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GOTHELF, TODD KEVIN       
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: LAWTON ORTHOPAEDIC CENTER
110 NW 31ST STREET
LAWTON OK 73505

Address last updated on 9/27/2001
Phone #: (580) 357-3671
Fax #: (580) 357-1256
County: COMANCHE
License: 22612
Dated: 9/27/2001
Expires: 9/1/2005
License Type: Medical Doctor
Specialty: Orthopedic Surgery
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: SUNY Upstate Med Univ, Syracuse, NY 13210
Graduated: 5 / 1995
CME Year: 2007
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:
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna HMO
Aetna PPO
BlueChoice PPO
BlueLincs HMO
HealthChoice
PacifiCare of Oklahoma, Inc
Preferred Community Choice
Prime Advantage Health Plan
Prudential Health Care Plan, Inc
United Healthcare HMO
United Healthcare Options PPO
Welcor/Sooner
Hospital Privileges: Comanche County Memorial Hospital
Lawton, OK
Southwestern Medical Center
Lawton, OK
Locations: Hours: Languages:
LAWTON ORTHOPAEDIC CENTER
110 NW 31ST STREET
LAWTON OK 73505

Phone #: (580) 357-3671
Fax #: (580) 357-1256
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Spanish

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