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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Sunday, May 19, 2024 12:00 PM CDT

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BLOCK, JEROME EDWARD       
Practice Address: 6048 S. SHERDIAN RD
SUITE B
TULSA OK 74145-9212

Address last updated on 10/7/2015
Phone #: (918) 591-3891
Fax #: (918) 895-7887
County: TULSA
License: 22665
Dated: 7/1/2002
Expires: 10/29/2015
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: YES
Medical School: Rutgers New Jersey Med Sch, Newark NJ 07103 (frmly UMDNJ)
Graduated: 6 / 1964
CME Year: 2017
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
5/23/2014 Complaint Citation
#1/1/1900# Past Disciplinary Action
Board Filings and/or Orders:
03/12/2015
12/09/2014
06/20/2014
05/23/2014
05/23/2014
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 Elect Choice
Aetna Managed Choice
Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
CIGNA PPO
First Health
HealthChoice
Humana ChoiceCare
Humana Medicare Advantage PPO
Humana Tricare/PGBA
Medicare Blue
Multiplan PPO
PHCS (Private Healthcare Systems)
Private Healthcare Systems (PHCS)
Tricare Standard
United Healthcare Choice
United Healthcare EPO
United Healthcare Options PPO
United Healthcare POS
Hospital Privileges: None listed
Locations: Hours: Languages:
6048 S. SHERDIAN RD
SUITE B
TULSA OK 74145-9212

Phone #: (918) 591-3891
Fax #: (918) 895-7887
Spanish

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