Oklahoma State SealOklahoma State Seal
Oklahoma Board of Medical Licensure and Supervision

Search Results

Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

Return to Search Licensees page

FORD, MATTHEW KENT       
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: 1120 S UTICA
TULSA OK 74104

Address last updated on 4/8/2024
Phone #: (918) 934-8347
Fax #: (918) 917-4114
County: TULSA
License: 29076
Dated: 6/1/2012
Expires: 6/1/2025
License Type: Medical Doctor
Specialty: Radiology
Diagnostic Radiology
Vascular and Interventional Radiology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Mi Med Sch, Ann Arbor Mi 48109
Graduated: 6 / 2006
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 RADIOLOGY (Diagnostic Radiology specific)
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Ascension St. John Medical Center
Tulsa, OK
Hillcrest Medical Center
Tulsa, OK
Locations: Hours: Languages:
1120 S UTICA
TULSA OK 74104

Phone #: (918) 934-8347
Fax #: (918) 917-4114
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
RANDALL WADE JACKSON RA 1
BRIAN ROBERT KLEPCZYK RA 9
KELLY RACHEL KUSHNERICK PA 2536
MADISON ELIZABETH POINTER PA 4764
LESLIE ANNE TAYLOR PA 1109
ANTHONY WAYNE WALLACE RA 2

Return to Search Licensees page