EXCLUDEDPROVIDER
Individual Revocation

Mary Tisby

Tonawanda, NY 14150

Public HHS-OIG LEIE exclusion record

According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Mary Tisby of Tonawanda, NY is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of November 20, 2000.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Tonawanda, NY 14150
Exclusion date
November 20, 2000
Exclusion type
Revocation (1128b4)
Source dataset
May 2026

Record summary

Mary Tisby appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Tonawanda, 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 November 20, 2000, 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 dateNovember 20, 2000
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 Tonawanda, NY 14150. The listed provider category is Hospital. The listed specialty is Nurse / Nurses Aide.

Other excluded providers in Tonawanda, NY

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

William Henry III Stephan Individual Felony Fraud
Tonawanda, NY · Felony conviction relating to health care fraud · Excluded May 2026
Kelly Strade Individual Program Crime
Tonawanda, NY · Conviction of program-related crimes · Excluded May 2008
Nancy Marie Walsh Individual Revocation
Tonawanda, NY · License revocation, suspension, or surrender · Excluded Jul 2007
Mark D Brice Individual Patient Abuse
Tonawanda, NY · Conviction relating to patient abuse or neglect · Excluded Aug 2003
Tirtandharyana Haryadi Individual Revocation
Tonawanda, NY · License revocation, suspension, or surrender · Excluded Feb 1991

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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