EXCLUDEDPROVIDER
Individual Revocation

Jay Polhemus

Anderson, IN 46011

Public HHS-OIG LEIE exclusion record

According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Jay Polhemus of Anderson, IN is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of September 11, 1996.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Anderson, IN 46011
Exclusion date
September 11, 1996
Exclusion type
Revocation (1128b4)
Source dataset
May 2026

Record summary

Jay Polhemus appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Anderson, Indiana. 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 11, 1996, 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 dateSeptember 11, 1996
Exclusion typeLicense revocation, suspension, or surrender (1128b4)
UPINE05593
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 Anderson, IN 46011. The listed provider category is Medical Practice, MD. The listed specialty is Anesthesiology.

Other excluded providers in Anderson, IN

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

Sierra D Woods Individual Felony Fraud
Anderson, IN · Felony conviction relating to health care fraud · Excluded Aug 2024
Camisha Houston Individual Program Crime
Anderson, IN · Conviction of program-related crimes · Excluded Nov 2023
Sierra D Woods Individual Felony Fraud
Anderson, IN · Felony conviction relating to health care fraud · Excluded Dec 2022
Dearris Nyrez Wilkins Individual Patient Abuse
Anderson, IN · Conviction relating to patient abuse or neglect · Excluded Sep 2022
Heaven Hammers Individual Program Crime
Anderson, IN · Conviction of program-related crimes · Excluded Nov 2021
Tracy Marie Sharp Individual Drug Felony
Anderson, IN · Felony conviction relating to controlled substance · Excluded Jun 2020
Jennifer Lewellyn Individual Felony Fraud
Anderson, IN · Felony conviction relating to health care fraud · Excluded May 2020
Eldrick Bullock Individual Program Crime
Anderson, IN · Conviction of program-related crimes · Excluded Apr 2016

See all 25 excluded providers in Anderson →

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.

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Related

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