Medicaid Michigan Sanction Provider List July 23, 2018 · Entity Name Last Name First Name Middle Name Provider Category NPI# City License# Sanction Date1 Sanction Source Sanction

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


Sanction Date1

Sanction Source

Sanction Date2



Advanced Medical Services PLLC dba Advanced Sleep Diagnostic of Michigan Group 1922451632 Lansing 7/16/2018 MDHHS-OIG 8/15/2018 MDHHS-OIG


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


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


Sanction Date1

Sanction Source

Sanction Date2



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


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


Sanction Date1

Sanction Source

Sanction Date2



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


License Revocation and Summary Suspension

Benstar Pharmacy LLC Pharmacy 1255679924 Detroit

5315058298 5301010006 2/14/2018


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


Sanction Date1

Sanction Source

Sanction Date2



Buckley's Pharmacy 102

BerriColeRahman

SamirAnthonyShamimur Pharmacy 1962764506 Hazel Park 5301009840 5/22/2018 MDHHS-OIG

Summary Suspension


BerriCole

SamirAnthony Pharmacy 1902148356 Warren 5301010625 5/22/2018 MDHHS-OIG

Summary Suspension


BerriColeHamka

Samir Anthony Ghassan Pharmacy 1922421528 Detroit 5301010311 5/22/2018 MDHHS-OIG

Summary Suspension


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


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)


Sanction Date1

Sanction Source

Sanction Date2



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


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


Courtyard Manor Farmington Hills, INC Group Walled Lake 9/24/2012 HHS 1128(a)(2)


Sanction Date1

Sanction Source

Sanction Date2



Creams N Caps Pharmacy 1386972859 Southfield 5301010570 10/14/2015



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


Dearborn Family Medicine Center Medical Group 1467407080 Dearborn 7/8/2013 DCH-OIG 5/5/2016 MDHHS-OIG


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


Dearborn Podiatric Surgeons PC Group 1447467485 Dearborn 12/3/2017 MDHHS-OIG

Summary Suspension


Sanction Date1

Sanction Source

Sanction Date2



Dearborn Rx Pharmacy Group 1982054383 Dearborn 5301010958 7/26/2017

MI-Licensing and Regulatory Affairs 12/13/2017


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


Downriver Medical Associates PLC Physician Group 1114055811 Monroe 3/21/2013 DCH 3/21/2013 DCH


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


Sanction Date1

Sanction Source

Sanction Date2



EB James Nursing Center Nursing Facility Detroit 83422 2/12/2002


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)



10/20/98: 1128(a)(1)



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


Sanction Date1

Sanction Source

Sanction Date2



EZ Sleep Supplies LLC Medical Supplier 1871640383 Okemos 7/16/2018 MDHHS-OIG 8/15/2018 MDHHS-OIG


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


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


Sanction Date1

Sanction Source

Sanction Date2



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


Sanction Date1

Sanction Source

Sanction Date2



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


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


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


Independent Care Pharmacy LLC Pharmacy 1619131141 Dearborn 8/11/2011 DCH-OIG 5/23/2016 MDHHS-OIG


Jefferson Family Dental Center PC Dental Group Detroit 6/6/1988 HHS 1128(a)(1)


Sanction Date1

Sanction Source

Sanction Date2



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



John R. Verbovsky D.O. P.C. Dental Group 1508153909 Sterling Heights 3/10/2015 MDHHS-OIG 12/14/2015 MDHHS-OIG


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


Kentwood Pharmacy Pharmacy 1558478610 Grand Rapids 11/24/2010 MDHHS-OIG 5/23/2016 MDHHS-OIG


Kentwood Pharmacy Pharmacy 1841446192 Shepherd 11/24/2010 MDHHS-OIG 5/23/2016 MDHHS-OIG


Kentwood Pharmacy Pharmacy 1548426992 Alma 11/24/2010 MDHHS-OIG 5/23/2016 MDHHS-OIG


Kentwood Pharmacy Pharmacy 1760638019 Saint Louis 11/24/2010 MDHHS-OIG 5/23/2016 MDHHS-OIG



Sanction Date1

Sanction Source

Sanction Date2



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


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


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


Litchfield Nursing Centre Nursing Facility Litchfield 5/4/2007 HHS

Decertification


Sanction Date1

Sanction Source

Sanction Date2



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


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


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)


