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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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HEIMBACH, STEPHEN WAYNE       
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: AFFILIATED ANESTHESIOLOGY
13321 N. MERIDIAN AVE
STE. 402
OKLAHOMA CITY OK 73120

Address last updated on 6/4/2024
Phone #: (405) 755-1080
Fax #: (405) 751-8923
County: OKLAHOMA
License: 18991
Dated: 7/1/1994
Expires: 7/1/2025
Training Issued: 6/26/1993
Training Expires: 10/1/1994
License Type: Medical Doctor
Specialty: Anesthesiology
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 / 1993
CME Year: 2027
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
11/30/2005 Probation Ended
1/29/2004 Modification Order
1/16/2003 Modification Order
7/18/2002 Modification Order
9/28/2000 Probation
12/30/1999 Suspension, License
Board Filings and/or Orders:
02/12/2004
02/06/2003
07/18/2002
09/28/2000
12/30/1999
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF ANESTHESIOLOGY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Mercy Hospital OKC
Oklahoma City, OK
Oklahoma Spine Hospital
Oklahoma City, OK
OU Health Medical Center
Oklahoma City, OK
SSM Health St. Anthony Hospital - OKC
Oklahoma City, OK
Locations: Hours: Languages:
AFFILIATED ANESTHESIOLOGY
13321 N. MERIDIAN AVE
STE. 402
OKLAHOMA CITY OK 73120

Phone #: (405) 755-1080
Fax #: (405) 751-8923
Mon: 7:00AM - 6:00PM
Tue: 7:00AM - 6:00PM
Wed: 7:00AM - 6:00PM
Thu: 7:00AM - 6:00PM
Fri: 7:00AM - 6:00PM
Sat: 7:00AM - 6:00PM
Sun: 7:00AM - 6:00PM
522 N. Main St.
Elk City, OK 73644

Phone #: (405) 315-5892
Fax #: (6) 202-
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
436 S. Mustang Rd.
Yukon, OK 73099

Phone #: (405) 839-4191
Fax #: (1) 202-
Mon: 9:00AM - 6:00PM
Tue: 9:00AM - 6:00PM
Wed: 9:00AM - 6:00PM
Thu: 9:00AM - 6:00PM
Fri: 9:00AM - 6:00PM
Sat: 9:00AM - 6:00PM
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
MELISSA MILLER APRN 2695

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