CLARK, WILLIAM CHARLES JR - Licensee Information

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Last Update: Saturday, April 27, 2024 1:44 PM CDT
Next Update: Saturday, April 27, 2024 4:30 PM CDT

CLARK, WILLIAM CHARLES JR

Practice Address:	ASCENSION MEDICAL GROUP ST. JOHN SCOLIOSIS & SPINE 2000 S WHEELING AVE STE 1110 TULSA OK 74104 Address last updated on 12/4/2023
Phone #:	(918) 744-2154
Fax #:	(918) 770-0979
County:	TULSA
License:	24842
Dated:	2/10/2006
Expires:	2/1/2025
License Type:	Medical Doctor
Specialty:	Orthopedic Surgery Orthopedic Surgery of the Spine

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:	6 / 2001
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 ORTHOPAEDIC SURGERY
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 Blue Works Workers Comp BlueChoice PPO BlueLincs HMO CCN Managed Care Champ VA CIGNA HMO CIGNA PPO CommunityCare HMO, Inc CommunityCare Senior HMO CompMed Coventry Health Care National Network Dept of Rehabilitation Services (DRS) First Health Global Health HMO Great West Healthcare Health Payors Organization (HPO) Health Smart Preferred Care (HSPC) HealthChoice Heartland Health Plan of Oklahoma Humana ChoiceCare Humana Medicare Advantage PPO Humana Tricare/PGBA Medicare Blue Multiplan PPO Oklahoma Health Network PPO OSMA Health (formerly Plico PPO) Pacificare Commercial HMO PacifiCare of Oklahoma, Inc PHCS (Private Healthcare Systems) PPO Oklahoma PPO USA Preferred Community Choice Prime Advantage Health Plan Private Healthcare Systems (PHCS) Prudential Health Care Plan, Inc Railroad Medicare Secure Horizons HMO SoonerCare HMO SoonerCare PPO Tricare for Life Tricare Standard United Healthcare Choice United Healthcare EPO United Healthcare HMO United Healthcare Options PPO United Healthcare POS United Insurance USA Managed Care Welcor/Sooner Worknet of Oklahoma
Hospital Privileges:	St. John Medical Center Tulsa, OK St. John's Hospital - Broken Arrow Broken Arrow, OK Tulsa Spine & Specialty Hospital Tulsa, OK

Locations:	Hours:	Languages:
ASCENSION MEDICAL GROUP ST. JOHN SCOLIOSIS & SPINE 2000 S WHEELING AVE STE 1110 TULSA OK 74104 Phone #: (918) 744-2154 Fax #: (918) 770-0979	Mon: Tue: Wed: Thu: Fri: Sat: Sun:

Name:	Type:	License Number:
Primary Supervisees(s):
AMY KAY BROOKOVER	PA	949
BRIAN THOMAS CARTER	PA	1262
JASON AARON GATES	PA	1785
JASON LAWRENCE STONE	PA	1537
KATELYN STRATHE	AT	1289
BRADLEY TOEWS	PA	2904

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