Search OpenSanctions

WALTERS SAMUEL R MD

Debarred entity

WALTERS SAMUEL R MD is an entity of interest. It has not been found on international sanctions lists.

Type	Legal entity				[sources]
Name	WALTERS SAMUEL R MD · WALTERS, SAMUEL R.				[sources]
Legal form	not available				[sources]
Country	United States				[sources]
ID Number	`00115662`				[sources]
NPI	`1144368606`				[sources]
Sector	MD · Physician				[sources]
Status	not available				[sources]
Address	215 FOX HILL RUN, ROCK TAVERN, NY 12575				[sources]
Last change	2025-05-08	Last processed	2025-12-01	First seen	2024-09-02

Sanctions
Country	Authority	Program	Start date	End date
United States	New Jersey Office of the State Comptroller		2025-04-08	-

Address
Full address	Country
215 FOX HILL RUN, ROCK TAVERN, NY 12575	United States

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

United States · OMIG

Medical providers disqualified from participating in New Jersey State's Medicaid program.

United States · OIFP

Source data IDs: us-mednj-7e6f40fbbfe5d7ae061ec1c1829eeae35bf71d1b · us-medny-5124eef9398a81476547f74a1493486319203e4f

OpenSanctions is free for non-commercial users. Businesses must acquire a data license to use the dataset.