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Oklahoma Board of Medical Licensure and Supervision

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

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HOLLOWAY, WILLIS JR       
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: 6613 N. MERIDIAN AVENUE
OKLAHOMA CITY OK 73116-1423

Address last updated on 5/20/2024
Phone #: (405) 603-8450
Fax #: (405) 603-8455
County: OKLAHOMA
License: 15256
Dated: 7/1/1985
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Psychiatry
Child and Adolescent Psychiatry
Neuropsychiatry
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1984
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 PSYCHIATRY AND NEUROLOGY
New Patients: No
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna Elect Choice
Aetna HMO
Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
BlueLincs HMO
CIGNA HMO
CIGNA PPO
CommunityCare HMO, Inc
Coventry Health Care National Network
First Health
HealthChoice
Humana ChoiceCare
Humana Medicare Advantage PPO
Humana Tricare/PGBA
Medicare Blue
Oklahoma Health Network PPO
PHCS (Private Healthcare Systems)
Preferred Community Choice
Secure Horizons HMO
Tricare Standard
United Healthcare HMO
United Healthcare Options PPO
United Healthcare POS
Hospital Privileges: Oakwood Springs,
Oklahoma City, OK
SSM Health St. Anthony Hospital - OKC
Oklahoma City, OK
SSM St Anthony Midwest Regional Medical Center
Midwest City, OK
Locations: Hours: Languages:
6613 N. MERIDIAN AVENUE
OKLAHOMA CITY OK 73116-1423

Phone #: (405) 603-8450
Fax #: (405) 603-8455
Mon: 9:00AM - 5:30PM
Tue: 9:00AM - 5:30PM
Wed: 9:00AM - 5:30PM
Thu: 9:00AM - 5:30PM
Fri: 9:00AM - 4:00PM
Sat:
Sun:
6525 North Meridian Suite 300
Oklahoma City, OK 73116

Phone #: (405) 603-4433
Fax #: (6) 201-11
Mon: 9:00AM - 5:00PM
Tue: 9:00AM - 5:00PM
Wed: 9:00AM - 5:00PM
Thu: 9:00AM - 5:00PM
Fri: 9:00AM - 5:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
SEPIDEH AHMADPOUR APRN 69978
MELISSA ANDRADE APRN 77881
JENNIFER JOY BIRCH PA 1421
LINDI CIGLAR APRN 112117
IMELDA GARNER APRN 102275
BINITA GHIMIRE APRN 1467
ASHLEY MATHIAS APRN 105746
ANGELA KAY SMITH PA 1106

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