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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST
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AVILA, ANIBAL
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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.
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| Practice Address: |
5201 S. WESTERN AVE SUITE 200
OKLAHOMA CITY OK 73109
Address last updated on 11/3/2022 |
| Phone #: |
(405) 634-4934 |
| Fax #: |
(405) 351-9030 |
| County: |
OKLAHOMA |
| License: |
18774 |
| Dated: |
1/12/1994 |
| Expires: |
1/1/2026 |
| License Type: |
Medical Doctor |
| Specialty: |
Internal Medicine |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Central Del Este (UCE), Fac de Med, San Pedro De Macoris, Dom Republic |
| Graduated: |
12 /
1980 |
| CME Year: |
2028 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
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| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
Aetna Elect Choice
Aetna HMO
Aetna Managed Choice
Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
Blue Works Workers Comp
BlueChoice PPO
BlueLincs HMO
CIGNA HMO
CIGNA PPO
HealthChoice
Humana ChoiceCare
Humana Medicare Advantage PPO
Humana Tricare/PGBA
Medicare Blue
SoonerCare HMO
United Healthcare EPO
United Healthcare HMO
United Healthcare Options PPO
United Healthcare POS |
| Hospital Privileges: |
SSM Health St. Anthony Hospital - OKC
Oklahoma City, OK
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| Locations: |
Hours: |
Languages: |
5201 S. WESTERN AVE SUITE 200
OKLAHOMA CITY OK 73109
Phone #:
(405) 634-4934
Fax #:
(405) 351-9030 |
Mon: 8:30AM - 5:00PM 12:00PM-1:00P CLOSED FOR LUNCH
Tue: 8:30AM - 5:00PM 12:00PM-1:00P CLOSED FOR LUNCH
Wed: 8:30AM - 5:00PM 12:00PM-1:00P CLOSED FOR LUNCH
Thu: 8:30AM - 5:00PM 12:00PM-1:00P CLOSED FOR LUNCH
Fri:
Sat:
Sun: |
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Primary Supervisees(s):
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| Name: |
Type: |
License Number: |
Full/Part Time: |
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SUSANA JIMENEZ
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PA |
5123 |
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