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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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DONEY, JACK RICHARD       
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: 310 2ND SW
SUITE 201
MIAMI OK 74354-6808

Address last updated on 1/3/2020
Phone #: (918) 542-8477
Fax #: (918) 542-6422
County: OTTAWA
License: 11653
Dated: 2/22/1978
Expires: 2/1/2026
License Type: Medical Doctor
Specialty: Family Medicine
Obstetrics & Gynecology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Wa Sch Of Med, Seattle Wa 98195
Graduated: 6 / 1976
CME Year: 2028
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 Elect Choice
Aetna Managed Choice
Aetna PPO
Beechstreet PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
CIGNA PPO
CompMed
First Health
HealthChoice
Humana ChoiceCare
Humana Medicare Advantage PPO
Humana Tricare/PGBA
National Preferred Provider Network (NPPN)
One Health Plan PPO
OSMA Health (formerly Plico PPO)
PHCS (Private Healthcare Systems)
Physicians Direct Network
PPO USA
Preferred Community Choice
Private Healthcare Systems (PHCS)
Railroad Medicare
Secure Horizons HMO
SoonerCare PPO
Tricare for Life
Tricare Standard
Tyson Preferred Network (TPN)
United Healthcare Choice
United Healthcare EPO
United Healthcare Options PPO
Hospital Privileges: INTEGRIS Baptist Regional Health Ctr.
Miami, OK
INTEGRIS Grove General Hospital
Grove, OK
INTEGRIS Mayes County Medical Center
Pryor, OK
Locations: Hours: Languages:
310 2ND SW
SUITE 201
MIAMI OK 74354-6808

Phone #: (918) 542-8477
Fax #: (918) 542-6422
Mon: 8:30AM - 5:00PM
Tue: 8:30AM - 5:00PM
Wed: 8:30AM - 4:00PM
Thu: 8:30AM - 5:00PM
Fri: 8:30AM - 12:00PM
Sat: CLOSED
Sun: CLOSED
10025 S 705 Rd
Wyandotte, OK 74370

Phone #: (918) 303-5433
Fax #: (8) 202-9
Mon: 5:00AM - 2:00PM
Tue: 5:00AM - 2:00PM
Wed: 5:00AM - 2:00PM
Thu: 5:00AM - 2:00PM
Fri: 5:00AM - 2:00PM
Sat: 5:00AM - 12:00PM
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
AMY ELIZABETH MERCER PA 1624

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