 DCH
Violation of Medicaid False Claim Act
Howell Monica Home Help Bay City 9/7/2017 MDHHSHuddleston Shannon Home Help Benton Harbor 5/31/2017 MDHHSHuddleston Sheila Diane Home Help Detroit 10/22/2014 DCHHudson Donald L. Chiropractor 1255488615 East Lansing 2301005765 2/2/2006 HHS 1128(b)(14)Huestis Christina Home Help Bay City 10/20/2014 DCHHughes Timothy Home Help Belleville 11/30/2015 MDHHSHughey Danny Home Help Muskegon 5/1/2014 DCHHugle Alden Home Help Detroit 10/17/2016 MDHHSHulbert Melissa Home Help Jackson 12/27/2016 MDHHS
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Hunter Elleen E. Physician Mount Clemens 5101004385 3/18/1987 DCH 10/13/1990 HHS
3/18/87: Violations of Medicaid False Claim Act10/13/90: 1128(a)(1)
Hush GeorgeNon- Emergency Transpotation Afton 1/6/1997 HHS Excluded
Hussain Murtaza Physician- 1043238421 Detroit 4301057047 4/6/2015 DCH--OIG
8/11/2015 05/19/2016 06/02/2016
MI-Licensing and Regulatory Affairs HHS-OIG MDHHS-OIG
Summary Suspension Summary Suspension Excluded
Huynh Thanh Home Help Grand Rapids 7/12/2016 MDHHSHydrick Robert H. Physician Grand Rapids 4301019228 5/20/1998 HHS 1128(b)(4)Hyman Samuel J. Physician Wayne 4301012805 6/30/1988 HHS 1156(b)Hysaw Denise Danillie Home Help Muskegon 12/26/2014 DCHIngram Kimberly Home Help Detroit 7/20/2016 MDHHSIverson Tracey Lorene Home Help Port Huron 1/12/2015 DCHIvory Jackie Home Help Bruceton Mills, WV 6/30/2016 MDHHS-OIG
Iyer Ravi Physician 1467493791 Detroit 4301082017 7/30/2013 DCH-OIG 3/20/2017
MI- Licensing and Regulatory Affairs
Suspended Summary Suspension
Jackson Cassandra P Home Help Detroit 12/11/2014 DCHJackson Darryl Home Help Detroit 11/9/2017 MDHHSJackson James Home Help Grand Rapids 2/19/2015 DCHJackson Lakeya Home Help Saginaw 9/29/2017 MDHHSJackson Latoya Nicole Home Help Detroit 4/13/2015 DCH
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Jackson Mark Home Help Detroit 2/27/2017 MDHHSJackson Timeko Home Help Flint 1/30/2017 MDHHSJackson Wanda Home Help Detroit 7/31/2015 MDHHSJacobs Jerome Home Help Detroit 12/28/2016 MDHHSJacobson Suzanne Home Help interlochen 10/20/2017 MDHHS-OIGJakubiak Paul J. Physician Lansing 4301027820 3/20/2003 HHS 1128(b)(4)Jamar Marnez Home Help Eastpointe 11/30/2015 MDHHSJames David Home Help Saginaw 8/17/2017 MDHHSJames Marilyn Home Help Lansing 1/26/2017 MDHHSJames Yakeena K Home Help Detroit 11/30/2015 MDHHSJamison Raymond Home Help Niles 5/22/2018 MDHHS
Janarthanan Sailajah Physician 1811098247 Troy 4301093872 2/19/2013
MI-Licensing and Regulatory Affairs Suspended
Janviriya Vicha Physician 1174603930 Southfield 4301032436 3/11/2015 DCH-OIG 1/20/2016 HHS_OIG
Summary Suspension Excluded
Jayasundera Victor Physical Therapist 1558488783 Southfield 5501005927 9/10/2012
MI-Licensing and Regulatory Affairs Suspended
Jeffries Caprica Home Help Covert 1/18/2018 MDHHSJefferson Lerteatrist Home Help Detroit 12/4/2014 DCH
Jennings AlonzoNon Emergency Transportation Westland 1/3/2018 MDHHS
Jennings Gregory Home Help Detroit 1/15/2015 DCHJennings Sophia Loen Home Help Dearborn Heights 11/13/2014 DCH
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Jerkins Waymon D.Podiatrist/Medical Supplier Detroit 5901000834 7/6/1993 DCH 7/29/1997 HHS
7/6/93: Violation of Medicaid False Claim Act7/29/97: 1128(a)(1)
Johnson Angelo Home Help Detroit 6/10/2015 DCHJohnson Bunny Home Help Kalamazoo 2/10/2018 MDHHSJohnson Charles Home Help Pontiac 10/29/2016 MDHHSJohnson Charles Home Help Muskegon 12/9/2015 MDHHS
Johnson Christa M. Chiropractor 1629292909 Manistee 2301007649 12/16/2017
MI-Licensing and Regulatory Affairs Suspended
Johnson Eric Home Help Kalamazoo 12/17/2014 DCHJohnson Falando Home Help Detroit 10/4/2016 MDHHSJohnson Flossie Home Help Detroit 10/3/2017 MDHHSJohnson Jimmy Edward Home Help Roseville 10/20/2014 DCHJohnson Keithley E. Physician Dearborn 4301032641 8/14/1995 HHS 1128(b)(3)Johnson Kisha Home Help Detroit 4/30/2015 DCHJohnson Larry Otis Home Help Detroit 10/23/2014 DCHJohnson Maria Home Help Detroit 8/3/2017 MDHHSJohnson Michael Home Help Kalamazoo 7/17/2018 MDHHSJohnson Robert Home Help Ecorse 4/12/2018 MDHHSJohnson Stephen Home Help Lansing 1/25/2016 MDHHSJohnson Tiaka Home Help Grand Rapids 8/14/2017 MDHHSJohnson Tracy Home Help Kalamazoo 12/23/2014 DCHJohnson Julius A Home Help Detroit 11/30/2015 MDHHSJones Dmarcus Home Help Roseville 3/16/2015 DCHJones Derrick Earl Home Help Wayne 11/30/2015 MDHHSJones Ivan Home Help Wayne 7/6/2017 MDHHS
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Jones Jacquetta Home Help Benton Harbor 8/23/2017 MDHHSJones Helen Home Help Detroit 12/18/2014 DCHJones Jemien Zardo Home Help Flint 4/3/2015 DCHJones Julias Home Help Milan 11/24/2014 DCHJones Lacarol Tealette Home Help Detroit 1/23/2015 DCH
Jones Mark Psychologist 1558474585 Port Huron 6301011246 9/5/2017
MI-Licensing and Regulatory Affairs
5/9/2018 3/22/18
MDHHS-OIG MI- License and Regulatory Affairs
Summary Suspension Summary Suspension Summary Suspension Disolved Revoked
Jones Marquett Home Help Detroit 11/30/2015 MDHHSJones Monique Home Help Grand Rapids 9/14/2016 MDHHSJones Turquoise Sabrina Home Help Grand Rapids 2/19/2015 DCHJones- Wert Darlene Home Help Hillsdale 10/6/2016 MDHHSJordan Brandon Home Help Detroit 9/27/2016 MDHHS
Joseph Edward Physician 1598719809 Mount Clemens 5101012963 4/4/2008
MI-Licensing and Regulatory Affairs
Summary Suspension
Judkins Kelvin Home Help Grosse Pointe 9/1/2016 MDHHS
Jurek-D'Andrea Kristina Home Help Macomb 2/19/2014 DCH-OIG 8/26/2015 DCH-OIG
Summary Suspension Terminated
Justice Candy Home Help Mount Clemens 7/23/2018 MDHHS
Kafi Alex A Physician 1578586772 West Bloomfield 4301043089 12/14/2017
MI-Licensing and Regulatory Affairs Suspended
Kalinski Shawn Home Help Detroit 6/5/2017 MDHHS
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Kam Anthony M. Physician 1407894207 Sheridan 4301033166 5/1/2008
MI-Licensing and Regulatory Affairs
Voluntary Suspension
Kaminski TeresaNon- Emergency Transpotation Alpena 2/16/2017 MDHHS
Kamp Marc R Dentist 1952427254 Bloomfield Hills 2901015510 1/9/2016
MI-Licensing and Regulatory Affairs
Summary Suspension
Karas KennethNon Emergency Transportation Lake 5/31/2017 MDHHS
Kates Jeremiah Home Help Lansing 1/20/2016 MDHHS
Kaufman, Jack A. DPM, PC (aka Novi Footcare Associates PC) Kaufman Jack A. Podiatry Group Novi 5901000903 9/19/2003 HHS 2/20/2006 HHS
9/19/03: 1128(a)(1) 2/20/06: 1128(a)(1)
Noblecare Pharmacy Kaur Prabhjett Pharmacy 1730480203 Southfield NCPDP 2374750 8/23/2011 DCH 6/2/2016 MDHHS-OIG
Summary Suspension Terminated
Kay John F. Chiropractor Westland 2301005309 11/8/1994 HHS 1128(b)(14)
Kaza Mohan V Physician 1366684581 Bloomfield Hills 43010175190 10/19/2016
MI-Licensing and Regulatory Affairs 8/28/2017
MI-Licensing and Regulatory Affairs
Summary Suspension Suspended
Kaza Sudheer Physician Detroit 4301047113 3/18/1987 DCH
Violation of Medicaid False Claim Act
Kazma Robert M. Chiropractor Detroit 2301002964 9/20/2001 HHS 1128(a)(1)
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Keels Ramone Home Help Saginaw 11/30/2015 MDHHS
Keen Marc E Physician 1851362966 Ludington 4301057451 1/17/2018
MI-Licensing and Regulatory Affairs
Disciplinary Limited License
Keen-Centofanti Judith R. Chiropractor Imlay City 2301006875 3/6/1997 HHS 1128(b)(14)Kelley Cheryl Ann Home Help Muskegon 12/3/2014 DCHKelley Demetric Home Help Detroit 4/28/2016 MDHHSKellum Marlon R Home Help Detroit 11/30/2015 MDHHS
Kelly Paul A Physician 1932351715 Southfield 4301051333 7/30/2013 DCH-OIG 9/30/2013 HHSTerminated1128(a)(1)
Kelly Ralph M Physician 1578518817 Okemos 4301037517 7/14/2018
MI-Licensing and Regulatory Affairs Suspended
Kelly, Jr. James J. Physician 1316975386 Troy 4201054938 4/27/2008
MI-Licensing and Regulatory Affairs
Summary Suspension
Kemp Michael Physician Group Detroit 8/29/1990 HHS 1128(a)(1)All Care Medical Center Inc. Kennedy Donald R. Physician Flint 5101003922 4/12/1993 HHS 1128(a)(1)
Kennedy David Roderick Home Help Detroit 11/30/2015 MDHHSKennedy Dominque Home Help Oak Park 4/7/2016 MDHHSKenue Lakshmi Physician Detroit 4301050782 3/29/1990 HHS Suspended
Kern Steven A. Chiropractor 1528199403 Marine City 2301005582 8/25/2013
MI-Licensing and Regulatory Affairs
Summary Suspension
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Kerr Ellen Nurse 1588783484 Bloomfield 4704096047 1/5/2011 DCHVoluntarily surrendered
Ketcham Donn W. Physician 1598742702 Allendale 4301023446 2/24/2012
MI-Licensing and Regulatory Affairs
Voluntarily Surrendered
Khan, Walayata MD, PC Khan Walayata A. Physician 1497779649 Ypsilanti 4301042910
2/11/1996 05/06/2014
HHS DCH-OIG
3/30/20156/20/18
DCH-OIGHHS-OIG
1128(a)(1) Summary Suspension TerminationExcluded
Khanbai Javeed Home Help Lansing 3/23/2017 MDHHS
Khurana Suresh P. Physician 1790859205 Harrison Township 4301031380 3/18/2011
MI-Licensing and Regulatory Affairs
Drug diversion
Kiefer Kathryn M CRNA 1629148119 Grosse Pointe 4704170474 6/9/2017
MI-Licensing and Regulatory Affairs
Summary Suspension
Kilpatrick Kerry Physician- 1568517225 Grand Rapids 2301004267 10/27/2011
MI-Licensing and Regulatory Affairs Suspended
Kim Dong Irl Physician Holland 4301039383 6/20/2000 HHS 1128(b)(4)
Kimbrough Christina Physician 1942525894 Canton 430196825 5/1/2018 MDHHS-OIGSummary Suspension
Kincaid Shamika Latrice Home Help Southfield 2/17/2015 DCH
King III John V Dentist 1528142718 Detroit 2901011657 5/7/2018 MDHHS-OIGSummary Suspension
Kingen Kevin Home Help Redford 8/18/2015 MDHHS
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
J & J Sleep, Inc. Kingen Jack Physician Group Durand 4/8/2004 DCH
Violation of Medicaid False Claim Act
American Medical Supply, Inc. Kinsella Michael O. Medical Supplier Detroit 7/29/1996 DCH
Violation of Medicaid False Claim Act
Kirkland George Home Help Redford 1/17/2018 MDHHSKirkland Steven Home Help Detroit 4/12/2017 MDHHSKizer Theoloneus Home Help Benton Harbor 10/24/2017 MDHHS
Kizzy Wafid W. Dentist 1366564122 Oak Park 2901017596 1/18/2017 MDHHS-OIG6/15/2018 7/2/2018
MDHHS-OIG MI-Licensing and Regulatory Affairs
Summary Suspension Terminated Summary Suspension
Klein Alan Chiropractor Detroit 2301004270 3/18/1987 DCH 12/16/1986 HHS
3/18/87: Violation of Medicaid False Claim Act12/16/86: 1128(a)(1)
Kleinert Kathleen M Physician 1336156231 Detroit 5101013318 11/24/2012
MI-Licensing and Regulatory Affairs
Knight Keith Home Help Pontiac 3/22/2017 MDHHSKnox Charles Ramon Home Help Detroit 11/30/2015 MDHHSKoffeman John Nicholas Chiropractor Ann Arbor 2301004912 12/19/1998 HHS 1128(b)(14)Kohli Jaspal S. Physician Warren 4301038647 8/3/1994 HHS 1128(a)(1)
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Kompus, Larry L., MD, PC Kompus Larry L. Physician Group Pontiac 4301026816 3/25/1991 HHS 1128(a)(1)
Koop Rose Home Help Waterford 8/7/2015 DCH
Korby Gordon Jay Physician 1801826953 Aubrun Hills 5101012577 6/7/2018
MI-Licensing and Regulatory Affairs
Voluntarily Surrendered
Korstanje Raymond P Registered Nurse 1851525422 Grand Rapids 4704105538 1/7/2012
MI-Licensing and Regulatory Affairs Suspended
Kozlowski Karie Home Help Warren 2/5/2018 MDHHSKrempel's Pharmacy Krempel William Pharmacy Sault Ste. Marie 5301000395 9/5/1985 HHS 1128(a)(1)
