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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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BAKER, DUSTIN RILEY       
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 8/5/2024
Phone #: (405) 470-6510
Fax #: (405) 470-6520
County: CANADIAN
License: 23973
Dated: 9/20/2005
Expires: 9/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Palliative 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: 5 / 2004
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 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
Locations: Hours: Languages:
4400 GRANT BLVD
YUKON OK 73099

Phone #: (405) 470-6510
Fax #: (405) 470-6520
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:
1841 L Belle Isle Boulevard
Oklahoma City, OK 73118

Phone #: (405) 470-6510
Fax #: (5) 201-
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
BETHANY LEANN BEACHEL PA 2953
APRIL BUSCH PA 2685
BROOKE CALDWELL APRN 78861
JESSICA ELISE JACKSON PA 2725
DYANNA JOHNSTON APRN 95313
ERIN NICOLE JONES PA 1856
SHELBY LYN LUEDERS PA 4908
MEREDITH LEIGH MOGAN PA 1884
KADI NAIL APRN 111965
STEPHANIE VICTORIA RAMSEY PA 2719
CANDACE LEE STURLIN PA 1266

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