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Last Update: Monday, December 23, 2024 1:13 PM CST
Next Update: Monday, December 23, 2024 4:30 PM CST

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PHELPS, JEREMY TODD       
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: INTEGRIS SPINE AND NEUROLOGICAL SURGERY
3433 NW 56TH ST
BUILDING B SUITE 900
OKLAHOMA CITY OK 73112

Address last updated on 6/1/2024
Phone #: (405) 552-0401
Fax #: (405) 848-3210
County: OKLAHOMA
License: 27908
Dated: 7/1/2010
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Neurological Surgery
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 / 2004
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 NEUROLOGICAL SURGERY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: 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
CIGNA PPO
CompMed
Coventry Health Care National Network
First Health
HealthChoice
Humana ChoiceCare
Humana Medicare Advantage PPO
Humana Tricare/PGBA
Medicare Blue
Multiplan PPO
OSMA Health (formerly Plico PPO)
PPO Oklahoma
Preferred Community Choice
Pronet
Railroad Medicare
SoonerCare PPO
Tricare for Life
Tricare Standard
United Healthcare Choice
United Healthcare EPO
United Healthcare Options PPO
United Healthcare POS
Hospital Privileges: INTEGRIS Baptist Medical Center
Oklahoma City, OK
INTEGRIS Southwest Medical Center
Oklahoma City, OK
Locations: Hours: Languages:
INTEGRIS SPINE AND NEUROLOGICAL SURGERY
3433 NW 56TH ST
BUILDING B SUITE 900
OKLAHOMA CITY OK 73112

Phone #: (405) 552-0401
Fax #: (405) 848-3210
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
GAVIN CHARLES CHRISTIE PA 1170
BRETT ALAN HORST PA 1171
LEIGH ELIZABETH LANGLEY PA 2596
ELIZABETH SPENCER RENOUARD PA 4604

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