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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, November 22, 2024 3:47 AM CST
Next Update: Friday, November 22, 2024 12:00 PM CST

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BERTUS, MATTHEW STEVEN       
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: SAINT ANTHONY'S
1000 N LEE
OKLAHOMA CITY OK 73102

Address last updated on 2/5/2024
Phone #: (405) 272-7000
Fax #:
County: OKLAHOMA
License: 861
Dated: 12/19/1997
Expires: 3/31/2025
Temp. Ltr. Issued: 8/16/2001
Temp. Ltr. Expires: 1/1/2002
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:
SAINT ANTHONY'S
1000 N LEE
OKLAHOMA CITY OK 73102

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

Hospital Privileges:

Purcell Municipal Hospital
Purcell, OK
SSM Health St. Anthony Hospital - OKC
Oklahoma City, OK
Weatherford Regional Hospital (fmly Southwestern Memorial Hospital)
Weatherford, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JACK MARTIN BAIR MD 14272
CHAD BORIN DO 3746
RONALD M CABLE JR DO 3449
CONRAD C CALDWELL III MD 22805
COLBY L. EDWARDS DO 4400
KEITH KURT FISCHBORN MD 27723
AFSANEH FOROOZAN DO 3094
SERGIO GREG GARCIA MD 28909
TERRY CHARLES HERMANCE MD 25607
JESSICA DAWN HILDEBRAND MD 24769
DATHAN DUANE JAY MD 23512
ERIN POWERS KINNEY DO 540
JULIE LEWIS DO 5247
RYAN LYNCH DO 5406
JOSH ERIC MCWILLIAMS MD 23717
MARK GRADY MILES MD 18554
JAMES DOUGLAS MITCHELL MD 26808
BENJAMIN ISAAC PANTER MD 25829
ERIC AVERY REDDICK MD 27847
SCOTT EDWIN ROGERS MD 27262
DAVID LLOYD SAXTON MD 22325
BROCK EMIL SCHNEBEL MD 13815
PHILIP LEON SLOAN MD 28808
LANCE CRAIG SMITH MD 27090
STEPHEN KOJI SPARKS DO 4559
TARA D. STEWART DO 5252
THOMAS KELLY TKACH MD 17380
JEREMY ROBERT WOODSON MD 27063
CARLAN KENT YATES MD 13887

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