EXCLUDEDPROVIDER
Individual Revocation

Edward William Bottger

Lakewood, OH 44107

Public HHS-OIG LEIE exclusion record

Edward William Bottger of Lakewood, OH is listed under National Provider Identifier (NPI) 1679962823. According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Edward William Bottger is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of May 19, 2022.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Lakewood, OH 44107
Exclusion date
May 19, 2022
Exclusion type
Revocation (1128b4)
NPI
1679962823

Record summary

Edward William Bottger appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Lakewood, Ohio. 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 May 19, 2022, 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 dateMay 19, 2022
Exclusion typeLicense revocation, suspension, or surrender (1128b4)
NPI1679962823
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 Lakewood, OH 44107. The listed provider category is Individual - Licensed Health Care Service Provider. The listed specialty is Counselor.

Other excluded providers in Lakewood, OH

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

Rachel Anne Morrison Individual Revocation
Lakewood, OH · License revocation, suspension, or surrender · Excluded Nov 2023
Rhonda C Smith Individual Program Crime
Lakewood, OH · Conviction of program-related crimes · Excluded Mar 2023
Mark Louis Bodnar Individual Revocation
Lakewood, OH · License revocation, suspension, or surrender · Excluded Nov 2018
Debra Watkins Individual Program Crime
Lakewood, OH · Conviction of program-related crimes · Excluded Oct 2017
Laura Ann Riha Individual Revocation
Lakewood, OH · License revocation, suspension, or surrender · Excluded Aug 2014
Charisse E Vance Individual Revocation
Lakewood, OH · License revocation, suspension, or surrender · Excluded Jan 2013
Melissa D Graber Individual Program Crime
Lakewood, OH · Conviction of program-related crimes · Excluded May 2009
Frederick Leonard Alexander Individual Patient Abuse
Lakewood, OH · Conviction relating to patient abuse or neglect · Excluded Mar 2007

See all 16 excluded providers in Lakewood →

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

More Excluded Individuals in Ohio More Records in Lakewood More Revocation Records