Canonical ID: NK-2Gp7cZDTYf9NHqr8RzHj83
· Entity type: Person
(reference)
Property | Value | Lang | Source dataset | Source ID | First seen | ||
---|---|---|---|---|---|---|---|
Person:address | 2961 SANDSTONE DR, IDAHO FALLS, ID 83404 | eng | us_hhs_exclusions | us-fed-excl-matthew-roger-black-83404-idaho-falls | |||
Person:address | 1683 Laguna Drive, Idaho Falls ID 83404 | eng | us_md_med_exclusions | us-medmd-08bb1aed5051175ceb5c0d274008482464b51c6c | |||
Person:address | IDAHO FALLS, ID 83404, USA | eng | us_sam_exclusions | us-fed-excl-matthew-roger-black-83404-idaho-falls | |||
Person:birthDate | 1975-03-05 | eng | us_hhs_exclusions | us-fed-excl-matthew-roger-black-83404-idaho-falls | |||
Person:country | us | eng | us_sam_exclusions | us-fed-excl-matthew-roger-black-83404-idaho-falls | |||
Person:country | us | eng | us_hhs_exclusions | us-fed-excl-matthew-roger-black-83404-idaho-falls | |||
Person:country | us | eng | us_md_med_exclusions | us-medmd-08bb1aed5051175ceb5c0d274008482464b51c6c | |||
Person:createdAt | 2017-07-20 | eng | us_sam_exclusions | us-fed-excl-matthew-roger-black-83404-idaho-falls | |||
Person:createdAt | 2017-12-19 | eng | us_sam_exclusions | us-fed-excl-matthew-roger-black-83404-idaho-falls | |||
Person:description | License No: H69899 | eng | us_md_med_exclusions | us-medmd-08bb1aed5051175ceb5c0d274008482464b51c6c | |||
Person:firstName | Matthew | eng | us_md_med_exclusions | us-medmd-08bb1aed5051175ceb5c0d274008482464b51c6c | |||
Person:firstName | MATTHEW | eng | us_sam_exclusions | us-fed-excl-matthew-roger-black-83404-idaho-falls | |||
Person:firstName | MATTHEW | eng | us_hhs_exclusions | us-fed-excl-matthew-roger-black-83404-idaho-falls | |||
Person:id | 0bb06df1e0f4c8de55f02e57c241c15378aef665 | eng | us_hhs_exclusions | us-fed-excl-matthew-roger-black-83404-idaho-falls | |||
Person:id | 3a2e283a007dba379e426b198776a7d09d67408e | eng | us_sam_exclusions | us-fed-excl-matthew-roger-black-83404-idaho-falls | |||
Person:id | 24bda485a977defa502751edbb6d2fd2f2b3dde7 | eng | us_sam_exclusions | us-fed-excl-matthew-roger-black-83404-idaho-falls | |||
Person:id | ff81a0a63e679a0001200efd9632beec85a04260 | eng | us_md_med_exclusions | us-medmd-08bb1aed5051175ceb5c0d274008482464b51c6c | |||
Person:lastName | Black | eng | us_md_med_exclusions | us-medmd-08bb1aed5051175ceb5c0d274008482464b51c6c | |||
Person:lastName | BLACK | eng | us_sam_exclusions | us-fed-excl-matthew-roger-black-83404-idaho-falls | |||
Person:lastName | BLACK | eng | us_hhs_exclusions | us-fed-excl-matthew-roger-black-83404-idaho-falls | |||
Person:middleName | ROGER | eng | us_sam_exclusions | us-fed-excl-matthew-roger-black-83404-idaho-falls | |||
Person:middleName | ROGER | eng | us_hhs_exclusions | us-fed-excl-matthew-roger-black-83404-idaho-falls | |||
Person:name | MATTHEW ROGER BLACK | eng | us_sam_exclusions | us-fed-excl-matthew-roger-black-83404-idaho-falls | |||
Person:name | Matthew Black | eng | us_md_med_exclusions | us-medmd-08bb1aed5051175ceb5c0d274008482464b51c6c | |||
Person:name | MATTHEW ROGER BLACK | eng | us_hhs_exclusions | us-fed-excl-matthew-roger-black-83404-idaho-falls | |||
Person:npiCode | 1437339900 | eng | us_sam_exclusions | us-fed-excl-matthew-roger-black-83404-idaho-falls | |||
Person:npiCode | 1437339900 | eng | us_md_med_exclusions | us-medmd-08bb1aed5051175ceb5c0d274008482464b51c6c | |||
Person:npiCode | 1437339900 | eng | us_hhs_exclusions | us-fed-excl-matthew-roger-black-83404-idaho-falls | |||
Person:position | EMERGENCY MEDICINE (PHYSICIAN (MD, DO)) | eng | us_hhs_exclusions | us-fed-excl-matthew-roger-black-83404-idaho-falls | |||
Person:programId | US-HHS-OIG | eng | us_hhs_exclusions | us-fed-excl-matthew-roger-black-83404-idaho-falls | |||
Person:sector | DO | eng | us_md_med_exclusions | us-medmd-08bb1aed5051175ceb5c0d274008482464b51c6c | |||
Person:topics | debarment | eng | us_hhs_exclusions | us-fed-excl-matthew-roger-black-83404-idaho-falls | |||
Person:topics | debarment | eng | us_sam_exclusions | us-fed-excl-matthew-roger-black-83404-idaho-falls | |||
Person:topics | debarment | eng | us_md_med_exclusions | us-medmd-08bb1aed5051175ceb5c0d274008482464b51c6c |