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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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LITTLE, BLAKE ALLEN       
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: HILLCREST MEDICAL CENTER
1120 SOUTH UTICA
TULSA OK 74104

Address last updated on 6/2/2024
Phone #: (918) 579-1000
Fax #:
County: TULSA
License: 16264
Dated: 8/13/1987
Expires: 8/1/2025
License Type: Medical Doctor
Specialty: Sleep Medicine
Pulmonary Disease
Critical Care Medicine (Internal Medicine)
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: UNIV OF MO-KANSAS CITY SCH OF MED, KANSAS CITY MO 64108
Graduated: 5 / 1986
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 - Critical Care Medicine
AMERICAN BOARD OF INTERNAL MEDICINE - Pulmonary Disease
AMERICAN BOARD OF INTERNAL MEDICINE - Sleep Medicine
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: 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
CCN Managed Care
Champ VA
CIGNA HMO
CIGNA PPO
CommunityCare HMO, Inc
Coventry Health Care National Network
First Health
Great West Healthcare
HealthChoice
Humana ChoiceCare
Humana Medicare Advantage PPO
Humana Tricare/PGBA
Medicare Blue
National Preferred Provider Network (NPPN)
PHCS (Private Healthcare Systems)
Preferred Community Choice
Prime Advantage Health Plan
Private Healthcare Systems (PHCS)
Railroad Medicare
Secure Horizons HMO
SoonerCare HMO
SoonerCare PPO
Tricare for Life
Tricare Standard
Tyson Preferred Network (TPN)
UniCare Health Plans of Oklahoma
United Healthcare Choice
United Healthcare EPO
United Healthcare HMO
United Healthcare Options PPO
United Healthcare POS
Welcor/Sooner
Hospital Privileges: Hospital(s) Not In Oklahoma
,
Locations: Hours: Languages:
HILLCREST MEDICAL CENTER
1120 SOUTH UTICA
TULSA OK 74104

Phone #: (918) 579-1000
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JOSHUA MOUSHON APRN 88008
MILTON OMONDI APRN 101088
BRIAN WILLIAMS APRN 98193

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