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Next Update: Thursday, December 19, 2024 2:50 AM CST
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ECKENRODE, JOHN LYMAN
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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 8/5/2023 |
| Phone #: |
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| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
25942 |
| Dated: |
10/3/2007 |
| Expires: |
10/1/2024 |
| License Type: |
Medical Doctor |
| Specialty: |
Internal Medicine
HEMATOLOGY/ONCOLOGY
Medical Oncology
Palliative Medicine |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Wayne State Univ SOM, Detroit Mi 48201 |
| Graduated: |
6 /
1980 |
| CME Year: |
2025 |
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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
AMERICAN BOARD OF INTERNAL MEDICINE - Medical Oncology |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
Aetna HMO
Aetna Managed Choice
Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
BlueLincs HMO
CIGNA HMO
CIGNA PPO
CommunityCare HMO, Inc
CommunityCare Senior HMO
First Health
Great West Healthcare
Multiplan PPO
OSMA Health (formerly Plico PPO)
Pacificare Commercial HMO
PacifiCare of Oklahoma, Inc
PHCS (Private Healthcare Systems)
PPO USA
Preferred Community Choice
Railroad Medicare
United Healthcare Choice
United Healthcare HMO
USA Managed Care |
| Hospital Privileges: |
None listed |
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| Locations: |
Hours: |
Languages: |
No Current Practice Address
Phone #:
Fax #:
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Tue:
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