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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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O'GRADY, STEPHEN LYNN       
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: 930 COUNTRY CLUB
ADA OK 74820

Address last updated on 6/3/2024
Phone #: (580) 436-5111
Fax #:
County: PONTOTOC
License: 17834
Dated: 8/20/1991
Expires: 8/1/2025
Training Issued: 5/1/1989
Training Expires: 10/5/1991
License Type: Medical Doctor
Specialty: Pediatrics
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Tx Tech Univ Hlth Sci Ctr Sch Of Med, Lubbock Tx 79430
Graduated: 11 / 1988
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
New Patients: Yes
Medicaid: Yes
Medicare: No
   
HMO/PPO: Aetna HMO
Aetna PPO
BlueChoice PPO
United Healthcare HMO
United Healthcare Options PPO
Hospital Privileges: Mercy Hospital Ada (frmly Valley View Regional Hospital)
Ada, OK
Locations: Hours: Languages:
930 COUNTRY CLUB
ADA OK 74820

Phone #: (580) 436-5111
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
KELSEY KATHERINE HARTMAN PA 4493
SHARON WEIRICK APRN 46889

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