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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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WORSHAM, SUSAN DORINDA       
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: INTEGRIS BAPTIST HOSPITAL
3300 NW EXPRESSWAY
OKLAHOMA CITY OK 73112

Address last updated on 8/9/2024
Phone #: (405) 949-3417
Fax #: (405) 552-5165
County: OKLAHOMA
License: 719
Dated: 5/13/1995
Expires: 3/31/2025
Temp. Ltr. Issued: 4/3/1995
Temp. Ltr. Expires: 7/15/1995
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:
INTEGRIS BAPTIST HOSPITAL
3300 NW EXPRESSWAY
OKLAHOMA CITY OK 73112

Phone #: (405) 949-3417
Fax #: (405) 552-5165

Hospital Privileges:

INTEGRIS Baptist Medical Center
Oklahoma City, OK
INTEGRIS Edmond
Edmond, OK
Select Specialty Hospital-OKC
Oklahoma City, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
VINCENT MICHAEL FARHOOD MD 19815
ROBERT KENT GELCZER MD 20859
MURRAY OWEN HAMILTON MD 20256
Stephanie E. Kelly DO 3749
KERRI JENNELLE KIRCHHOFF MD 18950
STEPHEN PAUL LEE MD 14285
VANCE EDMOND MCCOLLOM MD 17658
GEORGIANNE MARIE SNOWDEN MD 16539
CHAD GLENN THOMPSON MD 24966
IWAN T TJAUW MD 24754
RYAN JOSEPH TROJAN MD 28448
VIKAS VIJ MD 25298

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