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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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LEVINE, JONATHAN ELIOT
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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: |
WARREN CLINIC
6151 SOUTH YALE AVE. STE 1304
TULSA OK 74136
Address last updated on 5/22/2024 |
| Phone #: |
(918) 494-5340 |
| Fax #: |
(918) 494-5399 |
| County: |
TULSA |
| License: |
23010 |
| Dated: |
7/2/2002 |
| Expires: |
7/1/2025 |
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Temp.
Lic.
Issued:
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6/13/2002 |
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Temp.
Lic.
Expires:
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7/20/2002 |
| License Type: |
Medical Doctor |
| Specialty: |
Internal Medicine |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
YES |
| Medical School: |
Univ Of KS Sch Of Med, Kansas City Ks 66103 |
| Graduated: |
5 /
1998 |
| CME Year: |
2026 |
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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: |
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| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
Aetna PPO
BlueChoice PPO
BlueLincs HMO
CommunityCare HMO, Inc
HealthChoice
PacifiCare of Oklahoma, Inc
Preferred Community Choice
United Healthcare HMO
United Healthcare Options PPO |
| Hospital Privileges: |
St. Francis Hospital
Tulsa, OK
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