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Next Update: Thursday, December 19, 2024 2:50 AM CST
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JOHANNESEN, TERRY LEE
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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: |
615 SW JENNINGS AVE UNIT 1438
BARTLESVILLE OK 74005
Address last updated on 6/7/2023 |
| Phone #: |
(918) 977-1600 |
| Fax #: |
(918) 333-0819 |
| County: |
WASHINGTON |
| License: |
15864 |
| Dated: |
7/1/1986 |
| Expires: |
7/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Family Medicine
Emergency Medicine |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
YES |
| Medical School: |
Univ Of TX Southwestern Med Sch At Dallas SW Med Sch, Dallas Tx 75235 |
| Graduated: |
6 /
1983 |
| 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 FAMILY MEDICINE |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
Baily Medical Center
Owasso, OK
Hillcrest Hospital Claremore (fmly Claremore Regional)
Claremore, OK
Hospital Not Listed
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INTEGRIS Community Hospital OKC West (Council Crossing)
Oklahoma City, OK
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