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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, April 27, 2024 6:58 PM CDT
Next Update: Sunday, April 28, 2024 2:50 AM CDT

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RIDDLE, DOUGLAS RYAN
Practice Address: 4509 INTEGRIS PARKWAY
SUITE 200
EDMOND OK 73034

Address last updated on 7/27/2023
Phone #: (405) 657-3984
Fax #: (405) 471-0046
County: OKLAHOMA
License: 23957
Dated: 9/1/2005
Expires: 9/1/2024
License Type: Medical Doctor
Specialty: Family Medicine
Palliative Medicine
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: 2026
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 FAMILY MEDICINE
New Patients: Yes
Medicaid: Contact licensee
Medicare: Yes
   
HMO/PPO: Aetna Elect Choice
Aetna HMO
Aetna Managed Choice
Aetna PPO
BCE Emergis
Beechstreet 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
Coventry Health Care National Network
First Health
Focus Healthcare
Galaxy Health Network
Global Health HMO
Great West Healthcare
Guidestar Health Systems
Health Smart Preferred Care (HSPC)
HealthChoice
Heartland Health Plan of Oklahoma
Humana ChoiceCare
Humana Medicare Advantage PPO
Humana Tricare/PGBA
Medicare Blue
Multiplan PPO
National Preferred Provider Network (NPPN)
One Health Plan PPO
OSMA Health (formerly Plico PPO)
Pacificare Commercial HMO
PacifiCare of Oklahoma, Inc
Perfect Harmony HMO
PHCS (Private Healthcare Systems)
Physicians Direct Network
PPO USA
Preferred Community Choice
Preferred Health Network-ppoNEXT
Prime Advantage Health Plan
Private Healthcare Systems (PHCS)
Pronet
Prudential Health Care Plan, Inc
Railroad Medicare
Tricare for Life
Tricare Standard
Tyson Preferred Network (TPN)
UniCare Health Plans of Oklahoma
United Healthcare Choice
United Healthcare EPO
United Healthcare HMO
United Healthcare Options PPO
United Healthcare POS
Worknet of Oklahoma
Hospital Privileges: None listed
Locations: Hours: Languages:
4509 INTEGRIS PARKWAY
SUITE 200
EDMOND OK 73034

Phone #: (405) 657-3984
Fax #: (405) 471-0046
Mon: 7:45AM - 5:00PM
Tue: 7:45AM - 5:00PM
Wed: 7:45AM - 5:00PM
Thu: 7:45AM - 5:00PM
Fri: 7:45AM - 5:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
KEVIN EDWIN BEAVER PA 2637
GROVER LEN COMPTON PA 973
LINDSEY NICOLE DASHNER PA 2348
ERICA LYNN DAVIS PA 1623
SHAWN THOMAS FADUM PA 2640
RACHEL GARRISON APRN 87915
JEANIE KAY JOHNSON-SIMPSON PA 1496
HASSAN M KARIM PA 2353
JONATHAN JAMES SMITH PA 2096
MICHAEL JAMES STANCLIFF PA 1868
JANA LYNN THORNTON PA 1314
HUSSEIN TORBATI PA 945
LISA DANETTE WEST PA 1163

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