date: 12/04/2015 list of qualified … hugo s. salguero, m.d. 9320 south mingo road anesthesia/pain...

Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 15:52 (Alphabetical by Specialty) Page: 1

As of July 1, 2015

Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of ExamBoard Certified

Anesthesiology C. Scott Anthony, D.O. 6802 S Olympia Ave Ste 100 pain management - all body parts TulsaTulsa, OK74132-1823

[email protected] Excl. Body Parts/Svcs:Contact: Jan NonePhone: (918) 513-3226 Fax: (918) 447-9308

American Board of AnesthesiologyT

Anesthesiology Emad Attallah-Wasif, M.D. 2811 E 15th Street Suite 102 pain management TulsaTulsa, OK74104

Contact: ChristinaPhone: (918) 935-3240 Fax: ( ) -


Anesthesiology Blake Christensen, D.O. 14100 Parkway Commons Dr Suite 100 All, intervential pain management Oklahoma CityOklahoma City, OK73134

Excl. Body Parts/Svcs:Contact: Jeniffer Heart, Kidneys, Liver, Lungs, GIPhone: (405) 286-9820 Fax: ( ) -

Certification UnknownT R MITF

Anesthesiology David P. Ellis, M.D. 701 NE 10 Street pain management/interventional pain Oklahoma Citymedicine/spinal cord stimulatorsOklahoma City, OK73104

[email protected]. Body Parts/Svcs:Contact: BettyheadachePhone: (405) 232-8003 Fax: (405) 232-8008

American Board of Anesthesiology -Pain Medicine

T R MITF

* Physician has multiple specialties.


As of July 1, 2015


Anesthesiology Frank J. Hackl, M.D. 9709 E 79th Street South Pain Management TulsaTulsa, OK74133

Contact: AngiePhone: (918) 994-4068 Fax: (918) 994-4095

American Board of Anesthesiology -Pain Medicine

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Anesthesiology Gerald R. Hale, D.O. 2448 E 81 Ste 363 pain management TulsaTulsa, OK74137

Excl. Body Parts/Svcs:Contact: Brenda all except pain management casesPhone: (918) 477-5943 Fax: ( ) -

American Osteopathic Board ofAnesthesiology & Pain Management

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Anesthesiology Daniel G. Morris, D.O.* 4110 S 100th East Ave Suite 201 Pain Management Only TulsaTulsa, OK74146

[email protected]: schedulingPhone: (918) 857-7246 Fax: (918) 359-5828

American Osteopathic Board ofAnesthesiology-Pain Management

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As of July 1, 2015


Anesthesiology John W. Nelson, M.D. 3535 NW 58 Street Ste 950E all pain management Oklahoma CityOklahoma City, OK73112

[email protected] Excl. Body Parts/Svcs:Contact: Stephanie nonePhone: (405) 702-8623 Fax: (405) 702-8628

American Board ofAnesthesiology/Internal Med.

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Anesthesiology Michael Chad Owens, D.O. 427 E Cherokee Interventional Pain Management Enid(total body)Enid, OK73701

[email protected]. Body Parts/Svcs:Contact: BarbaranonePhone: (580) 234-7246 Fax: ( ) -


Anesthesiology Jayen H. Patel, M.D. 2811 E 15 Street Ste 102 pain management, neck, back, Tulsaextremities, nervous system,Tulsa, OK 7410-4headache, joints, [email protected]

Contact: appt deskExcl. Body Parts/Svcs:Phone: (918) 935-3240 Fax: (918) 935-3241PTSD, psychological trauma

American Board of AnesthesiologyT R MITF



As of July 1, 2015


Anesthesiology Terrell R. Phillips, D.O. 401 SW 80 Street Ste 200 Pain Management Oklahoma CityOklahoma City, OK73139

[email protected] Excl. Body Parts/Svcs:Contact: Tammy none within specialtyPhone: (405) 601-4227 Fax: (405) 601-4237

American Osteopathic Board ofAnesthesiology

T R MITF

Anesthesiology Justin Porter, M.D. 3601 NW 138 Street Ste 200 Pain Management - head, neck,back Oklahoma CityOklahoma City, OK73134

[email protected] Excl. Body Parts/Svcs:Contact: Neile pelvic pain, vaginal pain, rectal

painPhone: (405) 242-4100 Fax: (405) 775-9356

Certification UnknownT

Anesthesiology Andreas "Andrew" Revelis, M.D. 2000 S Wheeling Ave Ste 600 pain management TulsaTulsa, OK74104

[email protected] Excl. Body Parts/Svcs:Contact: Pat NonePhone: (918) 742-7030 Fax: (918) 742-9958




As of July 1, 2015


Anesthesiology Hugo S. Salguero, M.D. 9320 South Mingo Road Anesthesia/pain management TulsaTulsa, OK74133

asalguero@advanced paintulsa.com Excl. Body Parts/Svcs:Contact: scheduling nonePhone: (918) 879-1700 Fax: (918) 879-1701

Am Board of Anesthesiology - PainManagement

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Anesthesiology Adam J. Wallace, M.D. 6802 S Olympia Ave Ste 100 pain management TulsaTulsa, OK74132

[email protected] Excl. Body Parts/Svcs:Contact: Angelia, Julie nonePhone: (918) 447-9300 Fax: (918) 447-9308


Anesthesiology Kalvin L. White, D.O. 6802 S Olympia Avenue Ste 100 Pain Management Only TulsaTulsa, OK74132-1823

[email protected]: AngeliaPhone: (918) 513-3231 Fax: (918) 447-9308

Am Board of AnesiologyT

Anesthesiology Traci L. White, M.D. 6802 S Olympia Avenue Ste 100 Pain Management Only TulsaTulsa, OK73132-1923

Contact: BuffyPhone: (918) 513-3225 Fax: (918) 447-9308

American Board ofAnesthesiology/Pain Medicine

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As of July 1, 2015


Chiropractic Michael A. Chiaffitelli, D.C. 10001 S Penn Bldg P Ste 170 all chiropractics - spine Oklahoma CityOklahoma City, OK73159

Excl. Body Parts/Svcs:Contact: Alisha all but spinePhone: (405) 681-2273 Fax: (405) 681-2274

Certification UnknownT R

Chiropractic Seyoung Kim, D.C. 5583 NW Expressway spine (neck, back), hand Oklahoma CityOklahoma City, OK73132

Excl. Body Parts/Svcs:Contact: Jennifer NonePhone: (405) 773-3131 Fax: (405) 773-4267


Chiropractic Hugh G. McClure, D.C. 401 Vandament Ave Ste 102 whole body YukonYukon, OK73099

[email protected] Excl. Body Parts/Svcs:Contact: Amy NonePhone: (405) 350-7283 Fax: (405) 354-7802

Certification Unknown R MITF

Chiropractic C. Keith Muse, D.C. 6825 S Western Ave neuromusculoskeletal Oklahoma CityOklahoma City, OK73139

Excl. Body Parts/Svcs:Contact: Peggy NonePhone: (405) 634-1127 Fax: (405) 634-1177




As of July 1, 2015


Chiropractic Jim R. Muse, D.C. 6825 S Western Full Body Oklahoma CityOklahoma City, OK73139

Contact: Ann, PeggyPhone: (405) 634-1127 Fax: (405) 634-1177


Chiropractic James Daniel Post, D.C. 4141 NW Expressway Ste 180 all chiropractics-spine Oklahoma CityOklahoma City, OK73116

[email protected]: Rhonda, CathyPhone: (405) 840-8900 Fax: (405) 840-8990


Chiropractic Keith G. Ryan, D.C. 3319 E 46 St Ste 101 back and extremities TulsaTulsa, OK74135-2903

[email protected] Excl. Body Parts/Svcs:Contact: Dr. Ryan NonePhone: (918) 742-6262 Fax: (918) 742-7152


Chiropractic Troy A. Sturgill, D.C. PO Box 335 musculoskeletal WoodwardWoodward, OK73802

Excl. Body Parts/Svcs:Contact: self brain, heart, lungs, visionPhone: (580) 256-1555 Fax: (580) 256-3370




As of July 1, 2015


Chiropractic Steve Sweeney, D.C. 211 S. Sooner Rd. Spine, upper and lower extremities Midwest CityMidwest City, OK73110

[email protected] Excl. Body Parts/Svcs:Contact: Misty Cardiovascular, Pulmonary,

Digestive HematopoieticPhone: (405) 672-4800 Fax: ( ) -


Chiropractic Ronald B. Tripp, D.C. 2400 Tee Circle neck and back NormanNorman, OK73069

[email protected] Excl. Body Parts/Svcs:Contact: Sherri internal medicinePhone: (405) 321-8530 Fax: (405) 321-1478


Chiropractic David B. Waggoner, D.C. 7000 NW Expressway Ste H chiropractic Oklahoma CityOklahoma City, OK73132

[email protected] Excl. Body Parts/Svcs:Contact: Meaghan non-musculoskeletalPhone: (405) 773-1113 Fax: ( ) -


Dentistry Melvin Burnitt Baker, Jr., D.D.S. 7405 NW 23 St general dentistry BethanyBethany, OK73008

[email protected] Excl. Body Parts/Svcs:Contact: Stacey NonePhone: (405) 787-5266 Fax: (405) 495-5060

Certification Unknown



As of July 1, 2015


Dentistry Larry S. Baker, D.D.S. 2616 W I-44 Service Rd mouth: teeth, temporomandibular Oklahoma CityjointsOklahoma City, OK73112Excl. Body Parts/Svcs:Contact: Maryanything not dentally relatedPhone: (405) 943-3575 Fax: ( ) -


Dentistry Steven W. Hogg, D.D.S. 423 W Washington St mouth, teeth Broken ArrowBroken Arrow, OK74012

[email protected] Excl. Body Parts/Svcs:Contact: Mary NonePhone: (918) 455-8899 Fax: (918) 362-9997


Dentistry Sterling H. Stalder, D.D.S 930 SW 107 Street mouth and teeth Oklahoma CityOklahoma City, OK73170

[email protected] Excl. Body Parts/Svcs:Contact: Renee/ Jenae nonePhone: (405) 634-7303 Fax: (405) 634-7868


Family Medicine Thomas Carlile, D.O. 3916 S Sunnylane Road all body parts Del CityDel City, OK73115

Excl. Body Parts/Svcs:Contact: Lisa eyesPhone: (405) 677-3378 Fax: ( ) -

American College Osteopathic FamilyPhysicians

T R



As of July 1, 2015


Family Medicine YinYin J L Devoe, M.D. 9320 South Mingo Road Medication Management TulsaTulsa, OK74133

[email protected] Excl. Body Parts/Svcs:Contact: scheduling elbow, knee, wristPhone: (918) 879-1704 Fax: (918) 879-1714

American Board of Family MedicineT

Family Medicine John W. Ellis, M.D.* 5100 N Brookline Ave Ste 465 Musculoskelital system and all body Oklahoma CityorgansOklahoma City, OK73112

[email protected]. Body Parts/Svcs:Contact: KellyeyesPhone: (405) 917-5336 Fax: (405) 917-2250

American Board of Family MedicineT R MITF

Family Medicine Val Joseph Fiorazo, M.D.* 4330 SE 29 St Ste 3018 back, neck, upper, lower Oklahoma CityextremitiesDel City, OK73115

[email protected]. Body Parts/Svcs:Contact: Dr. Fiorazolungs, heart, brain, skin, hearingPhone: (405) 670-8100 Fax: (405) 670-8558

American Board of Family PracticeT R MITF



As of July 1, 2015


Family Medicine Gary Robert Lee, M.D.* 5577 South Lewis Ave all TulsaTulsa, OK74105

[email protected] Excl. Body Parts/Svcs:Contact: Gail NonePhone: (918) 749-0003 Fax: ( ) -

American Board of Family Medicine -Sports Medicine

T R MITF

Family Medicine Jason M. Leinen, M.D.* 3115 SW 89 Street all family & sports medicine, pain Oklahoma CitymanagementOklahoma City, OK73159Excl. Body Parts/Svcs:Contact: AmynonePhone: (405) 600-1411 Fax: (405) 600-1531

