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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, December 22, 2024 6:44 PM CST
Next Update: Monday, December 23, 2024 2:50 AM CST

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PADGHAM, MICHAEL 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: OU MEDICAL CENTER
EMERGENCY DEPT
700 NE 13TH ST
OKALHOMA CITY OK 73104

Address last updated on 5/2/2024
Phone #: (405) 271-4700
Fax #:
County: OKLAHOMA
License: 17682
Dated: 7/1/1991
Expires: 7/1/2025
Training Issued: 7/5/1990
Training Expires: 7/1/1991
License Type: Medical Doctor
Specialty: Emergency Medicine
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: 5 / 1990
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: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: INTEGRIS Health Woodward Hospital (fmly Woodward reg. Hosp/Alliance)
Woodward, OK
OU Health Medical Center
Oklahoma City, OK
OU Medical Center - Edmond
Edmond, OK
Locations: Hours: Languages:
OU MEDICAL CENTER
EMERGENCY DEPT
700 NE 13TH ST
OKALHOMA CITY OK 73104

Phone #: (405) 271-4700
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
WADE MICHAEL BITTLE PA 1681
CHARLES MICHAEL BRADEN PA 2784
AMANDA ANN CHARLES PA 5359
KEVIN MICHAEL CHESSMORE PA 1576
KALLIE BLYTHE HUMPHREYS PA 2188
TIM MICHAEL LAING PA 792
JENNA CAROLE LINHOLM PA 4882
MADISON MILLER PA 5341
BRET REID OWEN PA 819
AMY YVONNE PASQUE PA 4855
KAY BETH ROCHESTER PA 2081
CAROLINE MENZIES SITTON PA 1956

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