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Oklahoma Board of Medical Licensure and Supervision

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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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REYES DE LA ROCHA, SANTIAGO R       
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: 3366 NW EXPRESSWAY BLDG D #330
OKLAHOMA CITY OK 73112-4432

Address last updated on 12/4/2023
Phone #: (405) 945-4495
Fax #: (405) 945-4376
County: OKLAHOMA
License: 11652
Dated: 2/22/1978
Expires: 2/1/2025
License Type: Medical Doctor
Specialty: Pediatric Pulmonology
Pediatrics
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: UNIV NAC'L PEDRO HENRIQUEZ URENA, ESC DE MED, SANTO DOMINGO, DOM REP
Graduated: 4 / 1973
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 PEDIATRICS - Pediatric Pulmonology
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna Elect Choice
Aetna HMO
Aetna Managed Choice
Aetna PPO
AmCare Health Plans of Oklahoma, Inc (formerly Foundation Health)
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
BlueChoice PPO
BlueLincs HMO
CIGNA HMO
CIGNA PPO
CommunityCare HMO, Inc
CompMed
Coventry Health Care National Network
Global Health HMO
Great West Healthcare
HealthChoice
Heartland Health Plan of Oklahoma
Humana ChoiceCare
Humana Medicare Advantage PPO
Humana Tricare/PGBA
Medicare Blue
National Preferred Provider Network (NPPN)
OSMA Health (formerly Plico PPO)
Pacificare Commercial HMO
PacifiCare of Oklahoma, Inc
PPO Oklahoma
Preferred Community Choice
Preferred Health Network-ppoNEXT
Private Healthcare Systems (PHCS)
Prudential Health Care Plan, Inc
Secure Horizons HMO
SoonerCare PPO
Texas Medicaid
Tricare for Life
Tricare Standard
UniCare Health Plans of Oklahoma
United Healthcare Choice
United Healthcare EPO
United Healthcare HMO
United Healthcare Options PPO
United Healthcare POS
United Insurance
Hospital Privileges: INTEGRIS Baptist Medical Center
Oklahoma City, OK
INTEGRIS Baptist Portland Ave (fmly Deaconess Hospital)
Oklahoma City, OK
Mercy Hospital OKC
Oklahoma City, OK
Locations: Hours: Languages:
3366 NW EXPRESSWAY BLDG D #330
OKLAHOMA CITY OK 73112-4432

Phone #: (405) 945-4495
Fax #: (405) 945-4376
Mon: 8:00AM - 2:00PM
Tue: 8:00AM - 2:00PM
Wed: 8:00AM - 2:00PM
Thu: 8:00AM - 2:00PM
Fri: 8:00AM - 2:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
ASHLEY MARIE HALE CODDING PA 2590

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