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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST

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SMITH, GINA R       
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: RADIOLOGY CONSULTANTS OF TULSA
5801 E. 41ST STREET
SUITE 900
TULSA OK 74135

Address last updated on 12/16/2024
Phone #: (918) 747-4975
Fax #:
County: TULSA
License: 1114
Dated: 4/1/2001
Expires: 3/31/2025
Temp. Ltr. Issued: 2/1/2001
Temp. Ltr. Expires: 3/31/2001
License Type: Physician Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
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.
Locations: Hours: Languages:
RADIOLOGY CONSULTANTS OF TULSA
5801 E. 41ST STREET
SUITE 900
TULSA OK 74135

Phone #: (918) 747-4975
Fax #:

Hospital Privileges:

St. Francis Hospital
Tulsa, OK
St. Francis Hospital - SOUTH
Tulsa, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
TATE BRANDON ALLEN MD 21029
Natasha Nichole Bray DO 6108
SUCHITRA GODARA MD 26984
SIMER KAUR GREWAL MD 41099
DAVID JAY HARRIS MD 18423
CONNOR DAVID HASBROOK MD 35560
ANDREW HENDRICKSON MD 29125
CHARLES HOUNSHELL DO 6850
JOHN HOUSTON JENNINGS MD 20196
ANIL A KILPADIKAR MD 24891
MARK DAVID KRAEMER MD 18510
JEROME WILLIAM LARSON MD 35610
LAURA LEIGH DACUS LEE MD 12850
STEVEN BERNARD LEONARD MD 18138
GEORGE DAVID LYONS MD 21107
RYAN S. MAKIPOUR MD 39058
Khanh Nguyen DO 6460
EMILY RACHEL NORMAN MD 25203
HARISH PATEL MD 27043
JEFFREY SCOTT STAFIRA MD 22902
W JORDAN TAYLOR MD 19744
PHILLIP TRAINO JR DO 3888
JIMMY TRAN MD 33901
NHAN P. TRUONG MD 18537
THOMAS ELMER WILEY III MD 24695

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