Kreuzer Dan Fredrick Physician 1053463646 Wayland 5101008291 3/9/1994 DCH 8/10/1994 HHS
3/9/94: Vioilation of Medcaid False Claim Act8/10/94: 1128(a)(1)
Kreuzer Kevin Physician 1780722710 Grand Rapids 4301053795 4/18/2008
MI-Licensing and Regulatory Affairs Suspended
Kristoff Michael Home Help Allen Park 4/25/2016 MDHHSKrusell Cheryl Home Help Rogers City 7/7/2015 DCH
Kucinski Richard C. Physician Utica 4301407406 9/1/2007
MI-Licensing and Regulatory Affairs Suspended
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Kuldanek Gregory A Physician 1568410496 Grand Rapids 4301047564 5/19/2015 DCH-OIG5/20/2015 10/19/2015
DCH-OIG HHS-OIG
Summary Suspension Terminated Excluded
Kumar Vijay Physical Therapist 1730133117 West Branch 5501005559 7/24/2015
MI-Licensing and Regulatory Affairs
7/13/2016 02/10/2017
MDHHS-OIG MI- Licensing and Regulatory Affairs
Summary Suspension Summary Suspension Revoked
LaBarrie Sybil Home HElp Hantramck 9/29/2016 MDHHSLadaga Joseph H. Physician Dowagiac 5101009602 9/11/1996 HHS 1128(a)(2)
Lafata Philip J. Physician 1215037197 Caseville 4301023545 6/24/2008
MI-Licensing and Regulatory Affairs
Summary Suspension
Laframboise Jon Home Help Mount Morris 10/23/2014 DCHLairy Saraya Home Help Detroit MDHHSLambert Kandice Home Help Detroit 8/11/2015 MDHHS
Lamoreaux JamesNon Emergency Transportation Sault Sainte Marie 5/9/2017 MDHHS
Landino Colleen D Physician 1780777482 Muir 5101013079 3/25/2014
MI-Licensing and Regulatory Affairs 8/23/2015
MI-Licensing and Regulatiory Affairs
Suspended Summary Suapension
Landrum Corliss Home Help Detroit 11/16/2015 MDHHSLane Cheryl Home Help Detroit 12/15/2015 MDHHS
Lane Robert E Physician 1972584159 Almont 5101004855 5/3/2017
MI-Licensing and Regulatory Affairs 10/24/2017
MI-Licensing and Regulatory Affairs
Summary Suspension Summary Suspension
Lardell Nicole Home Help Pontiac 10/5/2015 MDHHS
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Larson Gerald Physician 1891770947 Williamsburg 5101007523 2/1/2018
MI-Licensing and Regulatory Affairs
Voluntarily Surrendered
Lauchu Carlos M. Physician Saline 4301029754 3/16/1995 HHS 1128(b)(4)Lauderdale Selena Home Help Grand Rapids 5/27/2015 DCHLawrence Brian Home Help Warren 2/16/2017 MDHHS
East Side Pharmacy, Inc. Lazar Calvin R. Pharmacy Flint 12/17/1997 HHS 1/4/1984
12/17/97: 1128(b)(1)1/4/84: 1128(a)(1)
Leamon Yolanda G. Physician Battle Creek 4704106771 7/20/2000 HHS 1128(b)(4)
LeBaron Troy J Optometrist 1124210091 Ada 4901114426 7/3/2017
MI-Licensing and Regulatory Affairs 3/5/2018
MI-Licensing and Regulatory Affairs
summary Suspension Dissolved Suspended
Lee Edith J. Physician Highland Park 4301022981 8/14/1986 HHS 1128(a)(1)Lee John Home Help Wyoming 11/29/2016 MDHHS
Lee Sang H. Physician 1679790836 Detroit 4301032091 9/21/2011 DCHSummary Suspension
Cascade Pharmacy Leen Charles J.
Pharmacy/Medical Supplier Grand Rapids 5301002313 5/8/1991 HHS 1128(b)(4)
Heartside Pharmacy Leen Charles J. Pharmacy Grand Rapids 5301003879 5/8/1991 HHS 1128(b)(4)
Leete James Physician 1467476937 Traverse City 4301041116 8/16/2014
MI-Licensing and Regulatory Affairs Suspended
Legault Thomas Home Help Roseville 1/18/2018 MDHHSLegrand Jessica Home Help Warren 7/19/2018 MDHHSLeftwich Carl L. Dentist Detroit 2901007003 8/1/1990 HHS 1128(b)(4)Leitson Marcelino Joel Chiropractor Oak Park 2301005098 2/19/1998 HHS 1128(b)(1)
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Lerner Laran Physician 1598713430 Westland 5101008800 7/29/2015 MDHHS- OIG06/27/20167/20/2016
MI- Licensing and Regulatory Affairs HHS-OIG
Summary Suspension Revoked Excluded
Lesley Jusy Home Help Kalamazoo 3/29/2016 MDHHSLewis Andrew L Home Help Detroit 3/4/2015 DCHLewis Dorothy Home Help Detroit 12/12/2016 MDHHS 1/10/2018 MDHHSLewis Kevin Home Help Detroit 9/29/2015 MDHHSLewis Maurice Home Help Lansing 11/30/2015 MDHHSLewis Nefertari Home Help Pontiac 7/11/2018 MDHHSLewis Pharen Home Help Detroit 9/6/2016 MDHHSLewis Terrance Home Help Highland Park 11/3/2014 DCHLieberman Ira Stephen Physician North Branch 8/20/2006 HHS 1128(a)(4)Lightfoot Arthur S. Physician Burton 4301023700 3/1/1990 HHS 1128(b)(4)Lilleberg Jessica Home Help Cadillac 7/7/2015 DCHLilly Latoya Home Help Holt 11/30/2015 MDHHSLim Billy Shee Dentist 1942356183 Detroit 2901015899 12/1/2007 HHS 1128(a)(1)
Limbacher Jason Eric Chiropractor 1356521975 Commerce Township 2301007595 6/18/2018
MI-Licensing and Regulatory Affairs
Summary Suspension
Linares Oscar A Physician 1689641458 Dearborn 4301045607 3/21/2013 DCH
09/20/2016 02/10/2017 04/20/2017
MI-Licensing and Regulatory Affairs MI- Bureau of Licensing and Regulatory Affairs HHS
Suspended Summary Suspension Revoked Excluded
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Lindeman Craig J Optometrist 1619024966 Lansing 4901002406 3/29/2012
MI-Licensing and Regulatory Affairs Suspended
Lindsey Tommy G. Chiropractor Mount Morris 2301002099 5/20/1998 HHS 1128(b)(4) Little Daniel Home Help Flint 2/9/2017 MDHHS
Lloyd Christopher Detroit 9/13/2016 MDHHSRitecare LLC Lobato Hans Group 1609035104 Livonia 1/19/2012 HHS 1128(b)fRitecare LLC Lobato Hans Group 1508064775 Livonia 1/19/2012 HHS 1128(b)f
Lockwitz Todd A Physician 1861456071 Novi 4301054687 6/26/2018 MDHHS
Disciplinary Limited License
Mobility Matters 360 INC Lofton Don
Non Emergency Transportation Adrian 1/2/2018 MDHHS
Londree Kim Home Help Iron Mountain 4/16/2018 MDHHSLong Lisa Home Help Kalamazoo 1/31/2018 MDHHSLong Tashema Home Help Detroit 11/30/2015 MDHHSLonsby Bonnie Home Help Port Huron 4/28/2016 MDHHSLooney Samuel Home Help Detroit 3/7/2017 MDHHS
Loop William C. Physician 1710926944 East Tawas 4301042646 9/2/2009
MI-Licensing and Regulatory Affairs Suspended
Lopez Ernest Home Help Bay City 10/4/2016 MDHHS
Lotfi Ahad Chiropractor 1063420529 Hartford 2301006100 6/6/2017 MDHHS-OIG 3/1/2018
MI-Licensing and Regulatory Affairs
Summary Suspension Dissolved Revoked
Lowe Lawrence Home Help Detroit 6/25/2018 MDHHSLowe Raphael Home Help Inkster 2/22/2018 MDHHSLowery Danny Home Help Detroit 9/11/2017 MDHHS
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Lucas William A. Physician Dearborn 4704127471 4/20/2000 HHS 1128(b)(4)Lucero Michelle Home Help Battle Creek MDHHS
Superior Bio-Medical Lab Luckett Larry Laboratory Detroit 7/1/1988 DCH 5/26/1989 HHS
7/1/88: Violation of Medicaid False Claim Act5/26/89: 1128(b)(4)
Lupis Francesco Physician 1174657167 Avon, CT 4301089103 6/15/2018
MI-Licensing and Regulatory Affairs Suspended
Lyman Winston Home Help Warren 5/6/2016 MDHHSLynn Edward Home Help Idlewild 11/15/2016 MDHHSLynn Jovon Home Help Saginaw 9/13/2016 MDHHS
Lugo--Medina Suzette Physician 1922025865 Coldwater 4301078982 11/18/2015
MI-Licensing and Regulatory Affairs Suspended
Maaz Bassam M Physician 1851314314 Dearborn 4301053885 12/1/2016 MDHHS-OIG4/12/2018 5/16/2018
MDHHS-OIG MI-Licensing and Regulatory Affairs
Summary Suspension Terminated Voluntarily Surrendered
MacLean Charles A. Physician Owosso 4301025670 8/29/1995 HHS 1128(b)(4)Madden Frances S Physician 1801850292 Grand Rapids 4301077568 7/20/2015 HHS ExcludedMadden Torrnece Hiome Help Grand Rapids 11/12/2016 MDHHSMaddox Juanita Jean Home Help Detroit 3/16/2015 DCHMagee Elizabeth Home Help Carsonville 1/20/2016 MDHHS
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Mahabeer Howard Leslie Physician 1861449696 Reed City 4301048268 8/10/2017
MI-Licensing and Regulatory Affairs
Summary Suspension
Makki Ali S. Physician 1114032414 Dearborn 4301048780 9/20/2011 HHS 1128(a)(1)Motor City Nutritional Support Makowski Dennis Medical Supplier Hamtramck 6/4/1995 HHS 1128(a)(1)Lakeshore Spine & Pain PC Makwana Rajesh Group 1245260371 Ludington 2/22/2012 DCH Suspended
Malewski Sara Nurse Practitioner 1639302888 Utica 4704180776 8/5/2017
MI-Licensing and Regulatory Affairs
Disciplinary Limited License
Malhotra Rajesh Physician 1891748547 Detroit 4301097855 9/8/2015
MI-Licensing and Regulatory Affairs 6/30/2016
MI-Licensing and Regulatory Affairs
Summary Suspension Summary Suspension
Malik Mukhtar Ahmad Physician Madison Heights 4301033579 9/2/1997 HHS 1128(b)(3)Malik Parveen Physician 1972668630 Bay City 4301065126 4/20/2010 HHS 1128(b)(7)Malone Kevin Louis Home Help Grand Rapids 12/1/2014 DCH 4/19/2018 MDHHSMammo Waleed Dentist 1598939811 Sterling Heights 2901015678 4/10/2007 DCH TerminatedMann Dejohn Home Help Grand Rapids 5/13/2015 DCH
Manor James P. Nurse Anesthetist 1508912692 Wyandotte 4704136317 4/1/2014
MI-Licensing and Regulatory Affairs Suspended
Mape Avelino Marbella Physician Detroit 4301036423 9/23/1983 HHS 1128(a)(1)
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Marang Boitshoko P. Physician Detroit 4301407569 2/15/1995 HHS 4/10/1996 HHS
2/15/95: 1128(b)(4)4/10/96: 1128(a)(1)
Marcano Carlos A. Physician 1639125040 Grand Rapids 4301057357 11/24/2008
MI-Licensing and Regulatory Affairs
Summary Suspension
Metric Medical Lab Marcus Carl Laboratory Southfield 3/1/1992 HHS 1128(a)(1)
Markowski Stephen Home Help Atlanta 10/13/2016 MDHHSMarnach Richard L Physician 1619923034 Minneapolis -MN 30333-MN 1/2/2013 HHS & DCH SuspendedMarshall Tanea Home Help Grand Rapids 11/17/2017 MDHHS
Martin Dana Physician 1215019963 Sturgis 5601002180 6/26/2018 MDHHS
Disciplinary Limited License
Martin Daniel Home Help Detroit 4/21/2016 MDHHSMartin Dennis Home Help Detroit 12/14/2017 MDHHS
LifeLine Transportation Martin Lenora
Non Emergency Transportation Detroit 6/8/2017 MDHHS 1/2/2018 MDHHS
Martin Michael Home Help Detroit 8/22/2017 MDHHSMartin Robert Home Help Detroit 2/13/2018 MDHHSMartin Terrell Home Help Detroit 6/5/2017 MDHHSMartinez Joseph Home Help Ecorse 1/13/2016 MDHHSMartinez Martin M Home Help 10/1/2015 MDHHS
Mason Marian Y Dentist 1295967438 Detroit 2901011681 8/1/2014
MI-Licensing and Regulatory Affairs Suspended
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Mason Stephen B Physician 1528390259 Morgantown, WV 4301097993 2/20/2018 HHS-OIG 3/21/2018
MI-License and Regulatory Affairs
Excluded Summary Suspension
Masserant John C. Physician 1669454146 Monroe 4301076801 11/12/2015 MDHHS
4/5/2016 08/24/2016 08/20/2017 09/20/2017
MI-Licensing and Regulatory Affiars MI- Licensing and Regulatory Affairs HHS MDHHS-OIG
Revoked Summary Suspension Summary Suspension Excluded Terminated
Matthews Alice Home Help Flint 12/19/2016 MDHHSMauldin Brandon Home Help Detroit 4/12/2017 MDHHSMay Kathleen Home Help Luther 3/31/2015 DCHMayers Keith Home Help Vestaburg 1/29/2018 MDHHS
Mays Thomas D Physician 1255344339 Southfield 4301043030 9/16/2017
MI-Licensing and Regulatory Affairs
Disciplinary Limited License
Parkside Mental Health, Inc. Mayberry Marie Victoria Physician Group Detroit 11/19/1998 HHS 1128(a)(1)
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Mayfield Stephanie Marie Physician 1740238286 Flint 4704167920 1/14/2009
MI-Licensing and Regulatory Affairs
9/21/2015 01/09/2016
MI-Licensing and Regulartory Affairs Mi- Licensing amd Regulatory Affairs
Suspended Suspended
Maynard Jamie Home Help Midland 6/21/2016 MDHHSMays Sandra D Home Help Detroit 11/30/2015 MDHHSMazer Joel Allen Optometrist Flint 4901003693 9/20/2004 HHS 1128(a)(2)Mcabee Davies E Home Help Lansing 4/14/2015 DCH
Premier Non-Medical McBride Joshua
