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Oklahoma Board of Medical Licensure and Supervision

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

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JIA, GREGORY YICHENG       
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: 4200 S DOUGLAS AVE. #200
OKLAHOMA CITY OK 73109

Address last updated on 5/8/2024
Phone #: (405) 636-7499
Fax #:
County: OKLAHOMA
License: 19082
Dated: 7/1/1995
Expires: 7/1/2025
Training Issued: 5/14/1993
Training Expires: 6/30/1994
License Type: Medical Doctor
Specialty: Urology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Peking Univ HSC, fmly Beijing Med Univ,
Graduated: 7 / 1987
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 UROLOGY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna PPO
Blue Cross Blue Shield-Blue Traditional
BlueChoice PPO
HealthChoice
Preferred Community Choice
United Healthcare Options PPO
Welcor/Sooner
Hospital Privileges: INTEGRIS Health Woodward Hospital (fmly Woodward reg. Hosp/Alliance)
Woodward, OK
INTEGRIS Southwest Medical Center
Oklahoma City, OK
Mercy Hospital OKC
Oklahoma City, OK
Locations: Hours: Languages:
4200 S DOUGLAS AVE. #200
OKLAHOMA CITY OK 73109

Phone #: (405) 636-7499
Fax #:
Mon:
Tue:
Wed:
Thu:
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Sat:
Sun:
900 17th st
Woodward, OK 73801

Phone #: (580) 256-5511
Fax #: (1) 201-
Mon:
Tue: 8:30AM - 5:00PM On 2nd and 4th Tue.
Wed:
Thu:
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