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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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JARED, MATTHEW JEFFERSON       
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: 1111 N LEE AVE
SUITE 305
OKLAHOMA CITY OK 73103

Address last updated on 5/19/2024
Phone #: (405) 272-4978
Fax #: (405) 772-4430
County: OKLAHOMA
License: 27201
Dated: 7/1/2010
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
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 FAMILY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Beaver County Memorial Hosp. & Nursing Home
Beaver, OK
Cordell Memorial Hospital
Cordell, OK
Elkview General Hospital
Hobart, OK
Fairview Regional Medical Center
Fairview, OK
Okeene Municipal Hospital
Okeene, OK
Purcell Municipal Hospital
Purcell, OK
Share Medical Center
Alva, OK
SSM Health Bone and Joint Hospital at St. Anthony
Oklahoma City, OK
SSM Health St. Anthony Hospital - OKC
Oklahoma City, OK
SSM Health St. Anthony Shawnee Hospital (fmly Unity Health Ctr)
Shawnee, OK
SSM St Anthony Midwest Regional Medical Center
Midwest City, OK
Surgical Hospital of Oklahoma
Oklahoma City, OK
Valir Rehabilitation Hospital
Oklahoma City, OK
Locations: Hours: Languages:
1111 N LEE AVE
SUITE 305
OKLAHOMA CITY OK 73103

Phone #: (405) 272-4978
Fax #: (405) 772-4430
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
1111 N Lee Ave
Suite 305
Oklahoma City, OK 73103

Phone #: (405) 272-4978
Fax #: (11) 201-
Mon: 8:00AM - 12:00PM
Tue: 8:00AM - 12:00PM
Wed: 8:00AM - 12:00PM
Thu: 8:00AM - 12:00PM
Fri: 8:00AM - 12:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
TRACI TRAN CARTER PA 1874
NATHAN WAYNE FITE PA 2309
ASHLEY HAMMONS APRN 134542
RICHARD ENNISS HANSON PA 1837
LINDEE RENAE LEDBETTER PA 1824
AMY YVONNE PASQUE PA 4855
JEFFREY DON PHILLIPS PA 740
HINAKUMARI D REY PA 2889
CHARLES ALLEN SEVER PA 2912
JOSEPH N STANCAMPIANO PA 4679
SARAH ELIZABETH THOMPSON PA 1988
ASHLEY WAKELEE APRN 107147

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