EXCLUDEDPROVIDER
Individual Revocation

Adrian P Wizes

Lake George, NY 12845

Public HHS-OIG LEIE exclusion record

The HHS-OIG List of Excluded Individuals/Entities (LEIE) file imported by ExcludedProvider.com on October 4, 2026 contains a record for Adrian P Wizes of Lake George, NY with exclusion type 1128b4, which HHS-OIG's list of exclusion authorities describes as “license revocation, suspension, or surrender”, and an exclusion date of May 19, 2005. This page is not an official HHS-OIG record, and a matching name alone does not show that the record refers to a particular person; confirm identity and current status with HHS-OIG.

Status
Listed in the LEIE file imported October 4, 2026
Record type
Individual
Location
Lake George, NY 12845
Exclusion date
May 19, 2005
Exclusion type
Revocation (1128b4)
LEIE file imported
October 4, 2026

Record summary

Adrian P Wizes appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Lake George, New York. The exclusion date shown in the source record is May 19, 2005. The exclusion type is 1128b4, identified by HHS-OIG as license revocation, suspension, or surrender.

Source record

SourceHHS-OIG LEIE downloadable file (UPDATED.csv)
Record typeIndividual
Status in imported filesListed in the LEIE file imported October 4, 2026
Exclusion dateMay 19, 2005
Exclusion typeLicense revocation, suspension, or surrender (1128b4)
LEIE file importedOctober 4, 2026
File timestampSeptember 10, 2026 (Last-Modified header from the HHS-OIG download server; not an official release date)
HHS-OIG release dateNot independently verified

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 Lake George, NY 12845. The listed provider category is Dental Practice. The listed specialty is Dentist.

Other excluded providers in Lake George, NY

Other individuals and entities in the latest imported HHS-OIG LEIE file with a Lake George, NY address.

Todd James Rehm Individual Revocation
Lake George, NY · License revocation, suspension, or surrender · Exclusion date Oct 19, 2006
John Grimaldi Individual Program Crime
Lake George, NY · Conviction of program-related crimes · Exclusion date Aug 20, 2003
Steven A Kahn Individual Program Crime
Lake George, NY · Conviction of program-related crimes · Exclusion date Jun 18, 1998

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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More Excluded Individuals in New York More Records in Lake George More Revocation Records