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Last Update: Sunday, November 17, 2024 3:48 AM CST
Next Update: Sunday, November 17, 2024 12:00 PM CST

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WAYNE, IVAN       
Practice Address: 10001 BROADWAY EXTENSION SUITE A
OKLAHOMA CITY OK 73114

Address last updated on 5/3/2024
Phone #: (405) 748-5950
Fax #: (405) 607-3580
County: OKLAHOMA
License: 22995
Dated: 7/16/2002
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Otolaryngology
Plastic Surgery within the Head & Neck
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ of IA Roy J & L Carver COM, Iowa City, IA 52242
Graduated: 5 / 1996
CME Year: 2026
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: ABPS - Plastic & Reconstructive Surgery
AMERICAN BOARD OF OTOLARYNGOLOGY
AMERICAN BOARD OF OTOLARYNGOLOGY - Plastic Surgery Within the Head and Neck
New Patients: Yes
Medicaid: No
Medicare: Yes
   
HMO/PPO: Aetna Elect Choice
Aetna HMO
Aetna Managed Choice
Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
BlueLincs HMO
CIGNA PPO
CommunityCare HMO, Inc
Coventry Health Care National Network
First Health
Global Health HMO
HealthChoice
Humana ChoiceCare
Multiplan PPO
Oklahoma Health Network 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)
Railroad Medicare
Tricare for Life
Tricare Standard
United Healthcare Choice
United Healthcare EPO
United Healthcare Options PPO
Hospital Privileges: Community Hospital - OKC
Oklahoma City, OK
Northwest Surgical Hospital
Oklahoma City, OK
Oklahoma Surgicare
Oklahoma City, OK
OU Health Medical Center
Oklahoma City, OK
Surgery Center of Oklahoma
Oklahoma City, OK
Locations: Hours: Languages:
10001 BROADWAY EXTENSION SUITE A
OKLAHOMA CITY OK 73114

Phone #: (405) 748-5950
Fax #: (405) 607-3580
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 12:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
PETER LYNN GRAY PA 318
MERRY MATHEW THENMADATHIL PA 1857

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