BANWART, JON CHRISTOPHER - Licensee Information

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

BANWART, JON CHRISTOPHER

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:	MERCY ORTHO CLINIC - GALENA 444 FOUR STATES DRIVE SUITE 1 GALENA KS 66739 Address last updated on 4/17/2024
Phone #:	(620) 783-4441
Fax #:	(620) 783-4444
County:	NOT OKLAHOMA
License:	20602
Dated:	5/1/1998
Expires:	5/1/2025
License Type:	Medical Doctor
Specialty:	Orthopedic Surgery

Status:	Active
Status Class:	Fully Licensed
Restricted to:
Registered to Dispense:	NO
Medical School:	Univ Of KS Sch Of Med, Kansas City Ks 66103
Graduated:	5 / 1992
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 ORTHOPAEDIC SURGERY
New Patients:	Yes
Medicaid:	Contact licensee
Medicare:	Yes

HMO/PPO:	Aetna HMO Aetna Managed Choice Aetna PPO Beechstreet PPO Blue Cross Blue Shield-Blue Preferred Blue Cross Blue Shield-Blue Traditional Blue Cross Blue Shield-Plan 65 Select BlueChoice PPO Champ VA CIGNA HMO CIGNA PPO Coventry Health Care National Network First Health Great West Healthcare Health Smart Preferred Care (HSPC) HealthChoice Humana ChoiceCare Humana Medicare Advantage PPO Humana Tricare/PGBA Medicare Blue PHCS (Private Healthcare Systems) Physicians Direct Network Private Healthcare Systems (PHCS) Railroad Medicare SoonerCare PPO Tricare for Life Tricare Standard United Healthcare Choice United Healthcare HMO United Healthcare Options PPO
Hospital Privileges:	Hospital(s) Not In Oklahoma ,

Locations:	Hours:	Languages:
MERCY ORTHO CLINIC - GALENA 444 FOUR STATES DRIVE SUITE 1 GALENA KS 66739 Phone #: (620) 783-4441 Fax #: (620) 783-4444	Mon: 8:00AM - 5:00PM Tue: 8:00AM - 5:00PM Wed: 8:00AM - 5:00PM Thu: 8:00AM - 5:00PM Fri: 8:00AM - 5:00PM Sat: Sun:
1121 NEO Loop GROVE, OK 74344 Phone #: (620) 783-4441 Fax #: (6) 201-	Mon: Tue: Wed: Thu: 8:00AM - 12:00PM 2X A MONTH Fri: Sat: Sun:

Name:	Type:	License Number:
Primary Supervisees(s):
JOHN FRANKLIN LINE	PA	804
LARRY DEAN NEFF JR	PA	2128

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