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Last Update: Thursday, May 2, 2024 10:58 AM CDT
Next Update: Thursday, May 2, 2024 12:00 PM CDT
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|
WHATLEY, JERRY DAVID |
| Practice Address: |
HEALTHY IMAGE
3101 CHANDLER ROAD #105
MUSKOGEE OK 74403
Address last updated on 10/2/2023 |
| Phone #: |
(918) 400-3488 |
| Fax #: |
(918) 913-7005 |
| County: |
MUSKOGEE |
| License: |
19096 |
| Dated: |
11/17/1995 |
| Expires: |
11/1/2024 |
|
Temp.
Lic.
Issued:
|
6/17/1993 |
|
Temp.
Lic.
Expires:
|
9/1/1994 |
| License Type: |
Medical Doctor |
| Specialty: |
Adolescent Medicine (Pediatrics)
Nutrition |
|
| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
|
| Registered to Dispense: |
YES |
| Medical School: |
American Univ Of The Caribbean, Sch Of Med, St Maarten, Netherlands Antille |
| Graduated: |
11 /
1992 |
| CME Year: |
2024 |
|
|
Pending and/or Past Disciplinary Actions:
|
| Date |
Action |
Reasons |
Remarks |
| 1/17/2013 |
Probation Ended |
|
|
| 1/29/2009 |
Modification Order |
|
|
| 1/17/2008 |
Probation |
|
|
| 4/13/2007 |
Complaint Citation |
|
|
Board Filings and/or Orders:
01/29/2009
04/12/2007
04/12/2007
|
|
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
|
| Certifications: |
|
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
No |
| |
|
| HMO/PPO: |
Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
BlueChoice PPO
CIGNA PPO
First Health
HealthChoice
OSMA Health (formerly Plico PPO)
Preferred Community Choice
SoonerCare HMO
SoonerCare PPO
Tricare Standard
United Healthcare Options PPO
Welcor/Sooner |
| Hospital Privileges: |
St. Francis Hospital - Muskogee (frmly Muskogee Reg. Med. Ctr./Eastar)
Muskogee, OK
|
|
|
|
Primary Supervisees(s):
|
| Name: |
Type: |
License Number: |
Full/Part Time: |
|
PHYLLIS PEACE
|
APRN |
79303 |
|
|
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