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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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CARRICO, JEREMY CASS       
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: UROLOGIC SPECIALISTS OF OKLAHOMA
10901 EAST 48TH STREET
TULSA OK 74146-5830

Address last updated on 3/5/2024
Phone #: (918) 749-8765
Fax #: (918) 392-2155
County: TULSA
License: 24318
Dated: 5/5/2005
Expires: 5/1/2025
License Type: Medical Doctor
Specialty: Urology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: LSU Sch Of Med in Shreveport, Shreveport La 71130
Graduated: 5 / 2000
CME Year: 2026
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 UROLOGY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna HMO
Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
CIGNA HMO
CIGNA PPO
CommunityCare HMO, Inc
CommunityCare Senior HMO
Coventry Health Care National Network
First Health
HealthChoice
OSMA Health (formerly Plico PPO)
PPO Oklahoma
Preferred Community Choice
United Healthcare Options PPO
Hospital Privileges: Ascension St. John Medical Center
Tulsa, OK
Oklahoma Surgical Hospital (formerly Orthopedic Hospital of Oklahoma)
Tulsa, OK
St. Francis Hospital - SOUTH
Tulsa, OK
Locations: Hours: Languages:
UROLOGIC SPECIALISTS OF OKLAHOMA
10901 EAST 48TH STREET
TULSA OK 74146-5830

Phone #: (918) 749-8765
Fax #: (918) 392-2155
Mon: 7:30AM - 5:00PM
Tue: 7:30AM - 5:00PM
Wed: 7:30AM - 5:00PM
Thu: 7:30AM - 5:00PM
Fri: 7:30AM - 1:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
LAUREN ASHLEY HOLLOWAY PA 3019

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