American Board of Family MedicineT R

Family Medicine Seethal Madhavarapu, M.D. 3400 W Tecumseh Suite 101 knees, shoulders, neck, back, Norman, Moore,elbow, hand, ankle, foot EdmondNorman, OK73072Excl. Body Parts/Svcs:Contact: BrookepelvisPhone: (405) 360-6764 Fax: ( ) -


Family Medicine Michael L. Winzenread, M.D. 105 S Bryant Ste 310 all EdmondEdmond, OK73034

Excl. Body Parts/Svcs:Contact: Kari NonePhone: (405) 757-5211 Fax: ( ) -

American Board of Family Practice R MITF



As of July 1, 2015


Family Practice Gary Robert Lee, M.D.* 5577 South Lewis Ave all TulsaTulsa, OK74105



T R MITF

Family Practice Timothy L. Moore, D.O. 3212 SW 89 Street Ste 100 pain management, whole body Oklahoma CityOklahoma City, OK73159

[email protected] Excl. Body Parts/Svcs:Contact: Rhoda/Alicia psychiatric casesPhone: (405) 378-3300 Fax: (405) 378-3993


Family Practice Daniel G. Morris, D.O.* 4110 S 100th East Ave Suite 201 Pain Management Only TulsaTulsa, OK74146

[email protected]: schedulingPhone: (918) 857-7246 Fax: (918) 359-5828

American Osteopathic Board ofAnesthesiology-Pain Management

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As of July 1, 2015


Family Practice Lance E. Rosson, D.O. 1211 N Shartel Ste 1104 all Oklahoma CityOklahoma City, OK73103

NONE Excl. Body Parts/Svcs:Contact: Sharon NonePhone: (405) 236-1900 Fax: (405) 236-0362

American Board of Family PhysiciansT R MITF

General Surgery Joshua Carey, M.D. 1700 S Renaissance Blvd within speciality EdmondEdmond, OK73112

[email protected] Excl. Body Parts/Svcs:Contact: scheduling hands, feetPhone: (405) 844-4300 Fax: ( ) -

American Board of SurgeryT

General Surgery Russell L. Hanan, Jr., M.D. 608 NW 9 Ste 5010 general surgery hernias, Oklahoma Cityintestines, soft tissueOklahoma City, OK73102

noneExcl. Body Parts/Svcs:Contact: Debbie Smithhead, neck, spine, pulmonaryPhone: (405) 235-3245 Fax: (405) 235-6991




As of July 1, 2015


Hand Surgery Mehdi N. Adham, M.D.* 8100 S Walker Ave Bldg A plastic & reconstructive surgery of Oklahoma Cityhands and wristsOklahoma City, OK73139Excl. Body Parts/Svcs:Contact: Julieall except plastic surgery ofPhone: (405) 632-4468 Fax: (405) 632-4317hands/wrists

American Board of Plastic Surgery &Am Bd Plastic Surg of Hand

T R MITF

Hand Surgery James F. Bischoff, M.D.* 6475 S Yale Ave Ste 301 hands, wrists TulsaTulsa, OK74136-7824

[email protected] Excl. Body Parts/Svcs:Contact: CJ spine, elbows, shoulders, feet,

ankles, knees, hips, rate onlyPhone: ( ) - Fax: (918) 494-9397cases

American Board of OrthopedicSurgery

T R

Hand Surgery Brian Chalkin, D.O.* 1809 E 13 St Ste 100 upper extremities (shoulder down to Tulsafingers)Tulsa, OK74104

[email protected]. Body Parts/Svcs:Contact: Raeknees, back, hips, feetPhone: (918) 925-3226 Fax: (918) 301-4293

American Osteopathic Board ofOrthopedic Surgery

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As of July 1, 2015


Hand Surgery Michael B. Clendenin, M.D. 2000 S Wheeling Ste 900 hands and wrists only TulsaTulsa, OK74104

NONE Excl. Body Parts/Svcs:Contact: Sheila all except hands and wristsPhone: (918) 749-1418 Fax: (918) 749-6241


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Hand Surgery Tom W. Ewing, D.O. 1020 24 Ave NW Ste 100 hands NormanNorman, OK73069

[email protected] Excl. Body Parts/Svcs:Contact: Melissa or Dana all except handsPhone: (405) 447-4999 Fax: (405) 447-5608


T R

Hand Surgery Joel L. Frazier, M.D.* 1044 SW 44 St Ste 600 hands, upper extremities, elbows, Oklahoma CitywristsOklahoma City, OK73109

[email protected]. Body Parts/Svcs:Contact: eRNESTall except hands, elbows, wristsPhone: (405) 631-4263 Fax: ( ) -


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As of July 1, 2015


Hand Surgery Charles H. Funderburk, M.D.* 1110 N Lee hands, shoulders, elbows, knees, Edmond,wrists, forearm Oklahoma CtiyOklahoma City, OK73103-2612

[email protected]. Body Parts/Svcs:Contact: neck, back, hips, feetPhone: (405) 230-9743 Fax: (405) 522-9474


T R

Hand Surgery Greg Halko, M.D.* 3301 NW 50 hands, upper extremities Oklahoma CityOklahoma City, OK73112

[email protected] Excl. Body Parts/Svcs:Contact: central scheduling spine, (neck, back) and lower

extremitiesPhone: (405) 947-0911 Fax: (405) 942-5043


T R MITF

Hand Surgery Daron C. Hitt, M.D. 3115 SW 89 Street hands only Oklahoma CityOklahoma City, OK73159

Excl. Body Parts/Svcs:Contact: Amy nonePhone: (405) 424-5630 Fax: (405) 692-1632

American Board of SurgeryT R



As of July 1, 2015


Hand Surgery Thomas C. Howard, M.D.* 1110 N Lee hands, shoulders, knees, hips and Oklahoma City,feet NormanOklahoma City, OK73103-2612

[email protected]. Body Parts/Svcs:Contact: schedulingspine, (neck,back)Phone: (405) 230-9752 Fax: (405) 230-9424


T R

Hand Surgery Stephen W. Mihalsky, M.D. 105 S Bryant Ste 407 all within specialty Midwest City,EdmondEdmond, OK73034

Excl. Body Parts/Svcs:Contact: Donna Elswick shoulders, neckPhone: (405) 348-5060 Fax: (405) 364-8750

American Board of Surgery of theHand, American Board of Surgery

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Hand Surgery David B. Mokhtee, M.D. 4802 S. 109th E. Ave. fingers to elbows TulsaTulsa, OK74146

Excl. Body Parts/Svcs:Contact: Latoya all expcept handsPhone: (918) 392-1400 Fax: (918) 392-1401

American Board of Surgery - HandSurgery

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As of July 1, 2015


Hand Surgery M. Sean O'Brien, D.O.* PO Box 890358 hands and shoulders Oklahoma CityOklahoma City, OK73189

Excl. Body Parts/Svcs:Contact: Marilyn back, neck, feetPhone: (405) 759-2663 Fax: ( ) -


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Hand Surgery Ghazi M. Rayan, M.D.* 3366 NW Expressway Ste 700 shoulder, elbow, wrist, hand Oklahoma CityOklahoma City, OK73112-4418

Excl. Body Parts/Svcs:Contact: backPhone: (405) 945-4888 Fax: (405) 945-4887

American Board of OrthopedicSurgery/ Am Bd of Ortho Surg ofHand

T R MITF

Hand Surgery Richard A. Ruffin, M.D.* 3301 NW 50 hands, wrists, elbows, shoulders Oklahoma CityOklahoma City, OK73112-5691

Excl. Body Parts/Svcs:Contact: Central Scheduling neck & back (spine), feet, kneesPhone: (405) 947-0911 Fax: (405) 947-4263

American Board of OrthopedicSurgery, Hand Surgery

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As of July 1, 2015


Hand Surgery Houshang Seradge, M.D.* 1044 SW 44 Street Suite 518 spine, foot, wrist, elbow, Oklahoma Cityshoulder, hip, knee, ankleOklahoma City, OK73109

Contact: MistiPhone: (405) 634-4263 Fax: ( ) -


T R MITF

Hand Surgery Garrett Watts, M.D. 10507 E 91st Street Suite 350 hands, wrists, elbows Broken ArrowTulsa, OK74133

[email protected] Excl. Body Parts/Svcs:Contact: Central States Orthopedic spine, neck, lower extremitiesPhone: (918) 451-3000 Fax: (918) 451-2700


T R MITF

Internal Medicine S.A. Chaudry, M.D. 5611 Mosteller Dr all internal medicine - whole body Oklahoma CityOklahoma City, OK73112

[email protected] Excl. Body Parts/Svcs:Contact: Cheryl NonePhone: (405) 843-2345 Fax: (405) 843-8237

American Board of Internal MedicineT R



As of July 1, 2015


Internal Medicine Kent C. Hensley, M.D.* 9433 N Kelley Ave all Oklahoma CityOklahoma City, OK73131

NONE Excl. Body Parts/Svcs:Contact: Yvonne, Leslie psychiatricPhone: (405) 840-6720 Fax: (405) 840-6723

American Board of Internal Medicine R MITF

Internal Medicine A. E. Moorad, M.D.* 4221 S Western Ste 3010 all PM & R, pain managment Oklahoma CityOklahoma City, OK73109

Contact: MarilynPhone: (405) 636-7450 Fax: (405) 631-2296

American Board of Internal MedicineT R MITF

Internal Medicine Venkatesh Movva, M.D.* 6565 S Yale Ste 212 pain management TulsaTulsa, OK74136

Excl. Body Parts/Svcs:Contact: Michelle migrainesPhone: (918) 502-4008 Fax: (918) 502-4001

American Board of Internal MedicineT

Internal Medicine Kenneth R. Trinidad, D.O.* 1006 W 23 St all TulsaTulsa, OK74107

Excl. Body Parts/Svcs:Contact: Rhonda LungsPhone: (918) 742-4881 Fax: (918) 742-5854

Internal MedicineT R MITF



As of July 1, 2015


Neurology Ellen E. Hope, M.D. 14100 Parkway Comons Dr Ste 102 head, neck, spine, brain Oklahoma CityOklahoma City, OK73134

[email protected] Excl. Body Parts/Svcs:Contact: Christine or Bliss all those not listedPhone: (405) 270-0500 Fax: (405) 270-0597

American Board of Psychiatry andNeurology

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Neurology Gabriel Pitman, D.O. 401 SW 80 STE 201 all within neurology specialty Oklahoma CityOklahoma City, OK73139

[email protected] Excl. Body Parts/Svcs:Contact: Paula Byrd abdomen, chestPhone: (405) 632-9090 Fax: ( ) -

American Board of NeurologyT

Neurology W. Dean Shipley, M.D. 4120 W Memorial Rd Ste 218 nervous system only/adult nerology Oklahoma CityOklahoma City, OK73120

[email protected] Excl. Body Parts/Svcs:Contact: Kelly neuological IME's onlyPhone: (405) 302-2661 Fax: (405) 302-2670


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As of July 1, 2015


Neuropsychology - Clinical Russell L. Adams, Ph.D.* PO Box 26901 WP3440 brain, pain management, Oklahoma Citypsychological overlayOklahoma City, OK73126

Contact: GaryPhone: (405) 271-8001 Fax: (405) 271-8802

American Board of ProfessionalPsychology/Clinical Neuropsych

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Neuropsychology - Clinical Michael R. Basso, Ph.D.* Univ of Tulsa Dept of Psychology head/brain - diatnostic testing, Tulsapsychological overlay800 S Tucker Drive

[email protected] Tulsa, OK74104Excl. Body Parts/Svcs:Contact: Dr. BassoNonePhone: (918) 631-3151 Fax: (918) 631-2833

ABPP - Clinical Neuropsychology R MITF

Neuropsychology Faust Bianco, Jr., Ph.D.* 7146 S Braden Ave Ste 500 Rehabilitation (nervous system, Tulsawhole body) Trauma RelatedTulsa, OK74136Disorders (pain stress, depression,brain)Contact: Suzan

Phone: (918) 746-0794 Fax: (918) 746-0717Excl. Body Parts/Svcs:none




As of July 1, 2015


Neuropsychology Douglas O. Brady, Ph.D.* 1401 SW Park Ridge Blvd Ste D medical psychology, neuropsychology LawtonevaluationsLawton, OK73505

