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Oklahoma Board of Medical Licensure and Supervision

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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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MARTENS, JASON DONALD       
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: TULSA XRAY LAB
PO BOX 52550
TULSA OK 74152

Address last updated on 6/3/2024
Phone #: (918) 934-8347
Fax #: (918) 917-4114
County: TULSA
License: 22358
Dated: 8/7/2002
Expires: 8/1/2025
License Type: Medical Doctor
Specialty: Radiology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 2001
CME Year: 2026
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 RADIOLOGY (Diagnostic Radiology specific)
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna Elect Choice
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
Blue Works Workers Comp
BlueChoice PPO
BlueLincs HMO
CCN Managed Care
CommunityCare HMO, Inc
Coventry Health Care National Network
Dept of Rehabilitation Services (DRS)
First Health
HealthChoice
PacifiCare of Oklahoma, Inc
PHCS (Private Healthcare Systems)
Preferred Community Choice
Railroad Medicare
United Healthcare Choice
United Healthcare EPO
United Healthcare HMO
United Healthcare Options PPO
United Healthcare POS
Worknet of Oklahoma
Hospital Privileges: Baily Medical Center
Owasso, OK
Hillcrest Hospital Claremore (fmly Claremore Regional)
Claremore, OK
Hillcrest Hospital Cushing (fmly Cushing Reg. Hosp.)
Cushing, OK
Hillcrest Hospital Henryetta
Henryetta, OK
Hillcrest Hospital South
Tulsa, OK
Hillcrest Medical Center
Tulsa, OK
Hillcrest Specialty Hospital
Tulsa, OK
INTEGRIS Mayes County Medical Center
Pryor, OK
Tulsa Spine & Specialty Hospital
Tulsa, OK
Wagoner Community Hospital
Wagoner, OK
Locations: Hours: Languages:
TULSA XRAY LAB
PO BOX 52550
TULSA OK 74152

Phone #: (918) 934-8347
Fax #: (918) 917-4114
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
RANDALL WADE JACKSON RA 1
BRIAN ROBERT KLEPCZYK RA 9
LESLIE ANNE TAYLOR PA 1109
ANTHONY WAYNE WALLACE RA 2

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