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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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PEDERSON, JAMES ARTHUR       
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: 920 STANTON L YOUNG BLVD
WILLIAMS PAVILLION
ROOM 2250
OKLAHOMA CITY OK 73104-5020

Address last updated on 6/3/2010
Phone #: (405) 271-6842
Fax #: (405) 271-6496
County: OKLAHOMA
License: 8708
Dated: 7/31/1967
Expires: 7/1/2010
License Type: Medical Doctor
Specialty: Nephrology
Internal Medicine
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: UNIV OF MN MED SCH, MINNEAPOLIS MN 55455
Graduated: / 1964
CME Year: 2012
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
New Patients: No
Medicaid: No
Medicare: No
   
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
BlueLincs HMO
CIGNA PPO
CommunityCare HMO, Inc
Evolutions Healthcare
First Health
Humana ChoiceCare
OSMA Health (formerly Plico PPO)
PacifiCare of Oklahoma, Inc
Physicians Direct Network
PPO USA
Preferred Community Choice
Railroad Medicare
United Healthcare HMO
United Healthcare Options PPO
Hospital Privileges: None listed
Locations: Hours: Languages:
920 STANTON L YOUNG BLVD
WILLIAMS PAVILLION
ROOM 2250
OKLAHOMA CITY OK 73104-5020

Phone #: (405) 271-6842
Fax #: (405) 271-6496

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