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Oklahoma Board of Medical Licensure and Supervision

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

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GOODNIGHT, LINDSEY       
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: OU CHILDREN'S PHYSICIAN
1200 CHILDREN'S AVE #10 A
OKLAHOMA CITY OK 73104

Address last updated on 9/19/2024
Phone #: (405) 271-4412
Fax #:
County: OKLAHOMA
License: 2376
Dated: 3/7/2014
Expires: 3/31/2025
Temp. Ltr. Issued: 3/6/2014
Temp. Ltr. Expires: 4/1/2014
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:
OU CHILDREN'S PHYSICIAN
1200 CHILDREN'S AVE #10 A
OKLAHOMA CITY OK 73104

Phone #: (405) 271-4412
Fax #:

Hospital Privileges:

OU Health - Edmond (frmrly Edmond Medical Center)
Edmond, OK
OU Health Medical Center
Oklahoma City, OK
OU Medical Center - Edmond
Edmond, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
ASHLEY ANN BAKER MD 27667
KISHA AZIZ BEG MD 33975
AMANDA LYNN BOGIE MD 19475
RYAN DAVID BROWN MD 22346
RYAN DANIEL BUTCHEE MD 29267
JARED ALLEN CORDELL MD 27936
RYAN ERICKSEN DO 5072
JOHN KIMBLE FRAZER MD 29167
KATHERINE LOUISE GRANT MD 24634
CECILIA CARUBELLI GUTHRIE MD 19971
ROBERT DAVID JOHNSON MD 30480
OSMAN KHAN MD 28138
CURTIS LEE KNOLES MD 25019
RENE' YVONNE MCNALL-KNAPP MD 22501
HANUMANTHA RAO POKALA MD 27682
LAURA MARIE ROOMS MD 20770
SARAH MELISSA SHELTON MD 26396
ARPAN ARUNKUMAR SINHA MD 33199
ANAND SRINIVASAN MD 32859
DIRK BART VERBRUGGHE MD 24000

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