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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, December 23, 2024 1:13 PM CST
Next Update: Monday, December 23, 2024 4:30 PM CST

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SULLIVAN, JAMES ANDY       
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: 1200 N PHILLIPS
STE 3100
OKLAHOMA CITY OK 73104-0307

Address last updated on 5/13/2024
Phone #: (405) 271-6667
Fax #: (405) 271-1502
County: OKLAHOMA
License: 10917
Dated: 7/12/1976
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Orthopedic Surgery
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Washington Univ in St Louis Sch of Med, St Louis MO
Graduated: / 1969
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 ORTHOPAEDIC SURGERY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna HMO
BlueChoice PPO
BlueLincs HMO
PacifiCare of Oklahoma, Inc
Prudential Health Care Plan, Inc
SoonerCare HMO
Hospital Privileges: None listed
Locations: Hours: Languages:
1200 N PHILLIPS
STE 3100
OKLAHOMA CITY OK 73104-0307

Phone #: (405) 271-6667
Fax #: (405) 271-1502
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Spanish
1200 N Phillips
Ste 3100
Oklahoma City, OK 73104

Phone #: (405) 271-2669
Fax #: (2) 201-
Mon: none
Tue: none
Wed: 8:30AM - 12:00PM
Thu: 8:30AM - 4:30PM
Fri: 8:00AM - 12:00PM
Sat: none
Sun: none
Spanish
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
AMIR RAZA PA 1995
CLAY EDWARD STOCKTON PA 1336

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