BAKER, RANDAL SCOTT - 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

BAKER, RANDAL SCOTT

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:	MERCY CLINIC GENERAL SURGERY 4140 W MEMORIAL RD SUITE 621 OKLAHOMA CITY OK 73120 Address last updated on 6/2/2024
Phone #:	(405) 749-4231
Fax #:	(405) 749-4234
County:	OKLAHOMA
License:	22567
Dated:	7/10/2001
Expires:	7/1/2025
License Type:	Medical Doctor
Specialty:	General Surgery

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:	5 / 2000
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 SURGERY
New Patients:	Yes
Medicaid:	Yes
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 Blue Works Workers Comp BlueChoice PPO BlueLincs HMO CIGNA HMO CIGNA PPO CommunityCare HMO, Inc CommunityCare Senior HMO Great West Healthcare HealthChoice Humana ChoiceCare Humana Medicare Advantage PPO Humana Tricare/PGBA Medicare Blue OSMA Health (formerly Plico PPO) Pacificare Commercial HMO PacifiCare of Oklahoma, Inc Physicians Direct Network Preferred Community Choice Railroad Medicare Secure Horizons HMO SoonerCare HMO SoonerCare PPO Tricare for Life Tricare Standard United Healthcare Choice United Healthcare EPO United Healthcare HMO United Healthcare Options PPO United Healthcare POS
Hospital Privileges:	Mercy Hospital OKC Oklahoma City, OK

Locations:	Hours:	Languages:
MERCY CLINIC GENERAL SURGERY 4140 W MEMORIAL RD SUITE 621 OKLAHOMA CITY OK 73120 Phone #: (405) 749-4231 Fax #: (405) 749-4234	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:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisees(s):
NICOLE MANCINELLI	PA	2195

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