PURSER, JANE THEOTOKATOS - Licensee Information

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

PURSER, JANE THEOTOKATOS

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:	9311 S. MINGO ROAD TULSA OK 74133-5702 Address last updated on 6/10/2024
Phone #:	(918) 307-1613
Fax #:	(918) 307-2454
County:	TULSA
License:	18629
Dated:	7/30/1993
Expires:	7/1/2025
Temp. Lic. Issued:	7/22/1993
Temp. Lic. Expires:	12/1/1994
License Type:	Medical Doctor
Specialty:	Allergy Immunology Internal Medicine

Status:	Active
Status Class:	Fully Licensed
Restricted to:
Registered to Dispense:	YES
Medical School:	Univ Of Colorado Sch Of Med (frmly in Denver)
Graduated:	6 / 1987
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 ALLERGY AND IMMUNOLOGY
New Patients:	Yes
Medicaid:	Yes
Medicare:	Yes

HMO/PPO:	Aetna Elect Choice Aetna HMO Aetna Managed Choice Aetna PPO Beechstreet PPO Blue Cross Blue Shield-Blue Preferred Blue Cross Blue Shield-Blue Traditional Blue Cross Blue Shield-Plan 65 Select BlueChoice PPO BlueLincs HMO Champ VA CIGNA HMO CIGNA PPO CommunityCare HMO, Inc CommunityCare Senior HMO CompMed First Health Great West Healthcare HealthChoice Multiplan PPO National Preferred Provider Network (NPPN) One Health Plan PPO OSMA Health (formerly Plico PPO) Pacificare Commercial HMO PacifiCare of Oklahoma, Inc PHCS (Private Healthcare Systems) Preferred Community Choice Private Healthcare Systems (PHCS) Railroad Medicare SoonerCare HMO Tricare for Life Tricare Standard United Healthcare Choice United Healthcare EPO United Healthcare HMO United Healthcare Options PPO United Healthcare POS
Hospital Privileges:	Ascension St. John Medical Center Tulsa, OK Hillcrest Hospital South (fmly SouthCrest) Tulsa, OK Hillcrest Medical Center Tulsa, OK St. Francis Hospital Tulsa, OK

Locations:	Hours:	Languages:
9311 S. MINGO ROAD TULSA OK 74133-5702 Phone #: (918) 307-1613 Fax #: (918) 307-2454	Mon: Tue: Wed: Thu: Fri: Sat: Sun:
1727 S UTICA TULSA, OK 74104 Phone #: (918) 307-1613 Fax #: (7) 199-	Mon: 8:00AM - 6:00PM Tue: 8:00AM - 6:00PM Wed: 8:00AM - 6:00PM Thu: 8:00AM - 6:00PM Fri: 8:00AM - 6:00AM Sat: Sun:
6802 S. Olympia Avenue Suite 150 Tulsa, OK 74132 Phone #: (918) 307-1613 Fax #: (4) 200-	Mon: Tue: Wed: Thu: Fri: Sat: Sun:
8510 N 123rd E Avenue Owasso, OK 74055 Phone #: (918) 307-1613 Fax #: (4) 200-	Mon: Tue: Wed: Thu: Fri: Sat: Sun:	Arabic
224 SE DeBell Bartlesville, OK 74006 Phone #: (918) 307-1613 Fax #: (9) 201-	Mon: 8:00AM - 5:00PM Tue: 8:00AM - 5:00PM Wed: 8:00AM - 5:00PM Thu: 8:00AM - 5:00PM Fri: Sat: Sun:

Name:	Type:	License Number:
Primary Supervisees(s):
CHELSEY BAKKER	APRN	10426
JONATHAN GOODWIN	APRN	1903

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