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Oklahoma Board of Medical Licensure and Supervision

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GRIMME, JOHN DAVID       
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: 2315 W 28TH AVE
EUGENE OR 97405

Address last updated on 11/29/2016
Phone #: (330) 655-1874
Fax #:
County: NOT OKLAHOMA
License: 29610
Dated: 12/21/2012
Expires: 12/1/2017
Temp. Lic. Issued: 12/7/2012
Temp. Lic. Expires: 1/13/2013
License Type: Medical Doctor
Specialty: Diagnostic Radiology
Neuroradiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Cincinnati Coll Of Med, Cincinnati Oh 45267
Graduated: 5 / 1999
CME Year: 2018
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 RADIOLOGY - Neuroradiology
AMERICAN BOARD OF RADIOLOGY (Diagnostic Radiology specific)
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Beechstreet PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
Champ VA
CIGNA HMO
CIGNA PPO
CommunityCare HMO, Inc
CommunityCare Senior HMO
Coventry Health Care National Network
Medicare Blue
Multiplan PPO
Railroad Medicare
Texas Medicaid
Tricare for Life
Tricare Standard
United Healthcare Choice
United Healthcare EPO
United Healthcare Options PPO
United Healthcare POS
Hospital Privileges: None listed
Locations: Hours: Languages:
2315 W 28TH AVE
EUGENE OR 97405

Phone #: (330) 655-1874
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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