CHEATWOOD, JEREMY SHAUN - Licensee Information

Search Results

Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

CHEATWOOD, JEREMY SHAUN

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:	OKC ORTHOPEDICS AND SPORTS MEDICINE 13100 N. WESTERN AVE STE 200 OKLAHOMA CITY OK 73114 Address last updated on 3/10/2024
Phone #:	(405) 418-4500
Fax #:	(405) 418-4501
County:	OKLAHOMA
License:	2110
Dated:	1/12/2012
Expires:	3/31/2025
Temp. Ltr. Issued:	1/3/2012
Temp. Ltr. Expires:	4/1/2012
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:
OKC ORTHOPEDICS AND SPORTS MEDICINE 13100 N. WESTERN AVE STE 200 OKLAHOMA CITY OK 73114 Phone #: (405) 418-4500 Fax #: (405) 418-4501

Hospital Privileges:

Grady Memorial Hospital
Chickasha, OK
INTEGRIS Health Woodward Hospital (fmly Woodward reg. Hosp/Alliance)
Woodward, OK
Newman Memorial Hospital
Shattuck, OK

Name:	Type:	License Number:
Primary Supervisor(s):
JAY LANCE GREGSTON	MD	20226
MATHEW JENNINGS IVORY	MD	20243
COREY MAYO	DO	4862
OLA MOHAMAD NAWAR	MD	20698
ZANE E UHLAND	DO	3793

Return to Search Licensees page