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Last Update: Tuesday, May 14, 2024 7:02 PM CDT
Next Update: Wednesday, May 15, 2024 2:50 AM CDT
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|
HAMMOND, MICHAEL WAYNE
|
| Practice Address: |
1607 S MUSKOGEE AVE SUITE C
TAHLEQUAH OK 74464
Address last updated on 6/21/2022 |
| Phone #: |
(918) 772-5456 |
| Fax #: |
(918) 223-8400 |
| County: |
CHEROKEE |
| License: |
15215 |
| Dated: |
7/1/1985 |
| Expires: |
7/1/2024 |
| License Type: |
Medical Doctor |
| Specialty: |
Family Medicine |
|
| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
|
| Registered to Dispense: |
YES |
| Medical School: |
Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
| Graduated: |
6 /
1984 |
| CME Year: |
2024 |
|
|
Pending and/or Past Disciplinary Actions:
|
| Date |
Action |
Reasons |
Remarks |
| 7/23/2003 |
Probation Ended |
|
|
| 7/23/1998 |
Probation |
|
|
| 7/23/1998 |
Suspension, License |
|
|
Board Filings and/or Orders:
07/23/1998
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|
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 PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
BlueChoice PPO
BlueLincs HMO
CIGNA PPO
First Health
HealthChoice
OSMA Health (formerly Plico PPO)
PPO USA
Railroad Medicare
United Healthcare Options PPO |
| Hospital Privileges: |
Northeastern Health System (formerly Tahlequah City Hospital)
Tahlequah, OK
|
|
| Locations: |
Hours: |
Languages: |
1607 S MUSKOGEE AVE SUITE C
TAHLEQUAH OK 74464
Phone #:
(918) 772-5456
Fax #:
(918) 223-8400 |
Mon: 8:30AM - 5:00PM
Tue: 8:30AM - 5:00PM
Wed: 8:30AM - 5:00PM
Thu: 8:30AM - 5:00PM
Fri: 8:30AM - 5:00PM
Sat:
Sun: 1:30AM - 0:00PM |
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|
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Primary Supervisees(s):
|
| Name: |
Type: |
License Number: |
Full/Part Time: |
|
BRIAN COOKSON
|
APRN |
68390 |
|
|
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