[email protected]: D'AnnPhone: (580) 355-7474 Fax: (580) 355-6765

American Board of ProfessionalDisability

T R MITF

Neuropsychology David E. Hansen, Ph.D. 5512 S Lewis Ave Ste 8 neuropsychology/brain TulsaTulsa, OK74105

[email protected] Excl. Body Parts/Svcs:Contact: Emge NonePhone: (918) 712-9004 Fax: (918) 712-9120


Neuropsychology Terry G. Shaw, Ph.D. 7146 S Braden Ste 500 head, brain, psychological overlay TulsaTulsa, OK74136

[email protected] Excl. Body Parts/Svcs:Contact: Mary all excluded except parts listed as

specialtyPhone: (918) 488-6165 Fax: (918) 488-8021

American Board of ProfessionalNeuropsychology

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As of July 1, 2015


Neuropsychology Adam G. Sherman, Ph.D. 3015 E Skelly Dr Ste 135 all within specialty TulsaTulsa, OK74105

Excl. Body Parts/Svcs:Contact: Susan NonePhone: (918) 712-2885 Fax: (918) 712-9019


Neurosurgery Clinton J. Baird, M.D. 6802 S Olympia Ave Ste 350 spine, brain, nerves, carpal Tulsatunnel, ulnar nerve, neurosurgeryTulsa, OK74132

[email protected]. Body Parts/Svcs:Contact: Sheilahips, knees, jointsPhone: (918) 749-0762 Fax: (918) 744-4246


Neurosurgery Daniel Boedeker, M.D. 6767 S Yale Ave Ste A brain, spine, peripheral nerve for Tulsacarpal tunnelTulsa, OK74136

[email protected]. Body Parts/Svcs:Contact: Kimall except specialtyPhone: (918) 491-3521 Fax: (918) 491-3542




As of July 1, 2015


Neurosurgery Christopher G. Covington, M.D. Attn: Sheila Harless spine, brain, carpel tunnel Tulsa6802 S Olympia Ave Ste 300

[email protected] Tulsa, OK74132 Excl. Body Parts/Svcs:Contact: Sheila, Jamie extremitiesPhone: (918) 749-0762 Fax: (918) 744-4246

American Board of NeurologicalSurgery

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Neurosurgery Allan S. Fielding, M.D. 2000 S Wheeling Ste 1110 head, neck, back, shoulder, hip, Tulsaknee, CTS, ulnar neuropathyTulsa, OK74104

[email protected]. Body Parts/Svcs:Contact: any staff memberNeurosurgical Cases OnlyPhone: (918) 294-0080 Fax: ( ) -


T R MITF

Neurosurgery Emily D. Friedman, M.D. 3435 NW 56 Bldg A Ste 210 brain, spine, neck Oklahoma CityOklahoma City, OK73112

Excl. Body Parts/Svcs:Contact: Dana all body parts not specifiedPhone: (405) 945-4902 Fax: (405) 945-4901


T R MITF



As of July 1, 2015


Neurosurgery Eric S. Friedman, M.D. 4120 W Memorial Rd Ste 300 brain and carpal tunnel only Oklahoma CityOklahoma City, OK73120-9322

[email protected] Excl. Body Parts/Svcs:Contact: Kelsey spine, shoulders, knees, lower



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Neurosurgery Steven E. Gaede, M.D. 6802 S Olympia Ave Ste 300 spine, brain, carpal tunnel, ulnar TulsanerveTulsa, OK74132

[email protected]. Body Parts/Svcs:Contact: Sheila,Susienon-spine orthopedic casesPhone: (918) 749-0762 Fax: (918) 744-4246


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Neurosurgery Michael Hahn, M.D. 4120 W Memorial Rd Ste 300 spine (neck, back), hands (carpal Oklahoma Citytunnel)Oklahoma City, OK73120

[email protected]. Body Parts/Svcs:Contact: Tammyshoulders, knees, hips, elbowsPhone: (405) 748-3300 Fax: (405) 749-1671


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As of July 1, 2015


Neurosurgery Brent N. Hisey, M.D. 14100 Parkway Commons Dr Ste 201 spine (neck, back), brain, carpal Oklahoma CitytunnelOklahoma City, OK73134

[email protected]. Body Parts/Svcs:Contact: Alishaall except specialtyPhone: (405) 242-4720 Fax: (405) 242-4933


T R MITF

Neurosurgery Donald D. Horton, M.D. 14100 Parkway Commons Dr Ste 201 spinal surgery (cervical/lumbar) Oklahoma Citycarpal tunnelOklahoma City, OK73134

[email protected]. Body Parts/Svcs:Contact: Marie, Alishaall except cervical, lumbar, carpalPhone: (405) 242-4720 Fax: (405) 242-4765tunnel


T R MITF

Neurosurgery Douglas Koontz, M.D. 6767 S Yale Ste A brain, spine (thoracic, cervical, Tulsalumbar), carpal tunnelTulsa, OK74136

noneContact: JaclynPhone: (918) 491-3521 Fax: ( ) -


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As of July 1, 2015


Neurosurgery Kyle Mangels, M.D. 6802 S Olympia Ave Ste 300 neurological surgery spine, brain, Tulsacarpal tunnel. ulnar nerveTulsa, OK74132

[email protected]. Body Parts/Svcs:Contact: Sheila, Jamiehips, knees, jointsPhone: (918) 749-0762 Fax: (918) 744-4246


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Neurosurgery John S. Marouk, D.O. 2128 S Atlanta PL Ste 100 spine, brain only TulsaTulsa, OK74114

[email protected] Excl. Body Parts/Svcs:Contact: all other body partsPhone: (918) 583-5131 Fax: (918) 592-0670

American Osteopathic Board ofSurgery

T R MITF

Neurosurgery Fadi F Nasr, M.D. 4120 W Memorial Rd, Ste 300 Spine (neck, back), hands (carpal Oklahoma Citytunnel)Oklahoma City, OK73120

[email protected]. Body Parts/Svcs:Contact: Stephanieshoulders, knees, hips, elbowsPhone: (405) 748-3300 Fax: ( ) -


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As of July 1, 2015


Neurosurgery Stan Pelofsky, M.D. 4120 W Memorial Rd Ste 300 neck, back, wrist (carpal tunnel) Oklahoma CityOklahoma City, OK73120

[email protected] Excl. Body Parts/Svcs:Contact: Angie shoulders, knees, lower extremitiesPhone: (405) 748-3300 Fax: (405) 748-2920


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Neurosurgery Ryan F. Rahhal, M.D. 6767 S Yale Ave Ste A brain, spine (thoracic, lumbar, & Tulsacervical), carpal tunnelTulsa, OK74136

[email protected]. Body Parts/Svcs:Contact: Kim Perry, Jacci Carpioall ot neurosurgicalPhone: (918) 492-7587 Fax: (918) 492-4033


Neurosurgery Robert L. Remondino, M.D. 4120 W Memorial Rd Ste 300 neck, back, wrists (carpal tunnel) Oklahoma CityOklahoma City, OK73120

[email protected] Excl. Body Parts/Svcs:Contact: Linda shoulders, knees, lower extremitiesPhone: (405) 748-3300 Fax: (405) 749-1671


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As of July 1, 2015


Neurosurgery W. Emery Reynolds, M.D. 4120 W Memorial Ste 208 head, spine Oklahoma CityOklahoma City, OK73120

NONEContact: SondraPhone: (405) 755-3540 Fax: (405) 755-7001


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Neurosurgery James A. Rodgers, M.D. 6565 S Yale Ste 709 cervical & lumbar spine carpal TulsatunnelTulsa, OK74136

Contact: RitaPhone: (918) 481-4965 Fax: (918) 481-4996


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Neurosurgery Eric W. Sherburn, M.D. 6802 S Olympia Ave Ste 300 brain, spine (neck, back), carpal Tulsatunnel, ulnar nerveTulsa, OK74132

[email protected]. Body Parts/Svcs:Contact: Sheila, Susieorthopedic casesPhone: (918) 749-0762 Fax: (918) 744-4246


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As of July 1, 2015


Neurosurgery Brian E. Snell, M.D. 4120 W Memorial Rd Ste 300 spine (neck, back), hands (carpal Oklahoma Citytunnel)Oklahoma City, OK73120

[email protected]. Body Parts/Svcs:Contact: CALLIEshoulders, knees, hips, elbowsPhone: (405) 748-3300 Fax: (405) 749-1671


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Neurosurgery Caple A Spence, M.D. 8121 National Ave Ste 210 brain, spine, peripheral nerves MWCMidwest City, OK73110

[email protected] Excl. Body Parts/Svcs:Contact: Christy all except brain, spine, peripheral

nervesPhone: (405) 455-3393 Fax: (405) 455-7162


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Neurosurgery Nathaniel Stetson, D.O. neck, back, wrist (carpal tunnel) Oklahoma CityOklahoma City, OK73120

[email protected] Excl. Body Parts/Svcs:Contact: Marlea Shouldler, knee, lower extremitiesPhone: (405) 748-3300 Fax: (405) 749-1671




As of July 1, 2015


Neurosurgery Qualls Stevens, D.O. 8 SW 89 Street Suite 100 brain, spine, carpal tunnel, ulnar OKCnerveOklahoma City, OK73139

[email protected]. Body Parts/Svcs:Contact: schedulingall outside specialtyPhone: (405) 455-3322 Fax: (405) 606-4668

Am Osteopathic Board ofNeurological Surgery

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Neurosurgery Robert E. Tibbs, M.D. 4120 W Memorial Rd Ste 300 TREATMENT AUTHORIZATION for neck,Oklahoma Cityback, wrists (carpal tunnel)Oklahoma City, OK73120

[email protected]. Body Parts/Svcs:Contact: Angieshoulders, knees, lower extremitiesPhone: (405) 748-3300 Fax: (405) 748-1671


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Neurosurgery Frank J. Tomecek, M.D. 6802 S Olympia Ave Ste 300 spine (neck, back), brain, carpal Tulsatunnel, ulner nerveTulsa, OK74132

[email protected] & [email protected]. Body Parts/Svcs:Contact: Sheila, Susielegs, hipsPhone: (918) 749-0762 Fax: (918) 749-8531


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As of July 1, 2015


Neurosurgery Benjamin T. White, M.D. 4120 W Memorial Rd Ste 300 neck, back, wrist (carpal tunnel) Oklahoma CityOklahoma City, OK73120

[email protected] Excl. Body Parts/Svcs:Contact: Kelsey shoulders, knees, lower extremitiesPhone: (405) 748-3300 Fax: (405) 748-1671


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Neurosurgery Robert J. Wienecke, M.D. 4120 W Memorial Rd Ste 300 neck, back, wrists{carpal tunnel) Oklahoma CityOklahoma City, OK73120

[email protected] Excl. Body Parts/Svcs:Contact: Marlea shoulders, knees, lower extremitiesPhone: (405) 748-3300 Fax: (405) 748-1671


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Neurosurgery Gregory L. Wilson, D.O. 9709 E 79 Street South brain, neck, back TulsaTulsa, OK74133

[email protected]: PamPhone: (918) 994-4068 Fax: (918) 994-4095

Am Board of OsteopathicNeurological Surgery

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As of July 1, 2015


Occupational Medicine John W. Ellis, M.D.* 5100 N Brookline Ave Ste 465 Musculoskelital system and all body Oklahoma CityorgansOklahoma City, OK73112

[email protected]. Body Parts/Svcs:Contact: KellyeyesPhone: (405) 917-5336 Fax: (405) 917-2250


Occupational Medicine Val Joseph Fiorazo, M.D.* 4330 SE 29 St Ste 3018 back, neck, upper, lower Oklahoma CityextremitiesDel City, OK73115

[email protected]. Body Parts/Svcs:Contact: Dr. Fiorazolungs, heart, brain, skin, hearingPhone: (405) 670-8100 Fax: (405) 670-8558

American Board of Family PracticeT R MITF

Occupational Medicine William R. Gillock, M.D. 7170 S Braden Ste 175 all body parts TulsaTulsa, OK74136

[email protected] Excl. Body Parts/Svcs:Contact: Sharon nonePhone: (918) 481-0994 Fax: (918) 494-6747

American Board of Internal Medicine& Preventive Medicine

T R MITF



As of July 1, 2015


Occupational Medicine John W. Hallford, D.O. 5682 W Skelly Dr occupational medicine/urgent care TulsaTulsa, OK74107

