Oklahoma State SealOklahoma State Seal
Oklahoma Board of Medical Licensure and Supervision

Search Results

Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST

Return to Search Licensees page

CARTER, TRACI TRAN       
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 SHAWNEE HOSPITAL
1102 WEST MACARTHUR STREET
SHAWNEE OK 74801

Address last updated on 7/27/2024
Phone #: (405) 273-2270
Fax #:
County: POTTAWATOMIE
License: 1874
Dated: 1/19/2010
Expires: 3/31/2025
Temp. Ltr. Issued: 1/8/2010
Temp. Ltr. Expires: 5/21/2010
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 SHAWNEE HOSPITAL
1102 WEST MACARTHUR STREET
SHAWNEE OK 74801

Phone #: (405) 273-2270
Fax #:

Hospital Privileges:

SSM Health St. Anthony Shawnee Hospital (fmly Unity Health Ctr)
Shawnee, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
GAYNELL SCHIEBER ANDERSON MD 21160
MICHAEL JEROME BRZOZOWSKI MD 28662
KENNETH TED DARVIN MD 20274
DAVID LEWIS HADLEY MD 18911
MATTHEW JEFFERSON JARED MD 27201
JULIE ST JOHN MAHANEY MD 31666
LARA DEL MASHEK MD 25902

Return to Search Licensees page