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Oklahoma Board of Medical Licensure and Supervision

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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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DAY, GEOFFREY ALLEN       
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: No Current Practice Address
Address last updated on 5/15/2022
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 16914
Dated: 7/1/1989
Expires: 7/1/2025
Training Issued: 5/23/1988
Training Expires: 9/30/1989
License Type: Medical Doctor
Specialty: Diagnostic Radiology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1988
CME Year: 2027
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF RADIOLOGY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna Elect Choice
Aetna HMO
Aetna Managed Choice
Aetna PPO
Beechstreet PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
Blue Works Workers Comp
BlueChoice PPO
BlueLincs HMO
CCN Managed Care
CommunityCare HMO, Inc
CommunityCare Senior HMO
Coventry Health Care National Network
Dept of Rehabilitation Services (DRS)
First Health
HealthChoice
Humana Tricare/PGBA
OSMA Health (formerly Plico PPO)
PacifiCare of Oklahoma, Inc
PHCS (Private Healthcare Systems)
Preferred Community Choice
Preferred Health Network-ppoNEXT
Private Healthcare Systems (PHCS)
Pronet
Railroad Medicare
Secure Horizons HMO
Sparks Premiercare
United Healthcare Choice
United Healthcare EPO
United Healthcare HMO
United Healthcare Options PPO
United Healthcare POS
Hospital Privileges: Ascension St. John - Sapulpa
Sapulpa, OK
Atoka Memorial Hospital
Atoka, OK
Baily Medical Center
Owasso, OK
Carrus Lakeside Hospital (fmly Bristow Medical Center)
Bristow, OK
Cherokee Nation W.W. Hastings Hospital
Tahlequah, OK
Chickasaw Nation Medical Center
Ada, OK
Choctaw Memorial Hospital
Hugo, OK
Choctaw Nation Hlth Svcs Authority
Talihina, OK
Claremore Indian Hospital (IHS)
Claremore, OK
Cleveland Area Hospital
Cleveland, OK
Creek Nation Community Hospital
Okemah, OK
Eastern Oklahoma Medical Center
Poteau, OK
Haskell County Healthcare System
Stigler, OK
Henryetta Medical Center
Henryetta, OK
Hillcrest Hospital South (fmly SouthCrest)
Tulsa, OK
Hillcrest Specialty Hospital
Tulsa, OK
Holdenville General Hospital
Holdenville, OK
Memorial Hospital of Stilwell
Stilwell, OK
Muscogee (Creek) Nation Medical Center (Okmulgee Mem. Hosp.)
Okmulgee, OK
Northeastern Health System (formerly Tahlequah City Hospital)
Tahlequah, OK
Northeastern Health System Sequoyah (fmly Sequoyah Mem Hosp)
Sallisaw, OK
OSU Medical Center (formerly Tulsa Regional Medical Center)
Tulsa, OK
Rural Wellness - Fairfax (fmly Fairfax Mem. Hosp.)
Fairfax, OK
Sayre Memorial Hospital
Sayre, OK
Stilwell Memorial Hospital
Stilwell, OK
USPHS Indian Hospital-Claremore
Claremore, OK
USPHS Lawton Indian Hospital
Lawton, OK
Locations: Hours: Languages:
No Current Practice Address
Phone #:
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
RANDALL WADE JACKSON RA 1
ANTHONY WAYNE WALLACE RA 2

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