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Oklahoma Board of Medical Licensure and Supervision

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

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DOBRATZ, STEPHEN CHARLES       
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: 1373 E BOONE ST
SUITE 3400
TAHLEQUAH OK 74464

Address last updated on 3/23/2021
Phone #: (918) 229-1461
Fax #: (918) 453-2226
County: CHEROKEE
License: 19731
Dated: 6/3/1996
Expires: 6/1/2025
License Type: Medical Doctor
Specialty: Cardiovascular Disease
Nuclear Cardiology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Eastern VA Med Sch, Norfolk, VA
Graduated: 5 / 1990
CME Year: 2025
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 - Cardiovascular Disease
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
Coventry Health Care National Network
Dept of Rehabilitation Services (DRS)
First Health
Global Health HMO
HealthChoice
Humana ChoiceCare
Humana Medicare Advantage PPO
Humana Tricare/PGBA
Medicare Blue
OSMA Health (formerly Plico PPO)
Pacificare Commercial HMO
PacifiCare of Oklahoma, Inc
PPO USA
Preferred Community Choice
Preferred Health Network-ppoNEXT
Prudential Health Care Plan, Inc
Railroad Medicare
Secure Horizons HMO
SoonerCare HMO
SoonerCare PPO
Tricare for Life
Tricare Standard
United Healthcare Choice
United Healthcare EPO
United Healthcare HMO
United Healthcare Options PPO
United Healthcare POS
Welcor/Sooner
Worknet of Oklahoma
Hospital Privileges: Cherokee Nation W.W. Hastings Hospital
Tahlequah, OK
Northeastern Health System (formerly Tahlequah City Hospital)
Tahlequah, OK
Locations: Hours: Languages:
1373 E BOONE ST
SUITE 3400
TAHLEQUAH OK 74464

Phone #: (918) 229-1461
Fax #: (918) 453-2226
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:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JOSEPH EDWARD PRUITT PA 1274
JAY VAZQUEZ APRN 92169
JAIME LYNN WILKINSON PA 1246

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