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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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MOXLEY, KATHERINE MARIE
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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.
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| Practice Address: |
12697 EAST 51ST STREET SOUTH
TULSA OK 74146
Address last updated on 5/7/2024 |
| Phone #: |
(918) 499-2141 |
| Fax #: |
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| County: |
TULSA |
| License: |
24012 |
| Dated: |
7/1/2005 |
| Expires: |
7/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Gynecological Oncology |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
YES |
| Medical School: |
Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
| Graduated: |
5 /
2004 |
| CME Year: |
2026 |
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Pending and/or Past Disciplinary Actions:
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| Date |
Action |
Reasons |
Remarks |
| 9/16/2020 |
Reprimand |
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| 6/22/2020 |
Complaint Citation |
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Board Filings and/or Orders:
09/16/2020
06/22/2020
06/22/2020
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF OBSTETRICS AND GYNECOLOGY
AMERICAN BOARD OF OBSTETRICS AND GYNECOLOGY - Gynecologic Oncology |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
Ascension St. John Medical Center
Tulsa, OK
Hillcrest Specialty Hospital
Tulsa, OK
Oklahoma Spine Hospital
Oklahoma City, OK
St. Francis Hospital
Tulsa, OK
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Primary Supervisees(s):
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| Name: |
Type: |
License Number: |
Full/Part Time: |
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SHANTY VARUGHESE
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APRN |
72132 |
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