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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, December 23, 2024 1:13 PM CST
Next Update: Monday, December 23, 2024 4:30 PM CST

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FLOYD, PHILIP ANDRE       
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: 2800 NW 63RD STREET SUITE 900
OKLAHOMA CITY OK 73116-4836

Address last updated on 1/4/2023
Phone #: (405) 286-5557
Fax #: (405) 286-5680
County: OKLAHOMA
License: 21042
Dated: 3/4/1999
Expires: 3/1/2025
License Type: Medical Doctor
Specialty: General Surgery
Urgent Care 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 / 1994
CME Year: 2026
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
5/17/2017 Probation Ended
5/17/2012 Probation
1/12/2012 Suspension, License
6/10/2011 Complaint Citation
Board Filings and/or Orders:
05/17/2012
01/12/2012
06/03/2011
06/03/2011
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: ABPS - Urgent Care
New Patients: Yes
Medicaid: No
Medicare: Yes
   
HMO/PPO: Aetna Elect Choice
Aetna HMO
Aetna Managed Choice
Aetna PPO
BCE Emergis
Beechstreet 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
Champ VA
CIGNA HMO
CIGNA PPO
CompMed
Coventry Health Care National Network
First Health
Great West Healthcare
HealthChoice
Humana ChoiceCare
Humana Medicare Advantage PPO
Humana Tricare/PGBA
United Healthcare Choice
United Healthcare EPO
United Healthcare HMO
United Healthcare Options PPO
United Healthcare POS
Hospital Privileges: None listed
Locations: Hours: Languages:
2800 NW 63RD STREET SUITE 900
OKLAHOMA CITY OK 73116-4836

Phone #: (405) 286-5557
Fax #: (405) 286-5680
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JOSEPH ANTHONY CARDELLO PA 623
ELIZABETH ANNE HARRIS PA 672
TAMI RENE MYERS PA 1038

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