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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST

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ELKINS, CHARLES CRAIG       
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: 3433 NW 56TH
BLDG B SUITE 760
OKLAHOMA CITY OK 73112

Address last updated on 8/28/2023
Phone #: (405) 951-4345
Fax #: (405) 951-4392
County: OKLAHOMA
License: 20620
Dated: 5/1/1998
Expires: 5/1/2025
License Type: Medical Doctor
Specialty: SURGERY, CARDIOVASCULAR
Vascular Surgery
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 / 1988
CME Year: 2025
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 THORACIC SURGERY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: INTEGRIS Baptist Medical Center
Oklahoma City, OK
Select Specialty Hospital-OKC
Oklahoma City, OK
Locations: Hours: Languages:
3433 NW 56TH
BLDG B SUITE 760
OKLAHOMA CITY OK 73112

Phone #: (405) 951-4345
Fax #: (405) 951-4392
Mon: 8:30AM - 5:00PM
Tue: 8:30AM - 5:00PM
Wed: 8:30AM - 5:00PM
Thu: 8:30AM - 5:00PM
Fri: 8:30AM - 5:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
VICTORIA ANN BROOKS PA 2830
RITA DERIKS PA 4967
GREG WAYNE DINWIDDIE PA 1037
SHELBY MARIE FOGLER PA 5188
JOANNA LEE HART PA 1236
ERIN M KRUEGER PA 1866
SONYA EISENHOUR LECK PA 1395
SARAH POPPE APRN 134458
BETSY LEIGH SEVERANCE PA 1865
LINDSEY CHALEE THOMAS PA 2699

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