Non Emergency Transportation Wyoming 1/16/2018 MDHHS
McBride Stellana M Home Help Lansing 3/25/2015 DCHMcCall Darnell Home Help Detroit 5/13/2016 MDHHSMcCane Ariel Home Help Detroit 3/23/2017 MDHHSMcCartney James R. Physician Bay City 4301041608 7/30/1986 HHS 1128(a)(1)
McCarver Williemendia Home Help Detroit 2/10/2016 MDHHSMc Caskell Ruthie Home Help Detroit 3/10/2016 MDHHSMcCaster Kenneth Home Help Hazel Park 11/30/2015 MDHHSMcClain Raymond Home Help Mendon 10/4/2017 MDHHS
Behavioral Dynamics PC McCloud Thomas SA Treatment Detroit 7/29/1985 HHS 1128(a)(1)
McCovery Sherman Home Help Flint 4/7/2016 MDHHSMcCoy Cedric Home Help Detroit 10/16/2015 MDHHSMcCray Marcus Home Help Saginaw 3/9/2017 MDHHSMcCullen Scinicor Home Help Saginaw 11/19/2015 MDHHSMcCullum John Home Help Caro 4/11/2017 MDHHS
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
McCutchen III William Physician 1477507739 Wagram, NC 5101014673 9/11/2017
MI-Licensing and Regulatory Affairs 5/20/2018 HHS-OIG
Summary Suspension Terminated
McDonald Catrina Home Help Pontiac 12/7/2015 MDHHS McEwen Timothy Home Help Detroit 7/13/2017 MDHHS
McFarland-Reddick Jill Nurse Midwife 1780827261 Auburn 4704228799 5/24/2018
MI-Licensing and Regulatory Affairs
Summary Suspension
McFarland Nicholas Home Help Detroit 1/11/2018 MDHHSMcFee Kiemar Home Help Detroit 11/21/2017 MDHHSMcKinney Carolyn Home Help Muskegon 6/13/2016 MDHHSMcKinney David W. Physician Detroit 4301031076 8/15/1990 HHS 1128(b)(4)McKinnie Linzell Home Help Wyoming 10/20/2014 DCH
Towne Pharmacy McManaway Donald R. Pharmacy Monroe 5301001358 7/17/1985 HHS 1128(a)(1)
McMillan Shawn Kurichan Home Help Burton 1/12/2015 DCHMcMullen Scinicor Home Help Detroit 11/19/2015 MDHHSMcPhail William L. Physician Detroit 4301030183 7/30/1990 HHS 1128(a)(1)
Mechael Ban Physician 1124095666 Livonia 4301073200 6/26/2018 MDHHS
Disciplinary Limited License
Meeks Ricky Home Help Muskegon 2/18/2015 DCHAccess Care Home Care, Inc Mehood Zafar
Home Health Agency 1134174006 Ypsilanti 5/22/2012 DCH
Summary Suspension
Melchor Arthu Allen Home Help Adrian 2/24/2015 DCHMelton Bradley Home Help Detroit 11/6/2017 MDHHS
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Melton Mark R. Physical Therapist 1861504425 Gaylord 5501009879 12/28/2007
MI-Licensing and Regulatory Affairs
Summary Suspension
Mendoza Samuel Physician Dearborn 4301020703 5/6/1997 HHS 1128(b)(4)Merkle Clifton Home Help White Pigeon 4/7/2016 MDHHSMerritt Edward Home Help Detroit 3/13/2018 MDHHSMerritt Michael Home Help Detroit 11/30/2015 MDHHS
Mesiwala Kutub H Physicain 1548331705 Bloomington Hills 4301040545 3/11/2015 DCH-OIGSummary Suspension
Messisco Joyce M Nurse Practitioner 1952505760 Macomb 4704164357 4/16/2015 DCH-OIG5/15/2015 08/20/2015
DCH-OIG HHS
Suspended Terminated Terminated
Michkovits, John F. PC Michkovits John F. Dental Group South Haven 2901008784 3/19/1999 DCH 6/17/1999 HHS
3/19/99: Violation of Medicaid False Claim Act6/17/99: 1128(a)(1)
Mickel John Home Help Grand Rapids 11/21/2017 MDHHSMickel Kenyatta Home Help Detroit 9/13/2016 MDHHSMiddleton David H. Physician Ann Arbor 4301024480 7/1/1997 HHS 1128(b)(4)
Lakeland Convalescent Center Midenberg David S. Nursing Facility Detroit 83451 9/20/2000 HHS 1128(a)(2)Fritz the Druggist Milder Joseph
Pharmacy/Medical Supplier Muskegon Heights 5301000030 4/24/1986 HHS 1128(a)(1)
Mihailoff Nevena M Physician 1740280569 Dearborn 4301039159 1/17/2018
MI-Licensing and Regulatory Affairs
Voluntarily Surrendered
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Shelle's Pharmacy, Inc. Miles Shelle R.
Pharmacy/Medical Supplier Pontiac 5301004588 3/20/1990 HHS 1128(a)(1)
Miky Mansour A Physician 1023080512 Marquette 4301082652 9/23/2016
MI-Licensing and Regulatory Affairs Suspended
Miles Zekenia Home Help Grand Rapids 1/29/2014 DCH-OIGSummary Suspension
Miller David HomeHelp Grand Rapids 2/20/2018 MDHHSMiller Joyce Home Help Madison Heghts 12/15/2015 MDHHS
Miller Lloyd Livingston Physician Livonia 4301047699 2/9/1989 HHS 1128(b)(3)
Miller Ross David Physician 1720086226 Hillsdale 4301056697 4/23/2010
MI-Licensing and Regulatory Affairs Suspended
Miler StephenNon Emergency Transportation Alpena 3/16/2017 MDHHS
Miller Steven Home Help Saginaw 3/22/2016 MDHHSMiller Theresa Home Help Dewitt 10/7/2015 MDHHS
Millette Michael PPhysician's Assistant 1043259591 McMillian 5601004986 9/29/2017
MI-Licensing and Regulatory Affairs
Summary Suspension
Milliner Joel A Physicain 1346438140 4301079083 6/19/2014DCH-OIG HHS
3/8/2015 08/20/2015
Summary Suspension
Summary Suspension Excluded
Milton Deborah Denise Home Help Pontiac 6/10/2015 DCH
Miluk Paul R. Physician 1336139740 Niles 5101010370 9/18/2013 DCHSummary Suspension
Miral Leon R. Physician Detroit 5101005657 5/26/1988 HHS 1128(a)(1)
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Miskell Eric Home Help Musegon 1/12/2017 MDHHSMitchell Chatondra Home Help Detroit 4/19/2018 MDHHSMitchell Ladarin Q Home Help Detroit 11/12/2014 DCHMitchell Marcella Home Help Detroit 7/8/2015 DCH
Mohamed Abdullahi A Physician 1013009000 Alpena 4301084848 5/18/2013
MI-Licensing and Regulatory Affairs 8/15/2013 DCH
TerminatedSuspended
Molbrough David Home Help Detroit 6/14/2018 MDHHSMolett Reginald Home Help Pontiac 12/9/2015 MDHHSMonnan Syeed Home Help Warren 8/3/2017 MDHHSMonroe Frederick Home Help Benton Harbor 4/25/2018 MDHHS
Monteleone Melissa M. Nurse 1861439184 Huntington Woods 4704160940 11/8/2010
MI-Licensing and Regulatory Affairs
Summary Suspension
Montogomery Lisa
Non Emergency Transportation Mio 5/31/2017 MDHHS
Moody Carthan Lagrant Dentist Kalamazoo 2901014263 1/20/2004 HHS 1128(a)(1)Moore Allen Home Help Saginaw 3/14/2016 MDHHSMoore Alisha Marie Home Help Warren 4/7/2015 DCHMoore Dannetta Marie Home Help Benton Harbor 6/10/2015 DCHMoore Kamitko Home Help Taylor 8/31/2017 HHS-OIGMoore Timothy Home Help Detroit 10/13/2014 DCH
Moret Rodney Physician 1851451819 Madison heights 4301064420 3/31/2017
MI-Licensing and Regulatory Affairs 6/8/2018 MDHHS-OIG
Summary Suspension Terminated
Moret-QuezadRodney Physician 1851451819Oak Park Madison Heights 4301064420 12/22/2015 DCH-HHS 3/31/2017 HHS
Summary Suspension Revoked
Morgan Hollis Home Help Benton Harbor 8/23/2016 MDHHS
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Morrell Javonda Home Help Lansing 6/17/2015 DCHMorris Jacqueline Home Help Kalkaska 4/5/2016 MDHHS
Moser carrie Home Help Davison 6/28/2017
MDHHS```````````````````````````````````````````````````````````````````````````````````````````````````````````````````````````````````````````````````````````````````````````````````````````````````````````````````
Mosimbwa Charles Andrew Physician 1215134408 Berrien Springs 4301089193 3/12/2012
MI-Licensing and Regulatory Affairs Suspended
Moss Latonya Home Help Detroit 12/4/2014 DCHMoss Mitchell Home Help Detroit 6/25/2015 DCHMunn Karl Home Help Kalamazoo 4/25/2016 MDHHSMunshey Munir Ahmed Physician Ypsilanti 4301032297 9/11/1996 HHS 1128(a)(1)
Murphy Rosanne Physician 1245308790 Detroit 4301050350 7/30/2013
MI-Licensing and Regulatory Affairs Suspended
Murray Dwayne Home Help Lansing 2/20/2015 DCHMurrie Tommie Home Help Detroit 3/15/2017 MDHHSMurtuza Atiya Physician Centerline 4301042165 4/12/1993 HHS 1128(a)(1)
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Myers Crystal Home Help Detroit 7/22/2015 MDHHS-OIG
Summary Suspension and Termination
Mynt Toe Physician 1982618138 Madison Heights 4301084986 7/9/2010
MI-Licensing and Regulatory Affairs Suspended
Care for You Pharmacy Naeem Rana Pharmacy 1073743282 Detroit NCPDP 2373114 8/23/2011 DCH 7/11/2016 MDHHS-OIG
Summary Suspension Termination
Preferred Care Pharmacy Naeem Rana Pharmacy 1467787770 Pontiac NCPDP 2373328 8/23/2011 DCH 5/25/2016 MDHHS-OIG
Summary Suspension Terminated
Taylor Apothecary Naeem Rana Pharmacy 1801026158 Taylor NCPDP 2373126 8/23/2011 DCH 5/30/2016 MDHHS-OIG
Summary Suspension Terminated
Nagarwala Jumana Physician 1619048329 Detroit 431071795 9/19/2017 MDHHS-OIGSummary Suspension
Nagy Laurence W Dentist 1093910911 Canton 2901009367 8/9/2012
MI-Licensing and Regulatory Affairs
Voluntarily Surrendered
Nali Frank Physician Warren 4301047701 2/3/1994 DCH 8/10/1994 HHS
2/3/94: Violation of Medicaid False Claim Act8/10/94: 1128(a)(1)
Nakhle Janet Home Help Dearborn 5/31/2018 MDHHS-OIG
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Nallani Surya C. Physician 1801838651 Birmingham 4301073842 3/6/2013 DCH-OIG3/6/2013 01/24/2017
DCH MI- Licensing and Regulatory Affairs
Summary Suspension Temination Summary Suspension
Namy Jonathan Home Help West Bloomfield 10/19/2016 MDHHSNapier Luther Home Help East Pointe 1/19/2016 MDHHSNapier Tyrone Home Help Detroit 7/6/2015 DCHNash Elliott Home Help Kalamazoo 12/10/2014 DCHNash Johnathan l Home Help Detroit 4/27/2015 DCH
Nasir Iqbal Physician 1639261696 Southfield 6/26/2018 MDHHS
Disciplinary Limited License
Nassar Lawrence Physician 1912011594 East Lansing 5101012213 2/7/2017 MDHHS-OIG
04/25/2017 1/24/2017 07/19/2017 4/20/18 5/20/18 4/5/18
Mi-Licensing and Regulatory Affairs MI Licensing and Regulatory Affairs HHS-OIG MDHHS-OIG HHS-OIG MI-LARA
Revoked Suspended Suspended Excluded Terminated Excluded Permanently Revoked
Nasser Omar Home Help Sterling Heights 8/23/2016 MDHHSNavyac Debbie Home Help Madison Heights 6/13/2016 MDHHSNeal Robert Home Help Detroit 1/10/2017 MDHHSNeal Tiffany Home Help Lansing 7/25/2017 MDHHSNealy Stephen Lamar Home Help Eastpointe 11/30/2015 MDHHSNeeley Phillip Home Help Detroit 1/25/2017 MDHHS
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Neely Richard Physician 1013908797 Durand 5101004783 9/18/2013 DCH10/18/2013 02/23/2017
DCH MI- Licensing and Regulatory Affairs
Summary SuspensionTerminated Summary Suspension
Nelson Barbara G. Physician 1700981040 Eastpointe 4301041753 5/22/2013 OTHER STATE6/6/2017 5/16/18
MI-Licensing and Regulatory affairs
Voluntarily Surrendered Summary Suspended Summary Suspension Dissolved Voluntarily Surrendered
Nelson Christopher S. Physician 1922041615 St. Joseph 4301090162 9/29/2007
MI-Licensing and Regulatory Affairs
Summary Suspension
Nelson Patrick Home Help detroit 5/24/2016 MDHHSNelson Roger Wayne Chiropractor Pontiac 2301006600 10/10/1995 HHS 1128(b)(14)Nelson Ronnie Home Help Kalamazoo 5/5/2016 MDHHSNelson Tekeshon Home Help Grand Rapids 2/2/2016 MDHHS
Neri, Jr. Jesus C. Physician 1730109539 Rogers City 4301045742 4/4/2016
MI-Licensing and Regulatory Affairs 5/18/2016
MI-Licensing and Reegulatory Affairs
Summary Suspension Volunmtarily Surrendered
Neumeier Thomas C. Dentist 1619918687 Menominee 2901008867 6/9/2018
MI-Licensing and Regulatory Affairs Revoked
Nesbitt Gregory Home Help Oak Park 11/14/2017 MDHHS
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Neves Ekra Home Help Detroit 11/10/2014 DCH
Newhall Stanley Physician 1295969251 Salt Lake City , UT 4301040499 7/30/2016
MI-Licensing and Regulatory Affairs Suspended
Newton Jermaine Home Help Detroit 6/10/2015 DCHNichols Rachel A Home Help Owosso 5/19/2015 DCH
Nicholson III Robert M. Physician 1447225347 Kalmazoo 4301046860 1/17/2018
MI-Licensing and Regulatory Affairs
Voluntarily Surrendered
