Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 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 Exam Board Certified
Anesthesiology C. Scott Anthony, D.O. 6802 S Olympia Ave Ste 100 pain management - all body parts Tulsa Tulsa, OK74132-1823 [email protected] Excl. Body Parts/Svcs: Contact: Jan None Phone: (918) 513-3226 Fax: (918) 447-9308 American Board of Anesthesiology T
Anesthesiology Emad Attallah-Wasif, M.D. 2811 E 15th Street Suite 102 pain management Tulsa Tulsa, OK74104 Contact: Christina Phone: (918) 935-3240 Fax: ( ) - American Board of Anesthesiology T
Anesthesiology Blake Christensen, D.O. 14100 Parkway Commons Dr Suite 100 All, intervential pain management Oklahoma City Oklahoma City, OK73134 Excl. Body Parts/Svcs: Contact: Jeniffer Heart, Kidneys, Liver, Lungs, GI Phone: (405) 286-9820 Fax: ( ) - Certification Unknown T R MITF
Anesthesiology David P. Ellis, M.D. 701 NE 10 Street pain management/interventional pain Oklahoma City Oklahoma City, OK73104 medicine/spinal cord stimulators [email protected] Contact: Betty Excl. Body Parts/Svcs: Phone: (405) 232-8003 Fax: (405) 232-8008 headache
American Board of Anesthesiology - Pain Medicine T R MITF
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 2 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Anesthesiology Frank J. Hackl, M.D. 9709 E 79th Street South Pain Management Tulsa Tulsa, OK74133 Contact: Angie Phone: (918) 994-4068 Fax: (918) 994-4095 American Board of Anesthesiology - Pain Medicine T
Anesthesiology Gerald R. Hale, D.O. 2448 E 81 Ste 363 pain management Tulsa Tulsa, OK74137 Excl. Body Parts/Svcs: Contact: Brenda all except pain management cases Phone: (918) 477-5943 Fax: ( ) - American Osteopathic Board of Anesthesiology & Pain Management T
Anesthesiology Daniel G. Morris, D.O.* 4110 S 100th East Ave Suite 201 Pain Management Only Tulsa Tulsa, OK74146 [email protected] Contact: scheduling Phone: (918) 857-7246 Fax: (918) 359-5828 American Osteopathic Board of Anesthesiology-Pain Management T
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 3 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Anesthesiology John W. Nelson, M.D. 3535 NW 58 Street Ste 950E all pain management Oklahoma City Oklahoma City, OK73112 [email protected] Excl. Body Parts/Svcs: Contact: Stephanie none Phone: (405) 702-8623 Fax: (405) 702-8628 American Board of Anesthesiology/Internal Med. T
Anesthesiology Michael Chad Owens, D.O. 427 E Cherokee Interventional Pain Management Enid Enid, OK73701 (total body) [email protected] Contact: Barbara Excl. Body Parts/Svcs: Phone: (580) 234-7246 Fax: ( ) - none
American Board of Anesthesiology T
Anesthesiology Jayen H. Patel, M.D. 2811 E 15 Street Ste 102 pain management, neck, back, Tulsa Tulsa, OK 7410-4 extremities, nervous system, [email protected] headache, joints, fractures Contact: appt desk Phone: (918) 935-3240 Fax: (918) 935-3241 Excl. Body Parts/Svcs: PTSD, psychological trauma
American Board of Anesthesiology T R MITF
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 4 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Anesthesiology Terrell R. Phillips, D.O. 401 SW 80 Street Ste 200 Pain Management Oklahoma City Oklahoma City, OK73139 [email protected] Excl. Body Parts/Svcs: Contact: Tammy none within specialty Phone: (405) 601-4227 Fax: (405) 601-4237 American Osteopathic Board of Anesthesiology T R MITF
Anesthesiology Justin Porter, M.D. 3601 NW 138 Street Ste 200 Pain Management - head, neck,back Oklahoma City Oklahoma City, OK73134 [email protected] Excl. Body Parts/Svcs: Contact: Neile pelvic pain, vaginal pain, rectal Phone: (405) 242-4100 Fax: (405) 775-9356 pain
Certification Unknown T
Anesthesiology Andreas "Andrew" Revelis, M.D. 2000 S Wheeling Ave Ste 600 pain management Tulsa Tulsa, OK74104 [email protected] Excl. Body Parts/Svcs: Contact: Pat None Phone: (918) 742-7030 Fax: (918) 742-9958 Certification Unknown T
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 5 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Anesthesiology Hugo S. Salguero, M.D. 9320 South Mingo Road Anesthesia/pain management Tulsa Tulsa, OK74133 asalguero@advanced paintulsa.com Excl. Body Parts/Svcs: Contact: scheduling none Phone: (918) 879-1700 Fax: (918) 879-1701 Am Board of Anesthesiology - Pain Management T
Anesthesiology Adam J. Wallace, M.D. 6802 S Olympia Ave Ste 100 pain management Tulsa Tulsa, OK74132 [email protected] Excl. Body Parts/Svcs: Contact: Angelia, Julie none Phone: (918) 447-9300 Fax: (918) 447-9308 Certification Unknown T
Anesthesiology Kalvin L. White, D.O. 6802 S Olympia Avenue Ste 100 Pain Management Only Tulsa Tulsa, OK74132-1823 [email protected] Contact: Angelia Phone: (918) 513-3231 Fax: (918) 447-9308 Am Board of Anesiology T
Anesthesiology Traci L. White, M.D. 6802 S Olympia Avenue Ste 100 Pain Management Only Tulsa Tulsa, OK73132-1923 Contact: Buffy Phone: (918) 513-3225 Fax: (918) 447-9308 American Board of Anesthesiology/Pain Medicine T
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 6 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Chiropractic Michael A. Chiaffitelli, D.C. 10001 S Penn Bldg P Ste 170 all chiropractics - spine Oklahoma City Oklahoma City, OK73159 Excl. Body Parts/Svcs: Contact: Alisha all but spine Phone: (405) 681-2273 Fax: (405) 681-2274 Certification Unknown T R
Chiropractic Seyoung Kim, D.C. 5583 NW Expressway spine (neck, back), hand Oklahoma City Oklahoma City, OK73132 Excl. Body Parts/Svcs: Contact: Jennifer None Phone: (405) 773-3131 Fax: (405) 773-4267 Certification Unknown T
Chiropractic Hugh G. McClure, D.C. 401 Vandament Ave Ste 102 whole body Yukon Yukon, OK73099 [email protected] Excl. Body Parts/Svcs: Contact: Amy None Phone: (405) 350-7283 Fax: (405) 354-7802 Certification Unknown R MITF
