Type | Person | [sources] | |||
---|---|---|---|---|---|
Name | MATTHEW ROGER BLACK · Matthew Black | [sources] | |||
Birth date | [sources] | ||||
Nationality | not available | [sources] | |||
Country | United States of America | [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 | Last processed | First seen |
A database of suppliers who have been excluded from participating in US federal procurement.
United States of America · GSA
People and companies excluded from Federally funded health care programs
United States of America · OIG
Medical providers deemed ineligible to participate in Maryland's Medicaid program.
United States of America · MDH
us-medmd-08bb1aed5051175ceb5c0d274008482464b51c6c
· us-fed-excl-matthew-roger-black-83404-idaho-falls
For experts: raw data explorer
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United States of America | Maryland Department of Health | - | - |
United States of America | HHS | Reciprocal | - |
United States of America | Department of Health and Human Services Office of Inspector General | List of Excluded Individuals/Entities (LEIE) | - |