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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, December 23, 2024 1:13 PM CST
Next Update: Monday, December 23, 2024 4:30 PM CST

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IVEN, VAL GENE       
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: OKLAHOMA STATE UNIVERSITY
170 ATHLETICS CENTER
STILLWATER OK 74078

Address last updated on 7/29/2024
Phone #: (405) 744-6853
Fax #:
County: PAYNE
License: 17462
Dated: 9/1/1990
Expires: 9/1/2025
Training Issued: 5/25/1989
Training Expires: 9/30/1990
License Type: Medical Doctor
Specialty: Family Medicine
Sports Medicine (Family Practice)
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: ABPS - Family Medicine
AMERICAN BOARD OF FAMILY MEDICINE
AMERICAN BOARD OF FAMILY MEDICINE - Sports Medicine
New Patients: Yes
Medicaid: No
Medicare: No
   
HMO/PPO: Aetna Elect Choice
Aetna Managed Choice
Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
CIGNA PPO
First Health
HealthChoice
Humana ChoiceCare
Humana Tricare/PGBA
Multiplan PPO
PHCS (Private Healthcare Systems)
Private Healthcare Systems (PHCS)
Tricare Standard
United Healthcare EPO
United Healthcare Options PPO
United Healthcare POS
Hospital Privileges: None listed
Locations: Hours: Languages:
OKLAHOMA STATE UNIVERSITY
170 ATHLETICS CENTER
STILLWATER OK 74078

Phone #: (405) 744-6853
Fax #:
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:
WILLIAM L BAUM AT 1221
KEVIN G BLASKE AT 652
WILLIAM KENNETH CARTER AT 1264
TODD RYAN GERLT AT 512
NICHOLAUS ALAN GOLDSTEIN AT 1176
MELISSA ANN KATZENBERGER AT 833
ADAM ROBERT LARSEN AT 1177
DANIEL ALAN LYNCH AT 1246
BROOKKE DANNYEL MAHAFFEY AT 1343
CHRISTOPHER SCOTT MCKENZIE AT 873
LINDSEY ELIZABETH MERRYMAN AT 1310
JORDAN ISAIAH OUTWATER AT 1258
SCOTT ANDREW PARKER AT 534
SELY PATRIZIO AT 1279
SAMANTHA LEE POLOMIS AT 1305
ERIN SIMMERMAN AT 1308

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