DRAELOS, MATTHEW THEODORE - 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

DRAELOS, MATTHEW THEODORE

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:	DRAELOS METABOLIC CENTER 1600 MEDICAL CENTER DRIVE EDMOND OK 73034-6273 Address last updated on 3/2/2022
Phone #:	(405) 330-2362
Fax #:	(405) 330-2363
County:	OKLAHOMA
License:	15748
Dated:	7/1/1986
Expires:	7/1/2025
License Type:	Medical Doctor
Specialty:	Endocrinology, Diabetes and Metabolism Internal Medicine

Status:	Active
Status Class:	Fully Licensed
Restricted to:
Registered to Dispense:	YES
Medical School:	Univ Of NM Sch Of Med, Albuquerque Nm 87131
Graduated:	5 / 1985
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 - Endocrinology, Diabetes and Metabolism
New Patients:	Yes
Medicaid:	Yes
Medicare:	Yes

HMO/PPO:	Aetna Elect Choice Aetna HMO Aetna Managed Choice 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 BlueLincs HMO CCN Managed Care Champ VA CIGNA HMO CIGNA PPO CommunityCare HMO, Inc Coventry Health Care National Network First Health Great West Healthcare Health Smart Preferred Care (HSPC) HealthChoice Humana ChoiceCare Humana Medicare Advantage PPO Humana Tricare/PGBA Medicare Blue Multiplan PPO National Preferred Provider Network (NPPN) Oklahoma Health Network PPO One Health Plan PPO OSMA Health (formerly Plico PPO) Pacificare Commercial HMO PacifiCare of Oklahoma, Inc PHCS (Private Healthcare Systems) Physicians Direct Network PPO Oklahoma PPO USA Preferred Community Choice Preferred Health Network-ppoNEXT Private Healthcare Systems (PHCS) Pronet Railroad Medicare Secure Horizons HMO SoonerCare HMO SoonerCare PPO Tricare for Life Tricare Standard United Healthcare Choice United Healthcare EPO United Healthcare HMO United Healthcare Options PPO United Healthcare POS United Insurance USA Managed Care
Hospital Privileges:	INTEGRIS Baptist Medical Center Oklahoma City, OK Mercy Hospital OKC Oklahoma City, OK OU Health - Edmond (frmrly Edmond Medical Center) Edmond, OK

Locations:	Hours:	Languages:
DRAELOS METABOLIC CENTER 1600 MEDICAL CENTER DRIVE EDMOND OK 73034-6273 Phone #: (405) 330-2362 Fax #: (405) 330-2363	Mon: 8:00AM - 4:30PM Tue: 6:00AM - 4:30PM Wed: 6:00AM - 4:30PM Thu: 8:00AM - 4:30PM Fri: Sat: Sun:

Name:	Type:	License Number:
Primary Supervisees(s):
JAMILET GONZALEZ	APRN	62623
WENDY SANDERS	APRN	18364
COURTNEY RYANE TYNER	PA	4652

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