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Next Update: Saturday, December 21, 2024 2:50 AM CST
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GONZALEZ, TROY DANA
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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: |
4500 S GARNETT
SUITE 300
TULSA OK 74127
Address last updated on 6/29/2020 |
| Phone #: |
(918) 728-6194 |
| Fax #: |
(855) 917-2040 |
| County: |
TULSA |
| License: |
23394 |
| Dated: |
8/22/2003 |
| Expires: |
8/1/2021 |
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Temp.
Lic.
Issued:
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7/2/2003 |
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Temp.
Lic.
Expires:
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9/14/2003 |
| License Type: |
Medical Doctor |
| Specialty: |
Radiology |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Of CA, San Diego, Sch Of Med, La Jolla CA 92093 |
| Graduated: |
6 /
1997 |
| CME Year: |
2021 |
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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 RADIOLOGY (Diagnostic Radiology specific) |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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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
Blue Cross Blue Shield-Plan 65 Select
Blue Works Workers Comp
BlueChoice PPO
BlueLincs HMO
CCN Managed Care
CommunityCare HMO, Inc
CommunityCare Senior HMO
Dept of Rehabilitation Services (DRS)
First Health
HealthChoice
Humana Tricare/PGBA
OSMA Health (formerly Plico PPO)
PacifiCare of Oklahoma, Inc
PHCS (Private Healthcare Systems)
Preferred Community Choice
Preferred Health Network-ppoNEXT
Private Healthcare Systems (PHCS)
Railroad Medicare
Secure Horizons HMO
United Healthcare Choice
United Healthcare EPO
United Healthcare HMO
United Healthcare Options PPO
United Healthcare POS |
| Hospital Privileges: |
Ascension St. John - Sapulpa
Sapulpa, OK
Atoka Memorial Hospital
Atoka, OK
Baily Medical Center
Owasso, OK
Carrus Lakeside Hospital (fmly Bristow Medical Center)
Bristow, OK
Cherokee Nation W.W. Hastings Hospital
Tahlequah, OK
Choctaw Memorial Hospital
Hugo, OK
Choctaw Nation Hlth Svcs Authority
Talihina, OK
Claremore Indian Hospital (IHS)
Claremore, OK
Cleveland Area Hospital
Cleveland, OK
Eastern Oklahoma Medical Center
Poteau, OK
Haskell County Healthcare System
Stigler, OK
Henryetta Medical Center
Henryetta, OK
Hillcrest Hospital South (fmly SouthCrest)
Tulsa, OK
INTEGRIS Baptist Regional Health Ctr.
Miami, OK
INTEGRIS Health Woodward Hospital (fmly Woodward reg. Hosp/Alliance)
Woodward, OK
Memorial Hospital of Stilwell
Stilwell, OK
Muscogee (Creek) Nation Medical Center (Okmulgee Mem. Hosp.)
Okmulgee, OK
Northeastern Health System (formerly Tahlequah City Hospital)
Tahlequah, OK
Northeastern Health System Sequoyah (fmly Sequoyah Mem Hosp)
Sallisaw, OK
Oklahoma Surgical Hospital (formerly Orthopedic Hospital of Oklahoma)
Tulsa, OK
OSU Medical Center (formerly Tulsa Regional Medical Center)
Tulsa, OK
Rural Wellness - Fairfax (fmly Fairfax Mem. Hosp.)
Fairfax, OK
Southwestern Regional Medical Center
Tulsa, OK
USPHS Indian Hospital
Clinton, OK
USPHS Indian Hospital-Claremore
Claremore, OK
USPHS Lawton Indian Hospital
Lawton, OK
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