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Next Update: Thursday, December 19, 2024 2:50 AM CST
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PENNINGTON, LARRY RAY
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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: |
DEPT OF SURGERY WP2140
920 STANTON L YOUNG
OKLAHOMA CITY OK 73104
Address last updated on 2/4/2013 |
| Phone #: |
(405) 271-6240 |
| Fax #: |
(405) 271-3919 |
| County: |
OKLAHOMA |
| License: |
15666 |
| Dated: |
4/26/1986 |
| Expires: |
4/1/2013 |
| License Type: |
Medical Doctor |
| Specialty: |
Transplant Surgery
General Surgery
Surgical Oncology
Vascular Surgery |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
| Graduated: |
6 /
1975 |
| CME Year: |
2013 |
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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 SURGERY |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
Aetna HMO
Aetna PPO
BlueChoice PPO
BlueLincs HMO
CommunityCare HMO, Inc
HealthChoice
PacifiCare of Oklahoma, Inc
Preferred Community Choice
Prudential Health Care Plan, Inc
United Healthcare Options PPO |
| Hospital Privileges: |
OU Health Medical Center
Oklahoma City, OK
V.A. Medical Center-OKC
Oklahoma City, OK
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