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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST
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FORTNER, GARY DEE
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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.
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| Practice Address: |
1408 N FLORENCE
CLAREMORE OK 74017-3159
Address last updated on 11/3/2021 |
| Phone #: |
(918) 341-1044 |
| Fax #: |
(918) 341-7443 |
| County: |
ROGERS |
| License: |
12540 |
| Dated: |
1/10/1980 |
| Expires: |
1/1/2026 |
| License Type: |
Medical Doctor |
| Specialty: |
Family Medicine |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Loma Linda Univ Sch Of Med, Loma Linda CA 92350 |
| Graduated: |
/
1976 |
| CME Year: |
2028 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF FAMILY MEDICINE |
| New Patients: |
Yes |
| Medicaid: |
No |
| Medicare: |
Yes |
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| HMO/PPO: |
Aetna HMO
Aetna PPO
CIGNA HMO
CIGNA PPO
CommunityCare HMO, Inc
CompMed
Global Health HMO
HealthChoice
Preferred Community Choice
Railroad Medicare
United Healthcare HMO
United Healthcare Options PPO |
| Hospital Privileges: |
Hillcrest Hospital Claremore (fmly Claremore Regional)
Claremore, OK
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Primary Supervisees(s):
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| Name: |
Type: |
License Number: |
Full/Part Time: |
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KATHILEE MATAMOROS
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APRN |
90694 |
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