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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, May 5, 2024 6:58 PM CDT
Next Update: Monday, May 6, 2024 2:50 AM CDT

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ZANETAKIS, ELLEN IRENE
Practice Address: ERNEST CHILDERS VA OUTPATIENT CLINIC
8921 MINGO RD
TULSA OK 74133-4145

Address last updated on 4/8/2024
Phone #: (888) 397-8387
Fax #:
County: TULSA
License: 16096
Dated: 6/22/1987
Expires: 6/1/2025
License Type: Medical Doctor
Specialty: Rheumatology
Internal Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Northeastern OH Univ Coll of Med & Pharm, Rootstown, OH
Graduated: 5 / 1982
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 INTERNAL MEDICINE
AMERICAN BOARD OF INTERNAL MEDICINE - Rheumatology
New Patients: Yes
Medicaid: No
Medicare: Yes
   
HMO/PPO: Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
CIGNA PPO
CommunityCare HMO, Inc
CommunityCare Senior HMO
CompMed
Coventry Health Care National Network
HealthChoice
Preferred Community Choice
Railroad Medicare
Tricare for Life
Tricare Standard
United Healthcare Options PPO
United Healthcare POS
Hospital Privileges: OSU Medical Center (formerly Tulsa Regional Medical Center)
Tulsa, OK
St. John Medical Center
Tulsa, OK
Locations: Hours: Languages:
ERNEST CHILDERS VA OUTPATIENT CLINIC
8921 MINGO RD
TULSA OK 74133-4145

Phone #: (888) 397-8387
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
KRISTIN MARIE PECK PA 2112

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