[email protected] Excl. Body Parts/Svcs:Contact: Julie nonePhone: (918) 446-1891 Fax: (918) 446-1894

American Osteopathic Board ofFamily Physicians

T R MITF

Occupational Medicine Kent C. Hensley, M.D.* 9433 N Kelley Ave all Oklahoma CityOklahoma City, OK73131

NONE Excl. Body Parts/Svcs:Contact: Yvonne, Leslie psychiatricPhone: (405) 840-6720 Fax: (405) 840-6723

American Board of Internal Medicine R MITF

Occupational Medicine Andrew C. John, M.D. 4323 NW 63 Street Ste 105 all occupational medicine Oklahoma CityOklahoma City, OK73116

[email protected] Excl. Body Parts/Svcs:Contact: Jerri Psychological/PsychiatricPhone: (405) 843-0610 Fax: (405) 843-0620




As of July 1, 2015


Occupational Medicine William D. Jones, M.D. 707 NW 13 St all occupational medicine (rating Oklahoma Cityonly)Oklahoma City, OK73103

[email protected]. Body Parts/Svcs:Contact: Jeannefemale reproductive systemPhone: (405) 521-8604 Fax: (405) 521-8605


Occupational Medicine John A. Munneke, M.D. 36 W Memorial Ste B9 all including occupational Oklahoma City,medicine, MITF, Form 3, pain TulsaOklahoma City, [email protected]

Contact: JoAnne, KerriExcl. Body Parts/Svcs:Phone: (405) 755-9702 Fax: (405) 755-9718eyes


Occupational Medicine Robert Paul, M.D. 6717 S Yale Ave Suite 107 all within specialty TulsaTulsa, OK74136

Contact: LindaPhone: (918) 496-1991 Fax: ( ) -




As of July 1, 2015


Occupational Medicine Carl B. Pettigrew, D.O. 1211 N Shartel Ste 500 all Oklahoma City,TulsaOklahoma City, OK73103

[email protected] Excl. Body Parts/Svcs:Contact: Karen NonePhone: (405) 239-7766 Fax: (405) 235-4895


Occupational Medicine J. A. Snelling, D.O. PO Box 702738 Occupational Medicine TulsaMusculoskeletal/SkinTulsa, OK74170

noneExcl. Body Parts/Svcs:Contact: selfcardiovascular, eyesPhone: (918) 749-3187 Fax: (918) 491-9925

American Board of FamilyPhysicians, Am Board of PreventiveMed.

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Occupational Medicine Kenneth R. Trinidad, D.O.* 1006 W 23 St all TulsaTulsa, OK74107

Excl. Body Parts/Svcs:Contact: Rhonda LungsPhone: (918) 742-4881 Fax: (918) 742-5854

Internal MedicineT R MITF



As of July 1, 2015


Occupational Medicine Mark Stephen Wilson, M.D.* 5522 S Lewis all orthopedics, continuing medical Tulsa, OKCmaintenanceTulsa, OK74105Excl. Body Parts/Svcs:Contact: TU-Sandra, OKC-TayllerNonePhone: (918) 488-8285 Fax: (405) 949-1801


Ophthalmology John P. Belardo, M.D. 11308 N Penn eyes only Oklahoma CityOklahoma City, OK73120

Excl. Body Parts/Svcs:Contact: Patti all except eyesPhone: (405) 755-7700 Fax: (405) 755-7739

American Board of OphthalmologyT R MITF

Orthopedic Surgery Gary B. Anderson, M.D.* 3301 NW 50 St knees, shoulders, hips, elbows Oklahoma CityOklahoma City, OK73112

[email protected] Excl. Body Parts/Svcs:Contact: Scheduling spine (back, neck), handsPhone: (405) 947-0911 Fax: (405) 947-0775


T R MITF



As of July 1, 2015


Orthopedic Surgery John W. Anderson, M.D. 3301 NW 50 St foot and ankle Oklahoma CityOklahoma City, OK73112

[email protected] Excl. Body Parts/Svcs:Contact: Central Scheduling spine (neck, back) and upper



T R MITF

Orthopedic Surgery Kristopher R. Avant, D.O. 8100 S Walker Ave Bldg A upper extremities, hands, wrists, OKCelbows, knees, shouldersOklahoma City, OK73139

[email protected]. Body Parts/Svcs:Contact: Beckyback, neckPhone: (405) 632-4468 Fax: ( ) -


Orthopedic Surgery John Charles Balbas, M.D. 4802 S 109 E Ave all except back, neck, hands TulsaTulsa, OK74146

Excl. Body Parts/Svcs:Contact: Latoya back, neck, handsPhone: (918) 392-1437 Fax: ( ) -

American Board of OrthopaedicSurgery

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As of July 1, 2015


Orthopedic Surgery Clint Justin Basener, D.O.* 9709 E 79 Street S all within specialty TulsaTulsa, OK74133-4566

[email protected] Excl. Body Parts/Svcs:Contact: Pam back, neckPhone: (918) 994-4068 Fax: (918) 994-4095


Orthopedic Surgery Jaafar M. Bazih, M.D. 4802 S 109 E Ave extremities, hands TulsaTulsa, OK74146

Excl. Body Parts/Svcs:Contact: Denise spine: back & neckPhone: (918) 392-1400 Fax: (918) 392-1401


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Orthopedic Surgery Jack Beller, M.D. all orthopedics Oklahoma City,

[email protected]: Central schedulingPhone: ( ) - Fax: ( ) -

American Board of OrthopaedicSergery

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As of July 1, 2015


Orthopedic Surgery James F. Bischoff, M.D.* 6475 S Yale Ave Ste 301 hands, wrists TulsaTulsa, OK74136-7824

[email protected] Excl. Body Parts/Svcs:Contact: CJ spine, elbows, shoulders, feet,

ankles, knees, hips, rate onlyPhone: ( ) - Fax: (918) 494-9397cases


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Orthopedic Surgery David Bobb, M.D. 825 E Robinson all except back & head NormanNorman, OK73071

[email protected] Excl. Body Parts/Svcs:Contact: Donna back & headPhone: (405) 364-8855 Fax: ( ) -


T R MITF

Orthopedic Surgery James Lee Bond, M.D. 3400 W Tecumseh Rd Ste 101 knees, shoulders, elbows, hands, Norman,ankle Oklahoma CityNorman, OK73072

[email protected]. Body Parts/Svcs:Contact: BROOKEall but listed body partsPhone: (405) 517-3719 Fax: (405) 360-6769


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As of July 1, 2015


Orthopedic Surgery Bradford Boone, M.D.* 6475 S Yale Ave Ste 301 knees, shoulders, elbows TulsaTulsa, OK74136-7824

[email protected] Excl. Body Parts/Svcs:Contact: CJ spine, hips, feet, ankles, hands &

rate only casesPhone: (918) 494-9351 Fax: (918) 494-9397

American Board of OrthopedicSurgery/Sports Medicine

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Orthopedic Surgery R. Tyler Boone, M.D. 6475 S Yale Ave Ste 301 neck, back TulsaTulsa, OK74136-7824

[email protected] Excl. Body Parts/Svcs:Contact: Lori hands, hips, knees, feet, ankles

shoulders, elbows, no rate only casPhone: (918) 494-9384 Fax: (918) 494-9397

American Board of OrthopedicSurgery/AmBd Ortho Surg of theSpine

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Orthopedic Surgery Brett Braly, M.D. 1616 S. Kelly Ave Spine EdmondEdmond, OK73013

Excl. Body Parts/Svcs:Contact: Sondra all but SpinePhone: (405) 715-8842 Fax: ( ) -




As of July 1, 2015


Orthopedic Surgery Steven P. Brantley, M.D. 3301 NW 50th Street knees and shoulders Oklahoma CityOklahoma City, OK73112

[email protected] Excl. Body Parts/Svcs:Contact: central scheduling Spine (neck and back)Phone: (405) 947-0911 Fax: ( ) -


Orthopedic Surgery Christopher A. Browne, M.D. 6475 S Yale Ave Ste 301 hips, knees TulsaTulsa, OK74136-7824

[email protected] Excl. Body Parts/Svcs:Contact: Lori hands, spine, feet, ankles,

shoulders, elbows, no rate onlyPhone: (918) 494-9384 Fax: (918) 494-9397cases


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Orthopedic Surgery Mark A. Capehart, M.D. 6475 S Yale Ave Ste 301 neck, back, knees TulsaTulsa, OK74136-7824

[email protected] Excl. Body Parts/Svcs:Contact: Lori feet, hands, hips, ankles, elbows,

shoulders, no rate only casesPhone: (918) 494-9384 Fax: (918) 494-9397


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As of July 1, 2015


Orthopedic Surgery James D. Cash, M.D.* 6585 S Yale Ave Ste 200 knees, shoulders TulsaTulsa, OK74136

[email protected] Excl. Body Parts/Svcs:Contact: nonePhone: (918) 481-2767 Fax: (918) 481-7611


T R MITF

Orthopedic Surgery Brian Chalkin, D.O.* 1809 E 13 St Ste 100 upper extremities (shoulder down to Tulsafingers)Tulsa, OK74104

[email protected]. Body Parts/Svcs:Contact: Raeknees, back, hips, feetPhone: (918) 925-3226 Fax: (918) 301-4293


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Orthopedic Surgery Brian Clowers, M.D. 3400 W Tecumseh Ste 101 foot, ankle OKC, NormanNorman, OK73072

[email protected] Excl. Body Parts/Svcs:Contact: Brooke all except foot & anklePhone: (405) 517-3719 Fax: (405) 360-6769


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As of July 1, 2015


Orthopedic Surgery Ashley Cogar, M.D. 6205 N Santa Fe Ste 200 elbow, wrist, hand Oklahoma CityOklahoma City, OK73118

[email protected] Excl. Body Parts/Svcs:Contact: Diana, Jennifer spine, shoulder, hip, knee, ankle

or footPhone: (405) 419-5665 Fax: (405) 541-9547


Orthopedic Surgery Arthur Hobart Conley, III, M.D. 3110 SW 89 Ste 200E (spine) back and neck only Oklahoma CityOklahoma City, OK73159

[email protected] Excl. Body Parts/Svcs:Contact: Ronda all except spinePhone: (405) 703-7300 Fax: (405) 703-7333


T R MITF

Orthopedic Surgery Jimmy Harold Conway, M.D. 10001 S Western Ste 101 elbows, knees Oklahoma CityOklahoma City, OK73139-2997

[email protected] Excl. Body Parts/Svcs:Contact: Nancy spine, feet, handsPhone: (405) 692-3700 Fax: (405) 692-3789


T R MITF



As of July 1, 2015


Orthopedic Surgery Steven D. Coupens, M.D. 6205 N Santa Fe Ste 200 all body parts Oklahoma CityOklahoma City, OK73118

[email protected]: Phone: (405) 427-6776 Fax: (405) 419-5527


T R MITF

Orthopedic Surgery Thomas G. Craven, M.D. 6585 S Yale Ste 200 spine (neck, back) TulsaTulsa, OK74136

[email protected] Excl. Body Parts/Svcs:Contact: Melissa, Linda hands, wrists, knees, anklesPhone: (918) 481-2767 Fax: (918) 481-7669


T R MITF

Orthopedic Surgery Stephen R. Davenport, M.D. knee, hip, foot and ankle Oklahoma Cityreconstructive surgery, OK

[email protected]. Body Parts/Svcs:Contact: Central Schedulingspine, (neck, back), handsPhone: ( ) - Fax: ( ) -


T R MITF



As of July 1, 2015


Orthopedic Surgery Scott De La Garza, M.D. 608 NW 9 Street Ste 6000 spine only (lumbar, cervical, Norman,thorasic) Oklahoma City,Oklahoma City, OK73102

[email protected]. Body Parts/Svcs:Contact: Brookeall except spinePhone: (405) 517-3719 Fax: (405) 360-6769


T R MITF

Orthopedic Surgery Kevin M. Dukes, M.D. 4802 S 109 E Ave shoulders TulsaTulsa, OK74146

Excl. Body Parts/Svcs:Contact: Denise all but shoulderPhone: (918) 392-1437 Fax: (918) 392-1401


