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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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CASAS, JACK WILLIAM       
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: NORTHEAST OKLAHOMA HEART CENTER
1373 E. BOONE STREET
TAHLEQUAH OK 74464

Address last updated on 1/13/2024
Phone #: (918) 229-1431
Fax #: (918) 453-2226
County: CHEROKEE
License: 26082
Dated: 3/11/2008
Expires: 3/1/2025
License Type: Medical Doctor
Specialty: Cardiovascular Disease
Interventional Cardiology
Internal Medicine
Vascular and Interventional Radiology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of CA Davis, Sch Of Med, Davis CA 95616
Graduated: 6 / 1983
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 INTERNAL MEDICINE
AMERICAN BOARD OF INTERNAL MEDICINE - Cardiovascular Disease
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Cherokee Nation W.W. Hastings Hospital
Tahlequah, OK
Northeastern Health System (formerly Tahlequah City Hospital)
Tahlequah, OK
Locations: Hours: Languages:
NORTHEAST OKLAHOMA HEART CENTER
1373 E. BOONE STREET
TAHLEQUAH OK 74464

Phone #: (918) 229-1431
Fax #: (918) 453-2226
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 5:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
CELESTE BIDWELL APRN 5126
CARLA HAYES APRN 91705
DILLON JARRETT APRN 95009
CHRISTOPHER WEBBER APRN 96511

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