Sanction Date1

Sanction Source

Sanction Date2



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


Medicap Pharmacy

Pharmacy/ Medical Supplier Flint 5301006828 10/13/2004


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


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



Sanction Date1

Sanction Source

Sanction Date2



Midwest Family Practice PLC Group 1770819864 Warren 7/3/2013 DCH-OIG 5/5/2016 MDHHS-OIG


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


MyKal Discount Pharmacy #2 Pharmacy 1780992750 Pontiac 5301009423 3/18/2011 DCH 7/11/2016 MDHHS-OIG


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


Sanction Date1

Sanction Source

Sanction Date2



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


Neuhoff Drugs, Inc. Group Detroit 5301004058 8/24/1989 DCH


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


Sanction Date1

Sanction Source

Sanction Date2



Northwest Industrial & Medical Services PC Group 1346364619 Detroit 7/3/2013 DCH-OIG Suspended

Omega Pharmacy Pharmacy 1508299710 Pontiac 5301010143 2/21/2016


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



Phoenix Visiting Physicians PLLC Group 1235458217 Livonia 5/29/2012 DCH-OIG

Summary Suspension


Sanction Date1

Sanction Source

Sanction Date2



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


Preferred Pharmacy Pharmacy 1922322007 Troy 8/30/2011 DCH 5/25/2016 MDHHS-OIG


Premier Medical Center PLLC Group 1659631265 Warren 7/3/2013 DCH-OIG 5/5/2016 MDHHS-OIG


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)


Sanction Date1

Sanction Source

Sanction Date2



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


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


License revocation and summary suspension

Rosewood Manor Nursing Facility Grand Rapids 41415 8/13/1999


Decertification

Roth, Michael A MD PC Group Farmington Hills 8/9/2016 MDHHS-OIG

Summary Suspension


Sanction Date1

Sanction Source

Sanction Date2



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



Shelby Dental Center PC Dental Group 1154626687 Shelby Township 1/18/2017 MDHHS-OIG 6/15/2018 MDHHS-OIG


SKA at Home Visting Doctor PC Group 1043507379 Albion 7/3/2013 DCH-OIG 0/12/2016 MDHHS-OIG


Sleep Diagnostics of Michigan PC Group 1407827900 West Branch 7/16/2018 MDHHS-OIG 8/15/2018 MDHHS-OIG


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


Sanction Date1

Sanction Source

Sanction Date2



Southwest Discounty Pharmacy Pharmacy 1578690186 Detroit 5301008142 6/13/2018



Southwest Visiting Physicians Group 1881868685 Warren 12/29/2015 MDHHS Terminated

Super Mart Pharmacy Pharmacy 1124322128 Detroit

53010094055315047522 3/14/2018


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)


Sanction Date1

Sanction Source

Sanction Date2



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


Controlled Substance license suspended

Venoy Nursing Center Nursing Facility Wayne 5/6/1998


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



Sanction Date1

Sanction Source

Sanction Date2



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


Decertification

Woodward Nursing Center Nursing Facility Detroit 9/20/2004


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


Abcumby Keshuna Home Help Auburn Hills 8/21/2017 MDHHS

Ackerman Jr Robert A Physician 1487630075 North Muskegon 4301077358 5/18/2016


Summary Suspension

Adams Amy Home Help Mount Morris 6/24/2015 DCH


Sanction Date1

Sanction Source

Sanction Date2



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


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


Alajrad Muhannad Physician Trenton 4301061516 5/6/1997 HHS 1128(b)(4)


Sanction Date1

Sanction Source

Sanction Date2



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


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


Sanction Date1

Sanction Source

Sanction Date2



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


U.S. Medical Supply, Inc. Amr Hussein M. Medical Supplier Livonia 11/5/2002 DCH 9/20/2004 HHS


Andersen Judith C Physician 1073551198 Rochester 4301044420 6/22/2014


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


Sanction Date1

Sanction Source

Sanction Date2



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


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


Sanction Date1

Sanction Source

Sanction Date2



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


License Suspended


Sanction Date1

Sanction Source

Sanction Date2



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


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


Sanction Date1

Sanction Source

Sanction Date2



Barstow Bradley D Physician 1346221082 South Haven 5101008849 5/12/2017


Summary Suspension

Barth Timothy Paul Physician 1356512909 Southfield 4301049340 4/4/2017 MDHHS-OIG9/28/2017 2/12/18


