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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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QUY, TYSON DINH
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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: |
4401 W. MEMORIAL RD
SUITE 135
OKLAHOMA CITY OK 73134
Address last updated on 5/1/2024 |
| Phone #: |
(405) 286-1344 |
| Fax #: |
(405) 849-4934 |
| County: |
OKLAHOMA |
| License: |
25749 |
| Dated: |
7/1/2009 |
| Expires: |
7/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Family Medicine |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
YES |
| Medical School: |
Ross Univ, Sch of Med, Roseau, Dominica |
| Graduated: |
6 /
2007 |
| CME Year: |
2025 |
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Pending and/or Past Disciplinary Actions:
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| Date |
Action |
Reasons |
Remarks |
| 4/9/2016 |
Probation Ended |
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| 4/9/2011 |
Probation |
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| 3/10/2011 |
Suspension, License |
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| 2/7/2011 |
Complaint Citation |
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Board Filings and/or Orders:
03/11/2011
01/28/2011
01/28/2011
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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 FAMILY MEDICINE |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
Coventry Health Care National Network
First Health
HealthChoice
Multiplan PPO
Oklahoma Health Network PPO
OSMA Health (formerly Plico PPO)
PHCS (Private Healthcare Systems)
SoonerCare PPO
United Healthcare Options PPO |
| Hospital Privileges: |
SSM Health St. Anthony Hospital - OKC
Oklahoma City, OK
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Primary Supervisees(s):
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| Name: |
Type: |
License Number: |
Full/Part Time: |
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SOISANGVANE WINGARD
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APRN |
96349 |
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