Chiropractic C. Keith Muse, D.C. 6825 S Western Ave neuromusculoskeletal Oklahoma City Oklahoma City, OK73139 Excl. Body Parts/Svcs: Contact: Peggy None Phone: (405) 634-1127 Fax: (405) 634-1177 Certification Unknown T R MITF
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 7 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Chiropractic Jim R. Muse, D.C. 6825 S Western Full Body Oklahoma City Oklahoma City, OK73139 Contact: Ann, Peggy Phone: (405) 634-1127 Fax: (405) 634-1177 Certification Unknown T R MITF
Chiropractic James Daniel Post, D.C. 4141 NW Expressway Ste 180 all chiropractics-spine Oklahoma City Oklahoma City, OK73116 [email protected] Contact: Rhonda, Cathy Phone: (405) 840-8900 Fax: (405) 840-8990 Certification Unknown T
Chiropractic Keith G. Ryan, D.C. 3319 E 46 St Ste 101 back and extremities Tulsa Tulsa, OK74135-2903 [email protected] Excl. Body Parts/Svcs: Contact: Dr. Ryan None Phone: (918) 742-6262 Fax: (918) 742-7152 Certification Unknown T R
Chiropractic Troy A. Sturgill, D.C. PO Box 335 musculoskeletal Woodward Woodward, OK73802 Excl. Body Parts/Svcs: Contact: self brain, heart, lungs, vision Phone: (580) 256-1555 Fax: (580) 256-3370 Certification Unknown T R MITF
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 8 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Chiropractic Steve Sweeney, D.C. 211 S. Sooner Rd. Spine, upper and lower extremities Midwest City Midwest City, OK73110 [email protected] Excl. Body Parts/Svcs: Contact: Misty Cardiovascular, Pulmonary, Phone: (405) 672-4800 Fax: ( ) - Digestive Hematopoietic
Certification Unknown T R
Chiropractic Ronald B. Tripp, D.C. 2400 Tee Circle neck and back Norman Norman, OK73069 [email protected] Excl. Body Parts/Svcs: Contact: Sherri internal medicine Phone: (405) 321-8530 Fax: (405) 321-1478 Certification Unknown T R MITF
Chiropractic David B. Waggoner, D.C. 7000 NW Expressway Ste H chiropractic Oklahoma City Oklahoma City, OK73132 [email protected] Excl. Body Parts/Svcs: Contact: Meaghan non-musculoskeletal Phone: (405) 773-1113 Fax: ( ) - Certification Unknown T
Dentistry Melvin Burnitt Baker, Jr., D.D.S. 7405 NW 23 St general dentistry Bethany Bethany, OK73008 [email protected] Excl. Body Parts/Svcs: Contact: Stacey None Phone: (405) 787-5266 Fax: (405) 495-5060 Certification Unknown
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 9 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Dentistry Larry S. Baker, D.D.S. 2616 W I-44 Service Rd mouth: teeth, temporomandibular Oklahoma City Oklahoma City, OK73112 joints Contact: Mary Excl. Body Parts/Svcs: Phone: (405) 943-3575 Fax: ( ) - anything not dentally related
Certification Unknown T R MITF
Dentistry Steven W. Hogg, D.D.S. 423 W Washington St mouth, teeth Broken Arrow Broken Arrow, OK74012 [email protected] Excl. Body Parts/Svcs: Contact: Mary None Phone: (918) 455-8899 Fax: (918) 362-9997 Certification Unknown T R MITF
Dentistry Sterling H. Stalder, D.D.S 930 SW 107 Street mouth and teeth Oklahoma City Oklahoma City, OK73170 [email protected] Excl. Body Parts/Svcs: Contact: Renee/ Jenae none Phone: (405) 634-7303 Fax: (405) 634-7868 Certification Unknown T
Family Medicine Thomas Carlile, D.O. 3916 S Sunnylane Road all body parts Del City Del City, OK73115 Excl. Body Parts/Svcs: Contact: Lisa eyes Phone: (405) 677-3378 Fax: ( ) - American College Osteopathic Family Physicians T R
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 10 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Family Medicine YinYin J L Devoe, M.D. 9320 South Mingo Road Medication Management Tulsa Tulsa, OK74133 [email protected] Excl. Body Parts/Svcs: Contact: scheduling elbow, knee, wrist Phone: (918) 879-1704 Fax: (918) 879-1714 American Board of Family Medicine T
Family Medicine John W. Ellis, M.D.* 5100 N Brookline Ave Ste 465 Musculoskelital system and all body Oklahoma City Oklahoma City, OK73112 organs [email protected] Contact: Kelly Excl. Body Parts/Svcs: Phone: (405) 917-5336 Fax: (405) 917-2250 eyes
American Board of Family Medicine T R MITF
Family Medicine Val Joseph Fiorazo, M.D.* 4330 SE 29 St Ste 3018 back, neck, upper, lower Oklahoma City Del City, OK73115 extremities [email protected] Contact: Dr. Fiorazo Excl. Body Parts/Svcs: Phone: (405) 670-8100 Fax: (405) 670-8558 lungs, heart, brain, skin, hearing
American Board of Family Practice T R MITF
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 11 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Family Medicine Gary Robert Lee, M.D.* 5577 South Lewis Ave all Tulsa Tulsa, OK74105 [email protected] Excl. Body Parts/Svcs: Contact: Gail None Phone: (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 City Oklahoma City, OK73159 management Contact: Amy Excl. Body Parts/Svcs: Phone: (405) 600-1411 Fax: (405) 600-1531 none
American Board of Family Medicine T R
Family Medicine Seethal Madhavarapu, M.D. 3400 W Tecumseh Suite 101 knees, shoulders, neck, back, Norman, Moore, Norman, OK73072 elbow, hand, ankle, foot Edmond Contact: Brooke Excl. Body Parts/Svcs: Phone: (405) 360-6764 Fax: ( ) - pelvis
American Board of Family Medicine T R
Family Medicine Michael L. Winzenread, M.D. 105 S Bryant Ste 310 all Edmond Edmond, OK73034 Excl. Body Parts/Svcs: Contact: Kari None Phone: (405) 757-5211 Fax: ( ) - American Board of Family Practice R MITF
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 12 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Family Practice Gary Robert Lee, M.D.* 5577 South Lewis Ave all Tulsa Tulsa, OK74105 [email protected] Excl. Body Parts/Svcs: Contact: Gail None Phone: (918) 749-0003 Fax: ( ) - American Board of Family Medicine - Sports Medicine T R MITF
Family Practice Timothy L. Moore, D.O. 3212 SW 89 Street Ste 100 pain management, whole body Oklahoma City Oklahoma City, OK73159 [email protected] Excl. Body Parts/Svcs: Contact: Rhoda/Alicia psychiatric cases Phone: (405) 378-3300 Fax: (405) 378-3993 Certification Unknown T
