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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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SLOAT, ROSE ELLEN O'       
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: XAVIER CLINIC
10711 E 11TH ST
TULSA OK 74128-3200

Address last updated on 6/3/2024
Phone #: (918) 430-3572
Fax #: (918) 583-7205
County: OKLAHOMA
License: 26414
Dated: 7/1/2010
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: American Univ Of The Caribbean, Sch Of Med, St Maarten, Netherlands Antille
Graduated: 4 / 2008
CME Year: 2025
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 FAMILY MEDICINE
New Patients: Yes
Medicaid: No
Medicare: No
   
HMO/PPO: Aetna Elect Choice
Aetna HMO
Aetna Managed Choice
Aetna PPO
Beechstreet PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
BlueLincs HMO
Champ VA
CIGNA HMO
CIGNA PPO
CommunityCare HMO, Inc
CommunityCare Senior HMO
Coventry Health Care National Network
First Health
Global Health HMO
Great West Healthcare
HealthChoice
Humana ChoiceCare
Humana Medicare Advantage PPO
Humana Tricare/PGBA
Medicare Blue
Pacificare Commercial HMO
PacifiCare of Oklahoma, Inc
Private Healthcare Systems (PHCS)
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:
XAVIER CLINIC
10711 E 11TH ST
TULSA OK 74128-3200

Phone #: (918) 430-3572
Fax #: (918) 583-7205
Mon: 8:30AM - 4:00PM
Tue: 8:30AM - 4:00PM
Wed: 8:30AM - 4:00PM
Thu: 8:30AM - 4:00PM
Fri: 8:30AM - 4:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
SINDY AGUINAGA SOTO APRN 115979
SIANNA BATES APRN 8132
AMY MARIE CAMPBELL PA 2013
NANDINI ASNANI DHAMEJA PA 2919
KAYLYNN COATS ELMORE PA 1953
TEXY EYADIEL APRN 100233
MINI GEORGE PA 1334
LAURA KATHRYN HOLMAN PA 2726
LARRY MARTIN HYTCHE PA 1975
KELSEY NICOLE KLEIN PA 2391
JENNIFER RENEE MEANS PA 2084
DAVID JOSEPH OLSON PA 2248
CHARLON ORR APRN 80208
MADELINE ANNE PENNER PA 2437
LEONARDO RAUCH PA 1733
NATALIE SUMMERLIN APRN 65326
RICHELLE CHRISTINE VOTH PA 2427

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