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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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BLACK, ANDREW WILLIAM
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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: |
No Current Practice Address
Address last updated on 4/16/2024 |
| Phone #: |
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| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
24913 |
| Dated: |
5/26/2006 |
| Expires: |
5/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Internal Medicine
Gastroenterology |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Dartmouth Med, Hanover Nh 03755 |
| Graduated: |
6 /
1996 |
| CME Year: |
2027 |
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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 INTERNAL MEDICINE - Gastroenterology |
| 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 Traditional
CIGNA HMO
CIGNA PPO
CompMed
Coventry Health Care National Network
First Health
HealthChoice
Humana Medicare Advantage PPO
Humana Tricare/PGBA
OSMA Health (formerly Plico PPO)
PHCS (Private Healthcare Systems)
Preferred Community Choice
Private Healthcare Systems (PHCS)
Railroad Medicare
Secure Horizons HMO
Tricare for Life
Tricare Standard
United Healthcare Choice |
| Hospital Privileges: |
None listed |
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| Locations: |
Hours: |
Languages: |
No Current Practice Address
Phone #:
Fax #:
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Tue:
Wed:
Thu:
Fri:
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Sun: |
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