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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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NELSON, JOHN W       
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: 5252 N MERIDIAN AVE
SUITE 101
OKLAHOMA CITY OK 73112

Address last updated on 4/30/2024
Phone #: (405) 702-8623
Fax #: (405) 608-8800
County: OKLAHOMA
License: 24875
Dated: 6/23/2006
Expires: 6/1/2025
Temp. Lic. Issued: 4/13/2006
Temp. Lic. Expires: 6/24/2006
License Type: Medical Doctor
Specialty: Anesthesiology
Pain Management (Anesthesiology)
Internal Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Baylor Coll Of Med, Houston Tx 77030
Graduated: 5 / 1976
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 ANESTHESIOLOGY
AMERICAN BOARD OF INTERNAL MEDICINE
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: 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
BlueChoice PPO
CIGNA HMO
CIGNA PPO
Coventry Health Care National Network
Global Health HMO
HealthChoice
Humana ChoiceCare
Humana Medicare Advantage PPO
Humana Tricare/PGBA
Medicare Blue
Multiplan PPO
Railroad Medicare
SoonerCare HMO
SoonerCare PPO
Tricare for Life
Tricare Standard
United Healthcare Choice
United Healthcare HMO
United Healthcare Options PPO
Hospital Privileges: Community Hospital - OKC
Oklahoma City, OK
Locations: Hours: Languages:
5252 N MERIDIAN AVE
SUITE 101
OKLAHOMA CITY OK 73112

Phone #: (405) 702-8623
Fax #: (405) 608-8800
Mon: 8:00AM - 4:30PM
Tue: 8:00AM - 4:30PM
Wed: 8:00AM - 4:30PM
Thu: 8:00AM - 4:30PM
Fri: 8:00AM - 12:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JERE D CLAUNCH PA 1432
KIMBERLY KENNEDY APRN 95808
ANREA WINSTON APRN 83206

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