| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | DONALD JARED WAGONER · Don J. Wagoner, MD | [sources] | |||
| Birth date | [sources] | ||||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| Description | UPIN: D94599 | [sources] | |||
| First name | DONALD | [sources] | |||
| Last name | WAGONER | [sources] | |||
| Middle name | JARED | [sources] | |||
| NPI | 1285614511 | [sources] | |||
| Position | GENERAL PRACTICE (PHYSICIAN (MD, DO)) | [sources] | |||
| Address | 5124 W REFORMATORY RD, PENDLETON, IN 46064 · Burlington, IN · Kokomo, IN · PENDLETON, IN 46064 | [sources] | |||
| Last change | Last processed | First seen | |||
Providers who have been terminated for cause from Indiana Medicaid and CHIP.
United States · FSSA
A database of suppliers who have been excluded from participating in US federal procurement.
United States · GSA
People and companies excluded from Federally funded health care programs
United States · OIG
us-medin-39f4b6fd6fbd364dffd4d1aa02070386c4166b71 · us-fed-excl-donald-jared-wagoner-46064-pendletonFor experts: raw data explorer
OpenSanctions is free for non-commercial users. Businesses must acquire a data license to use the dataset.
| United States | Indiana Family and Social Services Administration | - | - |
| United States | Department of Health and Human Services Office of Inspector General | List of Excluded Individuals/Entities (LEIE) | - |
| United States | OPM | Reciprocal | - |