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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, December 22, 2024 6:44 PM CST
Next Update: Monday, December 23, 2024 2:50 AM CST

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LEDBETTER, LINDEE RENAE       
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: ST ANTHONY PHYSICIANS HEART & VASCULAR
608 N.W. 9TH STREET
OKLAHOMA CITY OK 73102

Address last updated on 3/1/2024
Phone #: (405) 231-3737
Fax #: (405) 272-6144
County: OKLAHOMA
License: 1824
Dated: 4/16/2009
Expires: 3/31/2025
Temp. Ltr. Issued: 2/27/2009
Temp. Ltr. Expires: 5/22/2009
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:
ST ANTHONY PHYSICIANS HEART & VASCULAR
608 N.W. 9TH STREET
OKLAHOMA CITY OK 73102

Phone #: (405) 231-3737
Fax #: (405) 272-6144

Hospital Privileges:

SSM Health St. Anthony Hospital - OKC
Oklahoma City, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
DAVID RANDEL ALLEN MD 16180
AKSHEY BHANOT MD 28257
JODILYN NICOLAS CAGUIOA-AQUINO MD 26382
STEVEN G DANLEY DO 4011
RYAN WAYNE DENNIS MD 27136
MARK WARREN FOGLE MD 13925
MATTHEW JEFFERSON JARED MD 27201
VINODH JEEVANANTHAM MD 30512
BRADLEY JAY JOHNSON MD 25037
KISHORE KUMAR MD 25877
MIKHAIL ANDREEVICH LOMIZE DO 5656
NICHOLAS EDWARD O'BRIGHT MD 29935
ROBERT WILLIAM RADER MD 21263
NICHOLAS ADRIAN SLOAT MD 27906
JOHN HOWARD SUMMERS MD 19883
HALIMA NAEEM SURIA MD 28543
KAREN KAY SWISHER MD 24053
LUZ HELENA TONO MD 27025

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