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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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STANBRO, PETER BRENT       
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: STANBRO HEALTHCARE GROUP
2000 EAST 15TH STREET
SUITE 400A
EDMOND OK 73013-6673

Address last updated on 8/2/2024
Phone #: (405) 341-1697
Fax #: (405) 341-2672
County: OKLAHOMA
License: 27353
Dated: 9/22/2009
Expires: 9/1/2025
Temp. Lic. Issued: 9/4/2009
Temp. Lic. Expires: 11/20/2009
License Type: Medical Doctor
Specialty: Child and Adolescent Psychiatry
Psychiatry
PUBLIC HEALTH
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ at Buffalo Sch of Med and Biomedical Sci, SUNY, Buffalo, NY
Graduated: 6 / 2002
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:
New Patients: Yes
Medicaid: Yes
Medicare: No
   
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
Blue Works Workers Comp
BlueChoice PPO
Champ VA
CIGNA HMO
CIGNA PPO
CommunityCare HMO, Inc
Coventry Health Care National Network
Global Health HMO
Health Smart Preferred Care (HSPC)
HealthChoice
Humana ChoiceCare
Humana Tricare/PGBA
Medicare Blue
Multiplan PPO
Oklahoma Health Network PPO
OSMA Health (formerly Plico PPO)
PPO USA
Preferred Community Choice
SoonerCare HMO
Tricare Standard
United Healthcare Choice
United Healthcare EPO
United Healthcare HMO
United Healthcare Options PPO
United Healthcare POS
Hospital Privileges: OU Health Medical Center
Oklahoma City, OK
Locations: Hours: Languages:
STANBRO HEALTHCARE GROUP
2000 EAST 15TH STREET
SUITE 400A
EDMOND OK 73013-6673

Phone #: (405) 341-1697
Fax #: (405) 341-2672
Mon: 8:00AM - 6:00PM
Tue: 8:00AM - 6:00PM
Wed: 8:00AM - 6:00PM
Thu: 8:00AM - 6:00PM
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
POOJA BHAKTA PA 2944
KRISTIN MANUSINA COLTON PA 1817
LOUIS GUERRANT PA 3150
STEPHEN JOHNSTON PA 2500
DANE C MITCHELL PA 5015
DESTINY LASHA ROSE PA 4412
WILLIAM SCOTT SIMS PA 4507

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