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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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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: 1145 S. UTICA AVE.
SUITE 460
TULSA OK 74104

Address last updated on 6/21/2023
Phone #: (918) 392-8856
Fax #:
County: TULSA
License: 18415
Dated: 7/1/1993
Expires: 7/1/2025
Training Issued: 7/1/1992
Training Expires: 6/30/1993
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Aleppo, Fac Of Med, Aleppo, Syria
Graduated: 7 / 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 INTERNAL MEDICINE (Focused Practice in Hospital Medicine)
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna HMO
Aetna PPO
BlueChoice PPO
CommunityCare HMO, Inc
HealthChoice
Heartland Health Plan of Oklahoma
PacifiCare of Oklahoma, Inc
Preferred Community Choice
UniCare Health Plans of Oklahoma
United Healthcare HMO
United Healthcare Options PPO
Welcor/Sooner
Hospital Privileges: Hillcrest Hospital Claremore (fmly Claremore Regional)
Claremore, OK
Hillcrest Hospital South
Tulsa, OK
Hillcrest Medical Center
Tulsa, OK
INTEGRIS Mayes County Medical Center
Pryor, OK
Oklahoma Surgical Hospital (formerly Orthopedic Hospital of Oklahoma)
Tulsa, OK
Select Specialty Hospital
Tulsa, OK
Locations: Hours: Languages:
1145 S. UTICA AVE.
SUITE 460
TULSA OK 74104

Phone #: (918) 392-8856
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Arabic
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
CHERI LYNN ENNIS PA 883
JANIECE SHERWOOD APRN 62453
STEVEN WINGFIELD APRN 113930

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