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Oklahoma Board of Medical Licensure and Supervision

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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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DORSEY, KIP WESTON       
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: ASCENSION MEDICAL GROUP ST JOHN
GENERAL SURGERY
800 WEST BOISE CIRCLE SUITE 280
BROKEN ARROW OK 74012

Address last updated on 4/1/2024
Phone #: (918) 994-9250
Fax #: (918) 403-6324
County: TULSA
License: 25838
Dated: 5/13/2009
Expires: 5/1/2025
License Type: Medical Doctor
Specialty: General Surgery
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 / 2007
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 SURGERY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Ascension St. John - Sapulpa
Sapulpa, OK
Ascension St. John Hospital - Broken Arrow
Broken Arrow, OK
Ascension St. John Medical Center
Tulsa, OK
Locations: Hours: Languages:
ASCENSION MEDICAL GROUP ST JOHN
GENERAL SURGERY
800 WEST BOISE CIRCLE SUITE 280
BROKEN ARROW OK 74012

Phone #: (918) 994-9250
Fax #: (918) 403-6324
Mon:
Tue:
Wed:
Thu:
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Sat:
Sun:
ST JOHN PHYSICIANS INC
SJC GENERAL SURGERY
1021 E BRYAN
Sapulpa, OK 74066

Phone #: (918) 403-7060
Fax #: (7) 201-
Mon:
Tue:
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Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
AMANDA LYNN HELM PA 2791
JAMIE SCOTT TEETER PA 2005

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