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Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST
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GRIZZLE, JOHN DALE II
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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: |
15800 SOUTH WESTERN AVE SUITE A
OKLAHOMA CITY OK 73170
Address last updated on 5/2/2024 |
| Phone #: |
(405) 793-1300 |
| Fax #: |
(405) 805-6611 |
| County: |
CLEVELAND |
| License: |
20170 |
| Dated: |
7/1/1997 |
| Expires: |
7/1/2025 |
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Training
Issued:
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7/14/1995 |
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Training
Expires:
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7/1/1997 |
| License Type: |
Medical Doctor |
| Specialty: |
Family Medicine
Addiction Medicine |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
American Univ Of The Caribbean, Sch Of Med, St Maarten, Netherlands Antille |
| Graduated: |
6 /
1995 |
| CME Year: |
2027 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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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: |
ABPS - Family Medicine
AMERICAN BOARD OF FAMILY MEDICINE - Pain Medicine
AMERICAN BOARD OF PREVENTIVE MEDICINE (Public Health & General Preventive) - Addiction Medicine |
| New Patients: |
Yes |
| Medicaid: |
No |
| Medicare: |
Yes |
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| HMO/PPO: |
Aetna HMO
Aetna PPO
BlueChoice PPO
BlueLincs HMO
CIGNA HMO
CIGNA PPO
CommunityCare HMO, Inc
Global Health HMO
HealthChoice
Heartland Health Plan of Oklahoma
PacifiCare of Oklahoma, Inc
Preferred Community Choice
Prudential Health Care Plan, Inc
UniCare Health Plans of Oklahoma
United Healthcare HMO
United Healthcare Options PPO |
| Hospital Privileges: |
None listed |
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