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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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JOHNSON, MICHAEL BRANDON       
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: 9800 BROADWAY EXTENSION SUITE 203
OKLAHOMA CITY OK 73114-6304

Address last updated on 7/16/2024
Phone #: (405) 424-5417
Fax #: (405) 424-5418
County: OKLAHOMA
License: 26521
Dated: 9/22/2009
Expires: 9/1/2025
License Type: Medical Doctor
Specialty: Orthopedic Surgery
Sports Medicine (Orthopedic 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 / 2008
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:
New Patients: Yes
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Community Hospital - OKC
Oklahoma City, OK
Mercy Hospital OKC
Oklahoma City, OK
Northwest Surgical Hospital
Oklahoma City, OK
SSM Health St. Anthony Hospital - OKC
Oklahoma City, OK
Surgery Center of Oklahoma
Oklahoma City, OK
Locations: Hours: Languages:
9800 BROADWAY EXTENSION SUITE 203
OKLAHOMA CITY OK 73114-6304

Phone #: (405) 424-5417
Fax #: (405) 424-5418
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
SARAH HIGGINBOTHAM APRN 110817
RYNE SHAFER PA 3225
KATRINA CLAIBORNE STEWART PA 2317
MADISON WILLIAMS PA 2718
JILLIAN ROSE YINGLING PA 4615

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