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Jacob William Smith

Debarred entity
TypePerson[sources]
NameJacob William Smith · SMITH JACOB WILLIAM[sources]
Birth date[sources]
Nationalitynot available[sources]
CountryUnited States of America[sources]
First nameJacob[sources]
ID Number00259377[sources]
Last nameSmith[sources]
Middle nameWilliam[sources]
NPI1841204963[sources]
Registration numberA 101078[sources]
SectorPhysician[sources]
PositionANESTHESIOLOGY (PHYSICIAN (MD, DO))[sources]
Address95 AUTUMN RIDGE CIRCLE, ITHACA, NY 14850 · 95 Autumn Ridge Circle, Ithaca, NY, 14850 · ITHACA, NY 14850, USA[sources]
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Data sources

US Health and Human Sciences Inspector General Exclusions80,952

People and companies excluded from Federally funded health care programs

United States of America · OIG

US SAM Procurement Exclusions105,756

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

United States of America · GSA

US New York State Medicaid Exclusions8,694

Medical providers deemed ineligible to participate in New York State's Medicaid program.

United States of America · OMIG

US California Medicaid Suspended and ineligible providers23,292

Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.

United States of America · DHCS

Source data IDs: us-medny-4de68ef67c1238c5e4ea05fa1dfe280c9fe929be · us-fed-excl-jacob-william-smith-14850-ithaca · us-medca-815cd28cd6d7db10c433b9454e6fcb079ca87cd9

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FactsheetData sources
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