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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, November 22, 2024 6:42 PM CST
Next Update: Saturday, November 23, 2024 2:50 AM CST

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BOGIE, AMANDA 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: 940 NE 13TH STREET
ROOM 2G2300
OKLAHOMA CITY OK 73104

Address last updated on 6/21/2023
Phone #: (405) 271-2429
Fax #:
County: OKLAHOMA
License: 19475
Dated: 8/24/1995
Expires: 8/1/2025
Training Issued: 6/23/1994
Training Expires: 6/1/1996
License Type: Medical Doctor
Specialty: Pediatrics
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: 6 / 1994
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
AMERICAN BOARD OF PEDIATRICS - Pediatric Emergency Medicine
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
940 NE 13TH STREET
ROOM 2G2300
OKLAHOMA CITY OK 73104

Phone #: (405) 271-2429
Fax #:
Mon: 6:00AM - 3:00PM ED
Tue: 7:00AM - 3:00PM ED
Wed: 6:00AM - 3:00PM ED
Thu: 7:00AM - 3:00PM ED
Fri: 7:00AM - 3:00PM ED
Sat: 7:00AM - 3:00PM ED
Sun: 7:00AM - 3:00PM ED
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
LAUREN NICOLE DONALDSON PA 1989
JOHNNIE GILPEN JR PA 3116
LINDSEY GOODNIGHT PA 2376
JUAN CARLOS HIDALGO PA 5288
SHARON DAISY KARJADI PA 5187
JESSICA MARSHALL PA 5151
EMILY JEAN RITER PA 2758

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