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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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JOHNSON, ROBERT DAVID       
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: CHILDRENS HOSPITAL
AT OU MEDICAL CENTER
1200 N. CHILDRENS AVE
OKLAHOMA CITY OK 73104

Address last updated on 5/2/2024
Phone #: (405) 271-4700
Fax #:
County: OKLAHOMA
License: 30480
Dated: 7/1/2014
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Pediatrics
Emergency Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: St George's Univ, Sch Of Med, St George's, Grenada
Graduated: 4 / 2011
CME Year: 2026
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 PEDIATRICS
AMERICAN BOARD OF PEDIATRICS - Pediatric Emergency Medicine
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: OU Health Medical Center
Oklahoma City, OK
Locations: Hours: Languages:
CHILDRENS HOSPITAL
AT OU MEDICAL CENTER
1200 N. CHILDRENS AVE
OKLAHOMA CITY OK 73104

Phone #: (405) 271-4700
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun: 24 HOURS 7 DAYS / WEEK
940 NE 13th Street
Suite 2G-2300
OUHSC
OKLAHOMA CITY, OK 73104

Phone #: (405) 271-2429
Fax #: (7) 201-
Mon: Karen Willbanks or
Tue:
Wed:
Thu:
Fri:
Sat:
Sun: Ask for: Rebecca Pappoe
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
LINDSEY GOODNIGHT PA 2376

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