Nicklosovich James Home Help Charlotte 6/20/2018 MDHHSNix Edna Home Help Detroit 11/17/2016 MDHHSNorman Eric Home Help Detroit 1/10/2018 MDHHSNorman Joseph Home Help Auburn Hills 1/14/2017 MDHHS
Norris Larry Chiropractor 1669529012 Portage 2301006036 7/13/2012
MI-Licensing and Regulatory Affairs Suspeneded
North John L. Optometrist 1932152105 Stevensville 4901002176 2/21/2018
MI-Licensing and Regulatory Affairs
Voluntarily Surrendered
Nosal Leonard Dentist 1427254069 White Lake 2901011174 7/20/2004 HHS 1128(a)(4)Notley Jammie L Home Help White Cloud 11/5/2014 DCHNwankwo Portia Home Help Detroitq 5/17/2017 MDHHS
Nwoke Peter R. Physician 1841398955 Gross Pointe Woods 4301082666 9/30/2012
MI-Licensing and Regulatory Affairs
10/26/2016 1/20/2013
MI- Licensing and Regulatory Affairs HHS
Suspended Excluded Suspended
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Obert Amy B. Registered Nurse 1427371210 Grand Rapids 4704236200 10/7/2011
MI-Licensing and Regulatory Affairs
Summary Suspension
Odinma Moses Home Help Detroit 11/19/2016 MDHHSOdle Richard Home Help Ithaca 2/12/2015 DCH
Oesterling Joseph E Physician 1538136353 Saginaw 4301063677 12/9/2016
MI-Licensing and Regulatory Affairs
2/13/2017 01/17/2018
MI-Licensing and Regulatory Affairs MDHHS-OIG
Suspended Summary Suspension Suspension
Ojaniemi Leland Home Help Battle Creek 7/26/2016 MDHHSOjeda Angela Home Help Southfield 8/2/2017 MDHHSOliver Ashley L Home Help Lansing 11/26/2014 DCHOliver Eric E Home Help Detroit 11/30/2015 MDHHSOlson Julie Home Help bangor 10/13/2017 MDHHS
Omar Tariq Physician 1144208174 West Bloomfield 4301070276 6/16/2017
MI-Licensing and Regulatory Affairs
Limited/ Restricted License
O'Neil edward Home Help Harrison 1/9/2017 MDHHSOng George Hansing Physician Kalamazoo 4301030442 12/12/1995 HHS 1128(a)(1)
Ononuju Chidozie J Physician 1316984750 Saginaw 5101013295 11/2/2016
MI-Licensing and Regulatory Affairs
12/5/2016 02/09/2017 08/20/2017
MDHHS-OIG MDHHS-OIG HS
Suspended Suspended Terminated Excluded
Orzame & Orzame, MD, PLLC Orzame Gabriel Sagun Physician Group Watervlite 4301044937 8/20/1998 HHS 1128(a)(1)
Osher Francis M. Physician Birch Run 5101005370 6/29/1992 HHS 1128(b)(3)
Osterhout Ann Home Help Bay City 7/18/2016 MDHHS-OIG 6/29/2017 MDHHS-OIGSuspended Terminated
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Ostrand Mary Home Help Snover 2/8/2018 MDHHSOwens Cornelius Home Help Saginaw 10/31/2017 MDHHSOwens Kristina Home Help Detroit 2/10/2016Palmer Kathy Home Help Saginaw 6/27/2017 MDHHS
Pamatmat Adelfo N Physician 1285676734 Detroit 4301034892 7/30/2013 DCH-OIG 6/20/2018 HHS-OIGSuspendedExluded
Pannell Larjuan Home Help Detroit 1/17/2017 MDHHS
Pannu Baljinder S Physician 1518011451 Oak Park 4301066542 9/5/2012
MI-Licensing and Regulatory Affairs Suspended
Papachristou Marios Radiologist 1366765323 Detroit 4301109449 6/25/2018 MDHHS-OIGSummary Suspension
Papendick Cynthia JNurse Practicitioner 1366423899 Union Pier 4704169270 10/4/2017
MI-Licensing and Regulatory Affairs
Limited Restricted License
Pappas Spilios Physician 1649202250 Detroit 4301052677 11/12/2017 MDHHS-OIGSummary Suspension
Pappas William John Home Help Madison Heights 12/23/2014 DCH
Park James Physician 1144258971 Owosso 4301024053 8/4/2010
MI-Licensing and Regulatory Affairs
Criminal Conviction
Parker Amanda Home Help Detroit 3/15/2016 MDHHSParker Antoine Home Help Detroit 10/29/2016 MDHHSParker Johnnie Home Help Pontiac 1/18/2018 MDHHSParkhurst Laura Home Help Carrolton 4/26/2015 MDHHSParis Rashaan Home Help Detroit 4/18/2017 MDHHSParrett Sarah Home Help Kalamazoo 8/11/2015 MDHHS
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Patel Arvind Physician 1437217601 Detroit 4301034282 7/4/2016 MDHHS1/9/2017 04/20/2017
MDHHS-OIG HHS
Summary Suspension Terminated Excluded
Levan Pharmacy Patel
Baba/Jyotsna Pharmacy 1861513194 Grand Blanc NCPDP 2367781 8/19/2011 DCH 7/11/2016 MDHHS-OIG
Summary Suspension Termination
Caring Pharmacy Patel Jyotsna Pharmacy 1407861347 Detroit NCPDP 2368202 8/19/2011 DCH
Summary Suspension
Detroit Care Pharmacy Patel Jyotsna Pharmacy 1295908069 Detroit NCPDP 2371019 8/19/2011 DCH 7/11/2016 MDHHS-OIG
Summary Suspension Termination
Prestige Drugs Patel Jyotsna Pharmacy 1174787766 Hazel Park NCPDP 2371590 8/19/2011 DCH 5/30/2016 MDHHS-OIG
Summary Suspension Terminated
Rapid Pharmacy Patel Jyotsna Pharmacy 1871625004 Warren NCPDP 2369494 8/19/2011 DCH
Summary Suspension
Eastpoint Pharmacy Patel
Kamuben/Jyotsnaben Pharmacy 1760643076 Roseville NCPDP 2371336 8/19/2011 DCH
Summary Suspension
Bestcare Pharmacy Patel Kiran Pharmacy 1114124260 Warren NCPDP 2369898 8/23/2011 DCH
Summary Suspension
Rapid Drugs Patel Kiran Pharmacy 1063605954 Southfield NCPDP 2370271 8/23/2011 DCHSummary Suspension
Patel Rameshbhai F. Physician Huntington Woods 4301036995 7/15/1987 DCH 12/23/1991 HHS
7/15/87: Violationf of Medicaid False Claim Act12/23/91: 1128(a)(1)
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Patel Rohane Avind Physician 1114049343 Rochester Hills 4301052678 11/21/2008
MI-Licensing and Regulatory Affairs
Summary Suspension
PatelSharadchandra D. Physician Saginaw 4301033216 5/21/1999 DCH 6/17/1999 HHS
5/21/99: Violation of Medicaid False Claim Act6/17/99: 1128(a)(1)
PatelSuman (chandra) Pysician 1790773729 Wayne 4301406326 2/10/2015 DCH-OIG
Summary Suspension
Patrick Mark Home Help Detroit 4/11/2016 MDHHSPatrick Michelle Home Help Detroit MDHHSPatterson Andre Home Help Detroit 7/21/2016 MDHHSPatterson Steve Home Help Hastings 6/29/2017 MDHHS
Paupore Joseph Thomas Physician 1841285467 Livonia 5101012057 4/21/2008
MI-Licensing and Regulatory Affairs
License Revocation
Payea Richard Paul Physician 1124019674 East Tawas 4301047848 9/2/2009
MI-Licensing and Regulatory Affairs Suspended
Payne Laron Home Help Battle Creek 3/23/2017 MDHHSPayne Ulie Home Help Lansing 12/23/2014 DCHPayton Christopher Home Help Detroit 12/20/2017 MDHHSPear Michael Home Help Sterling 5/17/2018 MDHHS
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Pearce Edwin T. Physician 1114977618 Clinton Township 4301021837 10/7/2008
MI-Licensing and Regulatory Affairs
Summary Suspension
Pearson Sarah Home Help Grand Rapids 7/14/2016 MDHHSPeeples- Jones Angela Home Help Westland 9/26/2017 MDHHSPeneger Kevin Home Help Flint 4/18/2016 MDHHSPennell Alan Home Help Idlewild 11/30/2015 MDHHSPeoples Leonora Home Help Detroit 9/18/2015 MDHHSPerkins Kim Home Help Port Huron 10/11/2016 MDHHSPerkins Yvette Home Help Detroit 4/12/2018 MDHHSPeterson Dwight Home Help Highland Park 9/21/2017 MDHHSPetipren David J. Dentist Capac 2901008794 6/13/1990 HHS 1128(b)(4)
Petre Paul M. Physicain 1023145232 Warren 4301078751 9/26/2011 DCH
2/15/2015 12/29/2015 07/20/2016
MI-Licensing and Regulatory Affairs MDHHS-OIG MI- Licesning and regulatory Affairs
Summary Suspension Summary Suspension Termination Revoked
Petroelje Glenn E. Dentist Holland 2901007127 7/28/1986 HHS 1128(a)(1)
Pettiway Willie Physician 1275669293 Detroit 4301049323 7/14/2016
MI-Licensing and Regulatory Affairs 3/31/2017
Mi- Bureau of Licensing and Regulatory Afffairs
Summary Suspension
Perez Gilberto Home Help Grand Rapids 2/23/2017 MDHHS Pfeifer Lauren Joan Physician Caro 4301056619 5/20/2004 HHS 1128(b)(4)
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Philip Pinkie Home Help Detroit 11/30/2017 HHS-OIGPhillips David Chaffee Physician Allegan 4301046887 3/20/2003 HHS 1128(b)(4)Phillips Jonathan Home Help Grand Rapids 10/13/2014 DCHPhillips Shirley Home Help Benton Harbor 11/30/2015 MDHHS
Pickens Jr Alex Physician 1649226507 Detroit 4301038348 8/23/2017 MDHHS-OIGSummary Suspension
Piechocki Joseph J Physical Therapy 1548370034 Macomb Twp 5501004900 5/27/2017
MI-Licensing and Regulatory Affairs Suspended
Pilot Loretta Home Help Detroit 6/15/2015 DCH-OIG
Suspension and Termination
Phinn Leamon Home Help Detroit 12/19/2016 MDHHSPinkins Deandre Home Help Detroit 12/21/2016 MDHHSPittman Antonio Home Help Lansing 10/6/2016 MDHHS
Pittman Venise Jamison Physician 1720037260 Westland 4704145670 2/20/2009
MI-Licensing and Regulatory Affairs Suspended
Pitts Joseph A. Physician Detroit 5101006636 10/18/2001 HHS 1128(b)(15)Pitts MArk Home Help Detroit 7/17/2017 MDHHSPleasants Maurice Home Help Detroit 4/6/2017 MDHHS
Plucer, Mark G., DO, PC Plucer Mark G. Physician Group Flint 5101006481 9/13/2002 DCH 1/20/2003 HHS
9/13/02: Violation of Medicaid False Claim Act1/20/03: 1128(a)(1)
Polk Alphonozo Home Help Flint 2/13/2017 MDHHS
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Pompy Lesly Physician 1174578801 Monroe 4301058720 8/4/2017
MI-Licensing and Regulatory Affairs
Summary Suspension
Ponce Fernando Chiropractor 1669681508 Lansing 2301005828 5/28/2008
MI-Licensing and Regulatory Affairs
License Revocation
Poole Portia Home Help Detroit 3/15/2016 MDHHS
Poonpanij Sonjai Physician 1891895462 Southfield 4301032562 3/6/2013 DCH10/20/2016 8/9/2016
HHS-OIG MDHHS-OIG
Excluded Termination Summary Suspension Termination
PornpichitSethavarangura Physician Detroit 4301033113 9/27/2007 DCH
Summary Suspension
Porter Alexis Home Help Detroit 2/9/2017 MDHHSPorter James Home Help Battle Creek 7/20/2017 MDHHSPorter Leroy Home Help Detroit 11/30/2015 MDHHS
Harbor Medical Diagnostic Clinic, Inc. Povlitz Robert H. Physician Group Keego Harbor 4/11/1991 HHS 1128(a)(1)
Powell Robert Home Help Clinton Township 9/19/2017 MDHHS
Prais Maureen CRNA 1497792717 Manchester 4704102142 6/1/2016
MI-Licensing and Regulatory Affairs
Voluntarily Surrendered
Premeau john Home Help MArquette 8/2/2017 MDHHSPrice Calvin U. Physician Flint 5101004559 7/22/1991 HHS 1128(a)(1)Price Tony Home Help Detroit 2/20/2015 DCHProby Keith Home Help Muskegon 4/28/2015 DCH
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Proctor Vernon Physician 1225215783 Baldwin 4301089365 12/30/2017
MI-Licensing and Regulatory Affairs
Disiciplinary Limited License
Pruitt Marcel Home Help Detroit 3/7/2016 MDHHS 12/13/2017 MDHHSPuente Karen A Home Help Melvindale 1/26/2015 DCHPugh Henry Home Help Detroit 7/21/2016 MDHHSPugh timothy Home Help Burr Oak 5/3/2017 MDHHSPullen Kenneth Home Help Detroit 12/18/2014 DCHPullian Yuolanda E Home Help Benton Harbor 12/5/2014 DCHPurnell Linda Home Help Mount Morris 12/14/2015 MDHHS
Detroit Plaza II Pharmacy Pylar George Pharmacy Detroit 5301003640 6/8/1988 HHS 1128(b)(3)
Qadir Rizwan Physician 1427136043 Sterling Heights 4301062248 7/29/2015 MDHHS-OIG4/20/2016 10/05/2017
MI- Licensing and Regulatory Affairs MI-Licensing and Regulatory Affairs
Summary Suspension Summary Suspension Summary Suspension
Qandil Basil A Physician 1720288749 Hamtramck 4301087756 1/22/2013
MI-Licensing and Regulatory Affairs
5/21/2013 06/19/2014 10/08/2015
DCH-OIG DCH-OIG MI-Licensing and Regulatory affairs
Suspended & Summary Suspension Termination Revoked
Quinlan James T Physician 1730272592 Traverse City 4301093587 11/5/2012
MI-Licensing and Regulatory Affairs Suspended
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Quinn Brian Patrick Physician 1104028828 Royal Oak 4704234655 6/18/2009
MI-Licensing and Regulatory Affairs
Summary Suspension
Quinn Donald R. Dentist 1417102492 Farmington Hills 2901013192 11/9/2014
MI-Licensing and Regulatory Affairs 3/4/2015
MI- Licensing and Regulatory Affairs
Suspended Revoked
Inkster Community Pharmacy Quisenberry Charles P.