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


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


Sanction Date1

Sanction Source

Sanction Date2



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


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



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


Sanction Date1

Sanction Source

Sanction Date2



Bellinger Thomas M Physician 1457316655 Freeland 4301406493 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


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



Bergman Gary D Physician 1740272061 Farmington Hills 4301024824 5/18/2016



Bergman Steven Paul Physician 1699739177 Caledonia 5101008850 10/3/2008


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)


Sanction Date1

Sanction Source

Sanction Date2



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


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


Bilani, Sami S., DDS, PC (aka Family Dentist PC) Bilani Sami Suheil Dental Group Hamtramck 4/12/2001 DCH 9/20/2001


First Care Hamtramck Dental PC Bilani Sami Suheil Dental Group Hamtramck 4/12/2001 DCH 9/20/2001


Billups Sherman Home Help Oak Park 5/22/2017 MDHHS


Sanction Date1

Sanction Source

Sanction Date2



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


Bledsoe Dayon Home Help Pontiac 3/22/2017 MDHHS

Bobb-Semple HubertPodiatrist/Medical Supplier Highland Park 5901000976 11/12/1990 DCH


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


Sanction Date1

Sanction Source

Sanction Date2



Bossenbery Stephen Physician 1487680302 Grand Rapids 4301087079 7/15/2013


Botvinick Brad A Physician 1962497719 Detroit 4301089224 10/25/2012


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


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



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


Sanction Date1

Sanction Source

Sanction Date2



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



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


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


Sanction Date1

Sanction Source

Sanction Date2



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


Summary Suspension

Brown Randy Home Help Saginaw 7/27/2016 MDHHS

Brown Scott Physician 1760581383 Lansing 5601002665 5/23/2011



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


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


Sanction Date1

Sanction Source

Sanction Date2



Bryan Lauran A Physician 1972630259 Southfield 4301058462 3/17/2016


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


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


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)


Sanction Date1

Sanction Source

Sanction Date2



Butler Dennis A Dentist 1053499475 Southfield 2901011373 1/24/2013


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



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


Sanction Date1

Sanction Source

Sanction Date2



Carlyon Larry F Physician 1396851366 Ishpeming 4301040361 3/16/2016

Mi-Licensing and Regulatory Affairs


Carothers George G. Physician 1679531669 Grand Rapids 5101005885 6/25/2018 MDHHS


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


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


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


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


Sanction Date1

Sanction Source

Sanction Date2



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



Chupka Thomas E Dentist 1790011450 Sault Sainte Marie 2901011891 2/21/2013


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




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


Sanction Date1

Sanction Source

Sanction Date2



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


Cook Dwayne Physician 1447229125 Belding 4301074284 12/26/2017



Sanction Date1

Sanction Source

Sanction Date2



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



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


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


Sanction Date1

Sanction Source

Sanction Date2



Cunningham Darrell R Physician 1902998933 Stanton 5101012407 2/6/2013


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


Cutright Monterea Home Help Detroit 4/11/2017 MDHHS

Cywiak Seymour N. Physician 1780956524 Farmington Hills 5101005504 8/1/2013


Czertko George Physician Detroit 4301033892 HHS 1128(b)(4)

Dababneh Malik H Physician 1306853221 Dearborn 5101009532 4/10/2013


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


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


Sanction Date1

Sanction Source

Sanction Date2



Daneshvar Gerald Physician 1548427164 Warren 4301081745 7/29/2015 MDHHS-OIG4/20/2018 5/21/18


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


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



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


Sanction Date1

Sanction Source

Sanction Date2



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


Summary Suspension

Dean Antonio NEMT Detroit 3/22/2018 MDHHS

Deck Robert E Optometrist 1437177342 Lake Orion 4901003566 10/30/2014


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


Sanction Date1

Sanction Source

Sanction Date2



Dehaan Charles Physician 1144392499 Rockford, IL 4301056984 4/15/2014 DCH OIGSummary Suspension

Dela Cruz Fanny A Physician 1689742397 Livonia 4301036977 3/4/2016


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



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


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


Sanction Date1

Sanction Source

Sanction Date2



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


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


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)


Sanction Date1

Sanction Source

Sanction Date2



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


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


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


Elliott Robert L. Chiropractor Redford 2301005227 12/20/1998 HHS 1128(b)(14)


