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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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WOODSON, JEREMY ROBERT       
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: MCBRIDE ORTHOPEDIC HOSPITAL
9600 BROADWAY EXTENSION
OKLAHOMA CITY OK 73114-7408

Address last updated on 6/3/2024
Phone #: (405) 230-9000
Fax #: (405) 230-9541
County: OKLAHOMA
License: 27063
Dated: 7/1/2010
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: 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 / 2009
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 ORTHOPAEDIC SURGERY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
BlueLincs HMO
CIGNA PPO
Coventry Health Care National Network
First Health
HealthChoice
PHCS (Private Healthcare Systems)
Private Healthcare Systems (PHCS)
United Healthcare Options PPO
Hospital Privileges: Comanche County Memorial Hospital
Lawton, OK
McBride Orthopedic Hospital
Oklahoma City, OK
Mercy Hospital OKC
Oklahoma City, OK
Locations: Hours: Languages:
MCBRIDE ORTHOPEDIC HOSPITAL
9600 BROADWAY EXTENSION
OKLAHOMA CITY OK 73114-7408

Phone #: (405) 230-9000
Fax #: (405) 230-9541
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Tue:
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400 N Bryant
Edmond, OK 73034

Phone #: (405) 230-9200
Fax #: (9) 201-
Mon:
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Wed: 8:00AM - 4:00PM One day per week @ location
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5050 SW Lee Blvd
Ste 2
Lawton, OK 73505

Phone #: (405) 232-0341
Fax #: (9) 201-
Mon: 8:00AM - 3:00PM
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Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
RYAN BALLARD PA 2095
MATTHEW STEVEN BERTUS PA 861
NATHAN JAMES CHARLTON PA 2499
PARKER LEIGH CORNETT AT 456
DONALD RAY FLINN PA 317
RALPH EUGENE FOUNTAIN PA 498
DAVID SHANNON HADDOCK PA 2055
LUKE DANIEL HANEY PA 1697
JOANNA LEE HART PA 1236
AMBER DAWN HAYNES PA 1945
STEPHEN MICHAEL ISERNHAGEN PA 2613
ADA JOHNSON APRN 57970
JOHN GILBERT MILLER PA 1187
CHRISTOPHER SCOT PACE PA 1843
ALLYSON ANN PINKLEY PA 2184
BRETT DILLON PURVIS PA 1773
MICHAEL LYNN SANDERSON PA 1808
AUSTIN JAMES SHOMAN PA 4626
ANDREW BLAKE SMITH PA 2584
AARON CLAY WADE PA 866
AMY CHRISTINE WALKER PA 1419
JEFFREY SCOTT WALTER PA 1029

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