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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Thursday, December 19, 2024 12:00 PM CST

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BLOCK, JEROME EDWARD       
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: 6048 S. SHERDIAN RD
SUITE B
TULSA OK 74145-9212

Address last updated on 10/7/2015
Phone #: (918) 591-3891
Fax #: (918) 895-7887
County: TULSA
License: 22665
Dated: 7/1/2002
Expires: 10/29/2015
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: YES
Medical School: Rutgers New Jersey Med Sch, Newark NJ 07103 (frmly UMDNJ)
Graduated: 6 / 1964
CME Year: 2017
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
5/23/2014 Complaint Citation
#1/1/1900# Past Disciplinary Action
Board Filings and/or Orders:
03/12/2015
12/09/2014
06/20/2014
05/23/2014
05/23/2014
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF INTERNAL MEDICINE
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: Aetna Elect Choice
Aetna Managed Choice
Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
CIGNA PPO
First Health
HealthChoice
Humana ChoiceCare
Humana Medicare Advantage PPO
Humana Tricare/PGBA
Medicare Blue
Multiplan PPO
PHCS (Private Healthcare Systems)
Private Healthcare Systems (PHCS)
Tricare Standard
United Healthcare Choice
United Healthcare EPO
United Healthcare Options PPO
United Healthcare POS
Hospital Privileges: None listed
Locations: Hours: Languages:
6048 S. SHERDIAN RD
SUITE B
TULSA OK 74145-9212

Phone #: (918) 591-3891
Fax #: (918) 895-7887
Spanish

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