Pharmacy/Medical Supplier Inkster 10/20/1998 HHS 1128(a)(1)
Southfield Family Pharmacy Quisenberry Charles P.
Pharmacy/Medical Supplier Southfield 5301003940 10/20/1998 HHS 1128(a)(1)
Weisel Drug Company Quisenberry Charles P.
Pharmacy/Medical Supplier Monroe 10/20/1998 HHS 11/14/1995 HHS
10/20/98: 1128(a)(1)11/14/95: 1128(a)(1)
Weisel Newport Pharmacy Quisenberry Charles P. Pharmacy New Port 5301004763 10/20/1998 HHS 1128(a)(1)
Weisel Pharmacy, Inc. (aka Cross Drug Store) Quisenberry Charles P. Pharmacy Menomiee 5301004621 10/20/1998 HHS 1128(a)(1)
Quizon Roberto G Physician 1538237482 Detroit 4301033614 6/14/2016 MDHHSSummary Suspension
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Racette, Wendell A. DDS, PC Racette Wendell A. Dental Group Lansing 2901010020 6/13/2001 DCH HHS
6/13/01: Violation of Medicaid False Claim Act10/18/01: 1128(a)(1)
Rafferty Joseph J Dentist 1811931405 Muskegon 2901011342 2/15/2015
MI-Licensing and Regulatory Affairs
Voluntarily Surrendered
Rahim Mahmoud Physician 1982706941 Dearborn 4301065143 8/3/2016 MDHHS- OIG 4/23/2018
MI-Licensing and Regulatory Affairs
Summary Suspension Summary Suspension
Physicians Choice Home Health Care LLC Rahman Tausif
Home Health Agency 1578689386 Livonia 237636 5/29/2012 DCH
Summary Suspension
For My Mom Transportation Raines Jason
Non Emergency Transportation Detroit 1/4/2018 MDHHS
Ramadan Ogus K. Physician Grand Blanc 4301030567 7/12/1992 HHS 1128(a)(1)
Rambo Joseph Jean Physician 1447242789 Bridgman 4301023443 10/16/2015
MI-Licensing and Regulatory Affairs
Voluntarily Surrendered
Ramesh Chilakamarri Physician 1578575106 Warren 4301049350 9/28/2009
MI-Licensing and Regulatory Affairs 9/25/2013 DCH-OIG
SuspendedTerminated
Ramsey Moriba Home Help Detroit 2/6/2017 MDHHS
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Rasmussen Ashlee Home Help lawtin 6/21/2018 MDHHS
Rasool Kashif Physician 1629287461 Detroit 4301083619 12/18/2017 MDHHS-OIGSummary Suspension
Ratcliff Christopher Home Help Pontiac 1/25/2016 MDHHSLakeshore Home Health Care Inc Rathod Babubhai Group 1396858775 Ludington 2/22/2012 DCH 8/1/2013 DCH-OIG
Terminated Suspended
Lakeshore Spine & Pain PC (Accessible Urgent Care) Rathod Babubhai Group 1699043299 Ludington 2/22/2012 DCH 8/3/2013 DCH-OIG
Terminated Suspended
Lakeshore Home Health Care Inc Rathod Shaila Group 1396858775 Ludington 2/22/2012 DCH 8/3/2013 DCH-OIG
Terminated Suspended
Raval Pramod Physician 1386612612 Hamtramck 4301043240 3/29/2010 DCH 7/18/2013 DCH-OIG
Terminated Summary Suspension
Glendale Pharmacy Raval Vijay Kumar Pharmacy 1366765083 Highland Park NCPDP 2373809 8/19/2011 DCH 7/11/2016 MDHHS-OIG
Summary Suspension Termination
Ray Marquetta Home Help Detroit 3/29/2016 MDHHSRedd Clara C Home Help Allen Park 1/28/2015 DCHReed David Home Help Detroit 11/21/2016 MDHHSReed Lawanda Lorena Home Help Grand Rapids 12/15/2014 DCHReid Jaronn Home Help Taylor 6/5/2017 MDHHSReid John Andrew Home Help Canton 3/16/2015 DCHReid Larry Home Help Detroit 12/19/2016
Rejano Crispo Garcia Physician 1043379530 Trenton 4301033625 10/8/2009
MI-Licensing and Regulatory Affairs Revoked
Reyes Janice Renee Home Help Detroit 11/30/2015 MDHHS
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Reyes Victor P Physician 1265469589 Keego Harbor 4301046357 1/10/2018
MI-Licensing and Regulatory Affairs 6/14/2018
MI-Licensing and Regulatory Affairs
Summary Suspended Summary Suspension Dissolved Revoked
Reynolds Don Home Help Detroit 12/7/2017 MDHHSReynolds Stacey Home Help Pontiac 11/9/2017 MDHHSReynolds January Home Help Grand Rapids 6/8/2017 MDHHS
Reznick Terry Physician 1295874451 Fenton 5101009942 4/20/2017
MI-Licensing and Regulatory Affairs
Summary Suspension
Ribbentrop Paul H. Physician St. Clair Shores 5101003921 5/20/2003 HHS 1128(a)(4)Richard Lawrence B. Podiatrist 1972565448 Northville 5901001176 4/19/2015 HHS Excluded Richardson Angela Home Help Detroit 9/20/2017 MDHHSRichmond Adam Home Help Wyoming 1/16/2018 MDHHSRichardson Neil James Chiropractor Grand Rapids 2301006727 7/6/1997 HHS 1128(b)(14)Richardson Rhonda Home Help Benton Harbor
Richter William H. Dentist 1386762805 Saginaw 2901010083 9/6/2017
MI-Licensing and Regulatory Affairs
Limited Restricted License
Riddle Edward Home Help Kalamazoo 2/16/2017 MDHHSRiley Shandell Lapep Home Help Grand Rapids 4/6/2015 DCH
Ringley Pamela Ann Nurse Practitioner 1134539281 Howell 4704165210 9/8/2015
MI-Licensing and Regulatory Affairs
Summary Suspension
Robart Nicole Home Help Muskegon 12/18/2017 MDHHSRobb Casey Home Help Mount Morris 7/10/2018 MDHHSRoberts Alyssa Home Help Carleton 4/24/2018 MDHHS
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Roberts Patrick Home Help Detroit 10/24/2016 MDHHSRoberts-Bey Wesley Home Help Flint 11/18/2014 DCHRobertson Antoine Home Help Detroit 5/31/2016 MDHHSRobinson Arthur Home Help Detroit 2/15/2016 MDHHSRobinson Corinne Home Help Clarkston 5/22/2018 MDHHS
Care for U Medical Clinic, PC Robinson Cynane Owner 1386712503 Bloomfield 12/20/2001 HHS Excluded
Robinson Donald Home Help Detroit 9/21/2016 MDHHSRobinson Harold Home Help Southfield 8/2/2017 MDHHSRobinson Kinte Home Help Ypsilanti 1/2/2018 MDHHSRobinson Laurence Home Help Detroit 2/24/2015 DCH 1/30/2018 MDHHSRobinson Leondre Home Help Benton Harbor 5/16/2018 MDHHSRobinson Philip Home Help Detroit 8/31/2015 MDHHSRobinson Phyllis Home Help Port Huron 4/19/2018 MDHHSRobinson-CrowD'ett L Home Help Roseville 2/24/2015 DCHRoby Thomas Home Help Detroit 10/29/2016 MDHHSRochefort Rocky Home Help Oscoda 5/17/2017 MDHHS
Rockafellow Bradley Psychologist 1558342378 Oxford 6301014045 7/6/2016 MDHHS-OIG 4/20/2017 HHS
Summary Suspension Excluded
Roe-Carney Treka Home Help Clarkston 6/11/2015 DCHRogers Dione Home Help Detroit 4/19/2016 MDHHSRojas Humberto Physician Owosso 4301044894 10/20/2002 HHS 1128(a)(4)Rollins Jerry Home Help Highland Park 5/17/2017 MDHHSRollins Jawanne J Home Help Detroit 11/3/2014 DCHRollins Kevin Home Help Detroit 10/13/2014 DCHRone Jimmy Home Help Muskegon 1/9/2015 DCHRone Alvin D Home Help Muskegon Heights 11/30/2015 MDHHS 3/12/2018 HHS-OIGRosa Blanca Home Help Detroit 9/18/2017 MDHHSRose Edward Allen Physician 1750354106 Novi 4301046183 10/31/2013 HHS 1128(b)(4)Rose Karen Eileen Physician 1568406007 Novi 4301066589 10/31/2013 HHS 1128(b)(4)
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Roshy Gary L. Chiropractor Ludington 2301005366 12/7/2004 HHS 1128(b)(14)Ross Guy Home Help Detroit 11/2/2016 MDHHS
Roth Michael A Physician 1396893061 Famington Hills 4301028327 8/9/2016 MDHHS-OIG 10/13/2017
MI- Licensing and Regulatory Affairs
Summary Suspension Summary Suspension
Roth Steven J Physicaian 1538123609 Waterford 5101006341 11/4/2017
MI-Licensing and Regulatory Affairs Suspended
Roumayah Najah Dental Group 1255419958 West Bloomfield 2901014824 8/15/2017 MDHS-OIGSummary Suspension
Rouser Cherrie Home Help Lansing 11/12/2016 MDHHSRoy Tracie L Home Help Baldwin 1/30/2015 DCHRucker Demetrious Home Help Detroit 9/24/2015 MDHHSRuffin Leonard Home Help Detroit 7/10/2015 DCH 4/18/2018 MDHHSRunyon Betty Lou Home Help Whittemore 5/31/2017 MDHHSRushing Tony Home Help Kalamazoo 6/7/2018 MDHHSRussell Carlesia HomeHelp pontiac 11/8/2017 MDHHS
Trio-Camburn Drugs Russell James W. Pharmacy Flint 4/20/1998 HHS 1128(b)(1)
Russell Jeffrey S Physician 1497799654 Coldwater 5101011799 1/27/2015
MI-Licensing and Regulatory Affairs Suspended
Russell Renarad E Home Help Adrian 12/12/2014 DCHRutherford John W. Physician River Rouge 5101005008 7/24/1986 HHS 1128(a)(1)Ryan Carla Home Help Prudenville 2/15/2018 MDHHSRyans Larry Home Help Saginaw 11/5/2014 DCH
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Sabit Aria Physician 1659510972 Southfield 4301097955 3/10/2015 DCH-OIG4/19/2015 04/26/2017
HHS-OIG MDHHS-OIG
Summary Suspension Excluded Terminated
Sadeghi Azar Home Help Ann Arbor 8/29/2017 MDHHSSaeed Jalal Home Help Dearborn 4/22/2015 DCHSaleh Saeed Physician Dearborn 4301031271 6/19/2003 HHS 1128(b)(4)Salinas Fabian Physician Ann Arbor 4301076437 9/20/2005 HHS 1128(a)(2)Salter Norris Home Help Mount Clemens 11/30/2015 MDHHSSamuel Tyrus Phillip Home Help Eastpointe 4/9/2015 DCH
Samy Chris D Physician 1740211655 Rochester Hills 4301061131 11/21/2016
MI-Licensing and Regulatory Affairs
11/21/2016 03/21/2017
Mi- Licensing and Regulatory Affairs MI - Licensing and Regulatory Affairs
Suspended Summary Suspended Voluntarily Surrendered
Sanchez Christina Louise Home Help Perrinton 10/20/2014 DCHSanders Darrell Home Help Detroit 5/8/2018 MDHHSSanders Jarett Home Help Detroit 9/29/2015 MDHHSSantana Henry Home Help Detroit 7/27/2017 MDHHSSantos rafael Home Help Lansing 6/12/2017 MDHHS
Sapala, James A., MD PC Sapala James A. Physician Group 1720086374 Detroit 4301030372 5/4/1992 HHS 1128(a)(1)
Saperstein Glenn S Physician 1770637670 Commerce Township 5101011716 2/1/2017
MI-Licensing and Regulatory Affairs
3/15/2017 08/03/2017
MDHHS-OIG MI - Licensing and Regulatory Affairs
Summary Suspension Summary Suspension Summary Suspension
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Sarkodie Amaning K Physician 1891765798 Saginaw 4301064470 5/18/2017
MI-Licensing and Regulatory Affairs 2/12/2018
MI-Licensing and Regulatory Affairs
Summary Suspension Summary Supsension disolved Disciplanry Limited Only
Sawaf Ali H. Physician Escanaba 4301033342 8/19/2004 HHS 1128(a)(4)Sawyer Amber Home Help South Lyon 8/3/2017 MDHHS
Michigan Ambulance Service, Inc. Sawyer Shan Transportation Detroit 25000 10/22/1991 HHS 1128(a)(1)
Saxton Kodi Home Help Detroit 11/30/2015 MDHHSSayen Tara Home Help Imlay City 4/18/2016 MDHHS
Scalici Tony F. Physician Wyoming 5101007093 12/23/1990 HHS 5/5/1994 HHS
12/23/90: 1128(b)(3)5/5/1994: 1128(b)(3)
Schaffer Malena Hoem Help Fenwick 9/27/2016 MDHHSSchef Debra Home Help Port Huron 5/13/2016 MDHHS
Schiefelbein Arthur J. Podiatrist Highland Park 5901000899 2/4/1999 DCH 5/20/1999 HHS
