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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Tuesday, December 24, 2024 3:49 AM CST
Next Update: Tuesday, December 24, 2024 12:00 PM CST

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WILLIAMS, NOEL ROBERT       
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: 9800 BROADWAY EXTENSION SUITE 200
OKLAHOMA CITY OK 73114

Address last updated on 8/2/2024
Phone #: (405) 715-4496
Fax #: (405) 715-4499
County: OKLAHOMA
License: 17885
Dated: 10/5/1991
Expires: 10/1/2025
Training Issued: 7/9/1991
Training Expires: 3/1/1992
License Type: Medical Doctor
Specialty: Gynecology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Oh State Univ Coll Of Med and Pub Hlth, Columbus Oh 43210
Graduated: 6 / 1990
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 OBSTETRICS AND GYNECOLOGY
New Patients: Yes
Medicaid: No
Medicare: No
   
HMO/PPO: Aetna HMO
Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
BlueChoice PPO
CIGNA PPO
Coventry Health Care National Network
Evolutions Healthcare
First Health
HealthChoice
Humana ChoiceCare
Oklahoma Health Network PPO
OSMA Health (formerly Plico PPO)
Preferred Community Choice
United Healthcare HMO
United Healthcare Options PPO
Hospital Privileges: Community Hospital - OKC
Oklahoma City, OK
INTEGRIS Baptist Medical Center
Oklahoma City, OK
INTEGRIS Edmond
Edmond, OK
Northwest Surgical Hospital
Oklahoma City, OK
Locations: Hours: Languages:
9800 BROADWAY EXTENSION SUITE 200
OKLAHOMA CITY OK 73114

Phone #: (405) 715-4496
Fax #: (405) 715-4499
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:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
AMY BROOKS APRN 73345
CASEY BUTTS APRN 99543
SHANNAN LEE CARMOUCHE' PA 1162
PHONG T DANG PA 3207
ABBEY RONCK KRAHL PA 1881
SHANNON JAMESON MEDLEY PA 1614
RACHEL JOHNSTON PECK PA 2594
CHRISTINA MARIE TELCOCCI PA 1001
HEATHER WAGNER APRN 88946

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