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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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MCMAHAN, MICHAEL ZANN       
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: FUSION MEDICAL GROUP
7006 BROADWAY EXTENSION
OKLAHOMA CITY OK 73116

Address last updated on 8/2/2024
Phone #: (405) 916-4545
Fax #:
County: OKLAHOMA
License: 24591
Dated: 9/14/2006
Expires: 9/1/2025
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: 5 / 2005
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
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Hospital Not Listed
,
Oklahoma Spine Hospital
Oklahoma City, OK
Locations: Hours: Languages:
FUSION MEDICAL GROUP
7006 BROADWAY EXTENSION
OKLAHOMA CITY OK 73116

Phone #: (405) 916-4545
Fax #:
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2743 NW Expressway
Oklahoma City, OK 73112

Phone #: (405) 951-4949
Fax #: (4) 201-
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3209 NW Expressway
Oklahoma City, OK 73112

Phone #: (405) 486-7450
Fax #: (7) 202-
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Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
KASEY LEE BRUNDIDGE PA 1618
JALYN BYRD APRN 92389
JENNIFER REBECCA DODSON PA 1202
HANNAH GOODSPEED APRN 114328
SUSAN GRANDLE APRN 28064
JERRY TODD MCLAUGHLIN PA 750
AMELIA ROUBIDEAUX APRN 109924

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