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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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THOMPSON, CHAD GLENN       
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: INTEGRIS BAPTIST MEDICAL CENTER
3330 NW EXPRESSWAY
OKLAHOMA CITY OK 73112-4426

Address last updated on 8/21/2024
Phone #:
Fax #:
County: OKLAHOMA
License: 24966
Dated: 8/18/2006
Expires: 8/1/2025
License Type: Medical Doctor
Specialty: Vascular and Interventional Radiology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Tx Tech Univ Hlth Sci Ctr Sch Of Med, Lubbock Tx 79430
Graduated: 6 / 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 RADIOLOGY (Interventional & Diagnostic specific)
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
INTEGRIS Canadian Valley Regional Hospital
Yukon, OK
INTEGRIS Edmond
Edmond, OK
Locations: Hours: Languages:
INTEGRIS BAPTIST MEDICAL CENTER
3330 NW EXPRESSWAY
OKLAHOMA CITY OK 73112-4426

Phone #:
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JESSICA MARIE ACOSTA PA 2934
ROGER DIXON HELLWEGE PA 1230
JEFFREY DONOVAN MARTENS PA 704
JILL LEANN MILLER PA 2101
LAURIE NICOLE TODD PA 2016
SUSAN DORINDA WORSHAM PA 719

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