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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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LEWIS, GREGORY JOHN       
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: IN HIS IMAGE INTL @ ST JOHNS MEDICAL CENTER
ST JOHN CLINIC FAMILY MEDICAL CARE
7501 RIVERSIDE PARKWAY
TULSA OK 74136

Address last updated on 7/15/2024
Phone #: (918) 710-4210
Fax #:
County: TULSA
License: 28635
Dated: 9/10/2012
Expires: 9/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Albany Med Coll, Albany NY 12208
Graduated: 5 / 2011
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: AMERICAN BOARD OF FAMILY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Ascension St. John Medical Center
Tulsa, OK
Cleveland Area Hospital
Cleveland, OK
Haskell County Healthcare System
Stigler, OK
Holdenville General Hospital
Holdenville, OK
Memorial Hospital of Texas County
Guymon, OK
Newman Memorial Hospital
Shattuck, OK
Locations: Hours: Languages:
IN HIS IMAGE INTL @ ST JOHNS MEDICAL CENTER
ST JOHN CLINIC FAMILY MEDICAL CARE
7501 RIVERSIDE PARKWAY
TULSA OK 74136

Phone #: (918) 710-4210
Fax #:
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In His Image International
PO Box 1191
Tulsa, OK 74101

Phone #: (918) 710-4218
Fax #: (7) 201-
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905 S Main St
Shattuck, OK 73858

Phone #: (580) 938-2551
Fax #: (1) 202-
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Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
ERIN MARIE CAPPS PA 2074
JAYNE ELIZABETH CONTRERAS PA 2103
KAYLYNN COATS ELMORE PA 1953
MINI GEORGE PA 1334
LAURA KATHRYN HOLMAN PA 2726
KELSEY NICOLE KLEIN PA 2391
JENNIFER RENEE MEANS PA 2084
DAVID JOSEPH OLSON PA 2248
RICHELLE CHRISTINE VOTH PA 2427

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