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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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SPENCER, ROBERT GORDON       
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: 800 W 18TH ST STE 100
EDMOND OK 73103

Address last updated on 10/21/2023
Phone #: (405) 849-9772
Fax #: (405) 849-9683
County: OKLAHOMA
License: 23186
Dated: 11/12/2004
Expires: 11/1/2025
License Type: Medical Doctor
Specialty: Family 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 / 2002
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 FAMILY MEDICINE
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna Elect Choice
Aetna Managed Choice
Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
CIGNA PPO
Coventry Health Care National Network
HealthChoice
Humana ChoiceCare
Humana Medicare Advantage PPO
Humana Tricare/PGBA
Preferred Community Choice
Tricare for Life
Tricare Standard
United Healthcare Choice
United Healthcare EPO
United Healthcare Options PPO
United Healthcare POS
Hospital Privileges: Fairview Regional Medical Center
Fairview, OK
Jefferson County Hospital
Waurika, OK
Mercy Hospital Watonga (fmly Watonga Municipal Hospital)
Watonga, OK
Seiling Municipal Hospital
Seiling, OK
Locations: Hours: Languages:
800 W 18TH ST STE 100
EDMOND OK 73103

Phone #: (405) 849-9772
Fax #: (405) 849-9683
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
CARMEN SANDER CUMPSTON PA 2692
ASHLEY LINDSEY APRN 95427
HILARY BROOKE MAHONEY PA 4469
ALANA MCKINNEY APRN 120
THOMAS CLAYTON SANDER PA 4476
JANA SANDERS APRN 89042
RICHARD WATKINS APRN 97253

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