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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 25, 2024 1:14 PM CST
Next Update: Wednesday, December 25, 2024 4:30 PM CST

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HOLDEN, JOHN WEBB       
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: 427 FAIRVIEW AVE
PONCA CITY OK 74601-1923

Address last updated on 6/23/2024
Phone #: (580) 765-9299
Fax #: (580) 765-2199
County: KAY
License: 21238
Dated: 7/7/1999
Expires: 7/1/2025
Training Issued: 7/1/1998
Training Expires: 8/1/1999
License Type: Medical Doctor
Specialty: Internal Medicine/Pediatrics
Pediatrics
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 / 1998
CME Year: 2026
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:
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna PPO
Blue Cross Blue Shield-Blue Preferred
BlueChoice PPO
CIGNA PPO
First Health
HealthChoice
OSMA Health (formerly Plico PPO)
PHCS (Private Healthcare Systems)
Preferred Community Choice
Railroad Medicare
SoonerCare PPO
Hospital Privileges: INTEGRIS Health Ponca City Hospital -(frmly Via Christi)
Ponca City, OK
Locations: Hours: Languages:
427 FAIRVIEW AVE
PONCA CITY OK 74601-1923

Phone #: (580) 765-9299
Fax #: (580) 765-2199
Mon: 9:00AM - 5:00PM
Tue: 9:00AM - 5:00PM
Wed: 9:00AM - 5:00PM
Thu: 9:00AM - 5:00PM
Fri:
Sat:
Sun:
104 SOUTH 4TH STREET
PONCA CITY, OK 74601

Phone #: (580) 382-4034
Fax #: (6) 202-
Mon: 9:00AM - 5:00PM
Tue: 9:00AM - 5:00PM
Wed: 9:00AM - 5:00PM
Thu: 9:00AM - 5:00PM
Fri: 9:00AM - 1:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
KAYLA BETHANY DEMEL AT 1092
KYLEE RENE' JACKSON AT 888
SHANNON SOMERS APRN 11628

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