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Orthopedic Surgery Ronald Matthew Dumigan, M.D. 1110 N Lee Knees, Shoulders, Elbows, ankles, Oklahoma City,Edmond, NormanOklahoma City, OK73103

[email protected] Excl. Body Parts/Svcs:Contact: Amy Spine, Neck, HipPhone: (405) 230-9405 Fax: (405) 230-9421


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As of July 1, 2015


Orthopedic Surgery Rory C. Dunham, D.O. 3110 SW 89th Suite 200C hand, knee, shoulder, ankle, elbow, Oklahoma Cityhip, feet, backOklahoma City, OK73159

[email protected]: MarilynPhone: (405) 759-2663 Fax: ( ) -


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Orthopedic Surgery Scott J. Dunitz, M.D. 4802 S 109 E Ave hips, knees (adult reconstruction) TulsaTulsa, OK74146

Excl. Body Parts/Svcs:Contact: Latoya back, neck, handsPhone: (918) 392-1437 Fax: (918) 392-1401


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Orthopedic Surgery Eugene G. Feild, M.D. 6600 S Yale Ste 1315 all within specialty TulsaTulsa, OK74136-3346

[email protected]: NancyPhone: (918) 481-7770 Fax: (918) 481-7797


T R MITF



As of July 1, 2015


Orthopedic Surgery David J. Flesher, M.D. 3301 NW 50 St knees, shoulders, hips, elbows Oklahoma CityOklahoma City, OK73112

[email protected] Excl. Body Parts/Svcs:Contact: Central Scheduling spine (neck & back), feet, handsPhone: (405) 947-0911 Fax: (405) 948-5177


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Orthopedic Surgery Thomas H. Flesher, III, M.D. 3301 NW 50 St shoulders, ankles, knees, hips Oklahoma CityOklahoma City, OK73112

[email protected] Excl. Body Parts/Svcs:Contact: central scheduling spine (back, neck), wrists, handsPhone: (405) 947-0911 Fax: (405) 948-5171


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Orthopedic Surgery Winston Fong, M.D. 1110 N Lee spine only (cervical, thoracic, OKC, Edmondlumbar)Oklahoma City, OK73103

[email protected]. Body Parts/Svcs:Contact: Brendaall except spinePhone: (405) 230-9746 Fax: (405) 230-9421(shoulders,elbows,hands,hips,knees,ankles/feet)


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As of July 1, 2015


Orthopedic Surgery Dennis E. Foster, M.D. 3130 SW 89 St Ste 100 all Oklahoma CityOklahoma City, OK73159-7900

Excl. Body Parts/Svcs:Contact: NonePhone: (405) 378-4472 Fax: (405) 378-3580

American Board of OrhtopedicSurgery

T R MITF

Orthopedic Surgery Jeff A. Fox, M.D.* 6585 S Yale Ave Ste 200 knees, ankles, elbow, shoulders TulsaTulsa, OK74136

Excl. Body Parts/Svcs:Contact: appt desk hand, spinePhone: (918) 481-7658 Fax: (918) 481-7611


T R MITF

Orthopedic Surgery Sami R. Framjee, M.D. 2000 S Wheeling Ave Ste 1110 spine and general orthopaedics TulsaTulsa, OK74104

[email protected] Excl. Body Parts/Svcs:Contact: Teri NonePhone: (918) 294-0080 Fax: (918) 742-2119


T R MITF



As of July 1, 2015


Orthopedic Surgery Joel L. Frazier, M.D.* 1044 SW 44 St Ste 600 hands, upper extremities, elbows, Oklahoma CitywristsOklahoma City, OK73109

[email protected]. Body Parts/Svcs:Contact: eRNESTall except hands, elbows, wristsPhone: (405) 631-4263 Fax: ( ) -


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Orthopedic Surgery Charles H. Funderburk, M.D.* 1110 N Lee hands, shoulders, elbows, knees, Oklahoma Ctiy,wrists, forearm EdmondOklahoma City, OK73103-2612

[email protected]. Body Parts/Svcs:Contact: neck, back, hips, feetPhone: (405) 230-9743 Fax: (405) 522-9474


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Orthopedic Surgery Timothy Michael Geib, M.D. 13800 Benson Rd Ste 201 knees, shoulders, elbows, hips, Edmond, OKChands, armsEdmond, OK73103

[email protected]. Body Parts/Svcs:Contact: Brookefeet, backPhone: (405) 517-3719 Fax: ( ) -


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As of July 1, 2015


Orthopedic Surgery Robert A. German, M.D. 1110 N Lee knees, shoulders, elbows, ankles, Oklahoma City,arms, legs NormanOklahoma City, OK73103-2612

[email protected]. Body Parts/Svcs:Contact: Jenniferback, neckPhone: (405) 230-9270 Fax: (405) 230-9600


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Orthopedic Surgery Greg Halko, M.D.* 3301 NW 50 hands, upper extremities Oklahoma CityOklahoma City, OK73112

[email protected] Excl. Body Parts/Svcs:Contact: central scheduling spine, (neck, back) and lower



T R MITF

Orthopedic Surgery Kevin Wayne Hargrove, M.D. 101 S Saints Blvd Ste 101 shoulders, knees, elbows EdmondEdmond, OK73034

[email protected] Excl. Body Parts/Svcs:Contact: Leanna, Gena spine, hip, hand, foot & no psy

overlayPhone: (405) 749-8326 Fax: (405) 749-8328


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As of July 1, 2015


Orthopedic Surgery Bryan Hawkins, M.D.* 6585 S Yale Ave Ste 200 ankles, knees, feet, hip TulsaTulsa, OK74136

[email protected] Excl. Body Parts/Svcs:Contact: CSOS neck, spine, wrists, hands, elbowsPhone: (918) 481-2767 Fax: (918) 481-7611


T R MITF

Orthopedic Surgery Don L. Hawkins, M.D. 6585 S Yale Ave Ste 200 neck and spine TulsaTulsa, OK74136

[email protected] Excl. Body Parts/Svcs:Contact: Shann, Brian knees, hips, hands, shoulders,

anklesPhone: (918) 481-2767 Fax: (918) 481-7611


T R MITF

Orthopedic Surgery Randall L. Hendricks, M.D. 6585 S Yale Ste 200 neck, spine TulsaTulsa, OK74136

[email protected] Excl. Body Parts/Svcs:Contact: Allison shoulders, elbows, hips, knees

hands, wrists, anklePhone: (918) 481-2767 Fax: (918) 481-7611


T R MITF



As of July 1, 2015


Orthopedic Surgery David R. Hicks, M.D. 6585 S Yale Ave Ste 200 neck and spine TulsaTulsa, OK74136

[email protected] Excl. Body Parts/Svcs:Contact: Central States Orthopedics hands, wrists, elbows, shoulders,

knees, hips, anklesPhone: (918) 481-2767 Fax: (918) 481-7611


T R MITF

Orthopedic Surgery Robert Frazer Hines, M.D. 1616 S Kelly shoulders, knees EdmondEdmond, OK73013

[email protected] Excl. Body Parts/Svcs:Contact: Naci hips, elbow, back, foot/anklePhone: (405) 348-6004 Fax: (405) 715-8853


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Orthopedic Surgery Gregory R. Holt, M.D. 1809 E 13 St Ste 100 hips, knees, shoulders TulsaTulsa, OK74104

[email protected] Excl. Body Parts/Svcs:Contact: Rae Cheatham spinePhone: ( ) - Fax: (918) 582-6060


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As of July 1, 2015


Orthopedic Surgery Thomas C. Howard, M.D.* 1110 N Lee hands, shoulders, knees, hips and Oklahoma City,feet NormanOklahoma City, OK73103-2612

[email protected]. Body Parts/Svcs:Contact: schedulingspine, (neck,back)Phone: (405) 230-9752 Fax: (405) 230-9424


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Orthopedic Surgery John B. Hughes, D.O. 2149 SW 59 St Ste 102 all Oklahoma CityOklahoma City, OK73119

[email protected] Excl. Body Parts/Svcs:Contact: Tammy nonePhone: (405) 682-5351 Fax: (405) 685-5563


T R MITF

Orthopedic Surgery Christopher Shane Hume, D.O. 10001 S. Western Ave spine (neck & back) Oklahoma CityOklahoma City, OK73139

Excl. Body Parts/Svcs:Contact: scheduler all except specialityPhone: (405) 427-3705 Fax: ( ) -

Board EligibleT



As of July 1, 2015


Orthopedic Surgery Antoine I. Jabbour, M.D. 4802 S 109 E Ave knees, shoulders TulsaTulsa, OK74146

[email protected] Excl. Body Parts/Svcs:Contact: Latoya spine, handsPhone: (918) 392-1437 Fax: (918) 392-1401


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Orthopedic Surgery Paul Jacob, D.O. 1616 S. Kelly Ave. adult reconstruction total joint EdmondreplacementEdmond, OK73013

[email protected]. Body Parts/Svcs:Contact: Joann Ellisuper extremity injuriesPhone: (405) 715-8803 Fax: ( ) -


Orthopedic Surgery Thomas P. Janssen, M.D. 1110 N Lee knees, hips, shoulders, feet, hands Oklahoma CityOklahoma City, OK73103-2612

[email protected] Excl. Body Parts/Svcs:Contact: appt scheduling 405-230-9270 neck,backPhone: (405) 230-9743 Fax: (405) 230-9474

American Board of Family Medicine &Orthopaedic Surgery

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As of July 1, 2015


Orthopedic Surgery J. Calvin Johnson, M.D. 6205 N Santa Fe Ste 200 knees, shoulders Oklahoma CityOklahoma City, OK73118

[email protected] Excl. Body Parts/Svcs:Contact: Jennifer back,hands,anklesPhone: (405) 419-5412 Fax: (405) 419-5468


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Orthopedic Surgery Wayne A. Johnson, M.D. 8212 NW Stonebridge Ct shoulder, knee, hand/wrist, Lawtonfoot/ankleLawton, OK73506

[email protected]. Body Parts/Svcs:Contact: CassandrabackPhone: (580) 536-2265 Fax: (580) 536-7805


T R MITF

Orthopedic Surgery Daniel J. Jones, M.D. 8100 S Walker Ave Bldg A knee, shoulder, foot, ankle, legs, Oklahoma Cityarms, carpal tunnelOklahoma City, OK73139Excl. Body Parts/Svcs:Contact: JuliespinePhone: (405) 632-4468 Fax: (405) 632-4317


T R MITF



As of July 1, 2015


Orthopedic Surgery Michael E. Kiehn, M.D. 3301 NW 50 St knees, shoulders Oklahoma CityOklahoma City, OK73112

[email protected] Excl. Body Parts/Svcs:Contact: Jaye Dee Watts spine (neck, back)Phone: (405) 947-0911 Fax: (405) 942-5043


T R MITF

Orthopedic Surgery Richard Kirkpatrick, M.D.* 3400 W Tecumseh Rd Ste 101 knees, shoulders, elbows, hands, Norman,hips, ankles, arms Oklahoma CityNorman, OK73072

[email protected]. Body Parts/Svcs:Contact: BrookespinePhone: (405) 517-3719 Fax: (405) 360-6769


T R MITF

Orthopedic Surgery Zakary A. Knutson, M.D. 3400 W Tecumseh Ste 101 hips, knees, shoulders, elbows Norman, EdmondNorman, OK73072

[email protected] Excl. Body Parts/Svcs:Contact: Brooke foot, ankle, neck and backPhone: (405) 517-3719 Fax: ( ) -




As of July 1, 2015


Orthopedic Surgery Mark F. Kowalski, M.D. 4140 W Memorial Rd Ste 308 all orthopaedic surgery except Oklahoma Cityspine, hips, and neckOklahoma City, OK73120Excl. Body Parts/Svcs:Contact: Kayla, Shawna, Cathyhips, back, neckPhone: (405) 749-7031 Fax: (405) 749-7036


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Orthopedic Surgery E. Alexander L'Heureux, Jr., M.D. 1405 NW 150 St cervical, thoracic and lumbar spine EdmondEdmond, OK73013

Excl. Body Parts/Svcs:Contact: Jennifer all except spinePhone: (405) 844-5222 Fax: (405) 744-2166

