EXCLUDEDPROVIDER
Individual Revocation

Tony Mandel Johnson

Connell, WA 99326

Public HHS-OIG LEIE exclusion record

According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Tony Mandel Johnson of Connell, WA is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of November 20, 2022.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Connell, WA 99326
Exclusion date
November 20, 2022
Exclusion type
Revocation (1128b4)
Source dataset
May 2026

Record summary

Tony Mandel Johnson appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Connell, Washington. 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, 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 dateNovember 20, 2022
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 Connell, WA 99326. The listed provider category is Individual - Licensed Health Care Service Provider. The listed specialty is Technician.

Other excluded providers in Connell, WA

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

Nathaniel Matthew Miller Individual Patient Abuse
Connell, WA · Conviction relating to patient abuse or neglect · Excluded Apr 2025
Nshimiyiana Olivier Hamzat Individual Patient Abuse
Connell, WA · Conviction relating to patient abuse or neglect · Excluded Jun 2024
Kelvin Muthomi Njeru Individual Patient Abuse
Connell, WA · Conviction relating to patient abuse or neglect · Excluded Mar 2024
Arthur Warren De Victoria Individual Patient Abuse
Connell, WA · Conviction relating to patient abuse or neglect · Excluded Oct 2022
Joshua Nathaniel Jenkins Individual Patient Abuse
Connell, WA · Conviction relating to patient abuse or neglect · Excluded Jan 2022
Daniel A Reyes Individual Revocation
Connell, WA · License revocation, suspension, or surrender · Excluded Jul 2015
Larry Allen Bavuso Individual Patient Abuse
Connell, WA · Conviction relating to patient abuse or neglect · Excluded Apr 2010

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 Washington More Records in Connell More Revocation Records