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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, December 22, 2024 6:44 PM CST
Next Update: Monday, December 23, 2024 2:50 AM CST

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CELII, AMANDA MICHELLE       
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: INTEGRIS BAPTIST MEDICAL CENTER
3366 NW EXPRESSWAY
BLDG. D SUITE 800
OKLAHOMA CITY OK 73112

Address last updated on 7/16/2024
Phone #: (405) 713-9935
Fax #: (405) 713-9936
County: OKLAHOMA
License: 33230
Dated: 8/15/2017
Expires: 8/1/2025
License Type: Medical Doctor
Specialty: Trauma Surgery
Surgical Critical Care (Surgery)
General Surgery
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: JEFFERSON MED COLL-THOS JEFFERSON UNIV, PHILADELPHIA PA 19107
Graduated: 5 / 2010
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 SURGERY
AMERICAN BOARD OF SURGERY (Surgery specific) - Surgical Critical Care
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: INTEGRIS Baptist Medical Center
Oklahoma City, OK
Locations: Hours: Languages:
INTEGRIS BAPTIST MEDICAL CENTER
3366 NW EXPRESSWAY
BLDG. D SUITE 800
OKLAHOMA CITY OK 73112

Phone #: (405) 713-9935
Fax #: (405) 713-9936
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JESSICA MARIE ACOSTA PA 2934
BREANNA BROWN APRN 94697
MARIELLE YSABEL M ELDER PA 4434
ERIN B HOPCRAFT PA 4999
DYLAN LEIGH JOHNSTON PA 5475

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