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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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ALDRICH, RYAN KYLE       
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: ST ANTHONY PHYSICIANS FAMILY HEALTHCARE
3204 MEDICAL PARK DR
SHAWNEE OK 74804-5014

Address last updated on 8/5/2024
Phone #: (405) 878-6800
Fax #: (405) 214-3518
County: POTTAWATOMIE
License: 24496
Dated: 9/7/2006
Expires: 9/1/2025
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: 5 / 2005
CME Year: 2027
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 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
First Health
HealthChoice
Humana ChoiceCare
Humana Tricare/PGBA
Multiplan PPO
Oklahoma Health Network PPO
One Health Plan PPO
OSMA Health (formerly Plico PPO)
PHCS (Private Healthcare Systems)
PPO Oklahoma
PPO USA
Preferred Community Choice
Private Healthcare Systems (PHCS)
Railroad Medicare
Tricare for Life
Tricare Standard
United Healthcare Choice
United Healthcare Options PPO
Hospital Privileges: SSM Health St. Anthony Shawnee Hospital (fmly Unity Health Ctr)
Shawnee, OK
Locations: Hours: Languages:
ST ANTHONY PHYSICIANS FAMILY HEALTHCARE
3204 MEDICAL PARK DR
SHAWNEE OK 74804-5014

Phone #: (405) 878-6800
Fax #: (405) 214-3518
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JULIANNE CLARK APRN 61442
BENJAMIN JOHNSON CLEVELAND AT 911
ANGELA MOTLEY APRN 5970
SHELBY PARSONS APRN 7105
AMBER LYNN SONS AT 1346
LYNSIE BROOKE WATKINS AT 878
JAKOBI WHITE AT 1363
WALTER LEONARD WRIGHT II AT 968

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