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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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LOPER, TRACY SHAWN       
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: OU MEDICAL CENTER EDMOND
1 SOUTH BRYANT AVENUE
EDMOND OK 73034

Address last updated on 6/25/2024
Phone #: (405) 359-5225
Fax #: (405) 359-5475
County: OKLAHOMA
License: 22482
Dated: 7/1/2003
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Psychiatry
Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: American Univ Of The Caribbean, Sch Of Med, St Maarten, Netherlands Antille
Graduated: 12 / 2000
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 PSYCHIATRY AND NEUROLOGY (Psychiatry specific)
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Henryetta Medical Center
Henryetta, OK
Hillcrest Hospital Claremore (fmly Claremore Regional)
Claremore, OK
Hillcrest Hospital Cushing (fmly Cushing Reg. Hosp.)
Cushing, OK
Locations: Hours: Languages:
OU MEDICAL CENTER EDMOND
1 SOUTH BRYANT AVENUE
EDMOND OK 73034

Phone #: (405) 359-5225
Fax #: (405) 359-5475
Mon: 8:00AM - 5:00AM
Tue: 8:00AM - 5:00AM
Wed: 8:00AM - 5:00AM
Thu: 8:00AM - 5:00AM
Fri: 8:00AM - 5:00AM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JON ESPONGE APRN 81608
ASHLEE MELISSA GRAHAM PA 1331
KADILYN VIVIAN HOURIGAN PA 2368
JONATHAN LURZ APRN 96298
CAROL STEWART APRN 37408
DEBRA STONE APRN 81435
SARAH WOODY APRN 5286

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