Family Practice Daniel G. Morris, D.O.* 4110 S 100th East Ave Suite 201 Pain Management Only Tulsa Tulsa, OK74146 [email protected] Contact: scheduling Phone: (918) 857-7246 Fax: (918) 359-5828 American Osteopathic Board of Anesthesiology-Pain Management T
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 13 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Family Practice Lance E. Rosson, D.O. 1211 N Shartel Ste 1104 all Oklahoma City Oklahoma City, OK73103 NONE Excl. Body Parts/Svcs: Contact: Sharon None Phone: (405) 236-1900 Fax: (405) 236-0362 American Board of Family Physicians T R MITF
General Surgery Joshua Carey, M.D. 1700 S Renaissance Blvd within speciality Edmond Edmond, OK73112 [email protected] Excl. Body Parts/Svcs: Contact: scheduling hands, feet Phone: (405) 844-4300 Fax: ( ) - American Board of Surgery T
General Surgery Russell L. Hanan, Jr., M.D. 608 NW 9 Ste 5010 general surgery hernias, Oklahoma City Oklahoma City, OK73102 intestines, soft tissue none Contact: Debbie Smith Excl. Body Parts/Svcs: Phone: (405) 235-3245 Fax: (405) 235-6991 head, neck, spine, pulmonary
Certification Unknown T
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 14 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Hand Surgery Mehdi N. Adham, M.D.* 8100 S Walker Ave Bldg A plastic & reconstructive surgery of Oklahoma City Oklahoma City, OK73139 hands and wrists Contact: Julie Excl. Body Parts/Svcs: Phone: (405) 632-4468 Fax: (405) 632-4317 all except plastic surgery of hands/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 Tulsa Tulsa, OK74136-7824 [email protected] Excl. Body Parts/Svcs: Contact: CJ spine, elbows, shoulders, feet, Phone: ( ) - Fax: (918) 494-9397 ankles, knees, hips, rate only cases
American Board of Orthopedic Surgery T R
Hand Surgery Brian Chalkin, D.O.* 1809 E 13 St Ste 100 upper extremities (shoulder down to Tulsa Tulsa, OK74104 fingers) [email protected] Contact: Rae Excl. Body Parts/Svcs: Phone: (918) 925-3226 Fax: (918) 301-4293 knees, back, hips, feet
American Osteopathic Board of Orthopedic Surgery T R
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 15 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Hand Surgery Michael B. Clendenin, M.D. 2000 S Wheeling Ste 900 hands and wrists only Tulsa Tulsa, OK74104 NONE Excl. Body Parts/Svcs: Contact: Sheila all except hands and wrists Phone: (918) 749-1418 Fax: (918) 749-6241 American Board of Orthopedic Surgery T R
Hand Surgery Tom W. Ewing, D.O. 1020 24 Ave NW Ste 100 hands Norman Norman, OK73069 [email protected] Excl. Body Parts/Svcs: Contact: Melissa or Dana all except hands Phone: (405) 447-4999 Fax: (405) 447-5608 American Osteopathic Board of Orthopedic Surgery T R
Hand Surgery Joel L. Frazier, M.D.* 1044 SW 44 St Ste 600 hands, upper extremities, elbows, Oklahoma City Oklahoma City, OK73109 wrists [email protected] Contact: eRNEST Excl. Body Parts/Svcs: Phone: (405) 631-4263 Fax: ( ) - all except hands, elbows, wrists
American Board of Orthopedic Surgery T R
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 16 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Hand Surgery Charles H. Funderburk, M.D.* 1110 N Lee hands, shoulders, elbows, knees, Edmond, Oklahoma City, OK73103-2612 wrists, forearm Oklahoma Ctiy [email protected] Contact: Excl. Body Parts/Svcs: Phone: (405) 230-9743 Fax: (405) 522-9474 neck, back, hips, feet
American Board of Orthopedic Surgery T R
Hand Surgery Greg Halko, M.D.* 3301 NW 50 hands, upper extremities Oklahoma City Oklahoma City, OK73112 [email protected] Excl. Body Parts/Svcs: Contact: central scheduling spine, (neck, back) and lower Phone: (405) 947-0911 Fax: (405) 942-5043 extremities
American Board of Orthopedic Surgery T R MITF
Hand Surgery Daron C. Hitt, M.D. 3115 SW 89 Street hands only Oklahoma City Oklahoma City, OK73159 Excl. Body Parts/Svcs: Contact: Amy none Phone: (405) 424-5630 Fax: (405) 692-1632 American Board of Surgery T R
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 17 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Hand Surgery Thomas C. Howard, M.D.* 1110 N Lee hands, shoulders, knees, hips and Oklahoma City, Oklahoma City, OK73103-2612 feet Norman [email protected] Contact: scheduling Excl. Body Parts/Svcs: Phone: (405) 230-9752 Fax: (405) 230-9424 spine, (neck,back)
American Board of Orthopedic Surgery T R
Hand Surgery Stephen W. Mihalsky, M.D. 105 S Bryant Ste 407 all within specialty Midwest City, Edmond, OK73034 Edmond Excl. Body Parts/Svcs: Contact: Donna Elswick shoulders, neck Phone: (405) 348-5060 Fax: (405) 364-8750 American Board of Surgery of the Hand, American Board of Surgery T R
Hand Surgery David B. Mokhtee, M.D. 4802 S. 109th E. Ave. fingers to elbows Tulsa Tulsa, OK74146 Excl. Body Parts/Svcs: Contact: Latoya all expcept hands Phone: (918) 392-1400 Fax: (918) 392-1401 American Board of Surgery - Hand Surgery T R
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 18 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Hand Surgery M. Sean O'Brien, D.O.* PO Box 890358 hands and shoulders Oklahoma City Oklahoma City, OK73189 Excl. Body Parts/Svcs: Contact: Marilyn back, neck, feet Phone: (405) 759-2663 Fax: ( ) - American Osteopathic Board of Orthopedic Surgery T
Hand Surgery Ghazi M. Rayan, M.D.* 3366 NW Expressway Ste 700 shoulder, elbow, wrist, hand Oklahoma City Oklahoma City, OK73112-4418 Excl. Body Parts/Svcs: Contact: back Phone: (405) 945-4888 Fax: (405) 945-4887 American Board of Orthopedic Surgery/ Am Bd of Ortho Surg of Hand T R MITF
Hand Surgery Richard A. Ruffin, M.D.* 3301 NW 50 hands, wrists, elbows, shoulders Oklahoma City Oklahoma City, OK73112-5691 Excl. Body Parts/Svcs: Contact: Central Scheduling neck & back (spine), feet, knees Phone: (405) 947-0911 Fax: (405) 947-4263 American Board of Orthopedic Surgery, Hand Surgery T
