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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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UNSICKER, JACOB CHARLES       
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: ST ANTHONY HOSPITAL
1000 N LEE AVE
OKLAHOMA CITY OK 73110

Address last updated on 2/7/2024
Phone #: (405) 272-7000
Fax #:
County: OKLAHOMA
License: 4947
Dated: 1/11/2023
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:
ST ANTHONY HOSPITAL
1000 N LEE AVE
OKLAHOMA CITY OK 73110

Phone #: (405) 272-7000
Fax #:

Hospital Privileges:

SSM Health St. Anthony Hospital - OKC
Oklahoma City, OK
SSM Health St. Anthony Shawnee Hospital (fmly Unity Health Ctr)
Shawnee, OK
SSM St Anthony Midwest Regional Medical Center
Midwest City, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
TARA D. STEWART DO 5252
Matthew Wood DO 5841

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