Type | Person | [sources] | |||
---|---|---|---|---|---|
Name | Derrick Anthony Johnson | [sources] | |||
Birth date | [sources] | ||||
Nationality | not available | [sources] | |||
Country | United States of America | [sources] | |||
Description | UPIN: F36186 | [sources] | |||
First name | Derrick | [sources] | |||
Last name | Johnson | [sources] | |||
Middle name | Anthony | [sources] | |||
NPI | 1114018900 | [sources] | |||
Registration number | G60418 | [sources] | |||
Sector | Physician | [sources] | |||
Position | GENERAL PRACTICE (PHYSICIAN (MD, DO)) | [sources] | |||
Address | BELLEVUE, NE 68005, USA · BELLVUE, NE 68005, USA · P O BOX 1162, BELLEVUE, NE 68005 · P.O. Box 1162, Bellevue, Nebraska, 68005 | [sources] | |||
Last change | Last processed | First seen |
People and companies excluded from Federally funded health care programs
United States of America · OIG
A database of suppliers who have been excluded from participating in US federal procurement.
United States of America · GSA
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States of America · DHCS
us-medca-bb4d6882db5c174e368ab9a996038f480c1422c0
· us-fed-excl-derrick-anthony-johnson-68005-bellevue
· us-fed-excl-derrick-anthony-johnson-68005-bellvue
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United States of America | Department of Health and Human Services Office of Inspector General | List of Excluded Individuals/Entities (LEIE) | - |
United States of America | OPM | Reciprocal | - |
United States of America | Department of Health Care Services | - | - |