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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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JOHNSON, JON MARK SR
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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: |
608 SOUTH HESTER ST
STILLWATER OK 74074-3024
Address last updated on 6/23/2023 |
| Phone #: |
(405) 377-8000 |
| Fax #: |
(405) 377-8040 |
| County: |
PAYNE |
| License: |
15120 |
| Dated: |
7/1/1985 |
| Expires: |
7/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Internal Medicine |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
| Graduated: |
6 /
1984 |
| CME Year: |
2027 |
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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 INTERNAL MEDICINE |
| New Patients: |
Yes |
| Medicaid: |
No |
| Medicare: |
Yes |
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| HMO/PPO: |
Aetna PPO
Blue Cross Blue Shield-Blue Traditional
BlueChoice PPO
CIGNA PPO
CommunityCare HMO, Inc
Coventry Health Care National Network
First Health
HealthChoice
Humana ChoiceCare
PHCS (Private Healthcare Systems)
Preferred Community Choice
Private Healthcare Systems (PHCS)
United Healthcare Choice
United Healthcare Options PPO |
| Hospital Privileges: |
Stillwater Medical Center
Stillwater, OK
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