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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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SMITH, LANCE CRAIG       
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: 12344 MARKET DR.
OKLAHOMA CITY OK 73114

Address last updated on 5/13/2024
Phone #: (405) 656-7476
Fax #:
County: OKLAHOMA
License: 27090
Dated: 7/19/2010
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Orthopedic Surgery
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of KS Sch Of Med, Kansas City Ks 66103
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: Yes
Medicaid: Contact licensee
Medicare: Yes
   
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
CIGNA PPO
Coventry Health Care National Network
Evolutions Healthcare
First Health
HealthChoice
Humana ChoiceCare
Humana Medicare Advantage PPO
Multiplan PPO
United Healthcare Options PPO
Hospital Privileges: Community Hospital - OKC
Oklahoma City, OK
Hospital Not Listed
,
Mercy Hospital OKC
Oklahoma City, OK
Northwest Surgical Hospital
Oklahoma City, OK
Summit Medical Center
Edmond, OK
Locations: Hours: Languages:
12344 MARKET DR.
OKLAHOMA CITY OK 73114

Phone #: (405) 656-7476
Fax #:
Mon: 8:00AM - 4:00PM
Tue: 8:00AM - 4:00PM
Wed: 8:00AM - 4:00PM
Thu: 8:00AM - 4:00PM
Fri: 8:00AM - 1:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
RYAN BALLARD PA 2095
MATTHEW STEVEN BERTUS PA 861
DONALD RAY FLINN PA 317
RALPH EUGENE FOUNTAIN PA 498
DAVID SHANNON HADDOCK PA 2055
AMBER DAWN HAYNES PA 1945
JOSEPH DAVON MARKEI HOSKINS PA 2285
STEPHEN MICHAEL ISERNHAGEN PA 2613
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
ANDREW BLAKE SMITH PA 2584
AARON CLAY WADE PA 866
AMY CHRISTINE WALKER PA 1419
JEFFREY SCOTT WALTER PA 1029

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