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Last Update: Sunday, December 22, 2024 6:44 PM CST
Next Update: Monday, December 23, 2024 2:50 AM CST

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JAY, DATHAN DUANE       
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: RYLAN-JAGGER MEDICAL LLC
MULTI-HOSPITAL MEDICINE PRACTICE
PLEASE SEE HOSPITAL PRIVILEGE LOCATIONS /ADRESSES
OKLAHOMA CITY OK 73134

Address last updated on 10/30/2024
Phone #: (405) 607-8771
Fax #: (405) 607-8772
County: OKLAHOMA
License: 23512
Dated: 8/18/2004
Expires: 8/1/2025
License Type: Medical Doctor
Specialty: Hospitalist
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 2003
CME Year: 2025
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: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Community Hospital - OKC
Oklahoma City, OK
Hospital for Special Surgery (OneCore Health) - OKC
Oklahoma City, OK
INTEGRIS Baptist Medical Center
Oklahoma City, OK
INTEGRIS Baptist Portland Ave (fmly Deaconess Hospital)
Oklahoma City, OK
INTEGRIS Canadian Valley Regional Hospital
Yukon, OK
INTEGRIS Southwest Medical Center
Oklahoma City, OK
Kindred Hospital-Oklahoma City
Oklahoma City, OK
McBride Orthopedic Hospital
Oklahoma City, OK
Mercy Hospital OKC
Oklahoma City, OK
Oklahoma Spine Hospital
Oklahoma City, OK
Select Specialty Hospital-OKC
Oklahoma City, OK
Locations: Hours: Languages:
RYLAN-JAGGER MEDICAL LLC
MULTI-HOSPITAL MEDICINE PRACTICE
PLEASE SEE HOSPITAL PRIVILEGE LOCATIONS /ADRESSES
OKLAHOMA CITY OK 73134

Phone #: (405) 607-8771
Fax #: (405) 607-8772
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
MATTHEW STEVEN BERTUS PA 861
KEVIN MICHAEL CHESSMORE PA 1576
TAYLOR BROOKE HERZER PA 2937
SCOTT RANDALL INTERWICZ PA 2304
CHRISTOPHER TODD JAMES PA 1231
JEFFREY DONOVAN MARTENS PA 704
RANDALL ASHLEY PAPE PA 1481
JACK BRADLEY SMITH PA 1155

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