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Oklahoma Board of Medical Licensure and Supervision

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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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FUNK, BRANDON SCOTT       
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: MERCY I-35 ORTHOPEDIC SURGERY
2017 W. I-35 FRONTAGE RD
STE 250
EDMOND OK 73013

Address last updated on 12/9/2024
Phone #: (405) 757-3340
Fax #: (405) 757-3520
County: OKLAHOMA
License: 1465
Dated: 7/21/2005
Expires: 3/31/2025
Temp. Ltr. Issued: 6/6/2008
Temp. Ltr. Expires: 6/27/2008
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:
MERCY I-35 ORTHOPEDIC SURGERY
2017 W. I-35 FRONTAGE RD
STE 250
EDMOND OK 73013

Phone #: (405) 757-3340
Fax #: (405) 757-3520

Hospital Privileges:

Community Hospital - OKC
Oklahoma City, OK
Hospital for Special Surgery (OneCore Health) - OKC
Oklahoma City, OK
Mercy Hospital OKC
Oklahoma City, OK
Surgical Hospital of Oklahoma
Oklahoma City, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
THADDEUS ALAN CARNINE MD 22939
ARTHUR HOBART CONLEY III MD 21476
SHON WILLIAM COOK MD 24168
JOSEPH BRIDGER COX MD 30503
SCOTT MARTIN DE LA GARZA MD 21981
JASON EMERSON DO 3947
JESSICA ANN FAUGHT MD 37344
MICHAEL RALPH HAHN II MD 18431
LAURA RUTH LUICK MD 30719
JEFFREY ANDREW MOORE MD 36986
FADI FAYSAL NASR MD 22413
JAMES MICHAEL ODOR MD 16903
L TODD OLSEN DO 4132
ANDREW BENJAMIN PARKINSON MD 26131
ROBERT LOUIS REMONDINO MD 13247
SHERYL MCNIVEN SMITH MD 23961
CHENG-LUN SOO MD 21124
ROBERT E TIBBS JR MD 22284
ROBERT JEROME WIENECKE MD 21277

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