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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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SCOGGIN, RIKKI JUSTICE       
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: CHICKASAW NATION MEDICAL CENTER
1921 STONECYPHER BLVD
ADA OK 74820

Address last updated on 4/12/2024
Phone #: (580) 436-3980
Fax #:
County: PONTOTOC
License: 21536
Dated: 5/10/2000
Expires: 5/1/2025
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 / 1997
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 HMO
Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
Champ VA
CIGNA HMO
CIGNA PPO
CommunityCare HMO, Inc
CommunityCare Senior HMO
Global Health HMO
HealthChoice
SoonerCare HMO
Tricare for Life
Tricare Standard
Tyson Preferred Network (TPN)
United Healthcare HMO
Hospital Privileges: None listed
Locations: Hours: Languages:
CHICKASAW NATION MEDICAL CENTER
1921 STONECYPHER BLVD
ADA OK 74820

Phone #: (580) 436-3980
Fax #:
Mon:
Tue: 7:30AM - 6:00PM
Wed: 7:30AM - 6:00PM
Thu: 7:30AM - 6:00PM
Fri: 7:30AM - 6:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
BRITTANY LEANNE BYRD PA 5173
TERESA LYNNE COON PA 1612

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