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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, December 22, 2024 6:44 PM CST
Next Update: Monday, December 23, 2024 2:50 AM CST

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DIXON, JEFFREY DAVID       
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: GREEN COUNTRY EMERGENCY PHYSICIANS
1145 S UTICA AVE STE 365
TULSA OK 74104

Address last updated on 5/6/2024
Phone #: (918) 728-3354
Fax #:
County: TULSA
License: 17328
Dated: 7/1/1990
Expires: 7/1/2025
Training Issued: 6/22/1989
Training Expires: 9/30/1990
License Type: Medical Doctor
Specialty: Emergency Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Washington Univ in St Louis Sch of Med, St Louis MO
Graduated: 5 / 1989
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 EMERGENCY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Hillcrest Hospital Claremore (fmly Claremore Regional)
Claremore, OK
Hillcrest Hospital South
Tulsa, OK
Hillcrest Medical Center
Tulsa, OK
Locations: Hours: Languages:
GREEN COUNTRY EMERGENCY PHYSICIANS
1145 S UTICA AVE STE 365
TULSA OK 74104

Phone #: (918) 728-3354
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
BRIAN THOMAS CARTER PA 1262
MACKENZI TAYLOR CHOITZ PA 4685
KATHLEEN DECKER APRN 10675
TAMA DUDLEY APRN 59763
TREVER ENGLER APRN 19869
DEBORAH GREUBEL APRN 53616
SUZANNE AMANDA ILIFF PA 1516
CARL DOUGLAS JACKSON PA 2616
ROBIN SHORT APRN 50739
JESSICA STADLER APRN 1643
MAX BRIAN SWENSON JR PA 15
SARA LYNN WALTON PA 4982

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