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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Thursday, December 19, 2024 12:00 PM CST

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SMOTHERMAN, JASON TODD       
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: 1329 LUSITANA
SUITE 506
HONOLULU HI 96816

Address last updated on 6/21/2014
Phone #: (808) -59-9-77
Fax #:
County: NOT OKLAHOMA
License: 18095
Dated: 7/1/1992
Expires: 7/1/2015
Temp. Lic. Issued: 6/27/1991
Temp. Lic. Expires: 6/30/1992
License Type: Medical Doctor
Specialty: Urology
General Surgery
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 1991
CME Year: 2015
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 UROLOGY
New Patients: Yes
Medicaid: No
Medicare: Yes
   
HMO/PPO: BlueChoice PPO
HealthChoice
Preferred Community Choice
Railroad Medicare
Tricare for Life
Tricare Standard
Hospital Privileges: Hospital(s) Not In Oklahoma
,
Locations: Hours: Languages:
1329 LUSITANA
SUITE 506
HONOLULU HI 96816

Phone #: (808) -59-9-77
Fax #:
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 5:00PM
Sat: 8:00AM - 12:00PM
Sun: 8:00AM - 5:00PM

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