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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Thursday, December 19, 2024 2:50 AM CST

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HART, JASON KEITH       
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: MERCY HEALTH CLINIC
1025 W. I-35 FRONTAGE RD
EDMOND OK 73034

Address last updated on 3/31/2013
Phone #: (405) 509-2800
Fax #: (405) 509-2885
County: OKLAHOMA
License: 23493
Dated: 4/26/2006
Expires: 4/1/2014
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: American Univ Of The Caribbean, Sch Of Med, St Maarten, Netherlands Antille
Graduated: 6 / 2003
CME Year: 2015
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 FAMILY MEDICINE
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
BlueLincs HMO
CCN Managed Care
CommunityCare HMO, Inc
Coventry Health Care National Network
First Health
HealthChoice
Pacificare Commercial HMO
PacifiCare of Oklahoma, Inc
Preferred Community Choice
Secure Horizons HMO
Hospital Privileges: Mercy Hospital OKC
Oklahoma City, OK
Locations: Hours: Languages:
MERCY HEALTH CLINIC
1025 W. I-35 FRONTAGE RD
EDMOND OK 73034

Phone #: (405) 509-2800
Fax #: (405) 509-2885
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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