INGRAM, RUSSELL DEAN - Licensee Information

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

INGRAM, RUSSELL DEAN

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:	TOTAL HEALTHCARE PARTNERS 4400 GRANT BLVD YUKON OK 73099 Address last updated on 6/3/2024
Phone #:	(405) 470-7414
Fax #:	(405) 470-5579
County:	OKLAHOMA
License:	26430
Dated:	7/1/2009
Expires:	7/1/2025
License Type:	Medical Doctor
Specialty:	Family Medicine

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 / 2008
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 FAMILY MEDICINE
New Patients:	Yes
Medicaid:	Yes
Medicare:	Yes

HMO/PPO:	Aetna Elect Choice Aetna HMO Aetna Managed Choice Aetna PPO AmCare Health Plans of Oklahoma, Inc (formerly Foundation Health) BCE Emergis Blue Cross Blue Shield-Blue Preferred Blue Cross Blue Shield-Blue Traditional Blue Cross Blue Shield-Plan 65 Select BlueChoice PPO Champ VA CIGNA HMO CIGNA PPO CommunityCare HMO, Inc Coventry Health Care National Network First Health Galaxy Health Network HealthChoice Humana ChoiceCare Humana Medicare Advantage PPO Humana Tricare/PGBA Medicare Blue Oklahoma Health Network PPO OSMA Health (formerly Plico PPO) Physicians Direct Network PPO Oklahoma PPO USA Secure Horizons HMO Tricare for Life Tricare Standard United Healthcare Choice United Healthcare EPO United Healthcare Options PPO United Healthcare POS United Insurance
Hospital Privileges:	Community Hospital - OKC Oklahoma City, OK INTEGRIS Baptist Medical Center Oklahoma City, OK INTEGRIS Baptist Portland Ave (fmly Deaconess Hospital) Oklahoma City, OK Northwest Surgical Hospital Oklahoma City, OK

Locations:	Hours:	Languages:
TOTAL HEALTHCARE PARTNERS 4400 GRANT BLVD YUKON OK 73099 Phone #: (405) 470-7414 Fax #: (405) 470-5579	Mon: 8:00AM - 5:00PM Tue: 8:00AM - 5:00PM Wed: 8:00AM - 5:00PM Thu: 8:00AM - 5:00PM Fri: 8:00AM - 5:00PM Sat: Sun:

Name:	Type:	License Number:
Primary Supervisees(s):
MILLY COX	APRN	1527
CHRISTINE HAUCK	APRN	79042
SARAH MENZ	APRN	84662

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