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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST
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STACY, TADGY DEL
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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: |
3231 HEALTHPLEX PARKWAY
NORMAN OK 73072
Address last updated on 5/14/2024 |
| Phone #: |
(405) 321-5114 |
| Fax #: |
(405) 321-6482 |
| County: |
CLEVELAND |
| License: |
19838 |
| Dated: |
7/11/1996 |
| Expires: |
7/1/2025 |
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Training
Issued:
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7/6/1995 |
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Training
Expires:
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8/1/1996 |
| License Type: |
Medical Doctor |
| Specialty: |
Pediatrics |
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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: |
5 /
1995 |
| 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: |
AMERICAN BOARD OF PEDIATRICS |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
No |
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| HMO/PPO: |
Aetna Elect Choice
Aetna HMO
Aetna PPO
Beechstreet PPO
Blue Cross Blue Shield-Blue Traditional
BlueChoice PPO
CIGNA HMO
CIGNA PPO
CommunityCare HMO, Inc
Coventry Health Care National Network
First Health
HealthChoice
Humana ChoiceCare
Humana Tricare/PGBA
OSMA Health (formerly Plico PPO)
PHCS (Private Healthcare Systems)
PPO Oklahoma
Preferred Community Choice
Private Healthcare Systems (PHCS)
Tricare Standard
United Healthcare Choice
United Healthcare EPO
United Healthcare Options PPO
United Healthcare POS
Welcor/Sooner |
| Hospital Privileges: |
Norman Regional Hospital
Norman, OK
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| Locations: |
Hours: |
Languages: |
3231 HEALTHPLEX PARKWAY
NORMAN OK 73072
Phone #:
(405) 321-5114
Fax #:
(405) 321-6482 |
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 5:00PM
Sat: 10:00AM - 12:00PM
Sun: 10:00AM - 12:00PM |
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