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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, November 22, 2024 8:19 AM CST
Next Update: Friday, November 22, 2024 12:00 PM CST

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SPARKS, RHONDA AGNES       
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: OAK STREET HEALTH
2130 SW 59TH STREET
OKLAHOMA CITY OK 73119

Address last updated on 7/15/2024
Phone #: (405) 303-7555
Fax #: (405) 561-5615
County: OKLAHOMA
License: 19503
Dated: 8/24/1995
Expires: 8/1/2025
Training Issued: 6/30/1994
Training Expires: 6/1/1996
License Type: Medical Doctor
Specialty: Family 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 / 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 FAMILY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
OAK STREET HEALTH
2130 SW 59TH STREET
OKLAHOMA CITY OK 73119

Phone #: (405) 303-7555
Fax #: (405) 561-5615
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 5:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
MACKENZIE AINSWORTH APRN 118628
JARED REMMINGTON AINSWORTH PA 4881
JOANNA CABRERA APRN 12261
EVODIO HECTOR ESTRADA PA 3129
CATHERINE GARDNER APRN 58989
THERESE MINER APRN 62899
MICHAEL SHANE RICHARDSON PA 1615
DESHELL TILLMAN APRN 99284

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