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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | John F Theroux · THEROUX JOHN | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | John | [sources] | |||
| ID Number | 00226706 · MD429039 | [sources] | |||
| Last name | Theroux | [sources] | |||
| Middle name | F | [sources] | |||
| NPI | 1437131141 | [sources] | |||
| Sector | Physician | [sources] | |||
| Title | Physician | [sources] | |||
| Address | Luzerne, PA | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers deemed ineligible to participate in New York State's Medicaid program.
United States · OMIG
Medical providers who are precluded from participation in the Medical Assistance Program
United States · DHS
us-medpa-4b12dec07c408da8d183832f7c0bdea8ad6c996f · us-medny-f0d8a9851b1e29b20171b4b53ea019cdde686baaFor experts: raw data explorer
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| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States | New York State Office of the Medicaid Inspector General | - | |||
| Address | ||
|---|---|---|
| Full address | Country | |
| LUZERNE, PA · Luzerne, PA | United States | |
| United States | Department of Human Services | - | - |