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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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SHOCKLEY, BLAKE EDWARD       
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: ADVANCED ORTHOPEDICS OF OKLAHOMA PLLC
2488 E 81ST ST STE 290
TULSA OK 74137-4265

Address last updated on 4/11/2024
Phone #: (918) 494-2665
Fax #: (918) 927-3193
County: TULSA
License: 25050
Dated: 6/20/2008
Expires: 6/1/2025
License Type: Medical Doctor
Specialty: Orthopedic Surgery
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 / 2006
CME Year: 2026
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 HMO
Aetna PPO
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
Champ VA
CIGNA PPO
CommunityCare HMO, Inc
CommunityCare Senior HMO
CompMed
Coventry Health Care National Network
Evolutions Healthcare
First Health
Global Health HMO
Health Smart Preferred Care (HSPC)
HealthChoice
Humana ChoiceCare
Humana Medicare Advantage PPO
Humana Tricare/PGBA
Multiplan PPO
One Health Plan PPO
OSMA Health (formerly Plico PPO)
PHCS (Private Healthcare Systems)
PPO Oklahoma
Preferred Community Choice
Prime Advantage Health Plan
Private Healthcare Systems (PHCS)
Railroad Medicare
Secure Horizons HMO
SoonerCare HMO
SoonerCare PPO
Tricare for Life
Tricare Standard
United Healthcare Choice
United Healthcare HMO
United Healthcare Options PPO
United Healthcare POS
United Insurance
Worknet of Oklahoma
Hospital Privileges: Ascension St. John Hospital - Broken Arrow
Broken Arrow, OK
Ascension St. John Medical Center
Tulsa, OK
Hillcrest Specialty Hospital
Tulsa, OK
Memorial Surgery Center
Tulsa, OK
Oklahoma Surgical Hospital (formerly Orthopedic Hospital of Oklahoma)
Tulsa, OK
St. Francis Hospital
Tulsa, OK
St. Francis Hospital - SOUTH
Tulsa, OK
Locations: Hours: Languages:
ADVANCED ORTHOPEDICS OF OKLAHOMA PLLC
2488 E 81ST ST STE 290
TULSA OK 74137-4265

Phone #: (918) 494-2665
Fax #: (918) 927-3193
Mon: 7:00AM - 4:00PM
Tue: 7:00AM - 4:00PM
Wed: 7:00AM - 4:00PM
Thu: 7:00AM - 4:00PM
Fri: 7:00AM - 4:00PM
Sat:
Sun:
6585
STE 200
TULSA, OK 74136

Phone #: (918) 481-2767
Fax #: (1) 201-8
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
KRISTEN NICHOLE BALL PA 3204
THOMAS WACO BASSHAM PA 1371
CLINTON DREW CATOR PA 2255
RANDI NICOLE LUNOW AT 548
ANTHONY KYLE MADDOX II PA 4835
RICHARD LEE MEARS PA 2233
KAITLYN ANDREA MUNGER AT 896
RYAN NUSSBAUM PA 2739
HERBERT CARD RHEA AT 59
JILL BRITTANY RICHARDSON AT 1179
WILLIAM CHRISTOPHER STEPHENS PA 1850
JUSTIN TYLER TOMLINSON PA 3011

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