Sanction Date1

Sanction Source

Sanction Date2



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



Elrington Errol G Physician 1568469294 Inkster 4301060303 12/11/2014


MI-Licensing and Regulatiory Affairs


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


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


Sanction Date1

Sanction Source

Sanction Date2



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


Fattic Grover R. Physician Niles 4301017283 7/15/1988 DCH 4/18/1989 HHS



Sanction Date1

Sanction Source

Sanction Date2



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


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


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


Sanction Date1

Sanction Source

Sanction Date2



Flusty Richard Chiropractor 1275675415 Warren 2301004626 8/28/2012


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


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


Sanction Date1

Sanction Source

Sanction Date2



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



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


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



Sanction Date1

Sanction Source

Sanction Date2



Gaft Richard S Nurse Practitioner 1578626735 Gladwin 4704201154 8/13/2016


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


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


Sanction Date1

Sanction Source

Sanction Date2



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




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


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


Sanction Date1

Sanction Source

Sanction Date2



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


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


Sanction Date1

Sanction Source

Sanction Date2



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


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


Summary Suspension

Grubaugh Lisa Marie Home Help Harrison 6/12/2015 DCHGuerra Robert Home Help Flint 10/20/2014 DCH


Sanction Date1

Sanction Source

Sanction Date2



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


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


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


Rx Now Pharmacy Haber Maria Pharmacy 1619297553 Livonia NCPDP 2374116 8/19/2011 DCH 6/2/2016 MDHHS-OIG


Tri-City Apothecary Haber Maria Pharmacy 1144554106 Saginaw NCPDP 2373265 8/19/2011 DCH 5/23/2016 MDHHS-OIG


Hakim Marvin Home Help Oak Park 6/13/2017 MDHHS

Hakim Sakina S Physician 1659555621 Lexington, KY 5601005216 3/27/2017


5/18/2017 4/24/18

HHSMI-Licensing and Regulatory Affairs

Summary Suspension ExcludedSummary Suspension Dissolved Revoked


Sanction Date1

Sanction Source

Sanction Date2



Halaberda Daniel Chiropractor 1437273364 Wayne 2301004191 12/17/1989 HHS 12/21/1989 DCH


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




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


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


There and Back Transportation Hampton Harry

Non Emergency Transportation Belleville 1/4/2018 MDHHS

Hansen Terry Home Help Port Huron 10/31/2014 DCH


Sanction Date1

Sanction Source

Sanction Date2



Haq Abdul Physician 1962422329 Ypsilanti 4301033697 7/12/2017



Hardman Donald J Physician 1013906700 Flint 4301062726 11/28/2015


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


Summary Suspension


Sanction Date1

Sanction Source

Sanction Date2



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


Sanction Date1

Sanction Source

Sanction Date2



Hennessy Michael E Dentist 1396820460 Farmington Hills 2901014529 12/12/2011


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



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


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


Sanction Date1

Sanction Source

Sanction Date2



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


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



Summary Suspension Summary Suspension Dissolved Revoked

Hoffmeister Martin Glenn Physician 1699839365 Grand Rapids 5901001390 2/25/2014 DCH-OIGSummarily Suspended


Sanction Date1

Sanction Source

Sanction Date2



Hogan Frederick A. Physician 1801974050 Lansing 5101009418 5/24/2010


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


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



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


Sanction Date1

Sanction Source

Sanction Date2



Hooper Mary K Registered Nurse 1700076684 Ishpeming 4704244897 11/21/2012


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


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


Sanction Date1

Sanction Source

Sanction Date2



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


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


Sanction Date1

Sanction Source

Sanction Date2



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


Janviriya Vicha Physician 1174603930 Southfield 4301032436 3/11/2015 DCH-OIG 1/20/2016 HHS_OIG


Jayasundera Victor Physical Therapist 1558488783 Southfield 5501005927 9/10/2012


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


Sanction Date1

Sanction Source

Sanction Date2



Jerkins Waymon D.Podiatrist/Medical Supplier Detroit 5901000834 7/6/1993 DCH 7/29/1997 HHS


