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Next Update: Thursday, December 19, 2024 2:50 AM CST
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ELDRIDGE, TIMOTHY JASON
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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: |
SSM MEDICAL GROUP
608 NW 9TH
SUITE 6200
OKLAHOMA CITY OK 73102
Address last updated on 11/4/2024 |
| Phone #: |
(405) 232-4211 |
| Fax #: |
(405) 232-3767 |
| County: |
OKLAHOMA |
| License: |
21880 |
| Dated: |
1/5/2001 |
| Expires: |
1/1/2026 |
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Temp.
Lic.
Issued:
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11/30/2000 |
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Temp.
Lic.
Expires:
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1/27/2001 |
| License Type: |
Medical Doctor |
| Specialty: |
General Surgery |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
YES |
| Medical School: |
Georgetown Univ Sch Of Med, Washington DC 20007 |
| Graduated: |
5 /
1989 |
| CME Year: |
2028 |
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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 SURGERY |
| New Patients: |
Yes |
| Medicaid: |
Contact licensee |
| Medicare: |
Yes |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
SSM Health St. Anthony Hospital - OKC
Oklahoma City, OK
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