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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, November 22, 2024 8:19 AM CST
Next Update: Friday, November 22, 2024 12:00 PM CST

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BROOME, JOSEPH CLIFTON       
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: 4400 GRANT BLVD.
YUKON OK 73099

Address last updated on 6/5/2024
Phone #: (405) 787-4915
Fax #: (405) 787-6303
County: OKLAHOMA
License: 23006
Dated: 7/1/2003
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 2002
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 FAMILY MEDICINE
AMERICAN BOARD OF FAMILY MEDICINE - Hospice and Palliative Medicine
New Patients: Yes
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
Mercy Hospital OKC
Oklahoma City, OK
Physicians Hospital of Oklahoma
Oklahoma City, OK
Locations: Hours: Languages:
4400 GRANT BLVD.
YUKON OK 73099

Phone #: (405) 787-4915
Fax #: (405) 787-6303
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1841-L Belle Isle Boulevard
Oklahoma CIty, OK 73118

Phone #: (405) 445-7504
Fax #: (1) 201-
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13230 Pawnee Drive Suite 201
Oklahoma City, OK 73114

Phone #: (405) 633-3988
Fax #: (1) 202-
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Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
CAITLIN ADAY APRN 104559
APRIL BUSCH PA 2685
MARY CLAIRE CARBONELL APRN 100066
YVONNE CHAMBERS APRN 51992
JOHN EDWARD COINTEPAS PA 333
ABIGAIL MARIE ENSZ PA 4704
ASHLEY GRADOS APRN 2116
LUCI GRATCH APRN 81057
NICOLE HARRIS APRN 105925
JESSICA ELISE JACKSON PA 2725
MACARA KAY JACOBS PA 1593
CHRISTOPHER TODD JAMES PA 1231
DORETTA R JENISON PA 3156
STEPHANIE SHERRELL JOHNSON PA 2897
ERIN NICOLE JONES PA 1856
CHELSEA KIRK APRN 97330
JENNIFER LE APRN 102855
MARY LONG APRN 7060
MALLARY MALWICK APRN 92788
SEAN MILLS APRN 110893
MEREDITH LEIGH MOGAN PA 1884
CHRISTINE NOTEBOOM APRN 103169
KIMBERLY ROBERTS APRN 93799
CHRISTINA J. SCHAFER PA 1183
ROBIN SHAVER APRN 137652
JACK BRADLEY SMITH PA 1155
CANDACE LEE STURLIN PA 1266
AMBER SURZ APRN 134215
LARRY TEVEBAUGH JR APRN 5852
ANDREA JULIA UZUEGBUNEM PA 2639
KELSEY LOUISE WIYNINGER PA 3159

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