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Next Update: Thursday, December 19, 2024 2:50 AM CST
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NORTHEY, DAN RAYMOND
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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: |
15308 STONEY SPRING ROAD
EDMOND OK 73013-1319
Address last updated on 5/17/2007 |
| Phone #: |
(405) 285-8899 |
| Fax #: |
(405) 285-8899 |
| County: |
OKLAHOMA |
| License: |
10600 |
| Dated: |
7/26/1975 |
| Expires: |
7/1/2007 |
| License Type: |
Medical Doctor |
| Specialty: |
Gastroenterology
Other Specialty |
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| Status: |
Inactive |
| Status Class: |
Physician Emeritus |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
| Graduated: |
6 /
1974 |
| CME Year: |
2009 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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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 INTERNAL MEDICINE |
| New Patients: |
No |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
Aetna HMO
Aetna PPO
BlueChoice PPO
BlueLincs HMO
HealthChoice
PacifiCare of Oklahoma, Inc
Preferred Community Choice
United Healthcare Options PPO |
| Hospital Privileges: |
INTEGRIS Baptist Medical Center
Oklahoma City, OK
Mercy Hospital OKC
Oklahoma City, OK
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| Locations: |
Hours: |
Languages: |
15308 STONEY SPRING ROAD
EDMOND OK 73013-1319
Phone #:
(405) 285-8899
Fax #:
(405) 285-8899 |
Mon: 9:00AM - 5:00PM RETIRED
Tue: 9:00AM - 5:00PM
Wed: 9:00AM - 5:00PM
Thu: 9:00AM - 5:00PM
Fri: 9:00AM - 5:00PM
Sat:
Sun: NA RETIRED |
Spanish
Vietnamese |
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