EXCLUDEDPROVIDER
Entity Program Crime

Port Huron Clinic, P C

Southfield, MI 49075

Public HHS-OIG LEIE exclusion record

Port Huron Clinic, P C of Southfield, MI is registered in the CMS NPI Registry under National Provider Identifier (NPI) 1093756934 with a primary specialty of Legal Medicine. According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Port Huron Clinic, P C is currently excluded from participation in federally funded health care programs due to conviction of program-related crimes, as of September 20, 2009.

Status
Currently listed by HHS-OIG
Record type
Entity
Location
Southfield, MI 49075
Exclusion date
September 20, 2009
Exclusion type
Program Crime (1128a1)
NPI
1093756934

Record summary

Port Huron Clinic, P C appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an entity record associated with Southfield, Michigan. The latest imported LEIE dataset lists this record as currently excluded from participation in federally funded health care programs. The exclusion date shown in the source record is September 20, 2009, and the exclusion type is 1128a1, identified by HHS-OIG as conviction of program-related crimes.

Source record

SourceHHS-OIG LEIE (public dataset)
Record typeEntity
Current statusCurrently listed by HHS-OIG
Exclusion dateSeptember 20, 2009
Exclusion typeConviction of program-related crimes (1128a1)
NPI1093756934
Source dataset dateMay 2026

What this exclusion type means

HHS-OIG identifies exclusion type 1128a1 as “Conviction of program-related crimes.” Conviction of a criminal offense related to the delivery of an item or service under Medicare or a State health care program (mandatory exclusion, minimum 5 years).

This exclusion type is a statutory category used by HHS-OIG in the LEIE dataset. The category describes the legal authority associated with the exclusion record, not a separate investigation or additional reporting by Excluded Provider.

Location and provider classification

This LEIE record is associated with Southfield, MI 49075. The listed provider category is Clinic.

NPI Registry context

The LEIE record lists NPI 1093756934. CMS NPPES public registry data lists this NPI as an organization record with primary taxonomy Legal Medicine (173000000X). Registered practice location: Port Huron, MI. NPI enumeration date: Jun 10, 2006. NPPES status: Active.

NPI Registry data is administrative provider-identification data from CMS. It does not independently verify or explain the HHS-OIG exclusion record above. Verify exclusion status directly with HHS-OIG.

Other excluded providers in Southfield, MI

Other individuals and entities currently listed in the HHS-OIG LEIE public dataset with a Southfield, MI address.

Brian Keith Williams Individual Felony Fraud
Southfield, MI · Felony conviction relating to health care fraud · Excluded Apr 2026
Health Plus, LLC Entity Nondisclosure
Southfield, MI · Failure to disclose required information · Excluded Mar 2025
Cosmos Nelo II George Individual Drug Felony
Southfield, MI · Felony conviction relating to controlled substance · Excluded Aug 2024
Charles Sr Hobson Individual Program Crime
Southfield, MI · Conviction of program-related crimes · Excluded Jun 2023
Ebony Whitford Individual Program Crime
Southfield, MI · Conviction of program-related crimes · Excluded Apr 2023
John Victor III King Individual Program Crime
Southfield, MI · Conviction of program-related crimes · Excluded Nov 2019
Antonio Simbol Kho Individual Program Crime
Southfield, MI · Conviction of program-related crimes · Excluded Jun 2019
Zoe-ann Yvette Mcdonald Individual Program Crime
Southfield, MI · Conviction of program-related crimes · Excluded Apr 2019

See all 34 excluded providers in Southfield →

How to verify this record

This page is a public-record summary and should be treated as a possible LEIE match, not final identity verification. To verify the record, use the official HHS-OIG LEIE search and compare available identifying information through the official process. Name, location, provider category, specialty, exclusion date, and NPI should be treated as matching clues rather than final proof of identity.

What this page does not include

This page summarizes the HHS-OIG LEIE public dataset only. It does not search state Medicaid exclusion lists, state licensing-board actions, court records, malpractice records, employment history, civil lawsuits, or non-public investigations.

Verify this record with the official HHS-OIG source Save or print this record Monitor this provider/entity Need to screen a list? Join the bulk screening beta

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Related

More Excluded Entities in Michigan More Records in Southfield More Program Crime Records