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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, December 23, 2024 1:13 PM CST
Next Update: Monday, December 23, 2024 4:30 PM CST

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SMITH, MICHAEL SHAWN       
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: 5100 NORTH BROOKLINE
SUITE 500
OKLAHOMA CITY OK 73112

Address last updated on 11/5/2024
Phone #: (405) 605-8780
Fax #:
County: OKLAHOMA
License: 18758
Dated: 12/13/1993
Expires: 12/1/2025
License Type: Medical Doctor
Specialty: Physical Medicine & Rehabilitation
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Baylor Coll Of Med, Houston Tx 77030
Graduated: 5 / 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 PHYSICAL MEDICINE/REHABILITATION
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: INTEGRIS Baptist Medical Center
Oklahoma City, OK
INTEGRIS Southwest Medical Center
Oklahoma City, OK
Kindred Hospital-Oklahoma City
Oklahoma City, OK
Locations: Hours: Languages:
5100 NORTH BROOKLINE
SUITE 500
OKLAHOMA CITY OK 73112

Phone #: (405) 605-8780
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
KIMBERLY ANN HORN PA 439
SAVANNAH SANDERS PA 4887
TRACY ANN TROYER PA 5104

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