OIG exclusion detail
TIMOTHY DAVIS
This page shows an imported LEIE row. Verify details against the official OIG source before acting.
Imported OIG rowOfficial OIG source
- NPI
- 0000000000
- Name
- TIMOTHY JAMES JR DAVIS
- Address
- 4040 MCKENZIE DR, SE, APT 11, MANDAN, ND, 58554
- Specialty
- EMPLOYEE - 14 & BELO
- Exclusion type
- 1128a3
- Exclusion date
- 20130220
- Reinstatement date
- 00000000
- Waiver
- 00000000
Source snapshot
Imported: May 05, 2026
Rows: 83,001
Checksum: 3a10b8ee0e4691855f74ce65a5e733672474291f79ed1f7cef163328d945e9a7
Open matching NPI page