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


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


Sanction Date1

Sanction Source

Sanction Date2



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


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


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


Justice Candy Home Help Mount Clemens 7/23/2018 MDHHS

Kafi Alex A Physician 1578586772 West Bloomfield 4301043089 12/14/2017


Kalinski Shawn Home Help Detroit 6/5/2017 MDHHS


Sanction Date1

Sanction Source

Sanction Date2



Kam Anthony M. Physician 1407894207 Sheridan 4301033166 5/1/2008


Voluntary Suspension

Kaminski TeresaNon- Emergency Transpotation Alpena 2/16/2017 MDHHS

Kamp Marc R Dentist 1952427254 Bloomfield Hills 2901015510 1/9/2016


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


Kay John F. Chiropractor Westland 2301005309 11/8/1994 HHS 1128(b)(14)

Kaza Mohan V Physician 1366684581 Bloomfield Hills 43010175190 10/19/2016



Summary Suspension Suspended

Kaza Sudheer Physician Detroit 4301047113 3/18/1987 DCH


Kazma Robert M. Chiropractor Detroit 2301002964 9/20/2001 HHS 1128(a)(1)


Sanction Date1

Sanction Source

Sanction Date2



Keels Ramone Home Help Saginaw 11/30/2015 MDHHS

Keen Marc E Physician 1851362966 Ludington 4301057451 1/17/2018



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


Kelly, Jr. James J. Physician 1316975386 Troy 4201054938 4/27/2008


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


Summary Suspension


Sanction Date1

Sanction Source

Sanction Date2



Kerr Ellen Nurse 1588783484 Bloomfield 4704096047 1/5/2011 DCHVoluntarily surrendered

Ketcham Donn W. Physician 1598742702 Allendale 4301023446 2/24/2012



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


Drug diversion

Kiefer Kathryn M CRNA 1629148119 Grosse Pointe 4704170474 6/9/2017


Summary Suspension

Kilpatrick Kerry Physician- 1568517225 Grand Rapids 2301004267 10/27/2011


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


Sanction Date1

Sanction Source

Sanction Date2



J & J Sleep, Inc. Kingen Jack Physician Group Durand 4/8/2004 DCH


American Medical Supply, Inc. Kinsella Michael O. Medical Supplier Detroit 7/29/1996 DCH


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


Kleinert Kathleen M Physician 1336156231 Detroit 5101013318 11/24/2012


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)


Sanction Date1

Sanction Source

Sanction Date2



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



Korstanje Raymond P Registered Nurse 1851525422 Grand Rapids 4704105538 1/7/2012


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


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



Sanction Date1

Sanction Source

Sanction Date2



Kuldanek Gregory A Physician 1568410496 Grand Rapids 4301047564 5/19/2015 DCH-OIG5/20/2015 10/19/2015

DCH-OIG HHS-OIG


Kumar Vijay Physical Therapist 1730133117 West Branch 5501005559 7/24/2015


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


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



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




Lardell Nicole Home Help Pontiac 10/5/2015 MDHHS


Sanction Date1

Sanction Source

Sanction Date2



Larson Gerald Physician 1891770947 Williamsburg 5101007523 2/1/2018



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



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


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)


Sanction Date1

Sanction Source

Sanction Date2



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


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


Sanction Date1

Sanction Source

Sanction Date2



Lindeman Craig J Optometrist 1619024966 Lansing 4901002406 3/29/2012


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


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


Lopez Ernest Home Help Bay City 10/4/2016 MDHHS

Lotfi Ahad Chiropractor 1063420529 Hartford 2301006100 6/6/2017 MDHHS-OIG 3/1/2018


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


Sanction Date1

Sanction Source

Sanction Date2



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


Lupis Francesco Physician 1174657167 Avon, CT 4301089103 6/15/2018


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


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


Sanction Date1

Sanction Source

Sanction Date2



Mahabeer Howard Leslie Physician 1861449696 Reed City 4301048268 8/10/2017


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



Malhotra Rajesh Physician 1891748547 Detroit 4301097855 9/8/2015




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


Mape Avelino Marbella Physician Detroit 4301036423 9/23/1983 HHS 1128(a)(1)


Sanction Date1

Sanction Source

Sanction Date2



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


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


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



Sanction Date1

Sanction Source

Sanction Date2



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



Parkside Mental Health, Inc. Mayberry Marie Victoria Physician Group Detroit 11/19/1998 HHS 1128(a)(1)


