SPAIN, MICHAEL GENE - Licensee Information

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

SPAIN, MICHAEL GENE

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:	WARREN CLINIC CARDIOLOGY OF TULSA 6151 S YALE #A100 TULSA OK 74136 Address last updated on 6/18/2024
Phone #:	(918) 494-8500
Fax #:	(918) 307-5578
County:	TULSA
License:	14359
Dated:	7/1/1983
Expires:	7/1/2025
License Type:	Medical Doctor
Specialty:	Cardiovascular Disease Internal Medicine Interventional Cardiology

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:	5 / 1982
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 INTERNAL MEDICINE AMERICAN BOARD OF INTERNAL MEDICINE - Cardiovascular Disease AMERICAN BOARD OF INTERNAL MEDICINE - Interventional Cardiology
New Patients:	Yes
Medicaid:	Yes
Medicare:	Yes

HMO/PPO:	Aetna HMO Aetna PPO BlueChoice PPO CommunityCare HMO, Inc HealthChoice PacifiCare of Oklahoma, Inc Preferred Community Choice Prudential Health Care Plan, Inc United Healthcare HMO United Healthcare Options PPO
Hospital Privileges:	St. Francis Hospital Tulsa, OK St. Francis Hospital - SOUTH Tulsa, OK

Locations:	Hours:	Languages:
WARREN CLINIC CARDIOLOGY OF TULSA 6151 S YALE #A100 TULSA OK 74136 Phone #: (918) 494-8500 Fax #: (918) 307-5578	Mon: 8:00AM - 4:30PM Tue: 8:00AM - 4:30PM Wed: 8:00AM - 4:30PM Thu: 8:00AM - 4:30PM Fri: 8:00AM - 4:30PM Sat: Sun:
10505 E 91st St So #208 Tulsa, OK 74133 Phone #: (918) 494-8500 Fax #: (1) 201-	Mon: 8:00AM - 5:00PM Tue: 8:00AM - 5:00PM Wed: 8:00AM - 5:00PM Thu: 8:00AM - 5:00PM Fri: 8:00AM - 5:00PM Sat: Sun:

Name:	Type:	License Number:
Primary Supervisees(s):
JOSEPH EDWARD PRUITT	PA	1274
KRISTIN SULLIVAN	APRN	86574
LANI VAN SCHUYVER	APRN	4978

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