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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST

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TIBBS, ROBERT E JR       
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: 14100 PARKWAY COMMONS DRIVE
SUITE 100
OKLAHOMA CITY OK 73134-6036

Address last updated on 5/10/2024
Phone #: (405) 748-3300
Fax #: (405) 749-1671
County: OKLAHOMA
License: 22284
Dated: 6/12/2001
Expires: 6/1/2025
Temp. Lic. Issued: 5/3/2001
Temp. Lic. Expires: 6/29/2001
License Type: Medical Doctor
Specialty: Neurological Surgery
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Al Sch Of Med, Birmingham Al 35294
Graduated: 6 / 1993
CME Year: 2025
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 NEUROLOGICAL SURGERY
New Patients: Yes
Medicaid: No
Medicare: Yes
   
HMO/PPO: Aetna Elect Choice
Aetna HMO
Aetna Managed Choice
Aetna PPO
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
CIGNA HMO
CIGNA PPO
CommunityCare HMO, Inc
Dept of Rehabilitation Services (DRS)
First Health
Global Health HMO
Great West Healthcare
HealthChoice
Multiplan PPO
OSMA Health (formerly Plico PPO)
Pacificare Commercial HMO
PacifiCare of Oklahoma, Inc
Preferred Community Choice
Prudential Health Care Plan, Inc
Railroad Medicare
Tricare for Life
Tricare Standard
United Healthcare Choice
United Healthcare EPO
United Healthcare HMO
United Healthcare Options PPO
Worknet of Oklahoma
Hospital Privileges: Community Hospital - OKC
Oklahoma City, OK
Mercy Hospital OKC
Oklahoma City, OK
Oklahoma Spine Hospital
Oklahoma City, OK
Summit Medical Center
Edmond, OK
Locations: Hours: Languages:
14100 PARKWAY COMMONS DRIVE
SUITE 100
OKLAHOMA CITY OK 73134-6036

Phone #: (405) 748-3300
Fax #: (405) 749-1671
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 5:00PM
Sat:
Sun:
9520 N May Avenue
Suite 231
Oklahoma City, OK 73120

Phone #: (405) 111-1111
Fax #: (4) 202-
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
KATHERINE ELIZABETH ALLEN PA 2202
CANDICE RAE BREEDEN PA 1512
BEAU JAMES BURTON PA 2526
BRANDON SCOTT FUNK PA 1465
LEE MAC GERMANY PA 1717
MARIAH MAE HONSE PA 5106
ALEXIS NICOLE PARKS PA 5086
JENNIFER ROBIN PUTNAM PA 2115
TAMMIE D. REGGIO PA 981
KATRINA CLAIBORNE STEWART PA 2317

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