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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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GRODE, TIMOTHY LEON       
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: MERCY PULMONARY CLINIC
13313 N MERIDIAN
BUILDING D
OKLAHOMA CITY OK 73120

Address last updated on 6/5/2024
Phone #: (405) 755-4290
Fax #: (000) 755-7773
County: OKLAHOMA
License: 12230
Dated: 7/2/1979
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Pulmonary Disease
Internal Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1978
CME Year: 2027
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
12/2/1999 Probation Ended
12/2/1994 Probation
11/19/1994 Suspension, License
Board Filings and/or Orders:
05/16/1997
12/02/1994
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF INTERNAL MEDICINE
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Mercy Hospital OKC
Oklahoma City, OK
Locations: Hours: Languages:
MERCY PULMONARY CLINIC
13313 N MERIDIAN
BUILDING D
OKLAHOMA CITY OK 73120

Phone #: (405) 755-4290
Fax #: (000) 755-7773
Mon: 9:00AM - 3:00PM
Tue: 9:00AM - 3:00PM
Wed: 9:00AM - 3:00PM
Thu: 9:00AM - 3:00PM
Fri:
Sat:
Sun:

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