Sanction Date1

Sanction Source

Sanction Date2



Mayfield Stephanie Marie Physician 1740238286 Flint 4704167920 1/14/2009


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


Sanction Date1

Sanction Source

Sanction Date2



McCutchen III William Physician 1477507739 Wagram, NC 5101014673 9/11/2017



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


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


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


Sanction Date1

Sanction Source

Sanction Date2



Melton Mark R. Physical Therapist 1861504425 Gaylord 5501009879 12/28/2007


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


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




Sanction Date1

Sanction Source

Sanction Date2



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


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


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


Summary Suspension

Milliner Joel A Physicain 1346438140 4301079083 6/19/2014DCH-OIG HHS

3/8/2015 08/20/2015

Summary Suspension


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)


Sanction Date1

Sanction Source

Sanction Date2



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


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



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


Sanction Date1

Sanction Source

Sanction Date2



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


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


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)


Sanction Date1

Sanction Source

Sanction Date2



Myers Crystal Home Help Detroit 7/22/2015 MDHHS-OIG

Summary Suspension and Termination

Mynt Toe Physician 1982618138 Madison Heights 4301084986 7/9/2010


Care for You Pharmacy Naeem Rana Pharmacy 1073743282 Detroit NCPDP 2373114 8/23/2011 DCH 7/11/2016 MDHHS-OIG


Preferred Care Pharmacy Naeem Rana Pharmacy 1467787770 Pontiac NCPDP 2373328 8/23/2011 DCH 5/25/2016 MDHHS-OIG


Taylor Apothecary Naeem Rana Pharmacy 1801026158 Taylor NCPDP 2373126 8/23/2011 DCH 5/30/2016 MDHHS-OIG


Nagarwala Jumana Physician 1619048329 Detroit 431071795 9/19/2017 MDHHS-OIGSummary Suspension

Nagy Laurence W Dentist 1093910911 Canton 2901009367 8/9/2012



Nali Frank Physician Warren 4301047701 2/3/1994 DCH 8/10/1994 HHS


Nakhle Janet Home Help Dearborn 5/31/2018 MDHHS-OIG


Sanction Date1

Sanction Source

Sanction Date2



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


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


Sanction Date1

Sanction Source

Sanction Date2



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


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 Reegulatory Affairs

Summary Suspension Volunmtarily Surrendered

Neumeier Thomas C. Dentist 1619918687 Menominee 2901008867 6/9/2018


Nesbitt Gregory Home Help Oak Park 11/14/2017 MDHHS


Sanction Date1

Sanction Source

Sanction Date2



Neves Ekra Home Help Detroit 11/10/2014 DCH

Newhall Stanley Physician 1295969251 Salt Lake City , UT 4301040499 7/30/2016


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



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



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


10/26/2016 1/20/2013

MI- Licensing and Regulatory Affairs HHS

Suspended Excluded Suspended


Sanction Date1

Sanction Source

Sanction Date2



Obert Amy B. Registered Nurse 1427371210 Grand Rapids 4704236200 10/7/2011


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


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


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


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


Sanction Date1

Sanction Source

Sanction Date2



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


Papachristou Marios Radiologist 1366765323 Detroit 4301109449 6/25/2018 MDHHS-OIGSummary Suspension

Papendick Cynthia JNurse Practicitioner 1366423899 Union Pier 4704169270 10/4/2017


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


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


Sanction Date1

Sanction Source

Sanction Date2



Patel Arvind Physician 1437217601 Detroit 4301034282 7/4/2016 MDHHS1/9/2017 04/20/2017

MDHHS-OIG HHS


Levan Pharmacy Patel

Baba/Jyotsna Pharmacy 1861513194 Grand Blanc NCPDP 2367781 8/19/2011 DCH 7/11/2016 MDHHS-OIG


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


Prestige Drugs Patel Jyotsna Pharmacy 1174787766 Hazel Park NCPDP 2371590 8/19/2011 DCH 5/30/2016 MDHHS-OIG


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)


Sanction Date1

Sanction Source

Sanction Date2



Patel Rohane Avind Physician 1114049343 Rochester Hills 4301052678 11/21/2008


Summary Suspension

PatelSharadchandra D. Physician Saginaw 4301033216 5/21/1999 DCH 6/17/1999 HHS


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


License Revocation

Payea Richard Paul Physician 1124019674 East Tawas 4301047848 9/2/2009


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


Sanction Date1

Sanction Source

Sanction Date2



Pearce Edwin T. Physician 1114977618 Clinton Township 4301021837 10/7/2008


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- 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)


