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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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DE LA GARZA, SCOTT MARTIN       
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: OKLAHOMA SPORTS & ORTHOPEDICS INSTITUTE
1110 N. LEE AVE.
SUITE 200
OKLAHOMA CITY OK 73103

Address last updated on 2/12/2024
Phone #: (405) 218-2530
Fax #: (405) 218-2535
County: OKLAHOMA
License: 21981
Dated: 3/25/2002
Expires: 3/1/2025
License Type: Medical Doctor
Specialty: Orthopedic Surgery
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Il Coll Of Med, Chicago Il 60680
Graduated: 5 / 2000
CME Year: 2026
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: None listed
Hospital Privileges: SSM Health Bone and Joint Hospital at St. Anthony
Oklahoma City, OK
SSM Health St. Anthony Hospital - OKC
Oklahoma City, OK
Locations: Hours: Languages:
OKLAHOMA SPORTS & ORTHOPEDICS INSTITUTE
1110 N. LEE AVE.
SUITE 200
OKLAHOMA CITY OK 73103

Phone #: (405) 218-2530
Fax #: (405) 218-2535
Mon: 7:00AM - 4:30PM
Tue: 7:00AM - 4:30PM
Wed: 7:00AM - 4:30PM
Thu: 7:00AM - 4:30PM
Fri: 8:00AM - 4:30PM
Sat:
Sun:
608 NW 9TH ST
SUITE 6000
Oklahoma City, OK 73102

Phone #: (405) 552-5764
Fax #: (8) 200-
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:
BEAU JAMES BURTON PA 2526
KASEY LYNN CLYMER AT 523
RALPH EUGENE FOUNTAIN PA 498
BRANDON SCOTT FUNK PA 1465
MORGAN AMANDA GOSSEN PA 2462
KALIN T HEATON PA 4673
KRISTEN WALTERS HODGES PA 1682
MARK DANIEL JOHNSON PA 485
HEATHER COLLIGAN KUKLINSKI PA 1405
TAMI RENE MYERS PA 1038
MINHUYEN THI NGUYEN PA 4720
MICHAEL LYNN SANDERSON PA 1808
TAYLOR PAIGE TAMAGE PA 4633

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