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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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VAN DOREN, BRYAN ANDREW       
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: ADVANCED PAIN OF TULSA
9320 SOUTH MINGO ROAD
TULSA OK 74133-5710

Address last updated on 5/3/2024
Phone #: (918) 901-9701
Fax #: (918) 901-9702
County: TULSA
License: 17313
Dated: 7/1/1990
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Internal Medicine
Hematology (Internal Medicine)
Medical Oncology
Addiction Medicine
Pain Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of KS Sch Of Med, Kansas City Ks 66103
Graduated: 5 / 1987
CME Year: 2026
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
5/3/2019 Probation Ended
4/26/2013 Probation
11/8/2012 Restriction Lifted
11/8/2012 Probation
11/3/2011 License Reinstated
11/3/2011 Probation
11/3/2011 Restriction
11/3/2011 Restriction
11/3/2006 Surrendered License
3/10/2006 Complaint Citation
3/9/2000 Probation
11/30/1998 Suspension, License
7/3/1994 Probation Ended
5/9/1990 Probation
Board Filings and/or Orders:
10/16/2019
05/03/2019
04/26/2013
11/08/2012
11/03/2011
11/03/2006
11/03/2006
03/09/2006
03/09/2006
07/19/2001
03/09/2000
02/28/1992
11/02/1991
05/19/1990
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 PREVENTIVE MEDICINE - Addiction Medicine
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna Elect Choice
Aetna HMO
Aetna Managed Choice
Aetna PPO
Beechstreet PPO
Champ VA
CIGNA PPO
Coventry Health Care National Network
Dept of Rehabilitation Services (DRS)
Evolutions Healthcare
First Health
Galaxy Health Network
HealthChoice
Humana ChoiceCare
Humana Tricare/PGBA
Multiplan PPO
OSMA Health (formerly Plico PPO)
Tricare for Life
Tricare Standard
United Healthcare Choice
United Healthcare HMO
United Healthcare Options PPO
United Insurance
Hospital Privileges: None listed
Locations: Hours: Languages:
ADVANCED PAIN OF TULSA
9320 SOUTH MINGO ROAD
TULSA OK 74133-5710

Phone #: (918) 901-9701
Fax #: (918) 901-9702
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 1:00PM
Sat:
Sun:
Tulsa Comprehensive Treatment Center
5550 S Garnett Road
STE 200
Tulsa, OK 74146

Phone #: (918) 437-8392
Fax #: (5) 202-
Mon: 5:00AM - 7:00AM
Tue: 5:00AM - 7:00AM
Wed: 5:00AM - 7:00AM
Thu: 5:00AM - 7:00AM
Fri: 5:00AM - 7:00AM
Sat:
Sun:
Great Plains Recovery Center
7210 S Yale Avenue
Tulsa, OK 74136

Phone #: (918) 310-1490
Fax #: (9) 202-
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
SAMANTHA CAMPBELL APRN 102249
LINDSEY GROVES APRN 85966
MARK DONALD HALL PA 2108
HEATHER HOLMES APRN 105724
RUBY THOMAS APRN 75370
JERI TOWNSEND APRN 57587

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