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THOMAS JACOB SHAKNOVSKY

Debarred entity
TypePerson[sources]
NameSHAKNOVSKY THOMAS JACOB · THOMAS JACOB SHAKNOVSKY · Thomas J. Shaknovsky[sources]
Birth date[sources]
Nationalitynot available[sources]
CountryUnited States[sources]
DescriptionState license type / number: DO / 4296[sources]
First nameTHOMAS · Thomas J.[sources]
ID Number00279956[sources]
Last nameShaknovsky[sources]
Middle nameJACOB[sources]
NPI1568690014[sources]
SectorDO · Physician[sources]
Unique Entity IDP757EDD44481[sources]
PositionGENERAL PRACTICE (PHYSICIAN (MD, DO))[sources]
Address38468 EMERALD COAST PKWY, STE, DESTIN, FL 32541 · DESTIN, FL 32541, USA[sources]
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Relationships

Data sources

US New York State Medicaid Exclusions8,729

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

United States · OMIG

US SAM Procurement Exclusions105,691

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

United States · GSA

US Iowa Medicaid Terminated Provider List1,044

This dataset contains a list of providers who have been terminated for cause from Iowa's Medicaid program.

United States · HHS

US Health and Human Sciences Inspector General Exclusions81,173

People and companies excluded from Federally funded health care programs

United States · OIG

Source data IDs: us-fed-excl-thomas-jacob-shaknovsky-32541-destin · us-media-eafaa30472b377f117ae011f04665f0ba4a37fe2 · us-medny-b0dcc6f731343ea6372aa3f5cdf7cff9b0443fb6

For experts: raw data explorer

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