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Orthopaedics, Sports & Workers Medical Group Inc.

Debarred entity

Orthopaedics, Sports & Workers Medical Group Inc. is an entity of interest. It has not been found on international sanctions lists.

Type	Company				[sources]
Name	Orthopaedics, Sports & Workers Medical Group Inc. · Orthopedics Sports & Workers Medical Group, Inc.				[sources]
Incorporation date	not available				[sources]
Jurisdiction	not available				[sources]
Country	United States of America				[sources]
NPI	`1033254099` · `1750942546`				[sources]
Registration number	`CGP170428` · `FNP 23730`				[sources]
Sector	Entity/Corporation				[sources]
Address	621 South Ham Lane, Suite A, Lodi, CA, 95242				[sources]
Last change	2024-12-12	Last processed	2025-10-02	First seen	2024-10-16

Sanctions
Country	Authority	Program	Start date	End date
United States of America	Department of Health Care Services		2022-12-29	-

Owners
Owner	Percentage held	Start date	End date
Gary Wisner	-	-	-

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

United States of America · DHCS

Medical providers who have been excluded/sanctioned from the Nevada Medicaid Program.

United States of America · DHCFP

Source data IDs: us-medca-81583f4a203a89aee40f8c10a1ffc40c2f8b05e9 · us-mednv-9ed803fd89c529df39e16982cbddaa7ca19839bf

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