ABBOTT, CRAIG LEON - Licensee Information

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

ABBOTT, CRAIG LEON

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:	FOREFRONT DERMATOLOGY DBA SKIN CANCER CENTER OF OK 2644 NW 63RD ST OKLAHOMA CITY OK 73116-4902 Address last updated on 5/15/2023
Phone #:	(405) 632-5565
Fax #:	(405) 632-3538
County:	OKLAHOMA
License:	17800
Dated:	7/2/1991
Expires:	7/1/2025
Temp. Lic. Issued:	6/21/1990
Temp. Lic. Expires:	7/1/1991
License Type:	Medical Doctor
Specialty:	Dermatology Dermatopathology

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 / 1990
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 DERMATOLOGY AMERICAN BOARD OF DERMATOLOGY - Dermatopathology
New Patients:	Yes
Medicaid:	No
Medicare:	Yes

HMO/PPO:	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 BlueChoice PPO BlueLincs HMO CIGNA HMO CIGNA PPO CommunityCare HMO, Inc CommunityCare Senior HMO Coventry Health Care National Network First Health HealthChoice Humana ChoiceCare Humana Medicare Advantage PPO Medicare Blue Multiplan PPO Oklahoma Health Network PPO OSMA Health (formerly Plico PPO) Pacificare Commercial HMO PHCS (Private Healthcare Systems) PPO USA Preferred Community Choice Private Healthcare Systems (PHCS) Railroad Medicare Secure Horizons HMO United Healthcare Choice United Healthcare EPO United Healthcare Options PPO United Healthcare POS
Hospital Privileges:	None listed

Locations:	Hours:	Languages:
FOREFRONT DERMATOLOGY DBA SKIN CANCER CENTER OF OK 2644 NW 63RD ST OKLAHOMA CITY OK 73116-4902 Phone #: (405) 632-5565 Fax #: (405) 632-3538	Mon: 8:00AM - 4:00PM Tue: 8:00AM - 4:00PM Wed: 8:00AM - 4:00PM Thu: 8:00AM - 4:00PM Fri: 8:00AM - 4:00PM Sat: Sun:
2644 N.W. 63rd. Street Oklahoma City, OK 73116 Phone #: (405) 254-5565 Fax #: (3) 200-	Mon: Tue: Wed: Thu: Fri: Sat: Sun:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisees(s):
ERIN MICHELLE OBERST	PA	2325

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