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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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ROY, JOHNNY BERNARD       
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: 16600 FARMINGTON WAY
EDMOND OK 73012

Address last updated on 9/1/2021
Phone #: (405) 831-5886
Fax #:
County: OKLAHOMA
License: 9569
Dated: 9/27/1971
Expires: 12/11/2021
License Type: Medical Doctor
Specialty: Urology
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: YES
Medical School: UNIV OF BAGHDAD, COLL OF MED, BAGHDAD, IRAQ
Graduated: 6 / 1962
CME Year: 2024
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 UROLOGY
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: Aetna Elect Choice
Aetna HMO
Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
BlueChoice PPO
BlueLincs HMO
Champ VA
CIGNA HMO
CIGNA PPO
CommunityCare HMO, Inc
First Health
HealthChoice
Pacificare Commercial HMO
PacifiCare of Oklahoma, Inc
Preferred Community Choice
Prudential Health Care Plan, Inc
Railroad Medicare
SoonerCare HMO
Tricare for Life
Tricare Standard
UniCare Health Plans of Oklahoma
United Healthcare Choice
United Healthcare HMO
United Healthcare Options PPO
Hospital Privileges: None listed
Locations: Hours: Languages:
16600 FARMINGTON WAY
EDMOND OK 73012

Phone #: (405) 831-5886
Fax #:

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