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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, November 22, 2024 6:42 PM CST
Next Update: Saturday, November 23, 2024 2:50 AM CST

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ROWLAND, TEDDY RAY       
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: 1201 EAST JACKSON STREET
HUGO OK 74743

Address last updated on 5/1/2024
Phone #: (580) 326-6423
Fax #: (580) 317-9233
County: CHOCTAW
License: 14790
Dated: 6/30/1984
Expires: 6/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
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: 6 / 1983
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 FAMILY MEDICINE
New Patients: Yes
Medicaid: No
Medicare: Yes
   
HMO/PPO: Aetna HMO
Aetna PPO
BCE Emergis
Beechstreet PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
Blue Works Workers Comp
BlueChoice PPO
Champ VA
CIGNA PPO
CompMed
Coventry Health Care National Network
Dept of Rehabilitation Services (DRS)
First Health
Focus Healthcare
HealthChoice
Humana ChoiceCare
Humana Medicare Advantage PPO
Humana Tricare/PGBA
Medicare Blue
Multiplan PPO
OSMA Health (formerly Plico PPO)
PHCS (Private Healthcare Systems)
PPO USA
Preferred Community Choice
Preferred Health Network-ppoNEXT
Private Healthcare Systems (PHCS)
Pronet
Railroad Medicare
Secure Horizons HMO
SoonerCare HMO
SoonerCare PPO
Tricare Standard
Tyson Preferred Network (TPN)
United Healthcare Choice
United Healthcare Options PPO
USA Managed Care
Hospital Privileges: Atoka Memorial Hospital
Atoka, OK
Choctaw Memorial Hospital
Hugo, OK
Medical Center of Southeastern OK
Durant, OK
Pushmataha Hospital
Antlers, OK
Locations: Hours: Languages:
1201 EAST JACKSON STREET
HUGO OK 74743

Phone #: (580) 326-6423
Fax #: (580) 317-9233
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: 9:00AM - 2:00PM
Sun:
603 N.E. 2nd street
Antlers, OK 74523

Phone #: (580) 298-3351
Fax #: (6) 199-
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:
1210 W Liberty
Atoka, OK 74525

Phone #: (580) 364-0227
Fax #: (8) 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:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
LARRY LEON BURNS PA 2416
BAMBI AZALEE CLAY PA 1343
BRIAN PAUL FREELAND PA 1100
LACEY JO GARDNER PA 4503
ROBERT ANTHONY OLDHAM PA 878
HARRY JAMES OLIVELLA PA 2820
JANA SANDERS APRN 89042
REBECCA SMITH APRN 96238
DOUGLAS TSANG PA 4605
CHRISTOPHER VILLARREAL PA 888

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