Oklahoma State SealOklahoma State Seal
Oklahoma Board of Medical Licensure and Supervision

Search Results

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

Return to Search Licensees page

IRWIN, DEREK AUSTIN       
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: BAPTIST HOSPITAL
3600 NW EXPRESSWAY
OKLAHOMA CITY OK 73112

Address last updated on 6/11/2024
Phone #: (405) 552-0146
Fax #:
County: OKLAHOMA
License: 19794
Dated: 7/11/1996
Expires: 7/1/2025
Training Issued: 7/6/1995
Training Expires: 8/1/1996
License Type: Medical Doctor
Specialty: Anatomic/Clinical Pathology
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 / 1995
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 PATHOLOGY
New Patients: No
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: INTEGRIS Baptist Medical Center
Oklahoma City, OK
INTEGRIS Baptist Portland Ave (fmly Deaconess Hospital)
Oklahoma City, OK
INTEGRIS Canadian Valley Regional Hospital
Yukon, OK
INTEGRIS Clinton Regional Hospital
Clinton, OK
INTEGRIS Edmond
Edmond, OK
INTEGRIS Grove General Hospital
Grove, OK
INTEGRIS Southwest Medical Center
Oklahoma City, OK
Oklahoma Center for Orthopaedic & Multi-Specialty Surgery
Oklahoma City, OK
Locations: Hours: Languages:
BAPTIST HOSPITAL
3600 NW EXPRESSWAY
OKLAHOMA CITY OK 73112

Phone #: (405) 552-0146
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JEFFREY DON BIVENS PA 807
MARY JANE EASLEY PA 796

Return to Search Licensees page