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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, November 22, 2024 8:19 AM CST
Next Update: Friday, November 22, 2024 12:00 PM CST

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HERMANCE, TERRY CHARLES       
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: LONG TERM CARE SPECIALISTS
5721 NW 132ND ST
OKLAHOMA CITY OK 73142

Address last updated on 4/17/2024
Phone #: (405) 557-1200
Fax #: (405) 557-1977
County: OKLAHOMA
License: 25607
Dated: 5/10/2007
Expires: 5/1/2025
License Type: Medical Doctor
Specialty: Emergency Medicine
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 / 2004
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 EMERGENCY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: McBride Orthopedic Hospital
Oklahoma City, OK
SSM Health St. Anthony Hospital - OKC
Oklahoma City, OK
St. Anthony Healthplex - East Campus (I-40 & Douglas)
Oklahoma City, OK
St. Anthony Healthplex - South Campus (I-44 & SW 134th St)
Oklahoma City, OK
Locations: Hours: Languages:
LONG TERM CARE SPECIALISTS
5721 NW 132ND ST
OKLAHOMA CITY OK 73142

Phone #: (405) 557-1200
Fax #: (405) 557-1977
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
RONALD LYNN BENNETT PA 685
MATTHEW STEVEN BERTUS PA 861
BRENT MICHAEL DAVIS PA 2052
DONALD RAY FLINN PA 317
JOANNA LEE HART PA 1236
SASA KOREN JACKSON PA 2107
FARZANA JAHANGIR PA 2494
KIMBERLY MILLER APRN 97233
MICHAEL LYNN SANDERSON PA 1808
JACK BRADLEY SMITH PA 1155
KATHRYN WALENZ PA 2588
JACQUELINE YARBROUGH APRN 77656

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