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GOODMAN, CYNTHIA DIANE
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This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
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Practice Address: |
Not Currently Practicing
DALLAS TX 75230
Address last updated on 9/28/2016 |
Phone #: |
(214) 812-9770 |
Fax #: |
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County: |
NOT OKLAHOMA |
License: |
17502 |
Dated: |
10/10/1990 |
Expires: |
6/12/2018 |
License Type: |
Medical Doctor |
Specialty: |
Physical Medicine & Rehabilitation
Public Health and General Preventive Medicine |
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Status: |
Inactive |
Status Class: |
Disciplinary Action |
Restricted to: |
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Registered to Dispense: |
NO |
Medical School: |
Univ of TX at San Antonio, UTSA Long School of Medicine |
Graduated: |
5 /
1983 |
CME Year: |
2018 |
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Pending and/or Past Disciplinary Actions:
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Date |
Action |
Reasons |
Remarks |
6/12/2018 |
Surrendered License |
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3/15/2018 |
Complaint Citation |
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Board Filings and/or Orders:
06/12/2018
03/15/2018
03/15/2018
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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Certifications: |
AMERICAN BOARD OF PHYSICAL MEDICINE/REHABILITATION |
New Patients: |
Yes |
Medicaid: |
Yes |
Medicare: |
Yes |
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HMO/PPO: |
Aetna Elect Choice
Aetna Managed Choice
Aetna PPO
BCE Emergis
Beechstreet PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
CIGNA PPO
CompMed
Coventry Health Care National Network
Evolutions Healthcare
First Health
HealthChoice
Humana ChoiceCare
Humana Medicare Advantage PPO
Humana Tricare/PGBA
Medicare Blue
Multiplan PPO
Oklahoma Health Network PPO
One Health Plan PPO
OSMA Health (formerly Plico PPO)
PHCS (Private Healthcare Systems)
Physicians Direct Network
PPO Oklahoma
PPO USA
Preferred Community Choice
Preferred Health Network-ppoNEXT
Private Healthcare Systems (PHCS)
Pronet
Railroad Medicare
SoonerCare PPO
Sparks Premiercare
Tricare for Life
Tricare Standard
Tyson Preferred Network (TPN)
United Healthcare Choice
United Healthcare EPO
United Healthcare Options PPO
United Healthcare POS
United Insurance
Welcor/Sooner |
Hospital Privileges: |
None listed |
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