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 19 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Hand Surgery Houshang Seradge, M.D.* 1044 SW 44 Street Suite 518 spine, foot, wrist, elbow, Oklahoma City Oklahoma City, OK73109 shoulder, hip, knee, ankle Contact: Misti Phone: (405) 634-4263 Fax: ( ) -
American Board of Orthopedic Surgery T R MITF
Hand Surgery Garrett Watts, M.D. 10507 E 91st Street Suite 350 hands, wrists, elbows Broken Arrow Tulsa, OK74133 [email protected] Excl. Body Parts/Svcs: Contact: Central States Orthopedic spine, neck, lower extremities Phone: (918) 451-3000 Fax: (918) 451-2700 American Board of Orthopedic Surgery T R MITF
Internal Medicine S.A. Chaudry, M.D. 5611 Mosteller Dr all internal medicine - whole body Oklahoma City Oklahoma City, OK73112 [email protected] Excl. Body Parts/Svcs: Contact: Cheryl None Phone: (405) 843-2345 Fax: (405) 843-8237 American Board of Internal Medicine T R
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 20 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Internal Medicine Kent C. Hensley, M.D.* 9433 N Kelley Ave all Oklahoma City Oklahoma City, OK73131 NONE Excl. Body Parts/Svcs: Contact: Yvonne, Leslie psychiatric Phone: (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 City Oklahoma City, OK73109 Contact: Marilyn Phone: (405) 636-7450 Fax: (405) 631-2296 American Board of Internal Medicine T R MITF
Internal Medicine Venkatesh Movva, M.D.* 6565 S Yale Ste 212 pain management Tulsa Tulsa, OK74136 Excl. Body Parts/Svcs: Contact: Michelle migraines Phone: (918) 502-4008 Fax: (918) 502-4001 American Board of Internal Medicine T
Internal Medicine Kenneth R. Trinidad, D.O.* 1006 W 23 St all Tulsa Tulsa, OK74107 Excl. Body Parts/Svcs: Contact: Rhonda Lungs Phone: (918) 742-4881 Fax: (918) 742-5854 Internal Medicine T R MITF
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 21 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Neurology Ellen E. Hope, M.D. 14100 Parkway Comons Dr Ste 102 head, neck, spine, brain Oklahoma City Oklahoma City, OK73134 [email protected] Excl. Body Parts/Svcs: Contact: Christine or Bliss all those not listed Phone: (405) 270-0500 Fax: (405) 270-0597 American Board of Psychiatry and Neurology T
Neurology Gabriel Pitman, D.O. 401 SW 80 STE 201 all within neurology specialty Oklahoma City Oklahoma City, OK73139 [email protected] Excl. Body Parts/Svcs: Contact: Paula Byrd abdomen, chest Phone: (405) 632-9090 Fax: ( ) - American Board of Neurology T
Neurology W. Dean Shipley, M.D. 4120 W Memorial Rd Ste 218 nervous system only/adult nerology Oklahoma City Oklahoma City, OK73120 [email protected] Excl. Body Parts/Svcs: Contact: Kelly neuological IME's only Phone: (405) 302-2661 Fax: (405) 302-2670 American Board of Psychiatry and Neurology T
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 22 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Neuropsychology - Clinical Russell L. Adams, Ph.D.* PO Box 26901 WP3440 brain, pain management, Oklahoma City Oklahoma City, OK73126 psychological overlay Contact: Gary Phone: (405) 271-8001 Fax: (405) 271-8802
American Board of Professional Psychology/Clinical Neuropsych T R
Neuropsychology - Clinical Michael R. Basso, Ph.D.* Univ of Tulsa Dept of Psychology head/brain - diatnostic testing, Tulsa 800 S Tucker Drive psychological overlay [email protected] Tulsa, OK74104 Contact: Dr. Basso Excl. Body Parts/Svcs: Phone: (918) 631-3151 Fax: (918) 631-2833 None
ABPP - Clinical Neuropsychology R MITF
Neuropsychology Faust Bianco, Jr., Ph.D.* 7146 S Braden Ave Ste 500 Rehabilitation (nervous system, Tulsa Tulsa, OK74136 whole body) Trauma Related Disorders (pain stress, depression, Contact: Suzan brain) Phone: (918) 746-0794 Fax: (918) 746-0717 Excl. Body Parts/Svcs: none
Certification Unknown T R MITF
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 23 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Neuropsychology Douglas O. Brady, Ph.D.* 1401 SW Park Ridge Blvd Ste D medical psychology, neuropsychology Lawton Lawton, OK73505 evaluations [email protected] Contact: D'Ann Phone: (580) 355-7474 Fax: (580) 355-6765
American Board of Professional Disability T R MITF
Neuropsychology David E. Hansen, Ph.D. 5512 S Lewis Ave Ste 8 neuropsychology/brain Tulsa Tulsa, OK74105 [email protected] Excl. Body Parts/Svcs: Contact: Emge None Phone: (918) 712-9004 Fax: (918) 712-9120 Certification Unknown R MITF
Neuropsychology Terry G. Shaw, Ph.D. 7146 S Braden Ste 500 head, brain, psychological overlay Tulsa Tulsa, OK74136 [email protected] Excl. Body Parts/Svcs: Contact: Mary all excluded except parts listed as Phone: (918) 488-6165 Fax: (918) 488-8021 specialty
American Board of Professional Neuropsychology T R
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 24 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Neuropsychology Adam G. Sherman, Ph.D. 3015 E Skelly Dr Ste 135 all within specialty Tulsa Tulsa, OK74105 Excl. Body Parts/Svcs: Contact: Susan None Phone: (918) 712-2885 Fax: (918) 712-9019 Certification Unknown T R
Neurosurgery Clinton J. Baird, M.D. 6802 S Olympia Ave Ste 350 spine, brain, nerves, carpal Tulsa Tulsa, OK74132 tunnel, ulnar nerve, neurosurgery [email protected] Contact: Sheila Excl. Body Parts/Svcs: Phone: (918) 749-0762 Fax: (918) 744-4246 hips, knees, joints
Certification Unknown T R
Neurosurgery Daniel Boedeker, M.D. 6767 S Yale Ave Ste A brain, spine, peripheral nerve for Tulsa Tulsa, OK74136 carpal tunnel [email protected] Contact: Kim Excl. Body Parts/Svcs: Phone: (918) 491-3521 Fax: (918) 491-3542 all except specialty
Certification Unknown T R