American Board of OrthopedicSurgery & Spine Surgery

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Orthopedic Surgery Ronald S. LaButti, D.O.* 6585 S Yale Ave Ste 200 hips, knees, ankles, foot TulsaTulsa, OK74136

[email protected] Excl. Body Parts/Svcs:Contact: appt desk hand, elbow, arms, shouldersPhone: (918) 481-2767 Fax: (918) 481-7611

American Osteopathic Aacademy ofOrthopedics

T R MITF



As of July 1, 2015


Orthopedic Surgery Bradley J. Lawson, M.D. 6585 S Yale Ave Ste 200 ankle, shoulder, hip, knee, foot, Tulsaelbow, hand, wristTulsa, OK74136

[email protected]. Body Parts/Svcs:Contact: schedulingnonePhone: (918) 481-2767 Fax: ( ) -


T R MITF

Orthopedic Surgery Brian A. Levings, D.O. 8100 S Walker Ave Bldg A arms, legs, shoulders, knees, feet, Oklahoma Cityankles, elbowsOklahoma City, OK73139Excl. Body Parts/Svcs:Contact: WALTback, neckPhone: (405) 632-4468 Fax: (405) 632-4317

American Osteopathic Board ofOrthopaedic Surgery

T R MITF

Orthopedic Surgery Alan G. Lewis, M.D. 6475 S Yale Ave Ste 301 feet, ankles, knees TulsaTulsa, OK74136-7824

[email protected] Excl. Body Parts/Svcs:Contact: CJ/Linda spine, hips, hands, elbows,

shoulders, rate only casesPhone: (918) 494-9351 Fax: (918) 494-9397


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As of July 1, 2015


Orthopedic Surgery J. Patrick Livingston, M.D. 1211 N Shartel Suite 500 orthopedic surgery, neck, back, Oklahoma Cityshoulders, hips, arms, legs, hands,Oklahoma City, OK73103feet

Contact: AllisonExcl. Body Parts/Svcs:Phone: (405) 463-0407 Fax: (405) 463-0425head, brain, lungs, hearturogenital, gastrointestinal


T R MITF

Orthopedic Surgery Jay D. Lorton, M.D. 6475 S Yale Ave Ste 301 knees, shoulders, elbows TulsaTulsa, OK74136

[email protected] Excl. Body Parts/Svcs:Contact: Lori Pile spine, hands, hips, feetPhone: (918) 494-9384 Fax: (918) 494-9397


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Orthopedic Surgery Paul D. Maitino, D.O. 3110 SW 89 Street Ste 200D hips, knees, shoulders Oklahoma CityOklahoma City, OK73159

[email protected] Excl. Body Parts/Svcs:Contact: Jessica headPhone: (405) 680-5633 Fax: (405) 735-6435

Orthopedic SurgeryT R MITF



As of July 1, 2015


Orthopedic Surgery Bradley Margo, M.D. 1110 N Lee shoulders, knees Oklahoma CityOklahoma City, OK73103-2612

[email protected] Excl. Body Parts/Svcs:Contact: Central Sched 405-230-9270 backs, necks, hips, feet, handsPhone: (405) 230-9000 Fax: ( ) -


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Orthopedic Surgery James C. Mayoza, M.D. 6122 E 61 St lumbar and cervical spine & TulsaextremitiesTulsa, OK74136-2117

Contact: Nicci or MorgiePhone: (918) 492-3133 Fax: (918) 493-2215


T R MITF

Orthopedic Surgery James D. Mitchell, M.D. 1110 N Lee hips, knees OKC, NormanOklahoma City, OK73103

[email protected] Excl. Body Parts/Svcs:Contact: shoulders, wrists, elbows, hands,

feet, spinePhone: (405) 230-9600 Fax: (405) 230-9424


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As of July 1, 2015


Orthopedic Surgery Yogesh Mittal, M.D. 1809 E 13 St Ste 100 hips, knees TulsaTulsa, OK74104

[email protected] Excl. Body Parts/Svcs:Contact: Rae spinePhone: (918) 582-6800 Fax: (918) 301-4293


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Orthopedic Surgery Mac E. Moore, M.D. 10001 S Western Ste 200 shoulders, elbows, knees Oklahoma CityOklahoma City, OK73139-2997

Excl. Body Parts/Svcs:Contact: Belinda nonePhone: (405) 692-3737 Fax: (405) 692-3707


T R MITF

Orthopedic Surgery Jeffrey R. Morris, D.O.* 6585 S. Yale Ave Suite 200 shoulder, hand, wrist, hip, knee, Tulsaankles & total joint replacementsTulsa, OK74136

[email protected]. Body Parts/Svcs:Contact: Reggie 918-583-7076neck, spinePhone: (918) 481-2767 Fax: (918) 583-7908

American Osteopathic Board ofOrthopedfic Surgery

T R MITF



As of July 1, 2015


Orthopedic Surgery Mark Robert Moses, M.D. 825 E Robinson hips, knees, shoulders,hands, NormanwristsNorman, OK73071

[email protected]. Body Parts/Svcs:Contact: Gayleneneck, backPhone: (405) 364-7900 Fax: (405) 366-6214


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Orthopedic Surgery Gene L. Muse, M.D. 4200 W Memorial Rd Ste 1001 shoulders, knees, hips Oklahoma CityOklahoma City, OK73120

[email protected] Excl. Body Parts/Svcs:Contact: Penny (spine) back, neckPhone: (405) 787-7678 Fax: (405) 751-3367


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Orthopedic Surgery Ryan L. Nelson, D.O 1616 S. Kelly shoulder, elbow, knee Edmond(trauma/fractures) hip, wrist,Edmond, OK73013ankle

Contact: JoannExcl. Body Parts/Svcs:Phone: (405) 330-8847 Fax: ( ) -none




As of July 1, 2015


Orthopedic Surgery David E. Nonweiler, M.D. 6585 S Yale Ave Ste 200 shoulders, knees TulsaTulsa, OK74136

[email protected] Excl. Body Parts/Svcs:Contact: Melissa neck and spinePhone: (918) 481-2767 Fax: (918) 481-7611


T R MITF

Orthopedic Surgery M. Sean O'Brien, D.O.* PO Box 890358 hands and shoulders Oklahoma CityOklahoma City, OK73189

Excl. Body Parts/Svcs:Contact: Marilyn back, neck, feetPhone: (405) 759-2663 Fax: ( ) -


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Orthopedic Surgery James M. Odor, M.D. 14100 Parkway Commons Dr Ste 200 cervical, thoracic & lumbar spine Oklahoma City(neck and back)Oklahoma City, OK73134Excl. Body Parts/Svcs:Contact: Valerie, ReneeNonePhone: (405) 242-4345 Fax: (405) 242-4333


T



As of July 1, 2015


Orthopedic Surgery L. Todd Olsen, D.O. Olsen Orthopedics knees, shoulders MWC3400 S Douglas Blvd Ste 302Oklahoma City, OK73150 Excl. Body Parts/Svcs:

Contact: Wendy, Cheryl backsPhone: (405) 733-8000 Fax: (405) 733-7820


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Orthopedic Surgery Victor R. Palomino, D.O.* 1809 E 13 St Ste 100 knees, shoulders TulsaTulsa, OK74104

[email protected] Excl. Body Parts/Svcs:Contact: Rae spine, foot/ankle, hand/elbowPhone: (918) 925-3226 Fax: ( ) -

American Osteopathic BoardT R

Orthopedic Surgery Kris Parchuri, D.O. 9101 S Toledo Ave Ste B spine TulsaTulsa, OK74137

sostulsa.com Excl. Body Parts/Svcs:Contact: Sarah hands, feetPhone: (539) 664-4448 Fax: (539) 664-4288

AOAT R MITF



As of July 1, 2015


Orthopedic Surgery Andrew Parkinson, M.D. 3301 NW 50 St spine, (neck, back), lower Oklahoma CityextremitiesOklahoma City, OK73112

[email protected]. Body Parts/Svcs:Contact: central schedulingall except spine & lowerPhone: (405) 947-0911 Fax: ( ) -extremities


T R MITF

Orthopedic Surgery Corey Eugene Ponder, M.D. 13800 Benson Rd Ste 201 joint replacement and revision Edmond(knees and hips only)Edmond, OK73013

[email protected]. Body Parts/Svcs:Contact: Brookeall except knees, hipsPhone: (405) 517-3719 Fax: ( ) -


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Orthopedic Surgery Ghazi M. Rayan, M.D.* 3366 NW Expressway Ste 700 shoulder, elbow, wrist, hand Oklahoma CityOklahoma City, OK73112-4418

Excl. Body Parts/Svcs:Contact: backPhone: (405) 945-4888 Fax: (405) 945-4887

American Board of OrthopedicSurgery/ Am Bd of Ortho Surg ofHand

T R MITF



As of July 1, 2015


Orthopedic Surgery Vytautas M. Ringus, M.D. 825 E Robinson foot and ankle NormanNorman, OK73071

[email protected] Excl. Body Parts/Svcs:Contact: Donna nonePhone: (405) 364-8855 Fax: (405) 310-6866


Orthopedic Surgery R. Clio Robertson, M.D.* 6585 S Yale Ave Ste 200 neck, spine, shoulder, elbows, Tulsawrists, hips, knees, anklesTulsa, OK74136



T R MITF

Orthopedic Surgery Richard A. Ruffin, M.D.* 3301 NW 50 hands, wrists, elbows, shoulders Oklahoma CityOklahoma City, OK73112-5691

Excl. Body Parts/Svcs:Contact: Central Scheduling neck & back (spine), feet, kneesPhone: (405) 947-0911 Fax: (405) 947-4263

American Board of OrthopedicSurgery, Hand Surgery

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As of July 1, 2015


Orthopedic Surgery David Saxton, M.D. 1110 N Lee knees, shoulders, elbows OKC, Norman,EdmondOklahoma City, OK73103

[email protected] Excl. Body Parts/Svcs:Contact: Vickie hands, spine, hipsPhone: (405) 230-9437 Fax: (405) 230-9421

American Board of OrthopaedicSurgery & Sports Medicine

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Orthopedic Surgery Steven Schultz, M.D. 825 E Robinson hips, knees (total hip replacement Norman& total knee replacement)Norman, OK73071

[email protected]. Body Parts/Svcs:Contact: Donnaback, neckPhone: (405) 364-8855 Fax: ( ) -


T R MITF

Orthopedic Surgery Houshang Seradge, M.D.* 1044 SW 44 Street Suite 518 spine, foot, wrist, elbow, Oklahoma Cityshoulder, hip, knee, ankleOklahoma City, OK73109

Contact: MistiPhone: (405) 634-4263 Fax: ( ) -


T R MITF



As of July 1, 2015


Orthopedic Surgery Blake Shockley, M.D. 9716 S. Riverside Drive Ste 101 shoulder, elbow, hip, knee and Tulsa areaankleJenks, OK74137

[email protected]. Body Parts/Svcs:Contact: Jennifer. Angiespine, handPhone: (918) 528-3300 Fax: ( ) -


Orthopedic Surgery James C. Slater, M.D. 4802 S 109 E Ave adult reconstruction TulsaTulsa, OK74146

Excl. Body Parts/Svcs:Contact: Latoya hands, feet,back, neck, (spine)Phone: (918) 392-1437 Fax: (918) 392-1401


T

Orthopedic Surgery Glenn L. Smith, D.O. 2149 SW 59 Ste 101 all orthopedic surgery Oklahoma CityOklahoma City, OK73119

[email protected] Excl. Body Parts/Svcs:Contact: Linda NonePhone: (405) 682-4651 Fax: (405) 682-3391

Orthopedic SurgeryT R



As of July 1, 2015


Orthopedic Surgery Sheryl C. Smith, M.D. 6205 N Santa Fe Ste 200 foot, ankle Oklahoma CityOklahoma City, OK73118

Excl. Body Parts/Svcs:Contact: Kim all except foot & anklePhone: (405) 419-5610 Fax: (405) 419-5429


Orthopedic Surgery Cheng-Lun Soo, M.D. 1044 SW 44 Street spine, neck, lumbar, cervical Oklahoma CityOklahoma City, OK73109

[email protected] Excl. Body Parts/Svcs:Contact: Ernest all except neck and backPhone: (405) 631-4263 Fax: (405) 631-1767


