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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, December 22, 2024 6:44 PM CST
Next Update: Monday, December 23, 2024 2:50 AM CST

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ROGERS, SCOTT EDWIN       
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: OU MEDICAL CENTER
700 NE 13TH ST
OKLAHOMA CITY OK 73104

Address last updated on 8/23/2024
Phone #: (405) 271-4700
Fax #:
County: OKLAHOMA
License: 27262
Dated: 9/1/2010
Expires: 9/1/2025
License Type: Medical Doctor
Specialty: Emergency Medicine
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 EMERGENCY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
OU MEDICAL CENTER
700 NE 13TH ST
OKLAHOMA CITY OK 73104

Phone #: (405) 271-4700
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
700 NE 13th Street
Oklahoma City, OK 73104

Phone #: (405) 271-3667
Fax #: (1) 200-
Mon:
Tue:
Wed:
Thu:
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Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
MATTHEW STEVEN BERTUS PA 861
BRENT MICHAEL DAVIS PA 2052
KALLIE BLYTHE HUMPHREYS PA 2188
SASA KOREN JACKSON PA 2107
FARZANA JAHANGIR PA 2494
CHRISTOPHER TODD JAMES PA 1231
JACK BRADLEY SMITH PA 1155
KATHRYN WALENZ PA 2588

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