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 25 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Neurosurgery Christopher G. Covington, M.D. Attn: Sheila Harless spine, brain, carpel tunnel Tulsa 6802 S Olympia Ave Ste 300 [email protected] Tulsa, OK74132 Excl. Body Parts/Svcs: Contact: Sheila, Jamie extremities Phone: (918) 749-0762 Fax: (918) 744-4246 American Board of Neurological Surgery T
Neurosurgery Allan S. Fielding, M.D. 2000 S Wheeling Ste 1110 head, neck, back, shoulder, hip, Tulsa Tulsa, OK74104 knee, CTS, ulnar neuropathy [email protected] Contact: any staff member Excl. Body Parts/Svcs: Phone: (918) 294-0080 Fax: ( ) - Neurosurgical Cases Only
American Board of Neurological Surgery T R MITF
Neurosurgery Emily D. Friedman, M.D. 3435 NW 56 Bldg A Ste 210 brain, spine, neck Oklahoma City Oklahoma City, OK73112 Excl. Body Parts/Svcs: Contact: Dana all body parts not specified Phone: (405) 945-4902 Fax: (405) 945-4901 American Board of Neurological Surgery T R MITF
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 26 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Neurosurgery Eric S. Friedman, M.D. 4120 W Memorial Rd Ste 300 brain and carpal tunnel only Oklahoma City Oklahoma City, OK73120-9322 [email protected] Excl. Body Parts/Svcs: Contact: Kelsey spine, shoulders, knees, lower Phone: (405) 748-3300 Fax: (405) 749-1671 extremities
American Board of Neurological Surgery T
Neurosurgery Steven E. Gaede, M.D. 6802 S Olympia Ave Ste 300 spine, brain, carpal tunnel, ulnar Tulsa Tulsa, OK74132 nerve [email protected] Contact: Sheila,Susie Excl. Body Parts/Svcs: Phone: (918) 749-0762 Fax: (918) 744-4246 non-spine orthopedic cases
American Board of Neurological Surgery T
Neurosurgery Michael Hahn, M.D. 4120 W Memorial Rd Ste 300 spine (neck, back), hands (carpal Oklahoma City Oklahoma City, OK73120 tunnel) [email protected] Contact: Tammy Excl. Body Parts/Svcs: Phone: (405) 748-3300 Fax: (405) 749-1671 shoulders, knees, hips, elbows
American Board of Neurological Surgery T
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 27 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Neurosurgery Brent N. Hisey, M.D. 14100 Parkway Commons Dr Ste 201 spine (neck, back), brain, carpal Oklahoma City Oklahoma City, OK73134 tunnel [email protected] Contact: Alisha Excl. Body Parts/Svcs: Phone: (405) 242-4720 Fax: (405) 242-4933 all except specialty
American Board of Neurological Surgery T R MITF
Neurosurgery Donald D. Horton, M.D. 14100 Parkway Commons Dr Ste 201 spinal surgery (cervical/lumbar) Oklahoma City Oklahoma City, OK73134 carpal tunnel [email protected] Contact: Marie, Alisha Excl. Body Parts/Svcs: Phone: (405) 242-4720 Fax: (405) 242-4765 all except cervical, lumbar, carpal tunnel
American Board of Neurological Surgery T R MITF
Neurosurgery Douglas Koontz, M.D. 6767 S Yale Ste A brain, spine (thoracic, cervical, Tulsa Tulsa, OK74136 lumbar), carpal tunnel none Contact: Jaclyn Phone: (918) 491-3521 Fax: ( ) -
American Board of Neurological Surgery T R
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 28 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Neurosurgery Kyle Mangels, M.D. 6802 S Olympia Ave Ste 300 neurological surgery spine, brain, Tulsa Tulsa, OK74132 carpal tunnel. ulnar nerve [email protected] Contact: Sheila, Jamie Excl. Body Parts/Svcs: Phone: (918) 749-0762 Fax: (918) 744-4246 hips, knees, joints
American Board of Neurological Surgery T R
Neurosurgery John S. Marouk, D.O. 2128 S Atlanta PL Ste 100 spine, brain only Tulsa Tulsa, OK74114 [email protected] Excl. Body Parts/Svcs: Contact: all other body parts Phone: (918) 583-5131 Fax: (918) 592-0670 American Osteopathic Board of Surgery T R MITF
Neurosurgery Fadi F Nasr, M.D. 4120 W Memorial Rd, Ste 300 Spine (neck, back), hands (carpal Oklahoma City Oklahoma City, OK73120 tunnel) [email protected] Contact: Stephanie Excl. Body Parts/Svcs: Phone: (405) 748-3300 Fax: ( ) - shoulders, knees, hips, elbows
American Board of Neurological Surgery T
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 29 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Neurosurgery Stan Pelofsky, M.D. 4120 W Memorial Rd Ste 300 neck, back, wrist (carpal tunnel) Oklahoma City Oklahoma City, OK73120 [email protected] Excl. Body Parts/Svcs: Contact: Angie shoulders, knees, lower extremities Phone: (405) 748-3300 Fax: (405) 748-2920 American Board of Neurological Surgery T
Neurosurgery Ryan F. Rahhal, M.D. 6767 S Yale Ave Ste A brain, spine (thoracic, lumbar, & Tulsa Tulsa, OK74136 cervical), carpal tunnel [email protected] Contact: Kim Perry, Jacci Carpio Excl. Body Parts/Svcs: Phone: (918) 492-7587 Fax: (918) 492-4033 all ot neurosurgical
Certification Unknown T R
Neurosurgery Robert L. Remondino, M.D. 4120 W Memorial Rd Ste 300 neck, back, wrists (carpal tunnel) Oklahoma City Oklahoma City, OK73120 [email protected] Excl. Body Parts/Svcs: Contact: Linda shoulders, knees, lower extremities Phone: (405) 748-3300 Fax: (405) 749-1671 American Board of Neurological Surgery T
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 30 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Neurosurgery W. Emery Reynolds, M.D. 4120 W Memorial Ste 208 head, spine Oklahoma City Oklahoma City, OK73120 NONE Contact: Sondra Phone: (405) 755-3540 Fax: (405) 755-7001 American Board of Neurological Surgery T
Neurosurgery James A. Rodgers, M.D. 6565 S Yale Ste 709 cervical & lumbar spine carpal Tulsa Tulsa, OK74136 tunnel Contact: Rita Phone: (918) 481-4965 Fax: (918) 481-4996
American Board of Neurological Surgery R
Neurosurgery Eric W. Sherburn, M.D. 6802 S Olympia Ave Ste 300 brain, spine (neck, back), carpal Tulsa Tulsa, OK74132 tunnel, ulnar nerve [email protected] Contact: Sheila, Susie Excl. Body Parts/Svcs: Phone: (918) 749-0762 Fax: (918) 744-4246 orthopedic cases
American Board of Neurological Surgery T
