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Oklahoma Board of Medical Licensure and Supervision

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

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ROLLER, DON RAY       
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: 4720 S HARVARD
SUITE 102
TULSA OK 74135-4720

Address last updated on 4/9/2024
Phone #: (918) 744-0194
Fax #: (918) 744-4085
County: TULSA
License: 10897
Dated: 6/30/1976
Expires: 6/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
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: / 1975
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 FAMILY MEDICINE
New Patients: Yes
Medicaid: No
Medicare: Yes
   
HMO/PPO: Aetna PPO
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
Champ VA
CIGNA PPO
CommunityCare HMO, Inc
CompMed
Coventry Health Care National Network
First Health
HealthChoice
Humana ChoiceCare
Medicare Blue
Multiplan PPO
Oklahoma Health Network PPO
One Health Plan PPO
OSMA Health (formerly Plico PPO)
PHCS (Private Healthcare Systems)
Physicians Direct Network
PPO Oklahoma
PPO USA
Preferred Community Choice
Preferred Health Network-ppoNEXT
Private Healthcare Systems (PHCS)
Railroad Medicare
Tricare for Life
Tricare Standard
United Healthcare Choice
United Healthcare EPO
United Healthcare Options PPO
United Healthcare POS
Hospital Privileges: Ascension St. John Medical Center
Tulsa, OK
Locations: Hours: Languages:
4720 S HARVARD
SUITE 102
TULSA OK 74135-4720

Phone #: (918) 744-0194
Fax #: (918) 744-4085
Mon: 7:30AM - 4:00PM
Tue: 7:30AM - 4:00PM
Wed: 7:30AM - 4:00PM
Thu: 7:30AM - 4:00PM
Fri: 7:30AM - 12:00PM
Sat:
Sun:

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