EXCLUDEDPROVIDER
Individual Revocation

Mark Ryan Waldron

Syracuse, NY 13209

Public HHS-OIG LEIE exclusion record

According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Mark Ryan Waldron of Syracuse, NY is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of July 20, 2017.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Syracuse, NY 13209
Exclusion date
July 20, 2017
Exclusion type
Revocation (1128b4)
Source dataset
May 2026

Record summary

Mark Ryan Waldron appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Syracuse, New York. 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 July 20, 2017, and the exclusion type is 1128b4, identified by HHS-OIG as license revocation, suspension, or surrender.

Source record

SourceHHS-OIG LEIE (public dataset)
Record typeIndividual
Current statusCurrently listed by HHS-OIG
Exclusion dateJuly 20, 2017
Exclusion typeLicense revocation, suspension, or surrender (1128b4)
Source dataset dateMay 2026

What this exclusion type means

HHS-OIG identifies exclusion type 1128b4 as “License revocation, suspension, or surrender.” License revocation, suspension, or surrender (permissive exclusion).

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 Syracuse, NY 13209. The listed provider category is Individual - Licensed Health Care Service Provider. The listed specialty is Nurse / Nurses Aide.

Other excluded providers in Syracuse, NY

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

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Shirley Goddard Individual Program Crime
Syracuse, NY · Conviction of program-related crimes · Excluded Nov 2023
Sunrise Syracuse, LLC Entity Program Crime
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Marlo R Houston Individual Patient Abuse
Syracuse, NY · Conviction relating to patient abuse or neglect · Excluded Sep 2019
Charnise Lataneo Cockrell Individual Patient Abuse
Syracuse, NY · Conviction relating to patient abuse or neglect · Excluded Sep 2019
Antoinette A Muhl Individual Patient Abuse
Syracuse, NY · Conviction relating to patient abuse or neglect · Excluded Nov 2017
Samantha S Grover Individual Patient Abuse
Syracuse, NY · Conviction relating to patient abuse or neglect · Excluded Nov 2017

See all 50 excluded providers in Syracuse →

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 with HHS-OIG Remove / correct this record

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