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

Search Results

Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST

Return to Search Licensees page

COTTLE, CHARLES EDWIN II       
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: JIM THORPE REHABILITATION CENTER
4219 S WESTERN AVE
OKLAHOMA CITY OK 73109-3410

Address last updated on 8/8/2024
Phone #: (405) 644-5356
Fax #: (405) 644-5356
County: OKLAHOMA
License: 34905
Dated: 6/1/2019
Expires: 6/1/2025
License Type: Medical Doctor
Specialty: Physical Medicine & Rehabilitation
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1980
CME Year: 2025
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 PHYSICAL MEDICINE/REHABILITATION
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: INTEGRIS Baptist Medical Center
Oklahoma City, OK
INTEGRIS Southwest Medical Center
Oklahoma City, OK
Locations: Hours: Languages:
JIM THORPE REHABILITATION CENTER
4219 S WESTERN AVE
OKLAHOMA CITY OK 73109-3410

Phone #: (405) 644-5356
Fax #: (405) 644-5356
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
KIMBERLY ANN HORN PA 439
SAVANNAH SANDERS PA 4887
TRACY ANN TROYER PA 5104

Return to Search Licensees page