2/4/99: Violation of Medicaid False Claim Act5/20/99: 1128(a)(1)
Schillio Serge Paul Physician 1194761940 Saint Jospeh 4301051134 8/16/2013
MI-Licensing and Regulatory Affairs
Voluntarily Surrendered
Schneck Michael Home Help Gaylord 9/14/2017 MDHHS
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Schreier Steven M. Podiatrist Southfield 5901400211 11/19/1998 HHS 1128(a)(1)
Schrock Laura M.Physician's Assistant 1952738189 trenton 5601006841 9/28/2017
MI-Licensing and Regulatory Affairs Suspended
Howard City Plaza, Inc. Schroeder Bruce Pharmacy Howard City 5301002282 12/23/1991 HHS 1128(a)(1)
Schroeter David B. Dentist Macelus 2901011501 11/20/1997 HHS 1128(b)(4)Schubpack Tara Home Help Bay CIty 11/3/2017 MDHHSSchudel Jenny Home Help Roscommon 3/1/2017 MDHHS
Schultz Nancy L Nurse Practitioner 1588638589 Montague 4704218106 8/14/2016
MI-Licensing and Regulatory Affairs Suspended
Schultz Yvonne Home Help Port Huron 9/16/2015 MDHHS
Schutte Natalie Physician Assistant 1295982189 Mount Pleasant 5601005332 2/22/2012 DCH 8/7/2013 DCHTerminatedSuspended
Schwartz Gary J. Chiropractor 1326249624 Jackson 2301002137 6/8/1994 DCH
Violation of Medicaid False Claim Act
Schwarz Bernard C. Chiropractor 2301005101 12/7/1994Scott Dante J Home Help Muskegon 1/14/2015 DCHScott Eliza Home Help Zeeland 3/15/2016 MDHHSScott Karla Jean Home Help Benton Harbor 6/17/2015 DCHScott Karley Home Help Roseville 6/28/2017 MDHHSScott Mary Home Help Detroit 6/17/2015 DCHScott Terry Junior Home Help Bangor 5/15/2015 DCH
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Scott Van Edward Physician 1164575031 Muskegon Heights 4301044463 1/10/2014 DCH-OIG 2/9/2014 DCH-OIG
1/10/14 Summarily Suspended2/9/2014 Terminated
Scott Ricky Home Help Detroit 11/30/2015 MDHHS
Scranton Steven E Physician 1578543476 Grand Rapids 4301043798 3/5/2018 MDHHS-OIG 3/23/2018
MI-Licensing and Regulatory Affairs
Summary Suspension Summary Suspension
Seavy Dawn Home Help Lansing 8/19/2015 MDHHSSelf Freeman Home Help Detroit 1/18/2017 MDHHSSenior Duane A. Dentist 1841354545 Detroit 2901014215 2/5/1997 HHS 1128(b)(14)
Sennish John C. Physician 1750350286 Coldwater 4301043259 6/26/2018 MDHHS
Disciplinary Limited License
Shader Joseph Physician 1972804193 North Liberty, IA 4301111585 4/29/2018
MI-Licensing and Regulatory Affairs Suspended
Shafinia Sohrab Physician 1588614606 Farmington Hills 5101012201 5/6/2014 DCH-OIG 12/20/2014 HHS
Summary Suspension Excluded
Shah Rajesh P Physician 1376595272 Jackson 4301048647 5/17/2017
MI-Licensing and Regulatory Affairs
Voluntarily Surrendered
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Shaheen Michael G Physician 1285732073 Flint 5101006847 8/31/2017
MI-Licensing and Regulatory Affairs 5/5/2018
MI-Licensing and Regulatory Affairs
Summary Suspension Summary Suspension Dissolved Voluntarily Surrendered
Shamoon Jivry Home Help Warren 5/8/2017 MDHHSShannon Larry Home Help Detroit 10/31/2016 MDHHS
SharifDiaa AL Dien Ayoub Physician 1487919296 Grand Blanc 4301100775 10/10/2016
MI-Licensing and Regulatory Affairs 2/10/2017
MI-Bureau of Licensing and Regulatory Affairs
Summary Suspension Summary Suspension
Sharma Dana Home Help Sterling Heights 2/20/2017 HHSSummary Suspension
Sharow Debbie Lynn Home Help Prudenville 12/2/2014 DCH
Sharp Michael J Dentist 1245316785 Ann Arbor 2901010733 10/11/2012
MI-Licensing and Regulatory Affairs
Voluntarily Surrendered
Sharp Veronica Home Help Detroit 3/1/2018 MDHHSSharrak Christopher Home Help Bloomfield 12/10/2015 MDHHS
Sharrar Janelle D. Nurse 1568553543 East Tawas 4704261418 11/21/2010
MI-Licensing and Regulatory Affairs
Summary Suspension
Shaya Stevonna Home help Sterling Heights 6/18/2018 MDHHSSheard Donna Home Help Saginaw 9/29/2015 MDHHSSheffield Kwame Home Help Taylor 11/30/2015 MDHHS
Sheikh Zahid Physician 1720045586 Madison Heights 4301058357 11/14/2017 MDHHS-OIGSummary Suspension
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Shelton Bernard Physician 1417032491 Saint Claire Shores 4301088798 1/13/2017
MI-Licensing and Regulatory Affairs
Summary Suspension
Shephard Ryan Physician 1801107289 Gaylord 5101018810 6/11/2018 MDHHS-OIGSummary Suspension
Shepherd Anthony Eugene Home Help Detroit 11/30/2015 MDHHSShepherd Nikyta Home Help Ypsilanti 1/27/2018 MDHHS
Sherman Bryan R Physician Assistant 1346458130 Ann Arbor 5601004136 1/13/2016
MI-Licensing and Regulatory Affairs 6/2/2016
MI-Licensing and Regulatory Affairs
Suspension Revoked
Sherman Errol Podiatrist 1154344117 Oak Park 5901000864 4/27/2011
MI-Licensing and Regulatory Affairs
Summary Suspension
Sherman, Errol DPM PC Sherman Errol Podiatrist 1770507147 Oak Park 5901000864 4/27/2011
MI-Licensing and Regulatory Affairs 6/9/2015 DCH - OIG
Summary Suspension Terminated
Sherman Matthew Home Help Ferndale 10/25/2017 MDHHSShields Siobham Home Help Grand Rapids 12/15/2015 MDHHSSholes Carlton Home Help Alpena 4/16/2018 MDHHSShort Gary Home Help Hart 9/29/2017 MDHHS Shufford Luvenia Home Help Kenosha 12/15/2014 DCHSims Arlester Home Help Muskegon 8/4/2016 MDHHS
Siebert John W. Physician 1063594521 Madison, WI 50002 6/13/2013 Other State
Suspension by the State of New York
Sigger Menard Home Help Detroit 7/14/2016 MDHHS
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Silber Alan Physician 1366447260 West Bloomfield 4301085080 6/20/2011
MI-Licensing and Regulatory Affairs
Summary Suspensions
Simila Denise Home Help MArquette 3/8/2018 MDHHS
Simmons KimNon-Emergency Transportation Detroit 12/14/2017 MDHHS
Simmons Tara Wokeim Home Help Detroit 11/26/2014 DCH
Simms Michael Physician 1952483372 Allen Park 5101008992 5/5/2018
MI-Licensing and Regulatory Affairs
Voluntarily Surrendered
Simon Elvea Home Help Detroit 11/17/2017 MDHHSSimpson Lonnie Home Help Detroit 5/3/2017 MDHHSSimpson James Vernon Dentist St. Helen 2901015390 11/8/1994 HHS 1128(b)(3)
Singh Kumar A Physician 1679744395 Troy 5101017054 6/26/2017
MI-Licensing and Regulatory Affairs 2/23/2018
MI-Licensing and Regulatory Affairs
Summary Suspension dissolved Suspended
Sirajuddin James Physician 1306997325 South Haven 4301039518 9/7/2014
MI-Licensing and Regulatory Affairs Suspended
Siudara Jerome Physician 1598941346 Cheboygan 5101005875 4/4/2016 MDHHS-OIGSummary Suspension
Skinner Charelene Home Help Lansing 5/19/2015 DCH-OIGSummary Suspension
Skinner Michael W Home Help Lansing 3/10/2015 DCHSklar Eugene Dentist Gaylord 2901008434 11/4/1990 HHS 1128(b)(4)Slusher Stephen L. Chiropractor Escanaba 2301007042 1/20/2003 HHS 1128(a)(4)Smakal Gary Home Help Lake George 4/29/2015 DCHSmereck Karen Lynne Dentist 1316026917 Allen Park 2901016800 10/20/2004 HHS 1128(a)(1)
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Smith Alice Home Help Detroit 4/16/2018 MDHHSSmith Antonio Home Help Detroit 12/17/2015 MDHHSSmith Bobby Home Help Detroit 10/28/2015 MDHHS
Smith Dwight E Physician 1114942562 Detroit 4301046520 5/29/2012 DCHSummary Suspension
Smith Eric W Home Help Detroit 10/31/2017 MDHHSSmith Franzora Home Help Detroit 12/15/2014 DCHSmith Gregory Andre Home Help Detroit 5/18/2015 DCHSmith Jamila Home Help Detroit 12/22/2015 MDHHSSmith Jennie Home Help Pontiac 3/9/2016 MDHHSSmith Joe Home Help Saginaw 3/25/2015 DCHSmith Johnell Home Help Detroit 4/25/2018 MDHHSSmith Kauba Home HelpSmith Kyron Home Help Inkster 3/8/2018 MDHHS
Smith Margaret S CRNA 1912003195 Brownstown 4704103015 7/9/2015
MI-Licensing and Regulatory Affairs
Voluntarily Surrendered
Smith Michael HomeHelp Jackson 10/31/2017 MDHHSSmith Mirthus T Home Help Newport 11/30/2015 MDHHSSmith Raelynn Home Help Grand Rapids 2/20/2015 DCHSmith Ray Home Help Farwell 5/26/2015 DCHSmith Robert Home Help Algonac 2/17/2017 MDHHSSmith Shannon Home Help East China 9/14/2016 MDHHSSmith Sandra Home Help Beaverton 1/25/2016 MDHHSSmith Stevonna Home Help Detroit 4/4/2017 MDHHSSmith Tandre Home Help Flint 6/27/2016 MDHHSSmith Thomas E Home Help Detroit 11/30/2015 MDHHSSmith William Lee Home Help Detroit 11/30/2015 MDHHSSmith Yvette Home Help Grand Rapids 1/28/2017 MDHHSSnyder Jonathan Home Help Kalkaska 8/29/2017 MDHHSSnyder Richard E. Physician Detroit 5101009381 12/18/1997 HHS 1128(b)(4)
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Sokoll William C Physician 1639181753 Standish 4301046279 5/6/2014 DCH-OIG 9/20/2017 HHS-OIG
Summary Suspension Exclusion
Soliman Mikhayl Physician 1356536460 Wayne 4301086758 7/3/2013 DCH-OIG Suspended
Sood Usha Physician 1255447215 Roseville 4301039212 3/5/2018 MDHHS-OIGSummary Suspension
Sorensen Phillip M. Physician Lansing 4301031657 4/20/2003 HHS 1128(a)(3)
Sorongon Marcelino Physician Saginaw 4301031149 4/30/1999 DCH 5/18/2000 HHS
4/30/99: Violation of Medicaid false Claim Act5/18/00: 1128(a)(1)
Sorrell Michael Home Help lansing 1/4/2018 MDHHSSouvenir Kaye A. Dentist Detroit 2901012399 8/15/1993 HHS 1128(a)(1)Sparkman Garry Home Help Clinton Township 7/23/2018 MDHHSSpears Dersell Home Help Detroit 1/9/2018 MDHHSSpeed Kenneth Home Help Lansing 11/30/2015 MDHHSSpeller Kevin S Home Help Ecorse 2/13/2015 DCHSripinyo Veera Physician Warren 4301031589 5/6/1997 HHS 1128(b)(4)Stachulski Holly C Home Help Taylor 4/20/2017 HHS Excluded
We Care Living Enrichment Center, Inc. Stacy Marcia SA Treatment Saginaw 30128 7/20/1999 HHS 1128(a)(1)
St. Amor Stephen Home Help Romulus 12/2/2015 MDHHS 1/6/2016Suspended Terminated
Stanford Donna Home Help Southfield 11/5/2014 DCHStanford Kemonta Home Help Detroit 10/3/2017 MDHHSStang Robert Martin Physician Monroe 5101012881 10/19/2006 HHS 1128(a)(2)Starks Jodie Home Help Detroit 5/6/2015 DCH
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Starks Ladonna Home Help Highland {Ark 12/15/2016 MDHHSStarks Sandra Home Help Kalamazoo 5/19/2015 DCHStarr Veronica Home Help Warren 2/11/2014 DCH-OIG 7/1/2015 MDHHS-OIG TerminatedStatler Erin Home Help St. Joseph 9/14/2016 MDHHSSteele Coszetta Home Help Jackson 4/27/2015 DCHStephens Dontrail Dwayne Home Help Benton Harbor 10/19/2015 MDHHSSterling Precious Ebony Home Help Benton Harbor 6/10/2015 DCHStetz Michael N. Chiropractor Lansing 2301006648 4/20/2003 HHS 1128(a)(3)
