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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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SHOCKEY, BRIAN MICHAEL       
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: 2419 CHICKASAW BLVD.
ARDMORE OK 73401-1466

Address last updated on 8/14/2024
Phone #: (580) 223-6767
Fax #: (580) 224-0275
County: CARTER
License: 18264
Dated: 9/28/1992
Expires: 9/1/2025
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Loma Linda Univ Sch Of Med, Loma Linda CA 92350
Graduated: 5 / 1986
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:
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna HMO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
Champ VA
CIGNA HMO
HealthChoice
PacifiCare of Oklahoma, Inc
Preferred Community Choice
United Healthcare HMO
Hospital Privileges: Mercy Memorial Health Center, Inc. - Ardmore
Ardmore, OK
Locations: Hours: Languages:
2419 CHICKASAW BLVD.
ARDMORE OK 73401-1466

Phone #: (580) 223-6767
Fax #: (580) 224-0275
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
ANGEL CAMPBELL APRN 12275
RALPH TILLMAN FALCONER PA 670

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