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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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SHELLENBERGER, JOHN MARC       
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: SAINT FRANICS HOPSITAL TRAUMA INSTITUTE
6161 SOUTH YALE AVENUE
TULSA OK 74136

Address last updated on 4/3/2024
Phone #: (918) 494-1805
Fax #:
County: TULSA
License: 34961
Dated: 6/1/2019
Expires: 6/1/2025
License Type: Medical Doctor
Specialty: General Surgery
Surgical Critical Care (Surgery)
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of AR Coll Of Med, Little Rock AR 72205
Graduated: 5 / 2013
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 SURGERY
AMERICAN BOARD OF SURGERY - Surgical Critical Care
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: St. Francis Hospital
Tulsa, OK
Locations: Hours: Languages:
SAINT FRANICS HOPSITAL TRAUMA INSTITUTE
6161 SOUTH YALE AVENUE
TULSA OK 74136

Phone #: (918) 494-1805
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
KRISTA RENEE BENDAVID PA 3158
JAYNE ELIZABETH CONTRERAS PA 2103
JACOB TAU DEAN PA 2045
HOPE DENISE GUTIERREZ PA 5155
CARL DOUGLAS JACKSON PA 2616
JOHN MICHAEL NEISEN PA 4613
CHELSEA TAYLOR PALMER RC 4924
REBECCA FETZER THATCHER PA 3083
KELLY GRACE WEST PA 1716

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