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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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SIMMONS, MERL WAYNE       
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 CLINIC EDMOND SANTA FE
1575 NORTH SANTA FE AVENUE
EDMOND OK 73003-0660

Address last updated on 8/22/2019
Phone #: (405) 285-0660
Fax #: (405) 285-0659
County: OKLAHOMA
License: 12504
Dated: 9/25/1979
Expires: 1/30/2021
License Type: Medical Doctor
Specialty: Pediatrics
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Tx Med Branch Galveston, Galveston Tx 77550
Graduated: 5 / 1978
CME Year: 2021
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: AMERICAN BOARD OF PEDIATRICS
New Patients: Yes
Medicaid: Yes
Medicare: No
   
HMO/PPO: Aetna HMO
Aetna PPO
BlueChoice PPO
CommunityCare HMO, Inc
First Health
HealthChoice
OSMA Health (formerly Plico PPO)
PacifiCare of Oklahoma, Inc
Preferred Community Choice
Tricare Standard
United Healthcare Options PPO
United Healthcare POS
Hospital Privileges: Lakeside Women's Hospital
Oklahoma City, OK
Mercy Hospital OKC
Oklahoma City, OK
Locations: Hours: Languages:
MERCY CLINIC EDMOND SANTA FE
1575 NORTH SANTA FE AVENUE
EDMOND OK 73003-0660

Phone #: (405) 285-0660
Fax #: (405) 285-0659
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 5:00PM
Sat: 8:00AM - 6:00PM
Sun: 8:00AM - 5:00PM

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