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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST

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HANAN, RUSSELL LEON JR       
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: 608 NW 9TH STREET
SUITE 5010
OKLAHOMA CITY OK 73102-1049

Address last updated on 5/18/2015
Phone #: (405) 235-3245
Fax #: (405) 235-6991
County: OKLAHOMA
License: 10300
Dated: 6/30/1974
Expires: 6/1/2017
License Type: Medical Doctor
Specialty: General Surgery
Status: Inactive
Status Class: Physician Emeritus
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: / 1973
CME Year: 2019
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:
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna HMO
Aetna PPO
Blue Cross Blue Shield-Blue Traditional
BlueChoice PPO
BlueLincs HMO
Champ VA
CIGNA HMO
CIGNA PPO
CommunityCare HMO, Inc
First Health
Global Health HMO
HealthChoice
Humana Tricare/PGBA
OSMA Health (formerly Plico PPO)
PacifiCare of Oklahoma, Inc
PHCS (Private Healthcare Systems)
Preferred Community Choice
Private Healthcare Systems (PHCS)
Secure Horizons HMO
SoonerCare HMO
Tricare for Life
Tricare Standard
United Healthcare EPO
United Healthcare HMO
United Healthcare Options PPO
United Healthcare POS
Worknet of Oklahoma
Hospital Privileges: INTEGRIS Baptist Portland Ave (fmly Deaconess Hospital)
Oklahoma City, OK
SSM Health St. Anthony Hospital - OKC
Oklahoma City, OK
Weatherford Regional Hospital (fmly Southwestern Memorial Hospital)
Weatherford, OK
Locations: Hours: Languages:
608 NW 9TH STREET
SUITE 5010
OKLAHOMA CITY OK 73102-1049

Phone #: (405) 235-3245
Fax #: (405) 235-6991
Mon: 9:00AM - 4:30PM
Tue: 9:00AM - 4:30PM
Wed: 9:00AM - 4:30PM
Thu: 9:00AM - 4:30PM
Fri: 9:00AM - 4:30PM
Sat:
Sun:
213 north illinois
Weatherford, OK 73096

Phone #: (580) 774-5089
Fax #:
Mon:
Tue:
Wed:
Thu: 9:00AM - 4:30PM
Fri: 9:00AM - 4:30PM
Sat:
Sun:

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