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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, November 22, 2024 1:58 PM CST
Next Update: Friday, November 22, 2024 4:30 PM CST

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SHOMAN, AUSTIN JAMES       
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: MCBRIDE CLINIC ORTHOPEDIC HOSPITAL
9600 BROADWAY EXT
OKLAHOMA CITY OK 73114

Address last updated on 3/8/2024
Phone #: (405) 230-9000
Fax #:
County: OKLAHOMA
License: 4626
Dated: 7/14/2021
Expires: 3/31/2025
Temp. Ltr. Issued: 6/28/2021
Temp. Ltr. Expires: 7/29/2021
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:
MCBRIDE CLINIC ORTHOPEDIC HOSPITAL
9600 BROADWAY EXT
OKLAHOMA CITY OK 73114

Phone #: (405) 230-9000
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
SETH MICHAEL BOYDSTUN MD 30674
RONALD MATTHEW DUMIGAN MD 25963
WILLIAM BENTLEY EDMONDS MD 20827
CHRISTOPHER ESPINOZA-ERVIN MD 30200
WINSTON FONG MD 26909
CHARLES HARWOOD FUNDERBURK JR. MD 17610
ROBERT AUGUSTINE GERMAN MD 19833
DAVID LEE HOLDEN MD 14695
THOMAS PRIESTLEY JANSSEN MD 12826
WARREN GLENN LOW MD 10599
BRADLEY JOHNSON MARGO MD 23853
DONALD WRAY MCGINNIS MD 17667
JAMES DOUGLAS MITCHELL MD 26808
BENJAMIN ISAAC PANTER MD 25829
MARK STEPHEN PASCALE MD 16037
DAVID ALAN RUSH MD 28478
DAVID LLOYD SAXTON MD 22325
MARK CHRISTOPHER SHREVE MD 33355
AUSTIN LYNN TAYLOR MD 27084
CHRISTOPHER KELLY TKACH MD 32408
THOMAS KELLY TKACH MD 17380
KEVIN FRANK WILEY MD 30008
CHARLES DAVID WOOD MD 32761
JEREMY ROBERT WOODSON MD 27063

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