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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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GRANT, GREGORY GORDON       
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: SSMHEALTH FAMILY MEDICINE SHAWNEE
3214 KETHLEY RD
SHAWNEE OK 74804-9625

Address last updated on 8/5/2024
Phone #: (405) 273-5801
Fax #: (405) 395-0852
County: POTTAWATOMIE
License: 25087
Dated: 9/11/2007
Expires: 9/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
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 / 2006
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
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: SSM Health St. Anthony Shawnee Hospital (fmly Unity Health Ctr)
Shawnee, OK
Locations: Hours: Languages:
SSMHEALTH FAMILY MEDICINE SHAWNEE
3214 KETHLEY RD
SHAWNEE OK 74804-9625

Phone #: (405) 273-5801
Fax #: (405) 395-0852
Mon: 7:45AM - 4:30PM
Tue: 7:45AM - 4:30PM
Wed: 7:45AM - 4:30PM
Thu: 7:45AM - 4:30PM
Fri: 7:45AM - 12:00PM
Sat:
Sun:
1533 N Harrison
Shawnee, OK 74804

Phone #: (405) 777-4143
Fax #: (8) 202-
Mon:
Tue: 9:00AM - 5:00PM
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
CHRISTOPHER CARPENTER APRN 71765
ALICIA CHANSKI APRN 118833
LACEY MCCRARY APRN 89833
CARY DOUGLAS NATION PA 1393
KARYN TAYLOR APRN 71175

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