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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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BALLARD, LA DENA ANN       
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: THE ORTHOPAEDIC CENTER
1809 EAST 13TH SUITE 100
TULSA OK 74104

Address last updated on 11/21/2024
Phone #: (918) 582-6800
Fax #: (918) 582-6060
County: TULSA
License: 1467
Dated: 7/22/2005
Expires: 3/31/2025
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:
THE ORTHOPAEDIC CENTER
1809 EAST 13TH SUITE 100
TULSA OK 74104

Phone #: (918) 582-6800
Fax #: (918) 582-6060

Hospital Privileges:

Carrus Lakeside Hospital (fmly Bristow Medical Center)
Bristow, OK
Hillcrest Medical Center
Tulsa, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JAMES FREDERICK BISCHOFF MD 16618
DARNELL ERIC BLACKMON SR MD 22856
BRIAN CHALKIN DO 3711
JIMMY DANG DO 4633
GWENDOLYN BETH EMERSON MD 28926
CHAD HANSON DO 5224
GREGORY REECE HOLT MD 16114
JOHN TERRILL MAIN DO 4163
YOGESH MITTAL MD 23844
VICTOR PALOMINO DO 4164
KRIS PARCHURI DO 4109
JASON SPARKS DO 5279
JEFFREY STROMBERG MD 32152

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