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Oklahoma Board of Medical Licensure and Supervision

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

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KASSEM, MEGAN BLAIRE       
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: ASCENSION MEDICAL GROUP - BROKEN ARROW
800 WEST BOISE CIRCLE STE 160
BROKEN ARROW OK 74012-4932

Address last updated on 4/17/2024
Phone #: (918) 994-9160
Fax #:
County: TULSA
License: 2881
Dated: 2/2/2018
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:
ASCENSION MEDICAL GROUP - BROKEN ARROW
800 WEST BOISE CIRCLE STE 160
BROKEN ARROW OK 74012-4932

Phone #: (918) 994-9160
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
Lawrence Cook DO 7087
NICOLE PAOLA MATHES MD 43726
ROBERT GERALD NIEBERGALL MD 13607
TUAN ANH PHAM MD 33096
Ashley Wessler Pojezny DO 5613

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