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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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WELLINGTON, REBECCA RUTH       
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: TEAM HEALTH
2900 S TELEPHONE RD
STE 250
MOORE OK 73160

Address last updated on 3/6/2024
Phone #: (405) 378-2197
Fax #:
County: CLEVELAND
License: 2125
Dated: 5/9/2012
Expires: 3/31/2025
Temp. Ltr. Issued: 3/16/2012
Temp. Ltr. Expires: 5/17/2012
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:
TEAM HEALTH
2900 S TELEPHONE RD
STE 250
MOORE OK 73160

Phone #: (405) 378-2197
Fax #:

Hospital Privileges:

INTEGRIS Baptist Medical Center
Oklahoma City, OK
INTEGRIS Baptist Portland Ave (fmly Deaconess Hospital)
Oklahoma City, OK
INTEGRIS Edmond
Edmond, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
CARRIE ANN BARTON MD 24175
MATTHEW RAY BONNER MD 24385
CHAD BORIN DO 3746
ALVIN J. BRADFORD DO 4278
ANGELA CARRICK DO 4433
HOLLY COSTNER DO 4709
MATTHEW DAVIS DO 4239
KURT FEIGHNER DO 3570
TERRY J HILL DO 3096
KEVIN HOOS DO 4301
DANIEL KITE DO 4605
ROBIN MICHELLE MANTOOTH MD 19203
JARROD JAMES MUEGGENBORG DO 4935
MICHAEL WARREN PORTER MD 28449
MARSHALL REA DO 3412
CHELSEA ROSE RISINGER DO 5205
THERON RISINGER DO 5432
JOHN WARREN SEAGRAVES DO 4954
JOHN S. YUTHAS MD 18753
SHELLY ZIMMERMAN DO 3056

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