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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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TODD, THOMAS RANDALL
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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: |
1604 E PASADENA ST
BROKEN ARROW OK 74011
Address last updated on 6/30/2023 |
| Phone #: |
(918) 261-0095 |
| Fax #: |
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| County: |
TULSA |
| License: |
20778 |
| Dated: |
7/20/1998 |
| Expires: |
7/1/2024 |
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Training
Issued:
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7/1/1997 |
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Training
Expires:
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8/1/1998 |
| License Type: |
Medical Doctor |
| Specialty: |
Emergency Medicine |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
| Graduated: |
6 /
1997 |
| CME Year: |
2025 |
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Pending and/or Past Disciplinary Actions:
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| Date |
Action |
Reasons |
Remarks |
| 9/15/2011 |
Probation |
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| 4/5/2011 |
Complaint Citation |
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Board Filings and/or Orders:
09/15/2011
03/18/2011
03/18/2011
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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: |
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| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
Aetna HMO
Aetna PPO
BlueChoice PPO
BlueLincs 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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