REYNOLDS, ROBERT EDWARD - Licensee Information

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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST

REYNOLDS, ROBERT EDWARD

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:	13301 N MERIDIAN AVENUE SUITE 501 OKLAHOMA CITY OK 73120 Address last updated on 10/3/2024
Phone #:	(405) 752-0871
Fax #:	(405) 755-9510
County:	OKLAHOMA
License:	20272
Dated:	7/10/1997
Expires:	7/1/2025
Training Issued:	7/1/1996
Training Expires:	8/1/1997
License Type:	Medical Doctor
Specialty:	Internal Medicine Medical Oncology

Status:	Active
Status Class:	Fully Licensed
Restricted to:
Registered to Dispense:	YES
Medical School:	Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated:	6 / 1996
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:	ABPS - Internal Medicine AMERICAN BOARD OF INTERNAL MEDICINE - Medical Oncology
New Patients:	Yes
Medicaid:	Yes
Medicare:	Yes

HMO/PPO:	Aetna Elect Choice 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 CIGNA PPO Coventry Health Care National Network First Health HealthChoice Humana ChoiceCare Humana Medicare Advantage PPO Humana Tricare/PGBA Multiplan PPO National Preferred Provider Network (NPPN) Oklahoma Health Network PPO One Health Plan PPO OSMA Health (formerly Plico PPO) PHCS (Private Healthcare Systems) PPO Oklahoma PPO USA Preferred Community Choice Private Healthcare Systems (PHCS) Railroad Medicare Tricare for Life Tricare Standard United Healthcare Choice United Healthcare EPO United Healthcare Options PPO United Healthcare POS
Hospital Privileges:	INTEGRIS Baptist Medical Center Oklahoma City, OK INTEGRIS Baptist Portland Ave (fmly Deaconess Hospital) Oklahoma City, OK INTEGRIS Clinton Regional Hospital Clinton, OK Mercy Hospital OKC Oklahoma City, OK Oklahoma Heart Hospital - North Campus (4050 W. Memorial Rd) Oklahoma City, OK OU Health - Edmond (frmrly Edmond Medical Center) Edmond, OK Weatherford Regional Hospital (fmly Southwestern Memorial Hospital) Weatherford, OK

Locations:	Hours:	Languages:
13301 N MERIDIAN AVENUE SUITE 501 OKLAHOMA CITY OK 73120 Phone #: (405) 752-0871 Fax #: (405) 755-9510	Mon: Tue: Wed: Thu: Fri: Sat: Sun:
11100 HEFNER POINTE DRIVE SUITE A OKLAHOMA CITY, OK 73120 Phone #: (405) 752-0871 x303 Fax #: (12) 202-	Mon: 8:30AM - 5:00PM Tue: 8:30AM - 5:00PM Wed: 8:30AM - 5:00PM Thu: 8:30AM - 5:00PM Fri: 8:30AM - 5:00PM Sat: Sun:
215 N ILLINOIS STREET SUITA A WEATHERFORD, OK 73096 Phone #: (580) 302-5319 Fax #: (11) 202-	Mon: 8:30AM - 5:00PM Tue: 8:30AM - 5:00PM Wed: 8:30AM - 5:00PM Thu: 8:30AM - 5:00PM Fri: 8:30AM - 5:00PM Sat: Sun:
11100 HEFNER POINTE DRIVE SUITE A OKLAHOMA CITY, OK 73120 Phone #: (405) 752-0871 x303 Fax #: (7) 200-12	Mon: 8:30AM - 5:00PM Tue: 8:30AM - 5:00PM Wed: 8:30AM - 5:00PM Thu: Fri: Sat: 8:30AM - 5:00PM Sun: 8:30AM - 5:00PM
13301 N MERIDIAN AVE SUITE 501 OKLAHOMA CITY, OK 73120 Phone #: (405) 615-2760 Fax #: (5) 202-	Mon: Tue: Wed: Thu: Fri: Sat: Sun:

Name:	Type:	License Number:
Primary Supervisees(s):
ANGELA BOGNER	APRN	9527
LORA VAVERKA	APRN	51279

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