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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST
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WOODRUFF, CONCHITA LUSALYER
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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.
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| Practice Address: |
WARREN CLINIC
10507 E 91ST ST #250
TULSA OK 74133
Address last updated on 8/13/2024 |
| Phone #: |
(918) 307-5560 |
| Fax #: |
(918) 307-5561 |
| County: |
TULSA |
| License: |
23123 |
| Dated: |
9/3/2002 |
| Expires: |
9/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Obstetrics & Gynecology |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
YES |
| Medical School: |
Med Univ Of SC Coll Of Med, Charleston Sc 29425 |
| Graduated: |
5 /
1998 |
| CME Year: |
2026 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF OBSTETRICS AND GYNECOLOGY |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
Aetna HMO
Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
BlueChoice PPO
CIGNA PPO
CommunityCare HMO, Inc
Coventry Health Care National Network
First Health
HealthChoice
Humana Medicare Advantage PPO
Humana Tricare/PGBA
Multiplan PPO
Preferred Community Choice
SoonerCare HMO
SoonerCare PPO
Tricare Standard
United Healthcare Options PPO |
| Hospital Privileges: |
Hillcrest Hospital South (fmly SouthCrest)
Tulsa, OK
St. Francis Hospital - SOUTH
Tulsa, OK
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Primary Supervisees(s):
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| Name: |
Type: |
License Number: |
Full/Part Time: |
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TAMARA MADJID
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APRN |
78685 |
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