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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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BOEHM, THEODORE ALAN       
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: ORTHO CENTRAL
3400 W. TECUMSEH RD
STE 101
NORMAN OK 73072

Address last updated on 8/27/2024
Phone #: (405) 360-6764
Fax #: (405) 360-6769
County: CLEVELAND
License: 23491
Dated: 9/9/2004
Expires: 9/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Sports Medicine (Family Practice)
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: 5 / 2003
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 FAMILY MEDICINE
AMERICAN BOARD OF FAMILY MEDICINE - Sports Medicine
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Moore Medical Center
Moore, OK
Norman Regional Hospital
Norman, OK
Locations: Hours: Languages:
ORTHO CENTRAL
3400 W. TECUMSEH RD
STE 101
NORMAN OK 73072

Phone #: (405) 360-6764
Fax #: (405) 360-6769
Mon: 7:30AM - 4:30PM
Tue: 7:30AM - 4:30PM
Wed: 7:30AM - 4:30PM
Thu: 7:30AM - 4:30PM
Fri: 7:30AM - 11:00AM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
SCOTT ALAN ANDERSON AT 3
BRAD EDWARD BASSETT AT 1336
SCOTT DUANE BEDIGREW AT 130
JOE BYNUM BOURLAND PA 899
BETHANY SPRING BROWNE PA 2932
MICHAEL JOE CRAWFORD PA 2315
DENISE DANIELLE DIAZ AT 1364
ANDREA MAE FREYMILLER AT 889
JORGE ALLEN GORTON PA 1619
LAUREN MICHEL ESTRIDGE HOUSTON AT 1375
HEATHER COLLIGAN KUKLINSKI PA 1405
JENNIFER NICOLE LANCASTER AT 1262
KYLE TODD LARNEY AT 574
CHRISTOPHER TODD TRAVIS PA 1404

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