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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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SHULTZ, AMY LYNN       
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: 3079 BROOKWOOD AVENUE
DUNCAN OK 73533-1514

Address last updated on 6/7/2024
Phone #: (580) 786-4590
Fax #: (580) 786-4593
County: STEPHENS
License: 22384
Dated: 8/7/2002
Expires: 8/1/2025
License Type: Medical Doctor
Specialty: Rheumatology
Internal 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 / 2001
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: AMERICAN BOARD OF INTERNAL MEDICINE
AMERICAN BOARD OF INTERNAL MEDICINE - Rheumatology
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna PPO
Blue Cross Blue Shield-Blue Traditional
BlueChoice PPO
CIGNA PPO
Coventry Health Care National Network
First Health
HealthChoice
Multiplan PPO
Oklahoma Health Network PPO
OSMA Health (formerly Plico PPO)
PHCS (Private Healthcare Systems)
PPO Oklahoma
Preferred Community Choice
Private Healthcare Systems (PHCS)
Railroad Medicare
SoonerCare PPO
Hospital Privileges: Duncan Regional Hospital
Duncan, OK
Locations: Hours: Languages:
3079 BROOKWOOD AVENUE
DUNCAN OK 73533-1514

Phone #: (580) 786-4590
Fax #: (580) 786-4593
Mon: 7:30AM - 5:00PM
Tue: 7:30AM - 5:00PM
Wed: 7:30AM - 5:00PM
Thu: 7:30AM - 5:00PM
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
SHERRIE BURTON APRN 73442
RALPH EUGENE FOUNTAIN PA 498
JOHN GILBERT MILLER PA 1187
LEAH NEWTON APRN 11638
BRETT DILLON PURVIS PA 1773
JEFFREY SCOTT WALTER PA 1029

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