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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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NWOKOLO, OKEY
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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.
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| Practice Address: |
1515 NORTH CLASSEN BLVD
OKLAHOMA CITY OK 73106
Address last updated on 9/26/2024 |
| Phone #: |
(405) 232-0529 |
| Fax #: |
(405) 235-2832 |
| County: |
OKLAHOMA |
| License: |
19613 |
| Dated: |
11/17/1995 |
| Expires: |
11/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Pediatrics |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
YES |
| Medical School: |
Univ Of Nigeria, Fac Of Med, Enugu State, Nigeria |
| Graduated: |
6 /
1980 |
| CME Year: |
2027 |
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Pending and/or Past Disciplinary Actions:
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| Date |
Action |
Reasons |
Remarks |
| 7/26/2024 |
Completed all requirements ordered by the Board |
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| 5/16/2024 |
Voluntary Submittal to Jurisdiction |
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| 2/14/2024 |
Complaint Citation |
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Board Filings and/or Orders:
05/16/2024
02/14/2024
02/14/2024
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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: |
AMERICAN BOARD OF PEDIATRICS |
| New Patients: |
Yes |
| Medicaid: |
No |
| Medicare: |
No |
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| HMO/PPO: |
Aetna HMO
Aetna PPO
BlueChoice PPO
BlueLincs HMO
CIGNA HMO
CIGNA PPO
CommunityCare HMO, Inc
HealthChoice
PacifiCare of Oklahoma, Inc
Preferred Community Choice
Prime Advantage Health Plan
Prudential Health Care Plan, Inc
UniCare Health Plans of Oklahoma
United Healthcare HMO
United Healthcare Options PPO
Welcor/Sooner |
| Hospital Privileges: |
INTEGRIS Baptist Medical Center
Oklahoma City, OK
INTEGRIS Baptist Portland Ave (fmly Deaconess Hospital)
Oklahoma City, OK
INTEGRIS Southwest Medical Center
Oklahoma City, OK
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| Locations: |
Hours: |
Languages: |
1515 NORTH CLASSEN BLVD
OKLAHOMA CITY OK 73106
Phone #:
(405) 232-0529
Fax #:
(405) 235-2832 |
Mon: 9:00AM - 5:00PM
Tue: 9:00AM - 5:00PM
Wed: 9:00AM - 5:00PM
Thu: 9:00AM - 6:00PM
Fri: 9:00AM - 12:00PM
Sat: 9:00AM - 12:00PM
Sun: |
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