GANNON, PATRICK RUSSELL - Licensee Information

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Last Update: Monday, November 4, 2024 1:08 PM CST
Next Update: Monday, November 4, 2024 4:30 PM CST

GANNON, PATRICK RUSSELL

Practice Address:	SOUTHEAST ORTHOPEDICS AT MRHC 1 CLARK BASS BLVD MCALESTER OK 74501 Address last updated on 5/28/2024
Phone #:	(918) 421-6753
Fax #:	(918) 421-6758
County:	PITTSBURG
License:	20652
Dated:	6/5/1998
Expires:	6/1/2025
License Type:	Medical Doctor
Specialty:	Orthopedic Surgery

Status:	Active
Status Class:	Fully Licensed
Restricted to:
Registered to Dispense:	YES
Medical School:	Washington Univ in St Louis Sch of Med, St Louis MO
Graduated:	5 / 1993
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 ORTHOPAEDIC SURGERY
New Patients:	Yes
Medicaid:	Yes
Medicare:	Yes

HMO/PPO:	Aetna PPO BlueChoice PPO HealthChoice Preferred Community Choice United Healthcare Options PPO Welcor/Sooner
Hospital Privileges:	McAlester Regional Health Center McAlester, OK

Locations:	Hours:	Languages:
SOUTHEAST ORTHOPEDICS AT MRHC 1 CLARK BASS BLVD MCALESTER OK 74501 Phone #: (918) 421-6753 Fax #: (918) 421-6758	Mon: Tue: Wed: Thu: Fri: Sat: Sun:

Name:	Type:	License Number:
Primary Supervisees(s):
MICHAEL EDWARD BAKER	AT	133
JONATHAN PHILIP HERRICK	AT	1238
RYAN ROBERT KNOERDEL	PA	5035
LUKE BENJAMIN SCHUMACHER	PA	2796
LAUREN WALLACE	PA	4427