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 31 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Neurosurgery Brian E. Snell, M.D. 4120 W Memorial Rd Ste 300 spine (neck, back), hands (carpal Oklahoma City Oklahoma City, OK73120 tunnel) [email protected] Contact: CALLIE Excl. Body Parts/Svcs: Phone: (405) 748-3300 Fax: (405) 749-1671 shoulders, knees, hips, elbows
American Board of Neurological Surgery T
Neurosurgery Caple A Spence, M.D. 8121 National Ave Ste 210 brain, spine, peripheral nerves MWC Midwest City, OK73110 [email protected] Excl. Body Parts/Svcs: Contact: Christy all except brain, spine, peripheral Phone: (405) 455-3393 Fax: (405) 455-7162 nerves
American Board of Neurological Surgery T
Neurosurgery Nathaniel Stetson, D.O. neck, back, wrist (carpal tunnel) Oklahoma City Oklahoma City, OK73120 [email protected] Excl. Body Parts/Svcs: Contact: Marlea Shouldler, knee, lower extremities Phone: (405) 748-3300 Fax: (405) 749-1671 Certification Unknown T
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 32 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Neurosurgery Qualls Stevens, D.O. 8 SW 89 Street Suite 100 brain, spine, carpal tunnel, ulnar OKC Oklahoma City, OK73139 nerve [email protected] Contact: scheduling Excl. Body Parts/Svcs: Phone: (405) 455-3322 Fax: (405) 606-4668 all outside specialty
Am Osteopathic Board of Neurological Surgery T
Neurosurgery Robert E. Tibbs, M.D. 4120 W Memorial Rd Ste 300 TREATMENT AUTHORIZATION for neck,Oklahoma City Oklahoma City, OK73120 back, wrists (carpal tunnel) [email protected] Contact: Angie Excl. Body Parts/Svcs: Phone: (405) 748-3300 Fax: (405) 748-1671 shoulders, knees, lower extremities
American Board of Neurological Surgery T
Neurosurgery Frank J. Tomecek, M.D. 6802 S Olympia Ave Ste 300 spine (neck, back), brain, carpal Tulsa Tulsa, OK74132 tunnel, ulner nerve [email protected] & [email protected] Contact: Sheila, Susie Excl. Body Parts/Svcs: Phone: (918) 749-0762 Fax: (918) 749-8531 legs, hips
American Board of Neurological Surgery T R
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 33 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Neurosurgery Benjamin T. White, M.D. 4120 W Memorial Rd Ste 300 neck, back, wrist (carpal tunnel) Oklahoma City Oklahoma City, OK73120 [email protected] Excl. Body Parts/Svcs: Contact: Kelsey shoulders, knees, lower extremities Phone: (405) 748-3300 Fax: (405) 748-1671 American Board of Neurological Surgery T
Neurosurgery Robert J. Wienecke, M.D. 4120 W Memorial Rd Ste 300 neck, back, wrists{carpal tunnel) Oklahoma City Oklahoma City, OK73120 [email protected] Excl. Body Parts/Svcs: Contact: Marlea shoulders, knees, lower extremities Phone: (405) 748-3300 Fax: (405) 748-1671 American Board of Neurological Surgery T
Neurosurgery Gregory L. Wilson, D.O. 9709 E 79 Street South brain, neck, back Tulsa Tulsa, OK74133 [email protected] Contact: Pam Phone: (918) 994-4068 Fax: (918) 994-4095 Am Board of Osteopathic Neurological Surgery T R
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 34 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Occupational Medicine John W. Ellis, M.D.* 5100 N Brookline Ave Ste 465 Musculoskelital system and all body Oklahoma City Oklahoma City, OK73112 organs [email protected] Contact: Kelly Excl. Body Parts/Svcs: Phone: (405) 917-5336 Fax: (405) 917-2250 eyes
American Board of Family Medicine T R MITF
Occupational Medicine Val Joseph Fiorazo, M.D.* 4330 SE 29 St Ste 3018 back, neck, upper, lower Oklahoma City Del City, OK73115 extremities [email protected] Contact: Dr. Fiorazo Excl. Body Parts/Svcs: Phone: (405) 670-8100 Fax: (405) 670-8558 lungs, heart, brain, skin, hearing
American Board of Family Practice T R MITF
Occupational Medicine William R. Gillock, M.D. 7170 S Braden Ste 175 all body parts Tulsa Tulsa, OK74136 [email protected] Excl. Body Parts/Svcs: Contact: Sharon none Phone: (918) 481-0994 Fax: (918) 494-6747 American Board of Internal Medicine & Preventive Medicine T R MITF
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 35 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Occupational Medicine John W. Hallford, D.O. 5682 W Skelly Dr occupational medicine/urgent care Tulsa Tulsa, OK74107 [email protected] Excl. Body Parts/Svcs: Contact: Julie none Phone: (918) 446-1891 Fax: (918) 446-1894 American Osteopathic Board of Family Physicians T R MITF
Occupational Medicine Kent C. Hensley, M.D.* 9433 N Kelley Ave all Oklahoma City Oklahoma City, OK73131 NONE Excl. Body Parts/Svcs: Contact: Yvonne, Leslie psychiatric Phone: (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 City Oklahoma City, OK73116 [email protected] Excl. Body Parts/Svcs: Contact: Jerri Psychological/Psychiatric Phone: (405) 843-0610 Fax: (405) 843-0620 Certification Unknown R MITF
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 36 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Occupational Medicine William D. Jones, M.D. 707 NW 13 St all occupational medicine (rating Oklahoma City Oklahoma City, OK73103 only) [email protected] Contact: Jeanne Excl. Body Parts/Svcs: Phone: (405) 521-8604 Fax: (405) 521-8605 female reproductive system
Certification Unknown R MITF
Occupational Medicine John A. Munneke, M.D. 36 W Memorial Ste B9 all including occupational Oklahoma City, Oklahoma City, OK73114 medicine, MITF, Form 3, pain Tulsa [email protected] management Contact: JoAnne, Kerri Phone: (405) 755-9702 Fax: (405) 755-9718 Excl. Body Parts/Svcs: eyes
Certification Unknown T R MITF
Occupational Medicine Robert Paul, M.D. 6717 S Yale Ave Suite 107 all within specialty Tulsa Tulsa, OK74136 Contact: Linda Phone: (918) 496-1991 Fax: ( ) - Certification Unknown R MITF
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 37 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Occupational Medicine Carl B. Pettigrew, D.O. 1211 N Shartel Ste 500 all Oklahoma City, Oklahoma City, OK73103 Tulsa [email protected] Excl. Body Parts/Svcs: Contact: Karen None Phone: (405) 239-7766 Fax: (405) 235-4895 Certification Unknown T R MITF
