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

GARDNER, ADAM D.       
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: 13401 N. WESTERN AVENUE
SUITE 200
OKLAHOMA CITY OK 73114

Address last updated on 6/17/2024
Phone #: (405) 252-3450
Fax #:
County: OKLAHOMA
License: 30575
Dated: 7/1/2015
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 2014
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: Newman Memorial Hospital
Shattuck, OK
SSM Health St. Anthony Hospital - OKC
Oklahoma City, OK
Stillwater Medical Perry (fmly Perry Mem. Hosp)
Perry, OK
Locations: Hours: Languages:
13401 N. WESTERN AVENUE
SUITE 200
OKLAHOMA CITY OK 73114

Phone #: (405) 252-3450
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
SUSAN NHI BOHNSTEDT PA 1525
NANCY COOPER APRN 45211
NATALIE DAVIS APRN 1656
PRIYA JOHN APRN 97438
PHILIP MAYER APRN 82696
CANDIECE NICOLE MILLER PA 1167

Return to Search Licensees page