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MATTHEW ROGER BLACK

Debarred entity

MATTHEW ROGER BLACK is a person of interest. They have not been found on international sanctions lists.

Type	Person				[sources]
Name	MATTHEW ROGER BLACK · Matthew Black				[sources]
Birth date	1975-03-05				[sources]
Nationality	not available				[sources]
Country	United States				[sources]
Description	License No: H69899				[sources]
First name	Matthew				[sources]
Last name	Black				[sources]
Middle name	ROGER				[sources]
NPI	`1437339900`				[sources]
Sector	DO				[sources]
Position	EMERGENCY MEDICINE (PHYSICIAN (MD, DO))				[sources]
Address	1683 Laguna Drive, Idaho Falls ID 83404 · 2961 SANDSTONE DR, IDAHO FALLS, ID 83404 · IDAHO FALLS, ID 83404, USA				[sources]
Last change	2025-09-12	Last processed	2025-11-20	First seen	2024-05-08

Sanctions
Country	Authority	Program	Start date	End date
United States	Department of Health and Human Services Office of Inspector General		2017-07-20	-

Medical providers deemed ineligible to participate in Maryland's Medicaid program.

United States · MDH

People and companies excluded from Federally funded health care programs

United States · OIG

A database of suppliers who have been excluded from participating in US federal procurement.

United States · GSA

Source data IDs: us-fed-excl-matthew-roger-black-83404-idaho-falls · us-medmd-08bb1aed5051175ceb5c0d274008482464b51c6c

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