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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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BLACKMON, DARNELL ERIC SR       
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: 8660 E. 103RD STREET
TULSA OK 74133

Address last updated on 5/28/2024
Phone #: (918) 970-6194
Fax #: (918) 398-9196
County: TULSA
License: 22856
Dated: 6/12/2002
Expires: 6/1/2025
License Type: Medical Doctor
Specialty: Unspecified
Foot and Ankle, Orthopedics
Sports Medicine (Orthopedic Surgery)
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Meharry Med Coll Sch Of Med, Nashville Tn 37208
Graduated: 5 / 1996
CME Year: 2026
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
1/7/2019 Restriction Lifted
10/15/2015 Voluntary Submittal to Jurisdiction
3/23/2015 Complaint Citation
Board Filings and/or Orders:
01/07/2019
02/13/2017
10/15/2015
03/23/2015
03/23/2015
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF ORTHOPAEDIC SURGERY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna HMO
Aetna PPO
BlueChoice PPO
BlueLincs HMO
CommunityCare HMO, Inc
HealthChoice
PacifiCare of Oklahoma, Inc
Preferred Community Choice
United Healthcare Options PPO
Hospital Privileges: OSU Medical Center (formerly Tulsa Regional Medical Center)
Tulsa, OK
Locations: Hours: Languages:
8660 E. 103RD STREET
TULSA OK 74133

Phone #: (918) 970-6194
Fax #: (918) 398-9196
Mon: 9:00AM - 5:00PM
Tue: 9:00AM - 5:00PM
Wed: 9:00AM - 5:00PM
Thu: 9:00AM - 5:00PM
Fri: 9:00AM - 5:00PM
Sat:
Sun: 9:00AM - 5:00PM
8660 E. 103rd Street
Tulsa, OK 74133

Phone #: (918) 970-6194
Fax #: (7) 202-
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 5:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
LA DENA ANN BALLARD PA 1467
LINDA ELLARD APRN 110128
GANNON FREDERICK GILL PA 1950
BRIAN GRAHAM PA 1670
JILL NICOLE SPREITER PA 1586

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