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Orthopedic Surgery Richard M. Stamile, M.D. 4802 S 109 E Ave #100 general orthopedics no surgery TulsaTulsa, OK74146

[email protected] Excl. Body Parts/Svcs:Contact: Latoya back, neck, handsPhone: (918) 392-1437 Fax: (918) 392-1401


T R



As of July 1, 2015


Orthopedic Surgery Wesley Michael Stotler, D.O. 4802 S 109 E Ave foot, ankle TulsaTulsa, OK74146

[email protected] Excl. Body Parts/Svcs:Contact: Latoya all except feet and anklesPhone: (918) 392-1437 Fax: (918) 392-1401


T

Orthopedic Surgery Richard D. Thomas, M.D. 4802 S 109 E Ave spine (neck, back) TulsaTulsa, OK74146

Excl. Body Parts/Svcs:Contact: Latoya all except back & neckPhone: (918) 392-1437 Fax: (918) 392-1401


T

Orthopedic Surgery Robert S. Unsell, M.D. 10001 S Western Ste 101 hands, wrist, elbows Oklahoma CityOklahoma City, OK73139

[email protected] Excl. Body Parts/Svcs:Contact: Darcy spine, lower extremitiesPhone: (405) 692-3748 Fax: (405) 923-3783




As of July 1, 2015


Orthopedic Surgery Mark Stephen Wilson, M.D.* 5522 S Lewis all orthopedics, continuing medical Tulsa, OKCmaintenanceTulsa, OK74105Excl. Body Parts/Svcs:Contact: TU-Sandra, OKC-TayllerNonePhone: (918) 488-8285 Fax: (405) 949-1801


Orthopedic Surgery David K. Wong, M.D. 6585 S Yale Ave Ste 200 hands, wrists, elbows, shoulders TulsaTulsa, OK74136

[email protected] Excl. Body Parts/Svcs:Contact: Patti neck, spine, knees, hips, anklesPhone: (918) 481-2767 Fax: (918) 481-7611


T R MITF

Orthopedic Surgery Michael Wright, M.D. 3115 SW 89 spine Oklahoma CityOklahoma City, OK73159

Excl. Body Parts/Svcs:Contact: Krista NonePhone: (405) 424-5630 Fax: (405) 692-1632

American Board of Spine SurgeryT R



As of July 1, 2015


Orthopedic Surgery Gregory J. Zeiders, D.O. 1600 Medical Center Drive hands, wrists, elbows, shoulders, Edmond,feet, ankles, knees, hips Shawnee,Edmond, OK73034

Oklahoma [email protected]. Body Parts/Svcs:Contact: LindsayspinePhone: (405) 359-2266 Fax: (405) 341-1578


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Orthopedics Darnell E. Blackmon, M.D.* 1809 E 13 Ste 100 shoulder, knee, foot, ankle TulsaTulsa, OK74104

[email protected] Excl. Body Parts/Svcs:Contact: Rae spine, handPhone: (918) 925-3226 Fax: (918) 582-6060


T

Orthopedics Joel M. Davis, M.D. 3301 NW 50 Street lower extremities, feet, ankles OKCOklahoma City, OK73112

[email protected] Excl. Body Parts/Svcs:Contact: central scheduling neck, backPhone: (405) 947-0911 Fax: (405) 947-1341




As of July 1, 2015


Orthopedics William Bentley Edmonds, M.D. 1110 N Lee foot, ankle Oklahoma City,Edmond, NormanOklahoma City, OK73103-2612

[email protected] Excl. Body Parts/Svcs:Contact: Chiquita, Cindy all except foot and anklePhone: (405) 230-9745 Fax: (405) 230-9424


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Orthopedics David Holden, M.D. 1110 N Lee knees & shoulders only Oklahoma CityOklahoma City, OK73103-2612

[email protected] Excl. Body Parts/Svcs:Contact: Lynn back & neckPhone: (405) 230-9406 Fax: ( ) -

American Board of OrthopaedicSurgery & Sports Medicine

T

Orthopedics Michael Brandon Johnson, M.D. 6205 N. Santa Fe Suite 200 all within specialty OKCOklahoma City, OK73118

Excl. Body Parts/Svcs:Contact: Debra Lewis SpinePhone: (405) 427-6776 Fax: ( ) -




As of July 1, 2015


Orthopedics Faustino Kazenske, D.O. 3301 NW 50th Street Lower extremities, hips, knees Oklahoma CityOklahoma City, OK73112

Excl. Body Parts/Svcs:Contact: Central Scheduling Upper extremities and backPhone: (405) 947-0911 Fax: ( ) -


Orthopedics Richard Kirkpatrick, M.D.* 3400 W Tecumseh Rd Ste 101 knees, shoulders, elbows, hands, Oklahoma City,hips, ankles, arms NormanNorman, OK73072

[email protected]. Body Parts/Svcs:Contact: BrookespinePhone: (405) 517-3719 Fax: (405) 360-6769


T R MITF

Orthopedics John Wheeler, M.D. 3115 SW 89 all within specialty Oklahoma CityOklahoma City, OK73159

Excl. Body Parts/Svcs:Contact: Kim nonePhone: (405) 424-5630 Fax: ( ) -

American board of OrthopedicSurgery

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As of July 1, 2015


Otolaryngology R. Stanley Baker, M.D. 3400 NW 56 St ears Oklahoma CityOklahoma City, OK73112

[email protected] Excl. Body Parts/Svcs:Contact: Dawn all other than earsPhone: (405) 946-5563 Fax: ( ) -

American Board of OtolaryngologyT R

Otolaryngology Alen Munson Fuller, M.D. 1725 E 19 St Ste 100 ears (cumulative hearing loss) TulsaTulsa, OK74104

[email protected] Excl. Body Parts/Svcs:Contact: Betsi surgical casesPhone: (918) 742-7376 Fax: (918) 743-2117


Otolaryngology John R. Houck, M.D. 920 Stanton L Young WP 1290 ear, nose, throat OKCOklahoma City, OK73104

Excl. Body Parts/Svcs:Contact: Tiffney complaints of dizzinessPhone: (405) 271-5504 Fax: (405) 271-3248

American Board of OtolaryngologyT

Otolaryngology Paul David Hunter, M.D.* 535 NW 9th Street #300 Ears, nose, throat and facial Oklahoma CitytraumaOklahoma City, OK73102

[email protected]. Body Parts/Svcs:Contact: Dianne Hunterall others but listedPhone: (405) 272-6027 Fax: (405) 272-8315

AM Board of OtolaryngologyT



As of July 1, 2015


Otology Mark Wood, M.D. 3400 NW 56 St ears, hearing, including dizziness Oklahoma CityOklahoma City, OK73112

[email protected] Excl. Body Parts/Svcs:Contact: Valoree anything other than earsPhone: (405) 946-5563 Fax: (405) 945-7185


Physical Medicine and Donald E. Adams, M.D. 1616 S Kelly pain management Oklahoma City,Rehabilitation EdmondEdmond, OK73013-3651

[email protected] Excl. Body Parts/Svcs:Contact: Joann feet, anklesPhone: (405) 692-3700 Fax: (405) 330-0092

American Board of Medicine &Rehabilitation & Pain Medicine

T R MITF

Physical Medicine and Archana Barve, M.D. 3613 NW 56 STREET STE 140 sports medicine, physical medicine Oklahoma CityRehabilitation & rehabilitationOklahoma City, OK73112

[email protected]. Body Parts/Svcs:Contact: Staceyspinal cord injury with paraplegia,Phone: (405) 949-6481 Fax: (405) 795-5909quadriplegia

American Board of PhysicalMedicine/Rehabilitation

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As of July 1, 2015


Physical Medicine and Albert J. Bisson, M.D. 4120 W Memorial Rd Ste 118 physiatry - head, spine, upper and Oklahoma CityRehabilitation lower extremities, nerve and jointOklahoma City, OK73120

[email protected]: Cecylia

Excl. Body Parts/Svcs:Phone: (405) 748-4700 Fax: (405) 748-5638narcotic mngmt, rsd


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Physical Medicine and Christopher Bouvette, M.D. 4120 W Memorial Rd Ste 118 physiatry, neck, spine, upper & Oklahoma CityRehabilitation lower extremities, nerve and jointOklahoma City, OK73120

[email protected]: Ceyclia

Excl. Body Parts/Svcs:Phone: (405) 748-4700 Fax: (405) 748-5638narcotic pain management

American Board of PhysicalMedicine/Rehabilitation +

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Physical Medicine and Michael S. Brown, M.D. 4120 W Memorial Rd Ste 118 physiatry - head, neck, spine Oklahoma CityRehabilitation upper and lower extremities, nerveOklahoma City, OK73120

and joint [email protected]: Cecylia

Excl. Body Parts/Svcs:Phone: (405) 748-4700 Fax: (405) 748-5638narcotic pain management, RSD

American Academy of PhysicalMedicine/Rehab

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As of July 1, 2015


Physical Medicine and A. E. Moorad, M.D.* 4221 S Western Ste 3010 all PM & R, pain managment Oklahoma CityRehabilitation Oklahoma City, OK73109

Contact: MarilynPhone: (405) 636-7450 Fax: (405) 631-2296

American Board of Internal MedicineT R MITF

Physical Medicine and Lam D. Nguyen, D.O. 9320 South Mingo Road all pain management TulsaRehabilitation Tulsa, OK74133

asalgueroa@advanced paintulsa.com Excl. Body Parts/Svcs:Contact: Scheduling nonePhone: (918) 879-1700 Fax: (918) 879-1701

American Board of Physical Medicineand Rehab

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Physical Medicine and Darryl Dermot Robinson, M.D. 3110 SW 89 Ste 102 all within speciality Oklahoma CityRehabilitation Oklahoma City, OK73159

[email protected] Excl. Body Parts/Svcs:Contact: Lindsey NonePhone: (405) 703-4950 Fax: (405) 703-4955

American Board of Physical Medicineand Rehab-Pain Management

T R MITF



As of July 1, 2015


Physical Medicine and Charles Shields, M.D. 330 S 5 St Ste 305 all physical medicine and EnidRehabilitation rehabilitation, all neuro-musculo-Enid, OK73701

skeletalContact: AmberPhone: (580) 242-1224 Fax: ( ) -


T R

Physical Medicine and Kathleen M. Sisler, M.D. 6585 S Yale Ave Ste 200 elbows, hands, knees, hips, neck, TulsaRehabilitation spine, feet, ankles, wrists,Tulsa, OK74136

shoulders (Physiatry)[email protected]: Allison

Excl. Body Parts/Svcs:Phone: (918) 481-2767 Fax: (918) 481-7669none


T R MITF

Physical Medicine and Michael Shawn Smith, M.D. 5100 N Brookline Ste 500 PM&R, spine, spinal cord and brain Oklahoma CityRehabilitation injuriesOklahoma City, OK73112

[email protected]: AleciaPhone: (405) 605-8780 Fax: (405) 605-8782


T R MITF



As of July 1, 2015


Physical Medicine and Jonathan B. Stone, D.O. 700 NW 7 Street Ste 115 all within speciality chronic Oklahoma CityRehabilitation medication management, continuingOklahoma City, OK73102

medical maintenanceContact: Phone: (405) 601-5899 Fax: (405) 601-5903

American Board of Physical Medicineand Rehabilitation

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Physical Medicine and D. Brent Tipton, M.D. 5100 N Brookline Ste 530 muscles and nerves Oklahoma CityRehabilitation Oklahoma City, OK73112

[email protected] Excl. Body Parts/Svcs:Contact: Linda heart, lungs, GI, Renal, medical

maintenance, pain managementPhone: (405) 604-6652 Fax: (405) 604-6653

American Board of PhysicalMedicine/Rehabilitation/Electrodiagnos

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Plastic Surgery Mehdi N. Adham, M.D.* 8100 S Walker Ave Bldg A plastic & reconstructive surgery of Oklahoma Cityhands and wristsOklahoma City, OK73139Excl. Body Parts/Svcs:Contact: Julieall except plastic surgery ofPhone: (405) 632-4468 Fax: (405) 632-4317hands/wrists

American Board of Plastic Surgery &Am Bd Plastic Surg of Hand

T R MITF



As of July 1, 2015


Plastic Surgery Paul David Hunter, M.D.* 535 NW 9th Street #300 Ears, nose, throat and facial Oklahoma CitytraumaOklahoma City, OK73102

