JORDEN, SAMUEL T - Licensee Information

Search Results

Last Update: Friday, November 22, 2024 6:42 PM CST
Next Update: Saturday, November 23, 2024 2:50 AM CST

JORDEN, SAMUEL T

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 ST. JOHN GENERAL SURGERY 220 S ELM ST JENKS OK 74037 Address last updated on 7/8/2024
Phone #:	(918) 994-9250
Fax #:
County:	TULSA
License:	4590
Dated:	4/21/2021
Expires:	3/31/2025
Temp. Ltr. Issued:	3/25/2021
Temp. Ltr. Expires:	5/13/2021
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 ST. JOHN GENERAL SURGERY 220 S ELM ST JENKS OK 74037 Phone #: (918) 994-9250 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
STEFFAN GREGORY ANDERSON	MD	24629
DEBRA LYNNE VAN ZANDT	MD	28577

Return to Search Licensees page