Occupational Medicine J. A. Snelling, D.O. PO Box 702738 Occupational Medicine Tulsa Tulsa, OK74170 Musculoskeletal/Skin none Contact: self Excl. Body Parts/Svcs: Phone: (918) 749-3187 Fax: (918) 491-9925 cardiovascular, eyes
American Board of Family Physicians, Am Board of Preventive Med. R
Occupational Medicine Kenneth R. Trinidad, D.O.* 1006 W 23 St all Tulsa Tulsa, OK74107 Excl. Body Parts/Svcs: Contact: Rhonda Lungs Phone: (918) 742-4881 Fax: (918) 742-5854 Internal Medicine T R MITF
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 38 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Occupational Medicine Mark Stephen Wilson, M.D.* 5522 S Lewis all orthopedics, continuing medical Tulsa, OKC Tulsa, OK74105 maintenance Contact: TU-Sandra, OKC-Tayller Excl. Body Parts/Svcs: Phone: (918) 488-8285 Fax: (405) 949-1801 None
Certification Unknown T R MITF
Ophthalmology John P. Belardo, M.D. 11308 N Penn eyes only Oklahoma City Oklahoma City, OK73120 Excl. Body Parts/Svcs: Contact: Patti all except eyes Phone: (405) 755-7700 Fax: (405) 755-7739 American Board of Ophthalmology T R MITF
Orthopedic Surgery Gary B. Anderson, M.D.* 3301 NW 50 St knees, shoulders, hips, elbows Oklahoma City Oklahoma City, OK73112 [email protected] Excl. Body Parts/Svcs: Contact: Scheduling spine (back, neck), hands Phone: (405) 947-0911 Fax: (405) 947-0775 American Board of Orthopedic Surgery T R MITF
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 39 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Orthopedic Surgery John W. Anderson, M.D. 3301 NW 50 St foot and ankle Oklahoma City Oklahoma City, OK73112 [email protected] Excl. Body Parts/Svcs: Contact: Central Scheduling spine (neck, back) and upper Phone: (405) 947-0911 Fax: (405) 948-5177 extremities
American Board of Orthopedic Surgery T R MITF
Orthopedic Surgery Kristopher R. Avant, D.O. 8100 S Walker Ave Bldg A upper extremities, hands, wrists, OKC Oklahoma City, OK73139 elbows, knees, shoulders [email protected] Contact: Becky Excl. Body Parts/Svcs: Phone: (405) 632-4468 Fax: ( ) - back, neck
Certification Unknown T R MITF
Orthopedic Surgery John Charles Balbas, M.D. 4802 S 109 E Ave all except back, neck, hands Tulsa Tulsa, OK74146 Excl. Body Parts/Svcs: Contact: Latoya back, neck, hands Phone: (918) 392-1437 Fax: ( ) - American Board of Orthopaedic Surgery T
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 40 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Orthopedic Surgery Clint Justin Basener, D.O.* 9709 E 79 Street S all within specialty Tulsa Tulsa, OK74133-4566 [email protected] Excl. Body Parts/Svcs: Contact: Pam back, neck Phone: (918) 994-4068 Fax: (918) 994-4095 Certification Unknown T R
Orthopedic Surgery Jaafar M. Bazih, M.D. 4802 S 109 E Ave extremities, hands Tulsa Tulsa, OK74146 Excl. Body Parts/Svcs: Contact: Denise spine: back & neck Phone: (918) 392-1400 Fax: (918) 392-1401 American Board of Orthopedic Surgery T
Orthopedic Surgery Jack Beller, M.D. all orthopedics Oklahoma City , [email protected] Contact: Central scheduling Phone: ( ) - Fax: ( ) - American Board of Orthopaedic Sergery T R
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 41 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Orthopedic Surgery James F. Bischoff, M.D.* 6475 S Yale Ave Ste 301 hands, wrists Tulsa Tulsa, OK74136-7824 [email protected] Excl. Body Parts/Svcs: Contact: CJ spine, elbows, shoulders, feet, Phone: ( ) - Fax: (918) 494-9397 ankles, knees, hips, rate only cases
American Board of Orthopedic Surgery T R
Orthopedic Surgery David Bobb, M.D. 825 E Robinson all except back & head Norman Norman, OK73071 [email protected] Excl. Body Parts/Svcs: Contact: Donna back & head Phone: (405) 364-8855 Fax: ( ) - American Board of Orthopaedic Surgery T R MITF
Orthopedic Surgery James Lee Bond, M.D. 3400 W Tecumseh Rd Ste 101 knees, shoulders, elbows, hands, Norman, Norman, OK73072 ankle Oklahoma City [email protected] Contact: BROOKE Excl. Body Parts/Svcs: Phone: (405) 517-3719 Fax: (405) 360-6769 all but listed body parts
American Board of Orthopaedic Surgery T R
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 42 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Orthopedic Surgery Bradford Boone, M.D.* 6475 S Yale Ave Ste 301 knees, shoulders, elbows Tulsa Tulsa, OK74136-7824 [email protected] Excl. Body Parts/Svcs: Contact: CJ spine, hips, feet, ankles, hands & Phone: (918) 494-9351 Fax: (918) 494-9397 rate only cases
American Board of Orthopedic Surgery/Sports Medicine T R
Orthopedic Surgery R. Tyler Boone, M.D. 6475 S Yale Ave Ste 301 neck, back Tulsa Tulsa, OK74136-7824 [email protected] Excl. Body Parts/Svcs: Contact: Lori hands, hips, knees, feet, ankles Phone: (918) 494-9384 Fax: (918) 494-9397 shoulders, elbows, no rate only cas
American Board of Orthopedic Surgery/AmBd Ortho Surg of the Spine T R
Orthopedic Surgery Brett Braly, M.D. 1616 S. Kelly Ave Spine Edmond Edmond, OK73013 Excl. Body Parts/Svcs: Contact: Sondra all but Spine Phone: (405) 715-8842 Fax: ( ) - Certification Unknown T
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 43 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Orthopedic Surgery Steven P. Brantley, M.D. 3301 NW 50th Street knees and shoulders Oklahoma City Oklahoma City, OK73112 [email protected] Excl. Body Parts/Svcs: Contact: central scheduling Spine (neck and back) Phone: (405) 947-0911 Fax: ( ) - Certification Unknown T
Orthopedic Surgery Christopher A. Browne, M.D. 6475 S Yale Ave Ste 301 hips, knees Tulsa Tulsa, OK74136-7824 [email protected] Excl. Body Parts/Svcs: Contact: Lori hands, spine, feet, ankles, Phone: (918) 494-9384 Fax: (918) 494-9397 shoulders, elbows, no rate only cases
