ENSLEY, RALPH DOUGLAS - Licensee Information

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

ENSLEY, RALPH DOUGLAS

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:	SAINT FRANCIS CARDIOLOGY 6151 SOUTH YALE SUITE A 100 TULSA OK 74136-1902 Address last updated on 6/18/2023
Phone #:	(918) 494-8500
Fax #:	(918) 307-5578
County:	TULSA
License:	18574
Dated:	7/1/1993
Expires:	7/1/2025
License Type:	Medical Doctor
Specialty:	Internal Medicine Cardiovascular Disease Interventional Cardiology

Status:	Active
Status Class:	Fully Licensed
Restricted to:
Registered to Dispense:	NO
Medical School:	Univ Of TX Southwestern Med Sch At Dallas SW Med Sch, Dallas Tx 75235
Graduated:	6 / 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:	AMERICAN BOARD OF INTERNAL MEDICINE AMERICAN BOARD OF INTERNAL MEDICINE - Cardiovascular Disease AMERICAN BOARD OF INTERNAL MEDICINE - Interventional Cardiology
New Patients:	Yes
Medicaid:	Yes
Medicare:	Yes

HMO/PPO:	Aetna HMO Aetna PPO BlueChoice PPO BlueLincs HMO CommunityCare HMO, Inc HealthChoice PacifiCare of Oklahoma, Inc Preferred Community Choice Prudential Health Care Plan, Inc United Healthcare HMO United Healthcare Options PPO
Hospital Privileges:	St. Francis Hospital Tulsa, OK St. Francis Hospital - SOUTH Tulsa, OK

Locations:	Hours:	Languages:
SAINT FRANCIS CARDIOLOGY 6151 SOUTH YALE SUITE A 100 TULSA OK 74136-1902 Phone #: (918) 494-8500 Fax #: (918) 307-5578	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:
10505 E 91st St So Suite 208 Tulsa, OK 74133 Phone #: (918) 494-8500 Fax #: (3) 201-	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:

Name:	Type:	License Number:
Primary Supervisees(s):
CHRISTOPHER GORDON	APRN	114434
CHRISTINA LANSDOWNE	APRN	11516
JACOB UMBLE	APRN	20692

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