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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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BOCK, ALAN STUART       
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: 5700 NORTH PORTLAND #100
OKLAHOMA CITY OK 73112-2082

Address last updated on 5/31/2023
Phone #: (405) 458-7188
Fax #: (405) 384-7128
County: OKLAHOMA
License: 15266
Dated: 7/1/1985
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Tx Med Branch Galveston, Galveston Tx 77550
Graduated: 5 / 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 INTERNAL MEDICINE
New Patients: Yes
Medicaid: No
Medicare: Yes
   
HMO/PPO: Aetna HMO
Aetna PPO
Beechstreet PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
CIGNA PPO
First Health
HealthChoice
Humana Medicare Advantage PPO
OSMA Health (formerly Plico PPO)
PacifiCare of Oklahoma, Inc
PHCS (Private Healthcare Systems)
Preferred Community Choice
Private Healthcare Systems (PHCS)
Railroad Medicare
Tricare for Life
Tricare Standard
United Healthcare HMO
United Healthcare Options PPO
Hospital Privileges: INTEGRIS Baptist Portland Ave (fmly Deaconess Hospital)
Oklahoma City, OK
Locations: Hours: Languages:
5700 NORTH PORTLAND #100
OKLAHOMA CITY OK 73112-2082

Phone #: (405) 458-7188
Fax #: (405) 384-7128
Mon: 8:45AM - 4:45PM
Tue: 8:45AM - 4:45PM
Wed: 8:45AM - 4:00PM
Thu: 8:45AM - 1:00PM
Fri: 8:45AM - 4:45PM
Sat: CLOSED
Sun: CLOSED
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
VIRGINIA JULIAN CORCORAN PA 2859
DEVIN FUGETT APRN 1599
DEREK HAZELWOOD APRN 120853
JAMIE MERIDETH APRN 2048
KATHERINE J PAYNE PA 1189
JESSICA QUALLS APRN 129429
AUDREY JANE SANDERS PA 4789
ROBIN SHAVER APRN 137652
JUSTIN PAUL WALKE PA 4624
KELLY WILLIAMSON APRN 10924

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