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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, December 22, 2024 6:44 PM CST
Next Update: Monday, December 23, 2024 2:50 AM CST

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TJAUW, IWAN T       
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.
Practice Address: RADIOLOGY ASSOCIATES
3433 N.W. 56TH STREET
STE C-40
OKLAHOMA CITY OK 73112-4455

Address last updated on 12/2/2024
Phone #: (405) 945-4741
Fax #: (888) 972-5320
County: OKLAHOMA
License: 24754
Dated: 1/1/2006
Expires: 1/1/2026
License Type: Medical Doctor
Specialty: Radiology
Neuroradiology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: JEFFERSON MED COLL-THOS JEFFERSON UNIV, PHILADELPHIA PA 19107
Graduated: 6 / 1993
CME Year: 2027
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: AMERICAN BOARD OF RADIOLOGY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna HMO
Aetna 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
CommunityCare HMO, Inc
Coventry Health Care National Network
First Health
Global Health HMO
Health Smart Preferred Care (HSPC)
HealthChoice
Oklahoma Health Network PPO
OSMA Health (formerly Plico PPO)
Preferred Community Choice
Railroad Medicare
Secure Horizons HMO
SoonerCare HMO
SoonerCare PPO
United Healthcare Choice
United Healthcare EPO
United Healthcare HMO
United Healthcare Options PPO
United Healthcare POS
Hospital Privileges: INTEGRIS Baptist Medical Center
Oklahoma City, OK
INTEGRIS Canadian Valley Regional Hospital
Yukon, OK
INTEGRIS Edmond
Edmond, OK
Lakeside Women's Hospital
Oklahoma City, OK
Locations: Hours: Languages:
RADIOLOGY ASSOCIATES
3433 N.W. 56TH STREET
STE C-40
OKLAHOMA CITY OK 73112-4455

Phone #: (405) 945-4741
Fax #: (888) 972-5320
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
ROGER DIXON HELLWEGE PA 1230
SUSAN DORINDA WORSHAM PA 719

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