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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, November 15, 2019 5:22 PM CST
Next Update: Saturday, November 16, 2019 2:50 AM CST

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ANDERSON, ZACHARIAH JESSIC
Practice Address: Not Currently Practicing
OKMULGEE OK 74447

Address last updated on 4/24/2019
Phone #: (918) 756-4345
Fax #: (918) 758-3507
County: OKMULGEE
License: 22198
Dated: 5/9/2002
Expires: 5/9/2019
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Disciplinary Action
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of ND Sch Of Med and Hlth Sci, Grand Forks Nd 58201
Graduated: 5 / 1999
CME Year: 2020
Disciplinary History:
Date Action Reasons Remarks
5/15/2019 Surrendered License Violated Board Order SILOP effective date clarification.
5/9/2019 Surrendered License Violated Board Order
3/7/2013 Modification Order Fraud Obtaining License Credentials
Alcohol/Substance Abuse
Terms modified to increase work hours to 75 hours per week and require an appearance before the Board in six month for reevaluation.
1/12/2012 Probation Fraud Obtaining License Credentials
Alcohol/Substance Abuse
Indefinite
1/12/2012 Suspension, License Fraud Obtaining License Credentials
Alcohol/Substance Abuse
Suspended 09-01-11 to 10-01-11. Indefinite probation started 1-12-12
12/12/2011 Complaint Citation Fraud Obtaining License Credentials
Alcohol/Substance Abuse
Board Orders:
05/15/2019
05/09/2019
03/18/2019
01/09/2019
05/10/2013
05/03/2013
01/12/2012
12/12/2011
12/12/2011
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications:
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna Elect Choice
Aetna HMO
Aetna Managed Choice
Aetna PPO
AmCare Health Plans of Oklahoma, Inc (formerly Foundation Health)
BCE Emergis
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
Blue Works Workers Comp
BlueChoice PPO
BlueLincs HMO
CCN Managed Care
Champ VA
CompMed
Coventry Health Care National Network
Evolutions Healthcare
First Health
Global Health HMO
Great West Healthcare
Guidestar Health Systems
HealthChoice
Heartland Health Plan of Oklahoma
Humana ChoiceCare
Humana Medicare Advantage PPO
Humana Tricare/PGBA
OSMA Health (formerly Plico PPO)
Pacificare Commercial HMO
PacifiCare of Oklahoma, Inc
Private Healthcare Systems (PHCS)
Prudential Health Care Plan, Inc
Railroad Medicare
Secure Horizons HMO
SoonerCare HMO
Tricare for Life
Tricare Standard
United Healthcare Choice
United Healthcare EPO
United Healthcare HMO
United Healthcare Options PPO
United Healthcare POS
United Insurance
Worknet of Oklahoma
Hospital Privileges: Okmulgee Memorial Hospital, Inc.
Okmulgee, OK
Locations: Hours: Languages:
Not Currently Practicing
OKMULGEE OK 74447

Phone #: (918) 756-4345
Fax #: (918) 758-3507
Mon: 8:30AM - 6:00PM
Tue: 8:30AM - 6:00PM
Wed: 8:30AM - 6:00PM
Thu: 8:30AM - 6:00PM
Fri: 8:30AM - 6:00PM
Sat: 11:00AM - 3:00PM
Sun:

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