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ANDERSON, ZACHARIAH JESSIC
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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: |
1101 S. BELMONT SUITE 102
OKMULGEE OK 74447
Address last updated on 4/24/2019 |
| Phone #: |
(918) 756-4345 |
| Fax #: |
(918) 758-3507 |
| County: |
OKMULGEE |
| License: |
22198 |
| Dated: |
5/9/2002 |
| Expires: |
1/17/2020 |
| License Type: |
Medical Doctor |
| Specialty: |
Family Medicine |
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| Status: |
Suspended |
| Status Class: |
Suspended |
| Restricted to: |
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| Registered to Dispense: |
YES |
| Medical School: |
Univ Of ND Sch Of Med and Hlth Sci, Grand Forks Nd 58201 |
| Graduated: |
5 /
1999 |
| CME Year: |
2020 |
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Pending and/or Past Disciplinary Actions:
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| Date |
Action |
Reasons |
Remarks |
| 12/12/2011 |
Complaint Citation |
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| #1/1/1900# |
Past Disciplinary Action |
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| #1/1/1900# |
Past Disciplinary Action |
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| #1/1/1900# |
Past Disciplinary Action |
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| #1/1/1900# |
Past Disciplinary Action |
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| #1/1/1900# |
Past Disciplinary Action |
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Board Filings and/or Orders:
05/15/2019
05/09/2019
03/18/2019
01/09/2019
05/10/2013
05/03/2013
01/12/2012
12/12/2011
12/12/2011
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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: |
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| New Patients: |
No |
| Medicaid: |
No |
| Medicare: |
No |
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| HMO/PPO: |
Aetna Elect Choice
Aetna HMO
Aetna Managed Choice
Aetna PPO
AmCare Health Plans of Oklahoma, Inc (formerly Foundation Health)
BCE Emergis
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
CompMed
Coventry Health Care National Network
Evolutions Healthcare
First Health
Global Health HMO
Great West Healthcare
Guidestar Health Systems
HealthChoice
Heartland Health Plan of Oklahoma
Humana ChoiceCare
Humana Medicare Advantage PPO
Humana Tricare/PGBA
OSMA Health (formerly Plico PPO)
Pacificare Commercial HMO
PacifiCare of Oklahoma, Inc
Private Healthcare Systems (PHCS)
Prudential Health Care Plan, Inc
Railroad Medicare
Secure Horizons HMO
SoonerCare HMO
Tricare for Life
Tricare Standard
United Healthcare Choice
United Healthcare EPO
United Healthcare HMO
United Healthcare Options PPO
United Healthcare POS
United Insurance
Worknet of Oklahoma |
| Hospital Privileges: |
None listed |
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