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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, November 21, 2024 6:43 PM CST
Next Update: Friday, November 22, 2024 2:50 AM CST

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STANSILL, JASON TYLER       
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: VITALITY MEDICAL
209 N OAK ST
SALLISAW OK 74955

Address last updated on 7/18/2024
Phone #: (918) 503-6276
Fax #: (918) 503-6294
County: SEQUOYAH
License: 22433
Dated: 9/3/2002
Expires: 9/1/2025
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Wa Sch Of Med, Seattle Wa 98195
Graduated: 6 / 2001
CME Year: 2025
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
4/11/2023 Probation Ended
4/11/2018 Voluntary Submittal to Jurisdiction
7/7/2017 Complaint Citation
Board Filings and/or Orders:
04/11/2018
01/03/2018
07/07/2017
07/07/2017
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF INTERNAL MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Hillcrest Medical Center
Tulsa, OK
Hillcrest Specialty Hospital
Tulsa, OK
Locations: Hours: Languages:
VITALITY MEDICAL
209 N OAK ST
SALLISAW OK 74955

Phone #: (918) 503-6276
Fax #: (918) 503-6294
Mon:
Tue: 8:00AM - 5:00PM
Wed:
Thu: 8:00AM - 5:00PM
Fri:
Sat:
Sun:

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