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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Thursday, December 19, 2024 12:00 PM CST

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CRAWFORD, MICHAEL KENNETH       
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: 13321 NORTH MERIDIAN AVENUE
SUITE 210
OKLAHOMA CITY OK 73120-8356

Address last updated on 5/5/2022
Phone #: (405) 748-4343
Fax #: (405) 936-0585
County: OKLAHOMA
License: 14749
Dated: 6/30/1984
Expires: 6/1/2025
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1983
CME Year: 2025
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
5/16/2004 Probation Ended
5/16/1999 Probation
5/7/1999 Suspension, License
Board Filings and/or Orders:
06/29/2001
05/07/1999
01/29/1999
01/29/1999
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: No
Medicare: Yes
   
HMO/PPO: Aetna Elect 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
Coventry Health Care National Network
First Health
HealthChoice
OSMA Health (formerly Plico PPO)
PHCS (Private Healthcare Systems)
Preferred Community Choice
Private Healthcare Systems (PHCS)
United Healthcare Choice
United Healthcare EPO
United Healthcare Options PPO
United Healthcare POS
Hospital Privileges: Mercy Hospital OKC
Oklahoma City, OK
Locations: Hours: Languages:
13321 NORTH MERIDIAN AVENUE
SUITE 210
OKLAHOMA CITY OK 73120-8356

Phone #: (405) 748-4343
Fax #: (405) 936-0585
Mon: 9:00AM - 4:30PM
Tue: 9:00AM - 4:30PM
Wed: 9:00AM - 4:30PM
Thu: 9:00AM - 4:30PM
Fri: 9:00AM - 4:30PM
Sat:
Sun:

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