Stevenson Vernon R Physician 1760579395 Ypsilanti 4301061583 3/31/2017
MI-Licensing and Regulatory Affairs
Disciplinary Limited License
Steward Travis Home Help Detroit 11/24/2014 DCHStewart Frederick Home Help Saginaw 9/29/2015 MDHHSStewart Ronald Home Help Detroit 1/30/2015 DCHStewart Tequila Home Help Grand Rapids 8/5/2015 DCHStimmer Leonard Home Help gaylord 5/18/2017 MDHHSStone Dontae Home Help Detroit 7/16/2018 MDHHS
Strausbaugh C Jay Physician Assistant 1780777953 Southgate 5601004882 12/3/2013 DCH-OIG 1/2/2014 DCH-OIG
12/03/2013 Summarily Suspended01/02/2014 Terminated
Stringfellow Terry Home Help Dearborn Heights 3/12/2018 MDHHSStrouse Kim Home Help Grand Rapids 2/8/2017 MDHHSStrugach Vitality Home Help West Bloomfield 9/21/2016 MDHHS
Stuenkel Terri M Physician 1568511426 Deckerville 5101012732 10/24/2015
MI-Licensing and Regulatory Affairs
Summary Suspension
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Sturm Brandon Chiropractor 1295815223 Brighton 2301007506 1/21/2011
MI-Licensing and Regulatory Affairs
Suspended, failure to meet cont. ed. Requirement
Sullivan Themelian HomeHelp Detroit 11/30/2017 MDHHSSummerfiled Claudia Home Help Warren 8/24/2015 MDHHS
Surapipith Pongchayut Physician 1003877481 Flint 4301044139 2/27/2009 DCHVoluntarily surrendered
Surya Nallani C Physician 1801838651 Birmingham 4301073842 3/6/2013 DCHSummary Suspended
Suszko Timothy J Chiropractor 1619904349 Fenton 2301007718 10/22/2012
MI-Licensing and Regulatory Affairs Suspended
Suttles Barbara Home Help Detroit 11/30/2015 MDHHSSutton Marion David Physician Sanford 4301033071 7/8/1993 HHS 1128(a)(2)Taliaferro Maurice Home Help Kalamazoo 5/19/2016 MDHHSTallo Sumoud Home Help Sterling Heights 6/19/2018 MDHHSTansil Ginger M Home Help Kent City 3/12/2015 DCHTapert Richard E. Physician Detroit 10/20/1999 HHS 1128(b)(4)Tashjian James S. Physician Birmingham 4301028804 4/30/1992 HHS 1128(b)(1)Tate Corey Home Help Lincoln Park 1/9/2015 DCHTatum Michael Lawrence Home Help Detroit 11/30/2015 MDHHSTaylor Clark E. Physician Cheboygan 5101005560 12/18/1997 HHS 1128(b)(4)Taylor Dario Home Help East Lansing 6/15/2017 MDHHSTaylor Jackie Home Help Muskegon 12/20/2016 MDHHSTaylor Jimmie Home Help Detroit 1/11/2018 MDHHSTaylor Rashad Home Help Detroit 2/27/2017 MDHHStaylor robert Home Help Detroit 2/5/2018 MDHHSTaylor Roosevelt Physician Flint 5101004568 6/28/1992 HHS 1128(b)(3)Teague Dennette Elaine Home Help Port Huron 12/1/2014 DCH
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Temple Frederick Home Help Saginaw 6/17/2015 DCHTerrell Gregory Home Help Eastpointe 1/12/2017 MDHHSTerrell Jose Home Help Southfield 4/9/2018 MDHHSTerry Antonio Home Help Detroit 1/15/2015 DCHTerry Maurice Home Help Detroit 4/11/2016 MDHHSThepveera Kraingsak Physician 1922167246 Saginaw 4301032947 12/6/2016 MDHHSTherrien Jeremy Home Help Escanaba 5/19/2016 MDHHSThomas Donald Home Help Sterling Heights 4/16/2018 MDHHSThomas Keyanna M Home Help Saginaw 11/20/2014 DCHThomas Tawana Home Help Muskegon 12/17/2015 MDHHSThomas Terry Home Help Detroit 6/15/2016 MDHHS
Thomas Timothy M Chiropractor 1205909660 Southgate 2301005050 8/25/2016
MI-Licensing and Regulatory Affairs
Voluntarily Surrendered
Thomas Tony Lamar Home Help Detroit 5/22/2015 DCHThomas Tonyetta Home Help Niles 11/30/2015 MDHHSThompkins Kenneth Home Help Detroit 3/16/2018 MDHHSThompson Andre K Home Help Flint 11/30/2015 MDHHSThompson Audry Gale Home Help Detroit 4/1/2015 DCHThompson Harrel Home Help Mt Clemens 10/17/2016 MDHHSThompson Lynzie Home Help Niles 6/5/2018 MDHHSThompson Robert Eugene Physician 1447399720 Alpena 4301071670 12/20/2009 HHS 1128(b)(4)Thornton Mario Home Help Sterling Heights 4/10/2018 MDHHSThurman Deborah Home Help Detroit 12/1/2014 DCHThurman Leory Home Help Lansing 5/1/2017 DHHSTika Lovin Home Help Macomb Township 7/20/2015 DCHTillery Terrence Home Help Detroit 11/16/2015 MDHHS
Tipton Patricia Home Help Flint 6/8/2015 DCH-OIG
Suspended and Terminated
Tobias Angela Home Help Port Huron 5/11/2017 MDHHS
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Tisdell Craig Home Help Bentoin Harbor 9/9/2015 MDHHSTocco Peter Physician Pontiac 5101006837 3/8/1994 HHS 1128AaTolbert Jesse Home Help Iron Mountain 3/8/2018 MDHHSToles marchetta Home Help Jackson 1/17/2018 MDHHSTolton Shirley Home Help Detroit 9/15/2016 MDHHSTombo Jose M. Physician Detroit 4301033662 1/10/1991 HHS 1128(b)(4)Toronjo Betty Home Help Midland 5/4/2017 MDHHSTossa Edward Home Help Warren 11/7/2016 MDHHSTownsend Gary Home Help Otsego 3/28/2016 MDHHS
Townsend Robert L Physician 1376537316 Gaylord 5101016296 12/18/2015
MI-Licensing and Regulatory Affairs
Summary Suspension
Comprehensive Foot & Ankle Health, PC Tran Anmy Group 1942450127 Macomb 8/15/2013 DCH
TerminatedSummary Suspension
Tran-Lee Foot & Ankle Specialty Center, PC Tran Anmy Group 1720201015 Clinton Township 8/15/2013 DCH
TerminatedSummary Suspension
Tran Anmy Podiatrist 1184654188 Clinton Township 5901001910 9/26/2011 DCH 8/7/2013 DCH
09/26/2011 Terminated08/07/2013 Summary Suspension
Trepanier Carol Dentist 1932265899 Detroit 2901016776 5/21/2010
MI-Licensing and Regulatory Affairs Suspended
Trevino Esther Home Help Pontiac 4/18/2017 MDHHSTrosclair Wanda homeHelp Sault Sainte Marie 12/20/2017 MDHHS
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Trotter Alice Home Help Lansing 10/28/2015 MDHHSTrotter Anthony Home Help Grand Rapids 9/15/2016 MDHHS
Trotter Johnny Ray Physician 1548441058 Bloomfield Hills 4301091131 2/14/2018
MI-Licensing and Regulatory Affairs
6/20/2018 6/14/2018
HHS-OIGMI-Licensing and Regulatory Affairs
Summary SuspensionExcluded Summary Suspension Dissolved Revoked
Trowell Lawrence Home Help Detroit 5/4/2016 MDHHS
Jordan Clinical Laboratory Truss Thomas Laboratory Detroit 11/15/1986 HHS 1128(a)(1)
Tschirhart James Michael Physician 1174559991 Saginaw 4301048766 5/16/2009
MI-Licensing and Regulatory Affairs Suspended
Tubbs Craig Physician 1609892116 Alma 4301407461 6/11/2011
MI-Licensing and Regulatory Affairs
Summary Suspension
Tucker Detuaine Deshawn Home Help Jackson 11/6/2014 DCH
Tuffo Julie APhysician's Assistant 1750532966 Clarkston 5601005419 10/20/2017
MI-Licensing and Regulatory Affairs 5/3/2018
MI-Licensing and Regulatory Affairs
Summary Suspension Summary Suspension Dissolved Suspended
Tunis Jonathan D. Physician Carson City 4301065350 3/20/2000 HHS 1128(b)(4)Turner Angela Home Help Muskegon 1/6/2016 MDHHSTurner Tamon Terrance Home Help Benton harbor 11/24/2014 DCH
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Tuttle Douglas K Physician Assistant 1699708875 Walker 5601001502 6/29/2017
MI-Licensing and Regulatory Affairs
Summary Suspension
Tyler Mario Home Help Grand Rapids 6/11/2018 MDHHSUcer Erol Physician Flint 4301031131 6/4/1995 HHS 1128(b)(1)Umphrey Samantha Home Help Alger 1/14/2017 MDHHSUithol Winifred Home Help Gladwin 11/30/2015 DCH
Urbanik Michael S. Dentist Detroit 2901013979 5/6/2003 DCH 5/20/2013 DCH-OIG
5/6/03: Violation of Medicaid False Claim Act5/20/03: 1128(a)(1)
Ureta III Sotero M Physicoan 1174545271 Cadillac 4301070002 1/13/2017 HHS Excluded
Utarnachitt Richard V Physician 1962539619 Clinton Township 4301033666 2/15/2015
MI-Licensing and Regulatory Affairs
05/21/20134/19/2015 01/26/2016
DCH-OIG HHS MDHHS-OIG
Summary Suspension Summary Suspension Excluded Terminated
Vaccaro Victoria A Nurse Practitioner 1609974112 Adrian 4704150960 8/27/2015
MI-Licensing and Regulatory Affairs
Summary Suspension
Vaid Mustak Y. Physician 1982619649 Livonia 4301085038 9/26/2011 DCH 2/11/2016 MDHHS-OIG
Summary Suspension Terminated
Valdez Jose V. Physician Detroit 4301030159 9/2/1997 HHS 1128(b)(2)Vallad Randall Home Help Hersey 6/28/2017 MDHHSVance Robert Home Help Benton Harbor 2/22/2017 MDHHS
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Vance Sarah A Registered Nurse 1497000269 Belleville 4704241489 1/21/2016
MI-Licensing and Regulatory Affairs
Summary Suspension
Van Der Weide Arie Physician 1679512966 Fremont 5101010310 1/19/2009
MI-Licensing and Regulatory Affairs
Summary Suspension
Van De Vusse Jamie L Counseling 1417385733 Wyoming 6401013974 9/8/2017
MI-Licensing and Regulatory Affairs Suspended
Vanhatten Amber Home Help Ypsilantu 1/31/2018 MDHHSVanner Kenneth Home Help Inkster 1/10/2018 MDHHSVargas Dominic Home Help Onaway 4/7/2015 DCH
M & M Pharmacy, Inc. Varner Maggie Pharmacy Detroit 5301004011 6/13/1990 HHS 1128(b)(1)
Savco Pharmacy, Inc. Varner Maggie Pharmacy Detroit 5301004595 6/13/1990 HHS 1128(b)(1)
Varney Michael W Psycologist 1861693848 Caspian 6301013523 7/3/2018
MI-Licensing and Regulatory Affairs
Summary Suspension
Vartapev Alexander Home Help Hamtramck 4/7/2015 MDHHSVaughn Paul Home Help Hastings 2/16/2017 MDHHSVelez-Ruiz Wanda Enid Physician 1023123858 West Bloomfield 4301045752 1/17/2009 DCH 8/10/1994 Suspended
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Velez-Ruiz Wanda E. Physician 1023123858 Detroit 4301045752 11/10/1993
MI-Licensing and Regulatory Affairs
11/10/93: Violation of Medicaid False Claim Act8/10/94: 1128(a)(1)
Verbovsky John R Physician 1528171774 Southfield 5101006690 3/10/2015 DCH-OIG
4/17/2015 12/14/2015 05/19/2016
MI-Licensing and Regualtory Affairs MDHHS- OIG HHS-OIG
Summary Suspension Summary Suspension Termination Excluded
Vernia Dawn Home Help Battle Creek 2/8/2016 MDHHS 2/8/2016 MDHHSVillarta Antonio Q. Physician Adrian 4301033470 2/20/2001 HHS 1128(b)(4)Vineyard Robert Home Help Saginaw 6/29/2017 MDHHS
Responsible Care Pharmacy
Virabhai Patel
Chetan Gujarathi/ Pharmacy 1861668089 Detroit NCPDP 2371160 8/19/2011 DCH 5/23/2016 MDHHS-OIG
Summary Suspension Termination
Vlcko Peter B. Physician Oak Park 5101009612 6/4/1995 HHS 1128(a)(2)Vock Kellie Home Help Grayling 6/6/2018 MDHHSVogel Peter Home Help Dimondale 12/5/2017 MDHHS
