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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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CANNON, JAY PAUL
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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.
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| Practice Address: |
1915 NORTH STILES AVENUE
OKLAHOMA CITY OK 73105
Address last updated on 4/27/2021 |
| Phone #: |
(405) 522-5767 |
| Fax #: |
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| County: |
OKLAHOMA |
| License: |
9490 |
| Dated: |
6/30/1971 |
| Expires: |
4/23/2022 |
| License Type: |
Medical Doctor |
| Specialty: |
General Surgery |
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| Status: |
Inactive |
| Status Class: |
Deceased |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
| Graduated: |
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1970 |
| CME Year: |
2022 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
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| New Patients: |
No |
| Medicaid: |
No |
| Medicare: |
No |
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| HMO/PPO: |
Aetna HMO
BlueLincs HMO
CCN Managed Care
Champ VA
CIGNA HMO
CommunityCare HMO, Inc
CommunityCare Senior HMO
Great West Healthcare
Guidestar Health Systems
Health Smart Preferred Care (HSPC)
Pacificare Commercial HMO
PacifiCare of Oklahoma, Inc
Secure Horizons HMO
United Healthcare HMO |
| Hospital Privileges: |
None listed |
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