ROUGAS, STACIE ELIZABETH - Licensee Information

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

ROUGAS, STACIE ELIZABETH

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:	DERMATOLOGY & AESTHETICS OF OKLAHOMA 13301 N. MERIDIAN AVE. STE 201 OKLAHOMA CITY OK 73120-8381 Address last updated on 6/2/2024
Phone #:	(405) 803-8020
Fax #:	(405) 437-2332
County:	OKLAHOMA
License:	21756
Dated:	8/30/2000
Expires:	8/1/2025
Training Issued:	7/1/1999
Training Expires:	8/30/2000
License Type:	Medical Doctor
Specialty:	Dermatology

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:	5 / 1999
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 DERMATOLOGY
New Patients:	Yes
Medicaid:	Yes
Medicare:	Yes

HMO/PPO:	Aetna Elect Choice Aetna HMO Aetna Managed Choice Aetna 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 CompMed Coventry Health Care National Network First Health Global Health HMO Great West Healthcare Health Smart Preferred Care (HSPC) HealthChoice Humana ChoiceCare Humana Medicare Advantage PPO Humana Tricare/PGBA Medicare Blue Multiplan PPO National Preferred Provider Network (NPPN) Oklahoma Health Network PPO One Health Plan PPO OSMA Health (formerly Plico PPO) Pacificare Commercial HMO PacifiCare of Oklahoma, Inc PHCS (Private Healthcare Systems) Physicians Direct Network PPO Oklahoma PPO USA Preferred Community Choice Preferred Health Network-ppoNEXT Prime Advantage Health Plan Private Healthcare Systems (PHCS) Prudential Health Care Plan, Inc Railroad Medicare Secure Horizons HMO SoonerCare HMO SoonerCare PPO Tricare for Life Tricare Standard UniCare Health Plans of Oklahoma United Healthcare Choice United Healthcare EPO United Healthcare HMO United Healthcare Options PPO United Healthcare POS United Insurance USA Managed Care
Hospital Privileges:	None listed

Locations:	Hours:	Languages:
DERMATOLOGY & AESTHETICS OF OKLAHOMA 13301 N. MERIDIAN AVE. STE 201 OKLAHOMA CITY OK 73120-8381 Phone #: (405) 803-8020 Fax #: (405) 437-2332	Mon: 8:00AM - 5:00PM Tue: 8:00AM - 5:00PM Wed: 8:00AM - 5:00PM Thu: 8:00AM - 5:00PM Fri: 8:00AM - 4:30PM Sat: Sun:

Name:	Type:	License Number:
Primary Supervisees(s):
CRYSTAL HOPE FREDRICKSON	PA	1324
MICHELLE RENEE LAPIDUS	PA	2561
JENNIFER LEIGH MINSHALL	PA	1595
MEGHANN ROCHELL REAM	PA	4970
BETHANY JEAN TRIANA	PA	2362
KAITLYN DEANNA WHITE	PA	2970

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