Sanction Date1

Sanction Source

Sanction Date2



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


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


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


Polk Alphonozo Home Help Flint 2/13/2017 MDHHS


Sanction Date1

Sanction Source

Sanction Date2



Pompy Lesly Physician 1174578801 Monroe 4301058720 8/4/2017


Summary Suspension

Ponce Fernando Chiropractor 1669681508 Lansing 2301005828 5/28/2008


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



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


Sanction Date1

Sanction Source

Sanction Date2



Proctor Vernon Physician 1225215783 Baldwin 4301089365 12/30/2017


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


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



Sanction Date1

Sanction Source

Sanction Date2



Quinn Brian Patrick Physician 1104028828 Royal Oak 4704234655 6/18/2009


Summary Suspension

Quinn Donald R. Dentist 1417102492 Farmington Hills 2901013192 11/9/2014



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


Sanction Date1

Sanction Source

Sanction Date2



Racette, Wendell A. DDS, PC Racette Wendell A. Dental Group Lansing 2901010020 6/13/2001 DCH HHS


Rafferty Joseph J Dentist 1811931405 Muskegon 2901011342 2/15/2015



Rahim Mahmoud Physician 1982706941 Dearborn 4301065143 8/3/2016 MDHHS- OIG 4/23/2018



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



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


Sanction Date1

Sanction Source

Sanction Date2



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


Lakeshore Spine & Pain PC (Accessible Urgent Care) Rathod Babubhai Group 1699043299 Ludington 2/22/2012 DCH 8/3/2013 DCH-OIG


Lakeshore Home Health Care Inc Rathod Shaila Group 1396858775 Ludington 2/22/2012 DCH 8/3/2013 DCH-OIG


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


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


Reyes Janice Renee Home Help Detroit 11/30/2015 MDHHS


Sanction Date1

Sanction Source

Sanction Date2



Reyes Victor P Physician 1265469589 Keego Harbor 4301046357 1/10/2018



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


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



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


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


Sanction Date1

Sanction Source

Sanction Date2



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


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)


Sanction Date1

Sanction Source

Sanction Date2



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



Roth Steven J Physicaian 1538123609 Waterford 5101006341 11/4/2017


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


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


Sanction Date1

Sanction Source

Sanction Date2



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


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


3/15/2017 08/03/2017

MDHHS-OIG MI - Licensing and Regulatory Affairs

Summary Suspension Summary Suspension Summary Suspension


Sanction Date1

Sanction Source

Sanction Date2



Sarkodie Amaning K Physician 1891765798 Saginaw 4301064470 5/18/2017



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


Schillio Serge Paul Physician 1194761940 Saint Jospeh 4301051134 8/16/2013



Schneck Michael Home Help Gaylord 9/14/2017 MDHHS


Sanction Date1

Sanction Source

Sanction Date2



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


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


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


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


Sanction Date1

Sanction Source

Sanction Date2



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



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


Shader Joseph Physician 1972804193 North Liberty, IA 4301111585 4/29/2018


Shafinia Sohrab Physician 1588614606 Farmington Hills 5101012201 5/6/2014 DCH-OIG 12/20/2014 HHS


Shah Rajesh P Physician 1376595272 Jackson 4301048647 5/17/2017




Sanction Date1

Sanction Source

Sanction Date2



Shaheen Michael G Physician 1285732073 Flint 5101006847 8/31/2017



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




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



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


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


Sanction Date1

Sanction Source

Sanction Date2



Shelton Bernard Physician 1417032491 Saint Claire Shores 4301088798 1/13/2017


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



Suspension Revoked

Sherman Errol Podiatrist 1154344117 Oak Park 5901000864 4/27/2011


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


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


Sanction Date1

Sanction Source

Sanction Date2



Silber Alan Physician 1366447260 West Bloomfield 4301085080 6/20/2011


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



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



Summary Suspension dissolved Suspended

Sirajuddin James Physician 1306997325 South Haven 4301039518 9/7/2014


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)


Sanction Date1

Sanction Source

Sanction Date2



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



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)


