REYES DE LA ROCHA, SANTIAGO R - Licensee Information

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Last Update: Sunday, November 17, 2024 1:13 PM CST
Next Update: Sunday, November 17, 2024 4:30 PM CST

REYES DE LA ROCHA, SANTIAGO R

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:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisees(s):
ASHLEY MARIE HALE CODDING	PA	2590