Type | Person | [sources] | |||
---|---|---|---|---|---|
Name | Anthony E. Innocenzi · Anthony Innocenzi · INNOCENZI, ANTHONY · INNOCENZI, ANTHONY E | [sources] | |||
Birth date | [sources] | ||||
Nationality | not available | [sources] | |||
Country | United States of America | [sources] | |||
Description | License number: 2007027375 · Provider ID: 2046191 | [sources] | |||
First name | Anthony | [sources] | |||
ID Number | SC004675R | [sources] | |||
Last name | Innocenzi | [sources] | |||
Middle name | E. | [sources] | |||
NPI | 1255336079 | [sources] | |||
Sector | 30-PODIATRIST · 36 - Podiatrist Individual · DPM | [sources] | |||
Address | (OH), (OH) · 7972 AQUADALE DRIVE, YOUNGSTOWN, OH 44512 | [sources] | |||
Last change | Last processed | First seen |
Medical providers suspended from Missouri's Medicaid program.
United States of America · MMAC
Medical providers disqualified from participating in New Jersey State's Medicaid program.
United States of America · OIFP
Medical providers who are precluded from participation in the Medical Assistance Program
United States of America · DHS
Medical providers excluded or suspended from Ohio's Medicaid program.
United States of America · ODM
us-medmo-238a4bf9d8bcace5ef7e7ff36ba2ad78b9b8665d
· us-mednj-be48c1e7f0b33f1bf67efadcd435208a2384fcd6
· us-medpa-127ff534f19252aa859b92a368798d539beca2cc
· us-medpa-144c4c557724cfccb309681d15eaa89a71f405c5
· us-medoh-be9fc80c61b6b3fb7ce3ff2bfba3a4e02413c664
· NK-ZJTEcWw6YPJM4uYb7h4P3K
For experts: raw data explorer
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Sanctions | |||||
---|---|---|---|---|---|
Country | Authority | Program | Start date | End date | |
United States of America | New Jersey Office of the State Comptroller | - |
Address | ||
---|---|---|
Full address | Country | |
7972 AQUADALE DRIVE, YOUNGSTOWN, OH 44512 | United States of America |
United States of America | Department of Human Services | - | - |
United States of America | Ohio Department of Medicaid | - | - |
United States of America | Missouri Medicaid Audit & Compliance | - | - |
(OH), (OH) · OH, OH | United States of America |