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Oklahoma Board of Medical Licensure and Supervision

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

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PAULSEN, ROBERT ALLAN       
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: ASCENSION MEDICAL GROUP ST. JOHN
ST JOHN CLINIC PRIMARY CARE
1919 SOUTH WHEELING LL#100
TULSA OK 74104- + 5

Address last updated on 6/24/2024
Phone #: (918) 748-7890
Fax #: (918) 403-6300
County: TULSA
License: 16968
Dated: 7/1/1989
Expires: 7/1/2025
Training Issued: 6/20/1988
Training Expires: 9/30/1989
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: ORAL ROBERTS UNIV SCH OF MED, TULSA OK 74137
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 FAMILY MEDICINE
New Patients: Yes
Medicaid: No
Medicare: Yes
   
HMO/PPO: Aetna Elect Choice
Aetna HMO
Aetna Managed Choice
Aetna PPO
Blue Cross Blue Shield-Blue Traditional
BlueChoice PPO
Champ VA
CIGNA HMO
CIGNA PPO
CommunityCare HMO, Inc
CommunityCare Senior HMO
CompMed
Galaxy Health Network
Global Health HMO
HealthChoice
One Health Plan PPO
Preferred Community Choice
Prudential Health Care Plan, Inc
Railroad Medicare
United Healthcare HMO
United Healthcare Options PPO
Hospital Privileges: Ascension St. John Medical Center
Tulsa, OK
Locations: Hours: Languages:
ASCENSION MEDICAL GROUP ST. JOHN
ST JOHN CLINIC PRIMARY CARE
1919 SOUTH WHEELING LL#100
TULSA OK 74104- + 5

Phone #: (918) 748-7890
Fax #: (918) 403-6300
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 5:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
ERIN MARIE CAPPS PA 2074
KAYLYNN COATS ELMORE PA 1953
KELSEY NICOLE KLEIN PA 2391
JENNIFER RENEE MEANS PA 2084

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