Oklahoma State SealOklahoma State Seal
Oklahoma Board of Medical Licensure and Supervision

Search Results

Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST

Return to Search Licensees page

NOLEN, MICHAEL GLENN       
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: JACK C. MONTGOMERY VAMC
1011 HONOR HEIGHTS DR.
MUSKOGEE OK 74401

Address last updated on 5/2/2024
Phone #: (918) 577-3673
Fax #: (918) 577-3677
County: MUSKOGEE
License: 16957
Dated: 7/1/1989
Expires: 7/1/2025
Training Issued: 6/29/1988
Training Expires: 9/30/1989
License Type: Medical Doctor
Specialty: General Surgery
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: 5 / 1988
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 SURGERY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna HMO
Aetna PPO
BlueChoice PPO
BlueLincs HMO
CommunityCare HMO, Inc
HealthChoice
Heartland Health Plan of Oklahoma
PacifiCare of Oklahoma, Inc
Preferred Community Choice
Prime Advantage Health Plan
Prudential Health Care Plan, Inc
UniCare Health Plans of Oklahoma
United Healthcare HMO
United Healthcare Options PPO
Welcor/Sooner
Hospital Privileges: V.A. Medical Center-Muskogee
Muskogee, OK
Locations: Hours: Languages:
JACK C. MONTGOMERY VAMC
1011 HONOR HEIGHTS DR.
MUSKOGEE OK 74401

Phone #: (918) 577-3673
Fax #: (918) 577-3677
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
KYLE ANDREW BAER PA 3018
CLAIRE ANNE KIFER PA 4770

Return to Search Licensees page