PASQUE, CHARLES BLAKE - Licensee Information

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PASQUE, CHARLES BLAKE

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:	OU PHYSICIANS ORTHOPEDIC SURGERY 825 NE 10TH STREET SUITE 1C OKLAHOMA CITY OK 73104 Address last updated on 5/3/2022
Phone #:	(405) 271-2663
Fax #:	(405) 271-3059
County:	OKLAHOMA
License:	17273
Dated:	7/1/1990
Expires:	7/1/2025
License Type:	Medical Doctor
Specialty:	Orthopedic Surgery Sports Medicine (Orthopedic 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 / 1989
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 ORTHOPAEDIC SURGERY AMERICAN BOARD OF ORTHOPAEDIC SURGERY - Orthopaedic Sports Medicine
New Patients:	Yes
Medicaid:	Yes
Medicare:	Yes

HMO/PPO:	Aetna Elect Choice Aetna HMO Aetna Managed Choice Aetna PPO Blue Cross Blue Shield-Blue Preferred Blue Cross Blue Shield-Blue Traditional Blue Cross Blue Shield-Plan 65 Select CIGNA PPO CommunityCare HMO, Inc Coventry Health Care National Network Health Smart Preferred Care (HSPC) HealthChoice Humana ChoiceCare Humana Medicare Advantage PPO Humana Tricare/PGBA Multiplan PPO Oklahoma Health Network PPO OSMA Health (formerly Plico PPO) Pacificare Commercial HMO PacifiCare of Oklahoma, Inc Railroad Medicare Secure Horizons HMO Tricare for Life Tricare Standard UniCare Health Plans of Oklahoma United Healthcare Choice United Healthcare EPO United Healthcare HMO United Healthcare Options PPO United Healthcare POS
Hospital Privileges:	OU Health Medical Center Oklahoma City, OK

Locations:	Hours:	Languages:
OU PHYSICIANS ORTHOPEDIC SURGERY 825 NE 10TH STREET SUITE 1C OKLAHOMA CITY OK 73104 Phone #: (405) 271-2663 Fax #: (405) 271-3059	Mon: 8:00AM - 4:30PM Tue: 8:00AM - 4:30PM Wed: 8:00AM - 4:30PM Thu: 8:00AM - 4:30PM Fri: 8:00AM - 4:30PM Sat: Sun:

Name:	Type:	License Number:
Primary Supervisees(s):
SHAY DAWN HAYES	PA	1041
VICKI ELIZABETH JARRELL	PA	1703
AMIR RAZA	PA	1995
HEATHER PETERSON THOMPSON	PA	2385

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