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Next Update: Friday, September 27, 2024 2:50 AM CDT
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WHATLEY, JERRY DAVID
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Practice Address: |
HEALTHY IMAGE
3101 CHANDLER ROAD #105
MUSKOGEE OK 74403
Address last updated on 10/2/2023 |
Phone #: |
(918) 400-3488 |
Fax #: |
(918) 913-7005 |
County: |
MUSKOGEE |
License: |
19096 |
Dated: |
11/17/1995 |
Expires: |
11/1/2024 |
Temp.
Lic.
Issued:
|
6/17/1993 |
Temp.
Lic.
Expires:
|
9/1/1994 |
License Type: |
Medical Doctor |
Specialty: |
Adolescent Medicine (Pediatrics)
Nutrition |
|
Status: |
Active |
Status Class: |
Fully Licensed |
Restricted to: |
|
Registered to Dispense: |
YES |
Medical School: |
American Univ Of The Caribbean, Sch Of Med, St Maarten, Netherlands Antille |
Graduated: |
11 /
1992 |
CME Year: |
2024 |
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Pending and/or Past Disciplinary Actions:
|
Date |
Action |
Reasons |
Remarks |
1/17/2013 |
Probation Ended |
|
|
1/29/2009 |
Modification Order |
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|
1/17/2008 |
Probation |
|
|
4/13/2007 |
Complaint Citation |
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Board Filings and/or Orders:
01/29/2009
04/12/2007
04/12/2007
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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Certifications: |
|
New Patients: |
Yes |
Medicaid: |
Yes |
Medicare: |
No |
|
|
HMO/PPO: |
Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
BlueChoice PPO
CIGNA PPO
First Health
HealthChoice
OSMA Health (formerly Plico PPO)
Preferred Community Choice
SoonerCare HMO
SoonerCare PPO
Tricare Standard
United Healthcare Options PPO
Welcor/Sooner |
Hospital Privileges: |
St. Francis Hospital - Muskogee (frmly Muskogee Reg. Med. Ctr./Eastar)
Muskogee, OK
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Primary Supervisees(s):
|
Name: |
Type: |
License Number: |
Full/Part Time: |
PHYLLIS PEACE
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APRN |
79303 |
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