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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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MCCAULEY, JON MICHAEL       
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: 4 EAST CLARK BASS BLVD
STE 203
MCALESTER OK 74501-4285

Address last updated on 8/24/2021
Phone #: (918) 423-8200
Fax #: (918) 423-8222
County: PITTSBURG
License: 16988
Dated: 7/1/1989
Expires: 5/4/2023
Training Issued: 6/30/1988
Training Expires: 10/30/1989
License Type: Medical Doctor
Specialty: Nephrology
Internal Medicine
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 1988
CME Year: 2024
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 INTERNAL MEDICINE - Nephrology
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: Blue Cross Blue Shield-Blue Preferred
Champ VA
Health Smart Preferred Care (HSPC)
HealthChoice
Humana Medicare Advantage PPO
Preferred Community Choice
Tricare for Life
Hospital Privileges: None listed
Locations: Hours: Languages:
4 EAST CLARK BASS BLVD
STE 203
MCALESTER OK 74501-4285

Phone #: (918) 423-8200
Fax #: (918) 423-8222

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