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Oklahoma Board of Medical Licensure and Supervision

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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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HOLMES, AMY NICOLE       
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: 1901 TATE SPRINGS RD
LYNCHBURG VA 24501

Address last updated on 6/10/2019
Phone #: (580) 765-3321
Fax #:
County: NOT OKLAHOMA
License: 24077
Dated: 6/1/2006
Expires: 1/30/2021
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: G WASHINGTON UNIV SCH MED & HLTH SCI, WASHINGTON DC 20037
Graduated: 5 / 2004
CME Year: 2021
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 HMO
Aetna Managed Choice
Aetna PPO
BCE Emergis
Beechstreet PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
Blue Works Workers Comp
BlueChoice PPO
BlueLincs HMO
CCN Managed Care
Champ VA
CIGNA HMO
CIGNA PPO
CommunityCare HMO, Inc
CommunityCare Senior HMO
CompMed
Coventry Health Care National Network
Dept of Rehabilitation Services (DRS)
Evolutions Healthcare
First Health
Focus Healthcare
Galaxy Health Network
Global Health HMO
Great West Healthcare
Guidestar Health Systems
Health Smart Preferred Care (HSPC)
HealthChoice
Heartland Health Plan of Oklahoma
Humana ChoiceCare
Humana Medicare Advantage PPO
Humana Tricare/PGBA
Medicare Blue
Multiplan PPO
National Preferred Provider Network (NPPN)
One Health Plan PPO
OSMA Health (formerly Plico PPO)
Pacificare Commercial HMO
PacifiCare of Oklahoma, Inc
Perfect Harmony HMO
PHCS (Private Healthcare Systems)
Physicians Direct Network
PPO USA
Preferred Community Choice
Preferred Health Network-ppoNEXT
Prime Advantage Health Plan
Private Healthcare Systems (PHCS)
Pronet
Prudential Health Care Plan, Inc
Railroad Medicare
Secure Horizons HMO
SoonerCare HMO
SoonerCare PPO
Sparks Premiercare
Tricare for Life
Tricare Standard
Tyson Preferred Network (TPN)
UniCare Health Plans of Oklahoma
United Healthcare Choice
United Healthcare EPO
United Healthcare HMO
United Healthcare Options PPO
United Healthcare POS
USA Managed Care
Welcor/Sooner
Worknet of Oklahoma
Hospital Privileges: INTEGRIS Health Ponca City Hospital -(frmly Via Christi)
Ponca City, OK
Locations: Hours: Languages:
1901 TATE SPRINGS RD
LYNCHBURG VA 24501

Phone #: (580) 765-3321
Fax #:
Mon: 7:00AM - 7:00PM
Tue: 7:00AM - 7:00PM
Wed:
Thu:
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Sun:
1401 North 14th St
Ponca City, OK 74601

Phone #: (580) 767-1777
Fax #:
Mon:
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Thu:
Fri: 9:00AM - 12:00PM
Sat:
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Spanish
212 N Main St
Fairfax, OK 74637

Phone #: (918) 642-3100
Fax #:
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Sun: PRN
119 W Main St
Hominy, OK 74035

Phone #: (918) 885-4640
Fax #:
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Sun: PRN
215 N 3rd St
Ponca City, OK 74601

Phone #: (580) 767-1777
Fax #:
Mon:
Tue:
Wed: 8:00AM - 6:00PM
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