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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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CLARK, WILLIAM CHARLES JR       
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: ASCENSION MEDICAL GROUP ST. JOHN SCOLIOSIS & SPINE
2000 S WHEELING AVE STE 1110
TULSA OK 74104

Address last updated on 12/16/2024
Phone #: (918) 301-6018
Fax #: (918) 770-0979
County: TULSA
License: 24842
Dated: 2/10/2006
Expires: 2/1/2026
License Type: Medical Doctor
Specialty: Orthopedic Surgery
Orthopedic Surgery of the Spine
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 / 2001
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 ORTHOPAEDIC SURGERY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna Elect Choice
Aetna HMO
Aetna Managed Choice
Aetna 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)
First Health
Global Health HMO
Great West Healthcare
Health Payors Organization (HPO)
Health Smart Preferred Care (HSPC)
HealthChoice
Heartland Health Plan of Oklahoma
Humana ChoiceCare
Humana Medicare Advantage PPO
Humana Tricare/PGBA
Medicare Blue
Multiplan PPO
Oklahoma Health Network PPO
OSMA Health (formerly Plico PPO)
Pacificare Commercial HMO
PacifiCare of Oklahoma, Inc
PHCS (Private Healthcare Systems)
PPO Oklahoma
PPO USA
Preferred Community Choice
Prime Advantage Health Plan
Private Healthcare Systems (PHCS)
Prudential Health Care Plan, Inc
Railroad Medicare
Secure Horizons HMO
SoonerCare HMO
SoonerCare PPO
Tricare for Life
Tricare Standard
United Healthcare Choice
United Healthcare EPO
United Healthcare HMO
United Healthcare Options PPO
United Healthcare POS
United Insurance
USA Managed Care
Welcor/Sooner
Worknet of Oklahoma
Hospital Privileges: Ascension St. John Hospital - Broken Arrow
Broken Arrow, OK
Ascension St. John Medical Center
Tulsa, OK
Locations: Hours: Languages:
ASCENSION MEDICAL GROUP ST. JOHN SCOLIOSIS & SPINE
2000 S WHEELING AVE STE 1110
TULSA OK 74104

Phone #: (918) 301-6018
Fax #: (918) 770-0979
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
AMY KAY BROOKOVER PA 949
BRIAN THOMAS CARTER PA 1262
JASON AARON GATES PA 1785
JASON LAWRENCE STONE PA 1537
BRADLEY TOEWS PA 2904

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