PHILLIPS, MICHAEL RAY - Licensee Information

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Last Update: Monday, November 4, 2024 1:08 PM CST
Next Update: Monday, November 4, 2024 4:30 PM CST

PHILLIPS, MICHAEL RAY

Practice Address:	ASCENSION MEDICAL GROUP ST. JOHN CVT SURGERY 1923 S. UTICA AVE SIEGFRIED TOWER TULSA OK 74104 Address last updated on 10/21/2024
Phone #:	(918) 712-3366
Fax #:
County:	TULSA
License:	29306
Dated:	7/9/2012
Expires:	7/1/2025
License Type:	Medical Doctor
Specialty:	SURGERY, CARDIOVASCULAR Other Specialty SURGERY, THORACIC

Status:	Active
Status Class:	Fully Licensed
Restricted to:
Registered to Dispense:	NO
Medical School:	UNIV OF MO, COLUMBIA SCH OF MED, COLUMBIA MO 65212
Graduated:	6 / 1993
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 SURGERY (Surgery specific) AMERICAN BOARD OF THORACIC SURGERY
New Patients:	Contact licensee
Medicaid:	Contact licensee
Medicare:	Contact licensee

HMO/PPO:	None listed
Hospital Privileges:	Hillcrest Hospital South (fmly SouthCrest) Tulsa, OK Hillcrest Medical Center Tulsa, OK

Locations:	Hours:	Languages:
ASCENSION MEDICAL GROUP ST. JOHN CVT SURGERY 1923 S. UTICA AVE SIEGFRIED TOWER TULSA OK 74104 Phone #: (918) 712-3366 Fax #:	Mon: Tue: Wed: Thu: Fri: Sat: Sun:

Name:	Type:	License Number:
Primary Supervisees(s):
RYAN BELLASSAI	PA	4780
ANDREW BOWMAN	PA	4852
VICTORIA ANN BROOKS	PA	2830
TANNER LEE COOK	PA	5047
CAMRYN DYAN CORWIN	PA	4943
ANDREW FINLEY	APRN	109952
LAURA KATHRYN HOLMAN	PA	2726
VICKI LEIST	APRN	83523
JAMIE SCOTT TEETER	PA	2005