PUCKETT, TIMOTHY ANDREW - Licensee Information

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Last Update: Monday, December 23, 2024 1:13 PM CST
Next Update: Monday, December 23, 2024 4:30 PM CST

PUCKETT, TIMOTHY ANDREW

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:	OU HEALTH PHYSICIANS ORTHOPEDIC SURGERY CLINIC 825 NE 10TH STREET SUITE 1C OKLAHOMA CITY OK 73104 Address last updated on 6/28/2024
Phone #:	(405) 271-2663
Fax #:	(405) 271-3074
County:	OKLAHOMA
License:	18047
Dated:	7/1/1992
Expires:	7/1/2025
Training Issued:	6/22/1991
Training Expires:	7/1/1992
License Type:	Medical Doctor
Specialty:	Orthopedic Surgery

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:	5 / 1991
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 ORTHOPAEDIC SURGERY
New Patients:	Yes
Medicaid:	Yes
Medicare:	Yes

HMO/PPO:	None listed
Hospital Privileges:	OU Health Medical Center Oklahoma City, OK

Locations:	Hours:	Languages:
OU HEALTH PHYSICIANS ORTHOPEDIC SURGERY CLINIC 825 NE 10TH STREET SUITE 1C OKLAHOMA CITY OK 73104 Phone #: (405) 271-2663 Fax #: (405) 271-3074	Mon: 8:00AM - 4:30PM Tue: 8:00AM - 4:30PM Wed: 8:00AM - 4:30PM Thu: 8:00AM - 4:30PM Fri: 8:00AM - 4:30PM Sat: Sun:

Name:	Type:	License Number:
Primary Supervisees(s):
VICKI ELIZABETH JARRELL	PA	1703
AMIR RAZA	PA	1995
JILLIAN ROSE YINGLING	PA	4615

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