Physician Misconduct and Physician Discipline

Physician Information

Physician Information

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Physician Records

 Physician Last Name:


 Physician First Name:


 Physician Middle Name:


 Address:Address redacted
 License Number:006485
 License Type:RPA
 Year of Birth: 1963
 Effective Date:12/28/2017
 Action Description for DOH Webpage:License suspension for five years, stayed in its entirety with probation for five years and conditions. The physician assistant also has a permanent license limitation that precludes him from practicing as a physician assistant in a pain management clinic. This Hearing Committee's Determination has been appealed to the Administrative Review Board. Any period of license revocation, suspension and/or annulment remains in effect until the Administrative Review Board issues a determination.
 Misconduct Description for DOH Webpage:The Hearing Committee sustained the charges finding the physician assistant guilty of having committed professional misconduct by practicing the profession of medicine with gross negligence; gross incompetence on one occasion; negligence on more than one occasion; incompetence on more than one occasion and failing to maintain accurate patient medical records.
  License Restrictions for DOH Webpage: The physician assistant is permanently precluded from practicing as a physician assistant in a pain management clinic. During the period of probation the physician assistant may only practice medicine when his practice is being monitored by a licensed physician, board certified in an appropriate specialty.
 Board Order:
CHRG 006485.pdf
HRG 006485.pdf