WOODSON, MARK ROBERT - Licensee Information

Search Results

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

WOODSON, MARK ROBERT

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:	SELECT SPECIALTY HOSPITAL 3524 NW 56TH STREET OKLAHOMA CITY OK 73112 Address last updated on 6/4/2024
Phone #:	(405) 606-6700
Fax #:	(405) 606-6110
County:	OKLAHOMA
License:	19384
Dated:	7/6/1995
Expires:	7/1/2025
License Type:	Medical Doctor
Specialty:	Family Medicine

Status:	Active
Status Class:	Fully Licensed
Restricted to:
Registered to Dispense:	NO
Medical School:	Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated:	6 / 1992
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 FAMILY MEDICINE
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 CCN Managed Care Champ VA CIGNA HMO CIGNA PPO CommunityCare HMO, Inc First Health Great West Healthcare Health Smart Preferred Care (HSPC) HealthChoice Humana ChoiceCare Humana Medicare Advantage PPO Humana Tricare/PGBA Medicare Blue Multiplan PPO OSMA Health (formerly Plico PPO) Pacificare Commercial HMO PacifiCare of Oklahoma, Inc PHCS (Private Healthcare Systems) Physicians Direct Network PPO USA Preferred Community Choice Preferred Health Network-ppoNEXT Private Healthcare Systems (PHCS) Railroad Medicare Secure Horizons HMO Tricare for Life Tricare Standard United Healthcare Choice United Healthcare EPO United Healthcare HMO United Healthcare Options PPO United Healthcare POS USA Managed Care
Hospital Privileges:	INTEGRIS Baptist Medical Center Oklahoma City, OK INTEGRIS Baptist Portland Ave (fmly Deaconess Hospital) Oklahoma City, OK Mercy Hospital OKC Oklahoma City, OK Oklahoma Spine Hospital Oklahoma City, OK Select Specialty Hospital-OKC Oklahoma City, OK

Locations:	Hours:	Languages:
SELECT SPECIALTY HOSPITAL 3524 NW 56TH STREET OKLAHOMA CITY OK 73112 Phone #: (405) 606-6700 Fax #: (405) 606-6110	Mon: Tue: Wed: Thu: Fri: Sat: Sun:

Name:	Type:	License Number:
Primary Supervisees(s):
LATRICA DORSEY	APRN	108849
SHANNA DOUGLASS	APRN	79263
LISA HENDERSON	APRN	118316
ELIZABETH MARTIN	APRN	89073
JENIFER STOCKTON	APRN	94562

Return to Search Licensees page