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Next Update: Monday, December 23, 2024 2:50 AM CST
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EXON, WALTER JAY
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This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
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| Practice Address: |
Not Currently Practicing
TULSA OK 74105
Address last updated on 3/25/2013 |
| Phone #: |
(918) 938-7701 |
| Fax #: |
(918) 938-7706 |
| County: |
TULSA |
| License: |
10770 |
| Dated: |
3/15/1976 |
| Expires: |
5/10/2018 |
| License Type: |
Medical Doctor |
| Specialty: |
Pediatrics |
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| Status: |
Inactive |
| Status Class: |
Disciplinary Action |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
| Graduated: |
6 /
1973 |
| CME Year: |
2019 |
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Pending and/or Past Disciplinary Actions:
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| Date |
Action |
Reasons |
Remarks |
| 5/10/2018 |
Revoked License |
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| 8/23/2017 |
Amended Complaint |
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| 3/24/2016 |
Complaint Citation |
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Board Filings and/or Orders:
06/12/2018
03/26/2018
03/26/2018
02/15/2018
02/13/2018
08/23/2017
08/23/2017
10/20/2016
03/24/2016
03/24/2016
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF PEDIATRICS |
| New Patients: |
Yes |
| Medicaid: |
No |
| Medicare: |
No |
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| HMO/PPO: |
Beechstreet PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
BlueChoice PPO
BlueLincs HMO
Champ VA
CIGNA HMO
CIGNA PPO
CommunityCare HMO, Inc
HealthChoice
Humana Tricare/PGBA
One Health Plan PPO
PacifiCare of Oklahoma, Inc
PHCS (Private Healthcare Systems)
Preferred Community Choice
Prime Advantage Health Plan
Prudential Health Care Plan, Inc
SoonerCare HMO
Tricare Standard
United Healthcare HMO
United Healthcare Options PPO |
| Hospital Privileges: |
None listed |
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| Locations: |
Hours: |
Languages: |
Not Currently Practicing
TULSA OK 74105
Phone #:
(918) 938-7701
Fax #:
(918) 938-7706 |
Mon: 7:00AM - 5:00PM
Tue: 7:00AM - 5:00PM
Wed: 7:00AM - 5:00PM
Thu: 7:00AM - 5:00PM
Fri: 7:00AM - 5:00PM
Sat:
Sun: |
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