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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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WAYNE, IVAN
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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: |
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 |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
YES |
| Medical School: |
Univ of IA Roy J & L Carver COM, Iowa City, IA 52242 |
| Graduated: |
5 /
1996 |
| 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: |
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 |
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| 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
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