Search Results
Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST
Return to Search Licensees page
|
MARTIN, CARROLL MCKINLEY JR
|
|
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: |
6600 W RIVER PARKWAY
APT 217
WAUWATOSA WI 53213
Address last updated on 5/30/2016 |
| Phone #: |
(918) 740-9150 |
| Fax #: |
|
| County: |
NOT OKLAHOMA |
| License: |
21676 |
| Dated: |
7/10/2000 |
| Expires: |
7/1/2016 |
| License Type: |
Medical Doctor |
| Specialty: |
Cardiovascular Disease
Internal Medicine
Urgent Care Medicine |
|
| Status: |
Inactive |
| Status Class: |
Physician Emeritus |
| Restricted to: |
|
| Registered to Dispense: |
NO |
| Medical School: |
Univ Of CA, San Francisco, Sch Of Med, San Francisco CA 94143 |
| Graduated: |
6 /
1966 |
| CME Year: |
2018 |
|
|
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 INTERNAL MEDICINE
AMERICAN BOARD OF INTERNAL MEDICINE - Cardiovascular Disease |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
| |
|
| HMO/PPO: |
Humana Medicare Advantage PPO |
| Hospital Privileges: |
None listed |
|
|
|
|
Return to Search Licensees page
