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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, December 22, 2024 6:44 PM CST
Next Update: Monday, December 23, 2024 2:50 AM CST

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LILLY, SCOTT GREGORY       
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.
Practice Address: 7890 E 106TH PL S UNIT V12
TULSA OK 74133

Address last updated on 5/8/2024
Phone #: (918) 922-7686
Fax #:
County: TULSA
License: 21684
Dated: 7/26/2000
Expires: 7/1/2025
Temp. Lic. Issued: 7/13/2000
Temp. Lic. Expires: 9/30/2000
License Type: Medical Doctor
Specialty: Medical Oncology
HEMATOLOGY/ONCOLOGY
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ of Toledo Coll of Med, Toledo OH 43699
Graduated: 5 / 1991
CME Year: 2027
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
11/17/2023 License Reinstated
4/29/2019 Modification Order
1/11/2018 Modification Order
11/8/2017 Suspension, License
7/27/2016 Complaint Citation
Board Filings and/or Orders:
11/17/2023
05/02/2019
02/26/2018
11/08/2017
02/17/2017
07/25/2016
07/25/2016
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF INTERNAL MEDICINE - Medical Oncology
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
7890 E 106TH PL S UNIT V12
TULSA OK 74133

Phone #: (918) 922-7686
Fax #:
Mon: 10:00AM - 5:00PM
Tue: 10:00AM - 5:00PM
Wed: 10:00AM - 5:00PM
Thu: 10:00AM - 5:00PM
Fri: 10:00AM - 2:00PM
Sat:
Sun:
Spanish
Axis Health Care
2431 SE Washington Blvd Ste B
Bartlesville, OK 74006

Phone #: (918) 335-2273
Fax #: (8) 202-
Mon:
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Axis Healthcare Inola
23 W Commercial Dr
Inola, OK 74036

Phone #: (918) 543-8880
Fax #: (8) 202-
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Axis Healt 3hcare Sapulpa
303 E Taft Ave Ste
sapulpa, OK 74066

Phone #: (918) 224-2222
Fax #: (8) 202-
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Axis Healthcare Pryor
211 S Mill St
Pryor, OK 74361

Phone #: (918) 825-3777
Fax #: (8) 202-
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11911 S. Memorial Dr.
Bixby, OK 74008

Phone #: (918) 943-3790
Fax #: (1) 201-
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 2:00PM
Sat:
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