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Next Update: Thursday, December 19, 2024 12:00 PM CST
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STAFFORD, ANDREA ELIZABETH
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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.
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| Practice Address: |
UTICA PARK CLINIC
1245 SOUTH UTICA
TULSA OK 74104
Address last updated on 2/6/2023 |
| Phone #: |
(918) 382-2567 |
| Fax #: |
(918) 579-2511 |
| County: |
TULSA |
| License: |
25519 |
| Dated: |
4/12/2007 |
| Expires: |
4/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Internal Medicine |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
American Univ Of The Caribbean, Sch Of Med, St Maarten, Netherlands Antille |
| Graduated: |
6 /
2004 |
| CME Year: |
2025 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF INTERNAL MEDICINE |
| New Patients: |
Yes |
| Medicaid: |
No |
| Medicare: |
Yes |
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| 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
BlueChoice PPO
BlueLincs HMO
CIGNA HMO
CIGNA PPO
CommunityCare HMO, Inc
Coventry Health Care National Network
Health Smart Preferred Care (HSPC)
HealthChoice
Humana ChoiceCare
Medicare Blue
PacifiCare of Oklahoma, Inc
Preferred Community Choice
Secure Horizons HMO
SoonerCare HMO
Sparks Premiercare
United Healthcare HMO |
| Hospital Privileges: |
Hillcrest Medical Center
Tulsa, OK
Hillcrest Specialty Hospital
Tulsa, OK
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Primary Supervisees(s):
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| Name: |
Type: |
License Number: |
Full/Part Time: |
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HELEN HOGGARD
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APRN |
83605 |
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