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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, November 17, 2024 6:42 PM CST
Next Update: Monday, November 18, 2024 2:50 AM CST

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BLACK, ANDREW WILLIAM       
Practice Address: No Current Practice Address
Address last updated on 4/16/2024
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 24913
Dated: 5/26/2006
Expires: 5/1/2025
License Type: Medical Doctor
Specialty: Internal Medicine
Gastroenterology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Dartmouth Med, Hanover Nh 03755
Graduated: 6 / 1996
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 INTERNAL MEDICINE - Gastroenterology
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
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
Locations: Hours: Languages:
No Current Practice Address
Phone #:
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
CLINT DEAN HOWELL PA 2118
JACKSON LAIZURE APRN 94826
DYLAN SHOCKLEY APRN 113527

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