GUILD, RALPH TIMOTHY III - Licensee Information

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

GUILD, RALPH TIMOTHY III

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:	VETERANS ADMIN MED CENTER 921 NE 13TH STREET 111H OKLAHOMA CITY OK 73104-5007 Address last updated on 5/2/2024
Phone #:	(405) 456-1000 x5312
Fax #:	(405) 456-5946
County:	OKLAHOMA
License:	10690
Dated:	6/30/1975
Expires:	6/1/2025
License Type:	Medical Doctor
Specialty:	Gastroenterology Internal Medicine Nutrition

Status:	Active
Status Class:	Fully Licensed
Restricted to:
Registered to Dispense:	NO
Medical School:	Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated:	6 / 1974
CME Year:	2025

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 AMERICAN BOARD OF INTERNAL MEDICINE - Gastroenterology
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 BlueChoice PPO BlueLincs HMO CIGNA PPO CommunityCare HMO, Inc Coventry Health Care National Network Evolutions Healthcare First Health Health Smart Preferred Care (HSPC) HealthChoice Heartland Health Plan of Oklahoma Humana ChoiceCare Humana Medicare Advantage PPO Humana Tricare/PGBA Medicare Blue Oklahoma Health Network PPO OSMA Health (formerly Plico PPO) Pacificare Commercial HMO PacifiCare of Oklahoma, Inc PPO USA Preferred Community Choice Private Healthcare Systems (PHCS) Prudential Health Care Plan, Inc Railroad Medicare Secure Horizons HMO SoonerCare PPO Tricare for Life Tricare Standard United Healthcare HMO United Healthcare Options PPO Worknet of Oklahoma
Hospital Privileges:	OU Health Medical Center Oklahoma City, OK V.A. Medical Center-OKC Oklahoma City, OK

Locations:	Hours:	Languages:
VETERANS ADMIN MED CENTER 921 NE 13TH STREET 111H OKLAHOMA CITY OK 73104-5007 Phone #: (405) 456-1000 x5312 Fax #: (405) 456-5946	Mon: Tue: 12:00PM - 4:30PM Wed: 12:00PM - 4:30PM Thu: 12:00PM - 4:30PM Fri: 8:00AM - 4:30PM Sat: Sun:
1000 NE 13th Street Suite 1G Oklahoma City, OK 73104 Phone #: (405) 271-3445 Fax #: (4) 202-	Mon: Tue: Wed: Thu: 8:00AM - 12:00PM Fri: Sat: Sun:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisees(s):
BANSI DANIEL	APRN	60652

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