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Next Update: Thursday, December 19, 2024 2:50 AM CST
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CARNAHAN, MICHAEL WAYNE
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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: |
1104 WALNUT
ARDMORE OK 73401
Address last updated on 5/30/2023 |
| Phone #: |
(580) 226-0543 |
| Fax #: |
(580) 226-2284 |
| County: |
CARTER |
| License: |
16887 |
| Dated: |
7/1/1989 |
| Expires: |
7/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Family Medicine |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
| Graduated: |
6 /
1986 |
| CME Year: |
2027 |
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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: |
ABPS - Family Medicine
AMERICAN BOARD OF FAMILY MEDICINE |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
CIGNA PPO
Coventry Health Care National Network
First Health
HealthChoice
Humana ChoiceCare
Humana Medicare Advantage PPO
Multiplan PPO
OSMA Health (formerly Plico PPO)
PPO Oklahoma
Preferred Community Choice
Railroad Medicare
SoonerCare PPO
Tricare Standard
United Healthcare Options PPO |
| Hospital Privileges: |
Mercy Memorial Health Center, Inc. - Ardmore
Ardmore, OK
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