Oklahoma State SealOklahoma State Seal
Oklahoma Board of Medical Licensure and Supervision

Search Results

Last Update: Wednesday, December 25, 2024 6:43 PM CST
Next Update: Thursday, December 26, 2024 2:50 AM CST

Return to Search Licensees page

WAYNE, PETER HERMAN III       
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: NORTON AUDUBON HOSPITAL
VASCULAR ACCESS CENTER
ONE AUDUBON PLAZA DRIVE
LOUISVILLE KY 40217

Address last updated on 5/31/2010
Phone #: (502) 636-8866
Fax #: (502) 636-8863
County: NOT OKLAHOMA
License: 11388
Dated: 7/16/1977
Expires: 7/1/2011
License Type: Medical Doctor
Specialty: Diagnostic Radiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Wayne State Univ SOM, Detroit Mi 48201
Graduated: / 1972
CME Year: 2012
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: None listed
Hospital Privileges: Hospital(s) Not In Oklahoma
,
Locations: Hours: Languages:
NORTON AUDUBON HOSPITAL
VASCULAR ACCESS CENTER
ONE AUDUBON PLAZA DRIVE
LOUISVILLE KY 40217

Phone #: (502) 636-8866
Fax #: (502) 636-8863
Mon: 7:00AM - 6:00PM
Tue: 7:00AM - 6:00PM
Wed: 7:00AM - 6:00PM
Thu: 7:00AM - 6:00PM
Fri: 7:00AM - 6:00PM
Sat:
Sun:

Return to Search Licensees page