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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, May 6, 2024 11:02 AM CDT
Next Update: Monday, May 6, 2024 4:30 PM CDT

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ELLIOTT, RANDOLPH CHARLES
Practice Address: 1200 S BELMONT
OKMULGEE OK 74447

Address last updated on 8/2/2022
Phone #:
Fax #:
County: OKMULGEE
License: 11509
Dated: 9/17/1977
Expires: 9/1/2024
License Type: Medical Doctor
Specialty: Obstetrics & Gynecology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of TX Southwestern Med Sch At Dallas SW Med Sch, Dallas Tx 75235
Graduated: 6 / 1973
CME Year: 2024
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 OBSTETRICS AND GYNECOLOGY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
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
BlueChoice PPO
CCN Managed Care
CIGNA HMO
CIGNA PPO
CommunityCare HMO, Inc
CommunityCare Senior HMO
Coventry Health Care National Network
Great West Healthcare
HealthChoice
Humana ChoiceCare
Multiplan PPO
National Preferred Provider Network (NPPN)
One Health Plan PPO
OSMA Health (formerly Plico PPO)
Pacificare Commercial HMO
PacifiCare of Oklahoma, Inc
PHCS (Private Healthcare Systems)
Preferred Community Choice
Private Healthcare Systems (PHCS)
SoonerCare HMO
United Healthcare Choice
United Healthcare EPO
United Healthcare HMO
United Healthcare Options PPO
United Healthcare POS
Hospital Privileges: None listed
Locations: Hours: Languages:
1200 S BELMONT
OKMULGEE OK 74447

Phone #:
Fax #:
Mon:
Tue:
Wed: 8:30AM - 4:30PM
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JACQUELINE MOORE APRN 33672

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