[email protected]. Body Parts/Svcs:Contact: Dianne Hunterall others but listedPhone: (405) 272-6027 Fax: (405) 272-8315

AM Board of OtolaryngologyT

Podiatry Armando A. Carro, D.P.M. 600 W 15 St foot, ankle EdmondEdmond, OK73013

Excl. Body Parts/Svcs:Contact: Darla NonePhone: (405) 348-4141 Fax: (405) 340-0686


Podiatry David C. Cavallaro, D.P.M. 1044 SW 44 floor 6 feet, ankles and related structures Oklahoma CityOklahoma City, OK73109

[email protected] Excl. Body Parts/Svcs:Contact: Stephanie anything above the anklePhone: (405) 631-4263 Fax: (405) 616-2670

American Board of Podiatric SurgeryT

Podiatry Timothy Siegfried, D.P.M. 10229 E 96 Street North Ste 100 foot, ankle Owasso, SapulpaOwasso, OK74055

[email protected] Excl. Body Parts/Svcs:Contact: Becki none within specialtyPhone: (918) 494-2902 Fax: (918) 272-8922

American Board of Podiatric SurgeryT R MITF



As of July 1, 2015


Podiatry William K. Smith, D.P.M. 1627 N Kickapoo toes, feet, ankles Shawnee,Oklahoma CityShawnee, OK74804

Contact: Glenda, LoriPhone: (405) 275-8234 Fax: (405) 275-7298

American Board of Podiatric SurgeryT R MITF

Podiatry Richard J Traczyk, II, D.P.M. 4205 McAuley Blvd Ste 465 foot, ankle Oklahoma CityOklahoma City, OK73120

[email protected] Excl. Body Parts/Svcs:Contact: Lanae anything above the anklePhone: (405) 755-7600 Fax: (405) 755-7680


Psychiatry Sarah E. Land, D.O. 3314 E 46 Street Ste 200 Psychiatry TulsaTulsa, OK74135

[email protected] Excl. Body Parts/Svcs:Contact: Jennifer nonePhone: (918) 591-2510 Fax: (918) 591-2511

American Board of Psychiatry &Neurology

MITF

Psychiatry Dominic Losacco, M.D. 6565 S Yale Ave Ste 706 all within psychiatric specialty TulsaTulsa, OK74136-8308

Contact: Mary, MitziePhone: (918) 491-5767 Fax: (918) 491-5771




As of July 1, 2015


Psychiatry Siavash Nael, M.D. 4720 S Western Ave psychiatry Oklahoma CityOklahoma City, OK73109-3834

[email protected]: any staff memberPhone: (405) 634-5529 Fax: (405) 634-1673

American Board of Pyschiatry andNeurology

T

Psychology - Clinical Russell L. Adams, Ph.D.* PO Box 26901 WP3440 brain, pain management, Oklahoma Citypsychological overlayOklahoma City, OK73126

Contact: GaryPhone: (405) 271-8001 Fax: (405) 271-8802

American Board of ProfessionalPsychology/Clinical Neuropsych

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Psychology - Clinical Faust Bianco, Jr., Ph.D.* 7146 S Braden Ave Ste 500 Rehabilitation (nervous system, Tulsawhole body) Trauma RelatedTulsa, OK74136Disorders (pain stress, depression,brain)Contact: Suzan

Phone: (918) 746-0794 Fax: (918) 746-0717Excl. Body Parts/Svcs:none




As of July 1, 2015


Psychology - Clinical Douglas O. Brady, Ph.D.* 1401 SW Park Ridge Blvd Ste D medical psychology, neuropsychology LawtonevaluationsLawton, OK73505

[email protected]: D'AnnPhone: (580) 355-7474 Fax: (580) 355-6765

American Board of ProfessionalDisability

T R MITF

Psychology - Clinical R. Keith Green, Ph.D. 5929 N May Ave Ste 508 psychological evaluations and Oklahoma CitytherapyOklahoma City, OK73112

[email protected]. Body Parts/Svcs:Contact: VirginiaNonePhone: (405) 842-6446 Fax: (405) 842-5644


Psychology - Clinical David E. Johnsen, Ph.D. 2601 NW Expway Ste 410 W psychological overlay, chronic Oklahoma Citypain, neuropsychologyOklahoma City, OK73112

[email protected]. Body Parts/Svcs:Contact: Lea or AngelaNonePhone: (405) 755-8576 Fax: (405) 755-6026




As of July 1, 2015


Psychology - Clinical Edgar J. Kranau, Ph.D.* PO Box 14082 psychological overlay, pain TulsamanagementTulsa, OK74159-4082Excl. Body Parts/Svcs:Contact: selfNonePhone: (918) 712-9020 Fax: (918) 712-9021


Psychology - Clinical Doris Wise, Ph.D. 3441 W Memorial Ste 7 psychological: mood, coping, Oklahoma Cityadjustment, rehabOklahoma City, OK73134

[email protected]. Body Parts/Svcs:Contact: DebbienonePhone: (405) 286-6000 Fax: ( ) -


Psychology Michael R. Basso, Ph.D.* Univ of Tulsa Dept of Psychology head/brain - diatnostic testing, Tulsapsychological overlay800 S Tucker Drive

[email protected] Tulsa, OK74104Excl. Body Parts/Svcs:Contact: Dr. BassoNonePhone: (918) 631-3151 Fax: (918) 631-2833

ABPP - Clinical Neuropsychology R MITF



As of July 1, 2015


Psychology Stephen D. Carella, Ph.D. 3035 NW 63 Ste 103 psychological overlay Oklahoma CityOklahoma City, OK73116

[email protected]: SuePhone: (405) 840-4212 Fax: (405) 840-4258


Psychology Jeri Fritz, Ph.D. 624 S Boston Ste 311 psychological overlay TulsaTulsa, OK74119

[email protected] Excl. Body Parts/Svcs:Contact: Dr. Jeri Fritz PhysicalPhone: (918) 584-6694 Fax: (918) 584-6229


Psychology Edgar J. Kranau, Ph.D.* PO Box 14082 psychological overlay, pain TulsamanagementTulsa, OK74159-4082Excl. Body Parts/Svcs:Contact: selfNonePhone: (918) 712-9020 Fax: (918) 712-9021


Pulmonary Diseases Dennis M. Parker, M.D. 3366 NW Expressway Ste 660 pulmonary (lungs) Oklahoma CityOklahoma City, OK73112

Excl. Body Parts/Svcs:Contact: Lisa Burgess 405-947-3345 all except respiratory diseasePhone: (405) 917-5439 Fax: (405) 494-0849

American Board of InternalMedicine, Am Bd - Pulmonary Disease

T R MITF



As of July 1, 2015


Radiology Douglas Preston Beall, M.D. 1800 Renaissance Blvd Second Floor interventional pain management of Edmondspine and jointsEdmond, OK73013

[email protected]. Body Parts/Svcs:Contact: schedulinggeneral medicinePhone: (405) 601-2325 Fax: (405) 359-2491

American Board of RadiologyT

Sports Medicine Gary B. Anderson, M.D.* 3301 NW 50 St knees, shoulders, hips, elbows Oklahoma CityOklahoma City, OK73112

[email protected] Excl. Body Parts/Svcs:Contact: Scheduling spine (back, neck), handsPhone: (405) 947-0911 Fax: (405) 947-0775


T R MITF

Sports Medicine Clint Justin Basener, D.O.* 9709 E 79 Street S all within specialty TulsaTulsa, OK74133-4566

[email protected] Excl. Body Parts/Svcs:Contact: Pam back, neckPhone: (918) 994-4068 Fax: (918) 994-4095




As of July 1, 2015


Sports Medicine Darnell E. Blackmon, M.D.* 1809 E 13 Ste 100 shoulder, knee, foot, ankle TulsaTulsa, OK74104

[email protected] Excl. Body Parts/Svcs:Contact: Rae spine, handPhone: (918) 925-3226 Fax: (918) 582-6060


T

Sports Medicine Bradford Boone, M.D.* 6475 S Yale Ave Ste 301 knees, shoulders, elbows TulsaTulsa, OK74136-7824

[email protected] Excl. Body Parts/Svcs:Contact: CJ spine, hips, feet, ankles, hands &

rate only casesPhone: (918) 494-9351 Fax: (918) 494-9397

American Board of OrthopedicSurgery/Sports Medicine

T R

Sports Medicine James D. Cash, M.D.* 6585 S Yale Ave Ste 200 knees, shoulders TulsaTulsa, OK74136

[email protected] Excl. Body Parts/Svcs:Contact: nonePhone: (918) 481-2767 Fax: (918) 481-7611


T R MITF



As of July 1, 2015


Sports Medicine Jeff A. Fox, M.D.* 6585 S Yale Ave Ste 200 knees, ankles, elbow, shoulders TulsaTulsa, OK74136

Excl. Body Parts/Svcs:Contact: appt desk hand, spinePhone: (918) 481-7658 Fax: (918) 481-7611


T R MITF

Sports Medicine Troy A. Glaser, D.O. 6585 S Yale Ave Ste 200 spine, knees, ankles, shoulders & TulsafootTulsa, OK74136

[email protected]. Body Parts/Svcs:Contact: Appt DesktailbonePhone: (918) 481-7658 Fax: (918) 481-7611


Sports Medicine Bryan Hawkins, M.D.* 6585 S Yale Ave Ste 200 ankles, knees, feet, hip TulsaTulsa, OK74136

[email protected] Excl. Body Parts/Svcs:Contact: CSOS neck, spine, wrists, hands, elbowsPhone: (918) 481-2767 Fax: (918) 481-7611


T R MITF



As of July 1, 2015


Sports Medicine Ronald S. LaButti, D.O.* 6585 S Yale Ave Ste 200 hips, knees, ankles, foot TulsaTulsa, OK74136

[email protected] Excl. Body Parts/Svcs:Contact: appt desk hand, elbow, arms, shouldersPhone: (918) 481-2767 Fax: (918) 481-7611

American Osteopathic Aacademy ofOrthopedics

T R MITF

Sports Medicine Gary Robert Lee, M.D.* 5577 South Lewis Ave all TulsaTulsa, OK74105



T R MITF

Sports Medicine Jason M. Leinen, M.D.* 3115 SW 89 Street all family & sports medicine, pain Oklahoma CitymanagementOklahoma City, OK73159Excl. Body Parts/Svcs:Contact: AmynonePhone: (405) 600-1411 Fax: (405) 600-1531




As of July 1, 2015


Sports Medicine Jeffrey R. Morris, D.O.* 6585 S. Yale Ave Suite 200 shoulder, hand, wrist, hip, knee, Tulsaankles & total joint replacementsTulsa, OK74136

[email protected]. Body Parts/Svcs:Contact: Reggie 918-583-7076neck, spinePhone: (918) 481-2767 Fax: (918) 583-7908

American Osteopathic Board ofOrthopedfic Surgery

T R MITF

Sports Medicine Venkatesh Movva, M.D.* 6565 S Yale Ste 212 pain management TulsaTulsa, OK74136

Excl. Body Parts/Svcs:Contact: Michelle migrainesPhone: (918) 502-4008 Fax: (918) 502-4001

American Board of Internal MedicineT

Sports Medicine Victor R. Palomino, D.O.* 1809 E 13 St Ste 100 knees, shoulders TulsaTulsa, OK74104

[email protected] Excl. Body Parts/Svcs:Contact: Rae spine, foot/ankle, hand/elbowPhone: (918) 925-3226 Fax: ( ) -

American Osteopathic BoardT R



As of July 1, 2015


Sports Medicine R. Clio Robertson, M.D.* 6585 S Yale Ave Ste 200 neck, spine, shoulder, elbows, Tulsawrists, hips, knees, anklesTulsa, OK74136



T R MITF

Urology Roy Warren Bankhead, M.D. 2349 N Thompkins prostate, kidney, bladder, penis, OKCvaginaBethany, OK73008

[email protected]. Body Parts/Svcs:Contact: Makaylaall within specialtyPhone: (405) 495-6134 Fax: (405) 787-8466

American Board of UrologyT


date: 12/04/2015 list of qualified … hugo s. salguero, m.d. 9320 south mingo road anesthesia/pain...

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