Oklahoma State SealOklahoma State Seal
Oklahoma Board of Medical Licensure and Supervision

Search Results

Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST

Return to Search Licensees page

OVERHOLT, EDWARD DAVID       
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: OKLA CHILDRENS HOSPITAL
PEDIATRIC CARDIOLOGY
1200 N. PHILLIPS
OKLAHOMA CITY OK 73104

Address last updated on 8/3/2024
Phone #: (405) 271-5530
Fax #: (405) 271-5055
County: OKLAHOMA
License: 12884
Dated: 9/19/1980
Expires: 9/1/2025
License Type: Medical Doctor
Specialty: Pediatric Cardiology
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 / 1979
CME Year: 2027
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 PEDIATRICS
AMERICAN BOARD OF PEDIATRICS - Pediatric Cardiology
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Cherokee Nation W.W. Hastings Hospital
Tahlequah, OK
Comanche County Memorial Hospital
Lawton, OK
Duncan Regional Hospital
Duncan, OK
INTEGRIS Baptist Medical Center
Oklahoma City, OK
INTEGRIS Baptist Portland Ave (fmly Deaconess Hospital)
Oklahoma City, OK
INTEGRIS Bass Baptist Health Center
Enid, OK
INTEGRIS Health Ponca City Hospital -(frmly Via Christi)
Ponca City, OK
INTEGRIS Southwest Medical Center
Oklahoma City, OK
McAlester Regional Health Center
McAlester, OK
Medical Center of Southeastern OK
Durant, OK
Mercy Hospital Ada (frmly Valley View Regional Hospital)
Ada, OK
Mercy Hospital OKC
Oklahoma City, OK
Norman Regional Hospital
Norman, OK
OU Health Medical Center
Oklahoma City, OK
St. Anthony North Ambulatory Surgery Center
Oklahoma City, OK
St. Mary's Regional Medical Center
Enid, OK
Stillwater Medical Center
Stillwater, OK
Locations: Hours: Languages:
OKLA CHILDRENS HOSPITAL
PEDIATRIC CARDIOLOGY
1200 N. PHILLIPS
OKLAHOMA CITY OK 73104

Phone #: (405) 271-5530
Fax #: (405) 271-5055
Mon:
Tue: 8:00AM - 4:30PM
Wed: 8:00AM - 4:30PM
Thu: 8:00AM - 4:30PM
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
EMILY JANE AULD PA 1962
VANESSA JO HART PA 2814
BETHANY ROSE SALLEE PA 3104

Return to Search Licensees page