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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, November 22, 2024 1:58 PM CST
Next Update: Friday, November 22, 2024 4:30 PM CST

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JACKSON, SASA KOREN       
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 HOSPITAL
1000 N LEE AVE
OKLAHOMA CITY OK 73102

Address last updated on 2/3/2024
Phone #: (405) 272-6154
Fax #:
County: OKLAHOMA
License: 2107
Dated: 1/12/2012
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:
ST. ANTHONY HOSPITAL
1000 N LEE AVE
OKLAHOMA CITY OK 73102

Phone #: (405) 272-6154
Fax #:

Hospital Privileges:

SSM Health St. Anthony Hospital - OKC
Oklahoma City, OK
St. Anthony Healthplex - East Campus (I-40 & Douglas)
Oklahoma City, OK
St. Anthony Healthplex - South Campus (I-44 & SW 134th St)
Oklahoma City, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JACK MARTIN BAIR MD 14272
CHAD BORIN DO 3746
RONALD M CABLE JR DO 3449
CONRAD C CALDWELL III MD 22805
JOY CATHERINE CRANDALL DO 4841
COLBY L. EDWARDS DO 4400
TIFFANY ELLIOTT DO 4756
KEITH KURT FISCHBORN MD 27723
AFSANEH FOROOZAN DO 3094
SERGIO GREG GARCIA MD 28909
TERRY CHARLES HERMANCE MD 25607
JESSICA DAWN HILDEBRAND MD 24769
ERIN POWERS KINNEY DO 540
JULIE LEWIS DO 5247
RYAN LYNCH DO 5406
ERIC AVERY REDDICK MD 27847
SCOTT EDWIN ROGERS MD 27262
PHILIP LEON SLOAN MD 28808
STEPHEN KOJI SPARKS DO 4559
TARA D. STEWART DO 5252

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