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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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MCCOY, WADE THOMAS       
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: 4400 GRANT BLVD
YUKON OK 73099

Address last updated on 10/3/2021
Phone #: (405) 787-7747
Fax #: (405) 470-2576
County: OKLAHOMA
License: 20023
Dated: 11/13/1996
Expires: 11/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
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: 6 / 1994
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 FAMILY MEDICINE
New Patients: Yes
Medicaid: No
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Community Hospital - OKC
Oklahoma City, OK
Northwest Surgical Hospital
Oklahoma City, OK
Locations: Hours: Languages:
4400 GRANT BLVD
YUKON OK 73099

Phone #: (405) 787-7747
Fax #: (405) 470-2576
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun: 8:00AM - 4:30PM
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
IVY CHERIAN APRN 7863

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