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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, November 22, 2024 8:19 AM CST
Next Update: Friday, November 22, 2024 12:00 PM CST

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THOMPSON, MARY H       
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: 1102 WEST MACARTHUR
SHAWNEE OK 74804-1743

Address last updated on 5/7/2024
Phone #: (405) 395-5361
Fax #:
County: POTTAWATOMIE
License: 15367
Dated: 7/8/1985
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Emergency Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: The Brody Sch of Med at E Carolina Univ, Greenville NC 27858
Graduated: 5 / 1982
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 EMERGENCY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Mercy Hospital Ada (frmly Valley View Regional Hospital)
Ada, OK
SSM Health St. Anthony Shawnee Hospital (fmly Unity Health Ctr)
Shawnee, OK
Locations: Hours: Languages:
1102 WEST MACARTHUR
SHAWNEE OK 74804-1743

Phone #: (405) 395-5361
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun: EMERGENCY
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
MIKAYLA JEAN SIMS PA 2876
KATHRYN WALENZ PA 2588

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