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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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BASSHAM, THOMAS WACO       
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: ADVANCED ORTHOPEDICS OF OKLAHOMA PLLC
2488 E 81ST ST STE 290
TULSA OK 74137-4265

Address last updated on 5/19/2024
Phone #: (918) 494-2665
Fax #: (918) 927-3193
County: TULSA
License: 1371
Dated: 9/1/2004
Expires: 3/31/2025
Temp. Ltr. Issued: 7/22/2004
Temp. Ltr. Expires: 9/25/2004
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:
ADVANCED ORTHOPEDICS OF OKLAHOMA PLLC
2488 E 81ST ST STE 290
TULSA OK 74137-4265

Phone #: (918) 494-2665
Fax #: (918) 927-3193

Hospital Privileges:

Hillcrest Hospital South
Tulsa, OK
Hillcrest Specialty Hospital
Tulsa, OK
Oklahoma Surgical Hospital (formerly Orthopedic Hospital of Oklahoma)
Tulsa, OK
St. Francis Hospital
Tulsa, OK
St. Francis Hospital - SOUTH
Tulsa, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
THOMAS G. CRAVEN MD 19312
GWENDOLYN BETH EMERSON MD 28926
JEFF AARON FOX MD 22790
BRYAN JOSEPH HAWKINS MD 18573
RANDALL LANE HENDRICKS MD 16238
DAVID REESE HICKS MD 14047
RONALD S. LABUTTI DO 3363
BRADLEY JOE LAWSON MD 28744
JOHN S MAROUK DO 3038
JEFFREY R. MORRIS DO 2582
DAVID EDWARD NONWEILER MD 17976
BRENT NOSSAMAN DO 3041
ROBERT CLIO ROBERTSON MD 10135
BLAKE EDWARD SHOCKLEY MD 25050

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