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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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OATMAN, MARK ADAM       
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: 154 S MCCORD RD
PONCA CITY OK 74604

Address last updated on 11/17/2024
Phone #: (918) 240-3709
Fax #:
County: OSAGE
License: 26016
Dated: 1/7/2008
Expires: 1/1/2026
Temp. Lic. Issued: 10/19/2007
Temp. Lic. Expires: 1/26/2008
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 2000
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:
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna HMO
Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
CCN Managed Care
Champ VA
CIGNA HMO
CIGNA PPO
Coventry Health Care National Network
First Health
Great West Healthcare
HealthChoice
Humana ChoiceCare
Humana Medicare Advantage PPO
Humana Tricare/PGBA
Medicare Blue
OSMA Health (formerly Plico PPO)
Pacificare Commercial HMO
PacifiCare of Oklahoma, Inc
PHCS (Private Healthcare Systems)
Preferred Community Choice
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
Hospital Privileges: None listed
Locations: Hours: Languages:
154 S MCCORD RD
PONCA CITY OK 74604

Phone #: (918) 240-3709
Fax #:
Mon:
Tue:
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4110 S 100th Ave
Tulsa, OK 74146

Phone #: (918) 857-7246
Fax #: (7) 201-
Mon:
Tue: 8:00AM - 5:00PM
Wed:
Thu: 8:00AM - 5:00PM
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Spanish
2703 N 14th St
Ponca City, OK 74601

Phone #: (580) 765-9451
Fax #: (10) 202-
Mon:
Tue:
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Thu:
Fri: 12:00AM - 4:00PM
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Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
GIGI CAMPBELL APRN 97569
CHRISTOPHER WAYNE GREENHAGEN PA 2378
PRESTON HASSELL APRN 855
CASSIE LEMASTER APRN 623
TAYLOR LEWIS APRN 112042
TABITHA SPATARO APRN 16894

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