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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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ELLIOTT, RANDOLPH CHARLES
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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: |
1151 S BELMONT AVE
OKMULGEE OK 74447
Address last updated on 8/13/2024 |
| Phone #: |
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| Fax #: |
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| County: |
OKMULGEE |
| License: |
11509 |
| Dated: |
9/17/1977 |
| Expires: |
9/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Obstetrics & Gynecology |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Of TX Southwestern Med Sch At Dallas SW Med Sch, Dallas Tx 75235 |
| Graduated: |
6 /
1973 |
| CME Year: |
2027 |
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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 OBSTETRICS AND GYNECOLOGY |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
Aetna Elect Choice
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
CCN Managed Care
CIGNA HMO
CIGNA PPO
CommunityCare HMO, Inc
CommunityCare Senior HMO
Coventry Health Care National Network
Great West Healthcare
HealthChoice
Humana ChoiceCare
Multiplan PPO
National Preferred Provider Network (NPPN)
One Health Plan PPO
OSMA Health (formerly Plico PPO)
Pacificare Commercial HMO
PacifiCare of Oklahoma, Inc
PHCS (Private Healthcare Systems)
Preferred Community Choice
Private Healthcare Systems (PHCS)
SoonerCare HMO
United Healthcare Choice
United Healthcare EPO
United Healthcare HMO
United Healthcare Options PPO
United Healthcare POS |
| Hospital Privileges: |
None listed |
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Primary Supervisees(s):
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| Name: |
Type: |
License Number: |
Full/Part Time: |
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JACQUELINE MOORE
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APRN |
33672 |
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