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Oklahoma Board of Medical Licensure and Supervision

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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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HERRINGTON, TIMOTHY 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: GREEN COUNTRY EMERGENCY PHYSICIANS
1145 S UTICA AVE SUITE #365
TULSA OK 74104

Address last updated on 8/7/2024
Phone #: (918) 728-3354
Fax #: (918) 728-7554
County: TULSA
License: 29969
Dated: 9/8/2014
Expires: 9/1/2025
License Type: Medical Doctor
Specialty: Emergency Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 2013
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 EMERGENCY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Eastar Health System (fmly Muskogee Regional Med Ctr)
Muskogee, OK
Hillcrest Hospital South
Tulsa, OK
Hospital(s) Not In Oklahoma
,
Locations: Hours: Languages:
GREEN COUNTRY EMERGENCY PHYSICIANS
1145 S UTICA AVE SUITE #365
TULSA OK 74104

Phone #: (918) 728-3354
Fax #: (918) 728-7554
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
CHESTER ALAN HENDERSHOT JR. PA 2821
MAX BRIAN SWENSON JR PA 15

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