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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST
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FRICKER, TIMOTHY JAY
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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: |
2109 N. KELLY AVENUE
EDMOND OK 73003
Address last updated on 5/13/2024 |
| Phone #: |
(405) 513-8880 |
| Fax #: |
(405) 285-5912 |
| County: |
OKLAHOMA |
| License: |
21234 |
| Dated: |
7/7/1999 |
| Expires: |
7/1/2025 |
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Training
Issued:
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7/2/1998 |
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Training
Expires:
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8/1/1999 |
| License Type: |
Medical Doctor |
| Specialty: |
Pediatrics |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Loyola Univ Of Chicago Stritch Sch Of Med, Maywood Il 60153 |
| Graduated: |
5 /
1998 |
| CME Year: |
2026 |
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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: |
AMERICAN BOARD OF PEDIATRICS |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
No |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
INTEGRIS Edmond
Edmond, OK
Lakeside Women's Hospital
Oklahoma City, OK
Mercy Hospital OKC
Oklahoma City, OK
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Primary Supervisees(s):
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| Name: |
Type: |
License Number: |
Full/Part Time: |
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ALEXANDRIA WEAVER
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APRN |
106472 |
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