ELLIS, DAVID PAUL - Licensee Information

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Last Update: Thursday, May 2, 2024 2:23 PM CDT
Next Update: Thursday, May 2, 2024 4:30 PM CDT

ELLIS, DAVID PAUL

Practice Address:	15000 N DOUGLAS BLVD JONES OK 73049-3447 Address last updated on 6/23/2023
Phone #:	(405) 205-8717
Fax #:	(405) 555-5555
County:	OKLAHOMA
License:	15874
Dated:	7/1/1986
Expires:	7/1/2024
License Type:	Medical Doctor
Specialty:	Anesthesiology Pain Management (Anesthesiology)

Status:	Active
Status Class:	Fully Licensed
Restricted to:
Registered to Dispense:	YES
Medical School:	Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated:	6 / 1981
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 ANESTHESIOLOGY AMERICAN BOARD OF ANESTHESIOLOGY - Pain Medicine ABPS - Anesthesiology
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 BlueLincs HMO Champ VA CIGNA PPO Coventry Health Care National Network Evolutions Healthcare First Health Global Health HMO Great West Healthcare HealthChoice Humana ChoiceCare Humana Medicare Advantage PPO Humana Tricare/PGBA Medicare Blue Multiplan PPO OSMA Health (formerly Plico PPO) Pacificare Commercial HMO PacifiCare of Oklahoma, Inc PHCS (Private Healthcare Systems) PPO USA Preferred Community Choice Private Healthcare Systems (PHCS) Railroad Medicare Secure Horizons HMO SoonerCare HMO Tricare for Life Tricare Standard United Healthcare Choice United Healthcare EPO United Healthcare HMO United Healthcare Options PPO United Healthcare POS
Hospital Privileges:	INTEGRIS Baptist Medical Center Oklahoma City, OK INTEGRIS Southwest Medical Center Oklahoma City, OK Summit Medical Center Edmond, OK

Locations:	Hours:	Languages:
15000 N DOUGLAS BLVD JONES OK 73049-3447 Phone #: (405) 205-8717 Fax #: (405) 555-5555	Mon: 9:00AM - 3:00PM Tue: Wed: Thu: Fri: Sat: Sun:

Name:	Type:	License Number:
Primary Supervisees(s):
AMBER MICHELLE DRENNEN	PA	1951
JESSICA MARIE WELLS-BURRIS	PA	2102