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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST

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RANDOLPH, JOHN DOUGLAS       
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: 4050 W MEMORIAL ROAD
OKLAHOMA CITY OK 73120

Address last updated on 5/20/2024
Phone #: (405) 608-3800
Fax #: (405) 608-3830
County: OKLAHOMA
License: 13800
Dated: 7/1/1982
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: SURGERY, THORACIC
SURGERY, CARDIOVASCULAR
General Surgery
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1981
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 THORACIC SURGERY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Mercy Hospital OKC
Oklahoma City, OK
Oklahoma Heart Hospital - North Campus (4050 W. Memorial Rd)
Oklahoma City, OK
Oklahoma Heart Hospital - South Campus (5200 I-240 Service Rd)
Oklahoma City, OK
Locations: Hours: Languages:
4050 W MEMORIAL ROAD
OKLAHOMA CITY OK 73120

Phone #: (405) 608-3800
Fax #: (405) 608-3830
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
CHELSEA BRUSTER APRN 102280
WILLIAM FUCHS APRN 106353
KERI HAMPTON APRN 77086
ROBERT DEAN HANNA PA 947
CHAD LEE NICHOLS PA 990
BRITTNEY JOLENE ROBERTS PA 2984

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