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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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HAAG, MATTHEW JAMES       
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: 2801 N.W. 23RD STREET
OKLAHOMA CITY OK 73107

Address last updated on 11/25/2024
Phone #: (405) 602-2525
Fax #: (405) 602-2585
County: OKLAHOMA
License: 22701
Dated: 12/4/2001
Expires: 12/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
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 / 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:
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: 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 PPO
CommunityCare HMO, Inc
Coventry Health Care National Network
First Health
Great West Healthcare
Health Smart Preferred Care (HSPC)
HealthChoice
Humana Medicare Advantage PPO
Humana Tricare/PGBA
Medicare Blue
Pacificare Commercial HMO
PacifiCare of Oklahoma, Inc
Preferred Community Choice
Secure Horizons HMO
SoonerCare HMO
SoonerCare PPO
Tricare for Life
Tricare Standard
United Healthcare Choice
United Healthcare HMO
United Healthcare Options PPO
United Healthcare POS
Hospital Privileges: INTEGRIS Baptist Portland Ave (fmly Deaconess Hospital)
Oklahoma City, OK
Locations: Hours: Languages:
2801 N.W. 23RD STREET
OKLAHOMA CITY OK 73107

Phone #: (405) 602-2525
Fax #: (405) 602-2585
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Spanish
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JALYN BYRD APRN 92389
ELIZABETH ARLANA DOTY PA 1903
CEFERINO DUMANAS JR. APRN 6143
REAGAN LEE HELD PA 1502
ALLYSON PAIGE KRAKER PA 1267
LINDSAY ROMINE APRN 92329
SHAYLEE ROWE APRN 118681
WHITNEY SIMMONS APRN 705
MINDY KAY SIMON PA 1587
JAMIE STOKES APRN 113757

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