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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, December 22, 2024 1:13 PM CST
Next Update: Sunday, December 22, 2024 4:30 PM CST

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BOSHELL, EMILY       
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: OKLAHOMA HEART HOSPITAL SOUTH
5200 E I-240 SERVICE ROAD
OKLAHOMA CITY OK 73135

Address last updated on 6/19/2024
Phone #: (405) 628-6000
Fax #:
County: OKLAHOMA
License: 3087
Dated: 8/20/2019
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:
OKLAHOMA HEART HOSPITAL SOUTH
5200 E I-240 SERVICE ROAD
OKLAHOMA CITY OK 73135

Phone #: (405) 628-6000
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
GLEN HOWARD BAILEY DO 3838
STEVEN BRENT BARNES MD 18976
LYNDON DREW ELDRIDGE DO 3946
JAMES MICHAEL FITZGERALD DO 3949
JOHN FITZGERALD DO 5556
ROBERTO GONZALEZ DO 3462
KEVIN HOOS DO 4301
ALICIA KRUMMEL MD 29988
DAVID ALLAN LONG II MD 20241
GREGORY HUNT MCKINNIS MD 19047
BRIAN ALAN PLAXICO DO 3903
JAY P REYNOLDS DO 3783

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