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Oklahoma Board of Medical Licensure and Supervision

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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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ZELLMER, JOHNNY ALVIN       
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: 3101 ELK DR
MCALESTER OK 74501-7274

Address last updated on 5/15/2024
Phone #: (918) 426-2442
Fax #: (918) 426-0888
County: PITTSBURG
License: 20237
Dated: 7/10/1997
Expires: 7/1/2025
Training Issued: 7/1/1996
Training Expires: 8/1/1997
License Type: Medical Doctor
Specialty: Family Medicine
Addiction 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 / 1996
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:
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
3101 ELK DR
MCALESTER OK 74501-7274

Phone #: (918) 426-2442
Fax #: (918) 426-0888
Mon: 8:00AM - 6:00PM
Tue: 8:00AM - 6:00PM
Wed: 8:00AM - 6:00PM
Thu: 8:00AM - 6:00PM
Fri: 8:00AM - 5:00PM
Sat:
Sun:
6820 NW 23rd
Bethany, OK 73008

Phone #: (405) 495-5154 x1118
Fax #: (2) 200-12
Mon: 8:30AM - 5:30AM
Tue: 8:30AM - 5:30AM
Wed: 8:30AM - 5:30AM
Thu: 8:30AM - 5:30AM
Fri:
Sat:
Sun: 8:30AM - 5:30AM
Spanish
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
GROVER LEN COMPTON PA 973
SUSAN L DAVIS PA 533
KIMBERLY ANNE ELROD PA 1694
LAURA GRANTHAM APRN 10625
STACY LYNN SCROGGINS PA 1066
MARY SWEETIN APRN 46408
RYANN TARRON APRN 5979

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