Vora Kandarp K Physician 1023119898 Gladwin 4301037407 1/20/2016
MI-Licensing and Regulatory Affairs 11/30/2016 HHS-OIG
Excluded Voluntarily Surrendered
Vorhies Paul E CRNA 1740246578 Scottville 4704103969 11/8/2012
MI-Licensing and Regulatory Affairs
Voluntarily Surrendered
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Wagner Jack W Physician 1588694004 Midland 4301041291 6/26/2018 MDHHS
Disiciplinary Limited License
Wagner John R Physician 1396737086 Warren 4301061192 7/16/2012
MI-Licensing and Regulatory Affairs Suspended
Wagner Gwendolyn Home Help Detroit 11/30/2015 MDHHSWagoner Eddie Home Help Detroit 6/21/2018 MDHHSWaldron Teddi Irene Home Help Jackson 4/14/2015 DCH
Victor Smith Home Walls Annie Home Help Ypsilanti 1/24/2018 MDHHS -OIG
Walker Adrian Home Help Inkster 2/17/2016 MDHHSWalker Armond Home Help Farmington Hills 4/17/2018 MDHHSWalker Cory Home Help Westland 3/8/2018 MDHHSWalker LaShawandra Home Help Muskegon 1/6/2016 MDHHSWalker Latonya Home Help Detroit 5/13/2015 DCHWalker Tangia Home Help Detroit 1/13/2016 MDHHS
Walker Wallace Dentist 1780712109 Okemos 2901012881 7/6/2016 MDHHS-OIGSummary Suspension
Wallace Diamond Home Help Lansing 6/8/2016 MSHHS
Dr. Waltz Denture Service Waltz Robert I. Dental Group Beaverton 2901006537 9/5/2002 DCH 9/19/2002 HHS
09/05/2002 Violation of Medicaid False Claim Act09/19/2002 1128(a)(1)
Ward Thomas Home Help Warren 5/8/2018 MDHHSWarren Eric Home Help Detroit 2/14/2018 MDHHSWarren Linda F. Home Help Detroit 11/30/2015 MDHHSWarren Misty Home Help Detroit 6/26/2017 MDHHS
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Warrens Shareese Home Help Grand Rapids 11/19/2016 MDHHSWashington Alonzo Home Help Lansing 11/14/2017 MDHHSWashington Anthony Home Help Ecorse 12/4/2014 DCHWashington Antwone Home Help Detroit 3/13/2017 MDHHSWashington Ervin Home Help Saginaw 11/24/2014 DCHWashington Herman L Home Help Hesperia 3/5/2015 DCHWatkins Keon Home Help Redford 7/13/2016 MDHHSWatkins Kelli Home Help detroit 10/24/2016 MDHHSWatkins Shannon Home Help Muskegon 8/27/2015 MDHHSWatson Linda Home Help Port Huron 11/17/2016 MDHHSWatson Paula Home Help Midland 10/13/2017 MDHHSWatts Alonzo Home Help Detroit 1/25/2016 MDHHS
Watts Samuel G. Physician Detroit 4301030543 3/18/1987 DCH
Violation of Medicaid False Claim Act
WeatherspoonDerick Home Help Flint 12/17/2014 DCHWeaver Latonya Home Help Pontiac 8/23/2016 MDHHSWebb Divana Home Help Detroit 9/15/2015 MDHHS
Wehr Barbara Valutis Dentist 1700917762 Dexter 2901011361 2/5/2009
MI-Licensing and Regulatory Affairs Suspended
Weinblatt Howard B Physician 1760450191 Ann Arbor 4301037809 5/17/2012
MI-Licensing and Regulatory Affairs Suspended
Weiner Samuel Dentist 1326100611 Huntington Woods 2901007772 12/13/2009
MI-Licensing and Regulatory Affairs Suspended
Weisenfeld Michael S. Physician Marshall 4301029508 6/18/1998 HHS 1128(a)(1)
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Weiss Michael D Physician 1376596726 Southfield 5101007574 8/29/2016 MDHHS-OIG8/20/2017 10/16/2017
HHS DCH MI-Licensing and Regulatory Affairs
Summary Suspended Excluded Revoked
Welch Chante Home Help Saginaw 11/22/2016 MDHHSWells Tanesha Home Help Detroit 4/19/2018 MDHHS
Wend Donald Physician Assistant 1952472193 Kalkaska 5601001970 1/23/2018
MI-Licensing and Regulatory Affairs Revoke
Wesley Jake Home Help Detroit 5/8/2015 DCHWessels David Home Help Harbor Beach 11/30/2015 MDHHSWest Alex Podiatrist 1619165412 Dearborn Heights 5901001051 9/19/2003 HHS 1128(a)(3)West Keith A. Dentist 1598805798 Wyandotte 2901012345 10/20/2004 HHS 1128(a)(3)West-Ware Keela Home Help Battle Creek 6/30/2015 DCHWheaton Rudolph D. Dentist Flint 2901011646 8/6/1997 HHS 1128(b)(4)Wheeler Shannon Home Help Pontiac 2/22/2016 MDHHSWhitaker Jelekeco Home Help Detroit 9/14/2016 MDHHSWhitby Milton Home Help Wyoming 10/18/2014 DCHWhite Bernard Torrell Home Help Detroit 11/30/2015 MDHHSWhite Brian Home Help Redford 12/13/2016 MDHHSWhite Dana Home Help Niles 6/11/2018 MDHHS
White Daniel D. Dentist Grand Rapids 2901011156 10/8/1999 DCH 10/20/2002 HHS
10/8/1999 Violation of Medicaid False Claim Act10/20/2002 1128(a)(1)
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
White John Arthur Dentist 1407066244 Detroit 2901012365 1/11/2008
MI-Licensing and Regulatory Affairs
License Suspended
White Lamount Home Help Detroit 10/19/2016 MDHHSWhite Mitchell Home Help River Rouge 3/14/2016 MDHHSWhite Raymond Home Help lansing 11/27/217 MDHHSWhite Renee Home Help Detroit 12/15/2015 MDHHS
Whitemore Ronald Home Help Commerce Township 9/22/2015 MDHHSWhiteside Magalena Home Help Muskegon 3/20/2017 MDHHS
Whiteus Timothy Physician 1174543342 Detroit 4301406556 7/30/2014 DCH-OIG
10/23/2015 12/14/2015 01/20/2016
MI-Licensing and Regulatory Afairs MDHHS-OIG HHS-OIG
Summary Suspension Summary Suspension Terminated Excluded
Whitley Varnell Home Help Grand Rapids 1/12/2017 MDHHSWicker Yondina Home Help Saginaw 4/16/2018 MDHHS
East Michigan Family Care Wiggins Shannon Group 1508875840 Lansing 9/30/2013 DCH-OIG 4/15/2014 DCH-OiIG
Summary Suspension Terminated
East Michigan Family Care PLLC Wiggins Shannon Group 1124135116 Lansing 9/30/2013
DCH HHS 4/15/2014 DCH-OIG
Summary Suspension Terminated
Wiggins Shannon Georgean Physician 1295744530 Lansing 5101013727 9/30/2013 DCH 4/15/2014 DCH-OIG
Summary Suspension Terminated
Wilson Carlos Home Help Inkster 6/25/2018 MDHHSWilson Mardell Home Help Inkster 12/20/2016 MDHHSWilcox Carlos Home Help Madison Heights 5/3/2017 MDHHSWindham Perrien Home Help Dertroit 12/13/2016 MDHHS
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Williams Belinda Home Help Detroit 9/15/2015 MDHHSWilliams Benshamiel Home Help Detroit 1/18/2017 MDHHSWilliams Craig Home Help detroit 10/4/2017 MDHHSWilliams Damron Michael Home Help Detroit 11/3/2014 DCH
Williams DerekNon Emergency Transportation Idlewild 4/6/2017 MDHHS
Williams Felicia Home Help Ludington 3/16/2015 DCHWilliams John T. Home Help Marion 11/12/2014 DCHWilliams Joey Home Help Flint 4/14/2016 MDHHSWilliams Kapone Home Help Lansing 2/18/2016 MDHHSWilliams Owina Home Help Detroit 11/30/2015 MDHHSWilliams Terina Home Help Detroit 1/25/2016 MDHHSWilliams Terina Home Help Detroit 9/16/2015 MDHHSWilliams Veronica Home Help Bay CIty 6/11/2018 MDHHSWilliams William Home Help Detroit 9/7/2017 MDHHSWilliams Willie Home Help Inkster 11/3/2017 MDHHS
Williamson Paula E Physician 1275588873 Warren 4301041206 7/3/2013DCH-OIG HHS- OIG 4/19/2015
Suspended Excluded
Willis-Pitts Fred Lee Home Help Detroit 2/27/2015 DCH
WIlson Alan N Physician 1629029004 Lincoln Park 4301031392 8/4/2016
MI-Licensing and Regulatory Affairs
Summary Suspension
Wilson Clarence W. Physician Flint 5101004539 9/2/1997 HHS 1128(b)(3)Wilson Martez Home Help Detroit 11/30/2017 MDHHS
Wilson Sebastian T Chiropractor 1093773343 Coldwater 2301008079 4/29/2015 DCH-OIG 7/13/2016
MI-Licensing and Regualtory Affairs MDHHS- OIG HHS-OIG
Summary Suspension Summary Suspension
Wilson Jonathan Home Help Detroit 11/30/2015 MDHHS
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Winkler Clarice ACertified Nurse Midwife 1457344426 Lansing 4704120674 9/13/2013
MI-Licensing and Regulatory Affairs Suspended
Witcher Harvell Home Help Detroit 3/20/2017 MDHHS
Witt Kevin Sterling Physician 1619996220 Lansing 5101012167 2/22/2012 DCH1/20/2013 08/07/2013
HHS DCH
Suspended TerminatedSuspended
Wittmus David Home Help Saginaw 4/7/2016 MDHHS
Wolf Anthony Physician 1033233838 Ann Arbor 4301085709 5/18/2018
MI-Licensing and Regulatory Affairs
Summary Suspension
Woodfield Curtis J. Dentist 1609804244 Glbles 2801011491 7/8/2017
MI-Licensing and Regulatory Affairs
Limited Restricted License
Woodruff Shawn Home Help Deckerville 8/14/2017 MDHHS
Woodruff William H Dentist 1386747848 West Bloomfield 2901011170 7/14/2018
MI-Licensing and Regulatory Affairs Suspended
Woods David Wayne Home Help Detroit 11/13/2014 DCHWoollams Stanley J. Physician Ann Arbor 4301023228 5/6/1996 HHS 1128(b)(4)Woooten Marquet Home Help Grand Rapids 3/30/2017 MDHHSWright Darrin Home Help Detroit 11/17/2016 MDHHSWright Jessica Home Help Wyoming 6/25/2018 MDHHSWright Johnny E Home Help Grand Rapids 11/30/2015 MDHHSWright Larry Home Help Detroit 12/26/2015 MDHHSWyatt Kimberly Home Help Wilson 6/21/2016 MDHHSWright Stacy Home Help Detroit 9/6/2016 MDHHSYancy Damian Home help Saginaw 8/17/2015 MDHHS
Entity Name Last Name First NameMiddle Name Provider Category NPI# City License#
Sanction Date1
Sanction Source
Sanction Date2
Sanction Source Reason
Medicaid Michigan Sanction Provider ListJuly 30, 2018
Yancy Mandy Home Help Coleman 3/27/2017 MDHHS
Yasin Fares Physician 1255427472 Dearborn 4301087049 7/11/2018 MDHHS-OIGSummary Suspension
Yeo Judith Home Help Grand Rapids 11/30/2017 MDHHSYouhan Randy Home Help West Bloomfield 4/28/2016 MDHHSYoung Arstell Home Help Warren 1/30/2015 DCH
Young GeorgeConrad-Spencer Chiropractor 1902953326 Munising 2301008758
03/01/2014 12/18/2014
DCH-OIG HHS
Summary Suspension Excluded
Young Ida Home Help Standish 6/21/2016 MDHHS
Young Lawrence Podiatrist 1881664498 Dearborn 5901000652 12/3/2017 MDHHS-OIGSummary Suspension
Young Michael Home Help Detroit 11/18/2014 DCHYoung Randy Home Help Vandalia 6/21/2018 MDHHS
Yousif Layla R Dentist 1831309228 Shelby Township 2901017121 2/19/2015
MI-Licensing and Regulatory Affairs Suspended
Zahoor Mohammad Physician 1922096452 Novi 4301062300 10/15/2017 MDHHS-OIGSummary Suspension
Zaragoza Carlos Home Help Saginaw 11/30/2015 MDHHSZeliasko Steven David Home Help Indian River 11/13/2014 DCH
Zeller Jeffrey A Chiropractor 1386868669 Manistee 2301007632 12/16/2017
MI-Licensing and Regulatory Affairs Suspended
Zieger Harvey Physician 1528050267 Detroit 5101006597 3/24/2015
MI-Licensing and Regulatory Affairs Suspended
Zimmerman Katherine Home Help Mt. Pleasant9/23/2015 06/22/2017
MDHHS MDHHS
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