Sanction Date1

Sanction Source

Sanction Date2



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


Sanction Date1

Sanction Source

Sanction Date2



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



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


Summary Suspension


Sanction Date1

Sanction Source

Sanction Date2



Sturm Brandon Chiropractor 1295815223 Brighton 2301007506 1/21/2011


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


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


Sanction Date1

Sanction Source

Sanction Date2



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



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


Sanction Date1

Sanction Source

Sanction Date2



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


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


Trevino Esther Home Help Pontiac 4/18/2017 MDHHSTrosclair Wanda homeHelp Sault Sainte Marie 12/20/2017 MDHHS


Sanction Date1

Sanction Source

Sanction Date2



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


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


Tubbs Craig Physician 1609892116 Alma 4301407461 6/11/2011


Summary Suspension

Tucker Detuaine Deshawn Home Help Jackson 11/6/2014 DCH

Tuffo Julie APhysician's Assistant 1750532966 Clarkston 5601005419 10/20/2017



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


Sanction Date1

Sanction Source

Sanction Date2



Tuttle Douglas K Physician Assistant 1699708875 Walker 5601001502 6/29/2017


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


Ureta III Sotero M Physicoan 1174545271 Cadillac 4301070002 1/13/2017 HHS Excluded

Utarnachitt Richard V Physician 1962539619 Clinton Township 4301033666 2/15/2015


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


Summary Suspension

Vaid Mustak Y. Physician 1982619649 Livonia 4301085038 9/26/2011 DCH 2/11/2016 MDHHS-OIG


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


Sanction Date1

Sanction Source

Sanction Date2



Vance Sarah A Registered Nurse 1497000269 Belleville 4704241489 1/21/2016


Summary Suspension

Van Der Weide Arie Physician 1679512966 Fremont 5101010310 1/19/2009


Summary Suspension

Van De Vusse Jamie L Counseling 1417385733 Wyoming 6401013974 9/8/2017


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


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


Sanction Date1

Sanction Source

Sanction Date2



Velez-Ruiz Wanda E. Physician 1023123858 Detroit 4301045752 11/10/1993



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


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


Excluded Voluntarily Surrendered

Vorhies Paul E CRNA 1740246578 Scottville 4704103969 11/8/2012




Sanction Date1

Sanction Source

Sanction Date2



Wagner Jack W Physician 1588694004 Midland 4301041291 6/26/2018 MDHHS

Disiciplinary Limited License

Wagner John R Physician 1396737086 Warren 4301061192 7/16/2012


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


Sanction Date1

Sanction Source

Sanction Date2



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


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


Weinblatt Howard B Physician 1760450191 Ann Arbor 4301037809 5/17/2012


Weiner Samuel Dentist 1326100611 Huntington Woods 2901007772 12/13/2009


Weisenfeld Michael S. Physician Marshall 4301029508 6/18/1998 HHS 1128(a)(1)


Sanction Date1

Sanction Source

Sanction Date2



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)


Sanction Date1

Sanction Source

Sanction Date2



White John Arthur Dentist 1407066244 Detroit 2901012365 1/11/2008


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


East Michigan Family Care PLLC Wiggins Shannon Group 1124135116 Lansing 9/30/2013

DCH HHS 4/15/2014 DCH-OIG


Wiggins Shannon Georgean Physician 1295744530 Lansing 5101013727 9/30/2013 DCH 4/15/2014 DCH-OIG


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


Sanction Date1

Sanction Source

Sanction Date2



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


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


Wilson Jonathan Home Help Detroit 11/30/2015 MDHHS


Sanction Date1

Sanction Source

Sanction Date2



Winkler Clarice ACertified Nurse Midwife 1457344426 Lansing 4704120674 9/13/2013


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


Summary Suspension

Woodfield Curtis J. Dentist 1609804244 Glbles 2801011491 7/8/2017



Woodruff Shawn Home Help Deckerville 8/14/2017 MDHHS

Woodruff William H Dentist 1386747848 West Bloomfield 2901011170 7/14/2018


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


Sanction Date1

Sanction Source

Sanction Date2



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


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


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


Zieger Harvey Physician 1528050267 Detroit 5101006597 3/24/2015


Zimmerman Katherine Home Help Mt. Pleasant9/23/2015 06/22/2017

MDHHS MDHHS

Documents

Medicaid Michigan Sanction Provider List July 23, 2018 · Entity Name Last Name First Name Middle Name Provider Category NPI# City License# Sanction Date1 Sanction Source Sanction