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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST
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MASCHINO, TAMMY RENEE
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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: |
2820 N KELLY AVE STE 200
EDMOND OK 73003
Address last updated on 8/9/2023 |
| Phone #: |
(405) 726-8000 |
| Fax #: |
(405) 726-8101 |
| County: |
OKLAHOMA |
| License: |
21370 |
| Dated: |
9/1/1999 |
| Expires: |
9/1/2025 |
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Training
Issued:
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7/1/1998 |
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Training
Expires:
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8/1/1999 |
| 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 /
1998 |
| CME Year: |
2026 |
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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: |
No |
| Medicare: |
No |
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| HMO/PPO: |
Aetna Elect Choice
Aetna HMO
Aetna Managed Choice
Aetna PPO
Beechstreet PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
BlueChoice PPO
BlueLincs HMO
CCN Managed Care
CIGNA PPO
CompMed
Evolutions Healthcare
First Health
Focus Healthcare
Galaxy Health Network
Great West Healthcare
Guidestar Health Systems
HealthChoice
Heartland Health Plan of Oklahoma
Humana ChoiceCare
Humana Medicare Advantage PPO
Humana Tricare/PGBA
Multiplan PPO
National Preferred Provider Network (NPPN)
One Health Plan PPO
OSMA Health (formerly Plico PPO)
Pacificare Commercial HMO
PacifiCare of Oklahoma, Inc
PHCS (Private Healthcare Systems)
Physicians Direct Network
Preferred Community Choice
Preferred Health Network-ppoNEXT
Private Healthcare Systems (PHCS)
Pronet
SoonerCare PPO
Sparks Premiercare
Tricare for Life
Tricare Standard
United Healthcare Choice
United Healthcare EPO
United Healthcare Options PPO
United Healthcare POS |
| Hospital Privileges: |
INTEGRIS Baptist Medical Center
Oklahoma City, OK
Lakeside Women's Hospital
Oklahoma City, OK
Mercy Hospital OKC
Oklahoma City, OK
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Primary Supervisees(s):
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| Name: |
Type: |
License Number: |
Full/Part Time: |
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LAUREN ADAMS
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APRN |
1480 |
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