NICKEL, TIMOTHY JOSEPH - 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

NICKEL, TIMOTHY JOSEPH

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:	ALLERGY CLINIC OF TULSA 9311 S MINGO TULSA OK 74133 Address last updated on 2/20/2024
Phone #:	(918) 307-1613
Fax #:	(918) 307-2454
County:	TULSA
License:	23866
Dated:	4/14/2004
Expires:	4/1/2025
Temp. Lic. Issued:	3/25/2004
Temp. Lic. Expires:	5/26/2004
License Type:	Medical Doctor
Specialty:	Internal Medicine Allergy & Immunology

Status:	Active
Status Class:	Fully Licensed
Restricted to:
Registered to Dispense:	NO
Medical School:	Univ Of KS Sch Of Med, Kansas City Ks 66103
Graduated:	4 / 1998
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 ALLERGY AND IMMUNOLOGY
New Patients:	Yes
Medicaid:	Yes
Medicare:	Yes

HMO/PPO:	Aetna Elect Choice Aetna Managed Choice Aetna PPO Beechstreet PPO Blue Cross Blue Shield-Blue Preferred Blue Cross Blue Shield-Blue Traditional Blue Cross Blue Shield-Plan 65 Select BlueChoice PPO BlueLincs HMO Champ VA CIGNA HMO CIGNA PPO CommunityCare HMO, Inc CommunityCare Senior HMO CompMed First Health Great West Healthcare HealthChoice Humana Tricare/PGBA Multiplan PPO National Preferred Provider Network (NPPN) OSMA Health (formerly Plico PPO) Pacificare Commercial HMO PacifiCare of Oklahoma, Inc PHCS (Private Healthcare Systems) Preferred Community Choice Private Healthcare Systems (PHCS) Railroad Medicare SoonerCare HMO Tricare for Life Tricare Standard United Healthcare Choice United Healthcare EPO United Healthcare HMO United Healthcare Options PPO United Healthcare POS
Hospital Privileges:	Ascension St. John Medical Center Tulsa, OK Hillcrest Hospital South (fmly SouthCrest) Tulsa, OK Hillcrest Medical Center Tulsa, OK St. Francis Hospital Tulsa, OK

Locations:	Hours:	Languages:
ALLERGY CLINIC OF TULSA 9311 S MINGO TULSA OK 74133 Phone #: (918) 307-1613 Fax #: (918) 307-2454	Mon: 7:00AM - 5:00PM Tue: 8:00AM - 5:00PM Wed: 7:00AM - 5:00PM Thu: 7:00AM - 5:00PM Fri: 7:00AM - 5:00PM Sat: Sun:
1727 S UTICA TULSA, OK 74104 Phone #: (918) 307-1613 Fax #: (7) 200-	Mon: 7:00AM - 5:00PM Tue: 8:00AM - 5:00PM Wed: 7:00AM - 5:00PM Thu: 7:00AM - 5:00PM Fri: 7:00AM - 5:00PM Sat: Sun:
6802 S Olympia Avenue Suite 150 Tulsa, OK 74132 Phone #: (918) 307-1613 Fax #: (4) 200-	Mon: 8:00AM - 5:00PM Tue: 8:30AM - 5:30PM Wed: Thu: 9:30AM - 5:30PM Fri: Sat: Sun:
8510 N 123rd E Avenue Owasso, OK 74055 Phone #: (918) 307-1613 Fax #: (7) 200-	Mon: 7:00AM - 4:00PM Tue: 9:00AM - 5:00PM Wed: Thu: 8:00AM - 5:00PM Fri: 7:00AM - 5:00PM Sat: Sun:	Vietnamese

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