American Board of Orthopedic Surgery T R
Orthopedic Surgery Mark A. Capehart, M.D. 6475 S Yale Ave Ste 301 neck, back, knees Tulsa Tulsa, OK74136-7824 [email protected] Excl. Body Parts/Svcs: Contact: Lori feet, hands, hips, ankles, elbows, Phone: (918) 494-9384 Fax: (918) 494-9397 shoulders, no rate only cases
American Board of Orthopedic Surgery T R
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 44 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Orthopedic Surgery James D. Cash, M.D.* 6585 S Yale Ave Ste 200 knees, shoulders Tulsa Tulsa, OK74136 [email protected] Excl. Body Parts/Svcs: Contact: none Phone: (918) 481-2767 Fax: (918) 481-7611 American Board of Orthopedic Surgery T R MITF
Orthopedic Surgery Brian Chalkin, D.O.* 1809 E 13 St Ste 100 upper extremities (shoulder down to Tulsa Tulsa, OK74104 fingers) [email protected] Contact: Rae Excl. Body Parts/Svcs: Phone: (918) 925-3226 Fax: (918) 301-4293 knees, back, hips, feet
American Osteopathic Board of Orthopedic Surgery T R
Orthopedic Surgery Brian Clowers, M.D. 3400 W Tecumseh Ste 101 foot, ankle OKC, Norman Norman, OK73072 [email protected] Excl. Body Parts/Svcs: Contact: Brooke all except foot & ankle Phone: (405) 517-3719 Fax: (405) 360-6769 American Board of Orthopedic Surgery T R
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 45 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Orthopedic Surgery Ashley Cogar, M.D. 6205 N Santa Fe Ste 200 elbow, wrist, hand Oklahoma City Oklahoma City, OK73118 [email protected] Excl. Body Parts/Svcs: Contact: Diana, Jennifer spine, shoulder, hip, knee, ankle Phone: (405) 419-5665 Fax: (405) 541-9547 or foot
Certification Unknown T
Orthopedic Surgery Arthur Hobart Conley, III, M.D. 3110 SW 89 Ste 200E (spine) back and neck only Oklahoma City Oklahoma City, OK73159 [email protected] Excl. Body Parts/Svcs: Contact: Ronda all except spine Phone: (405) 703-7300 Fax: (405) 703-7333 American Board of Orthopedic Surgery T R MITF
Orthopedic Surgery Jimmy Harold Conway, M.D. 10001 S Western Ste 101 elbows, knees Oklahoma City Oklahoma City, OK73139-2997 [email protected] Excl. Body Parts/Svcs: Contact: Nancy spine, feet, hands Phone: (405) 692-3700 Fax: (405) 692-3789 American Board of Orthopedic Surgery T R MITF
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 46 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Orthopedic Surgery Steven D. Coupens, M.D. 6205 N Santa Fe Ste 200 all body parts Oklahoma City Oklahoma City, OK73118 [email protected] Contact: Phone: (405) 427-6776 Fax: (405) 419-5527 American Board of Orthopedic Surgery T R MITF
Orthopedic Surgery Thomas G. Craven, M.D. 6585 S Yale Ste 200 spine (neck, back) Tulsa Tulsa, OK74136 [email protected] Excl. Body Parts/Svcs: Contact: Melissa, Linda hands, wrists, knees, ankles Phone: (918) 481-2767 Fax: (918) 481-7669 American Board of Orthopedic Surgery T R MITF
Orthopedic Surgery Stephen R. Davenport, M.D. knee, hip, foot and ankle Oklahoma City , OK reconstructive surgery [email protected] Contact: Central Scheduling Excl. Body Parts/Svcs: Phone: ( ) - Fax: ( ) - spine, (neck, back), hands
American Board of Orthopedic Surgery T R MITF
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 47 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Orthopedic Surgery Scott De La Garza, M.D. 608 NW 9 Street Ste 6000 spine only (lumbar, cervical, Norman, Oklahoma City, OK73102 thorasic) Oklahoma City, [email protected] Edmond Contact: Brooke Excl. Body Parts/Svcs: Phone: (405) 517-3719 Fax: (405) 360-6769 all except spine
American Board of Orthopaedic Surgery T R MITF
Orthopedic Surgery Kevin M. Dukes, M.D. 4802 S 109 E Ave shoulders Tulsa Tulsa, OK74146 Excl. Body Parts/Svcs: Contact: Denise all but shoulder Phone: (918) 392-1437 Fax: (918) 392-1401 American Board of Orthopedic Surgery T
Orthopedic Surgery Ronald Matthew Dumigan, M.D. 1110 N Lee Knees, Shoulders, Elbows, ankles, Oklahoma City, Oklahoma City, OK73103 Edmond, Norman [email protected] Excl. Body Parts/Svcs: Contact: Amy Spine, Neck, Hip Phone: (405) 230-9405 Fax: (405) 230-9421 American Board of Orthopedic Surgery T
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 48 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Orthopedic Surgery Rory C. Dunham, D.O. 3110 SW 89th Suite 200C hand, knee, shoulder, ankle, elbow, Oklahoma City Oklahoma City, OK73159 hip, feet, back [email protected] Contact: Marilyn Phone: (405) 759-2663 Fax: ( ) -
American Osteopathic Board of Orthopedic Surgery T
Orthopedic Surgery Scott J. Dunitz, M.D. 4802 S 109 E Ave hips, knees (adult reconstruction) Tulsa Tulsa, OK74146 Excl. Body Parts/Svcs: Contact: Latoya back, neck, hands Phone: (918) 392-1437 Fax: (918) 392-1401 American Board of Orthopedic Surgery T R
Orthopedic Surgery Eugene G. Feild, M.D. 6600 S Yale Ste 1315 all within specialty Tulsa Tulsa, OK74136-3346 [email protected] Contact: Nancy Phone: (918) 481-7770 Fax: (918) 481-7797 American Board of Orthopedic Surgery T R MITF
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 49 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Orthopedic Surgery David J. Flesher, M.D. 3301 NW 50 St knees, shoulders, hips, elbows Oklahoma City Oklahoma City, OK73112 [email protected] Excl. Body Parts/Svcs: Contact: Central Scheduling spine (neck & back), feet, hands Phone: (405) 947-0911 Fax: (405) 948-5177 American Board of Orthopedic Surgery T
Orthopedic Surgery Thomas H. Flesher, III, M.D. 3301 NW 50 St shoulders, ankles, knees, hips Oklahoma City Oklahoma City, OK73112 [email protected] Excl. Body Parts/Svcs: Contact: central scheduling spine (back, neck), wrists, hands Phone: (405) 947-0911 Fax: (405) 948-5171 American Board of Orthopedic Surgery T
Orthopedic Surgery Winston Fong, M.D. 1110 N Lee spine only (cervical, thoracic, OKC, Edmond Oklahoma City, OK73103 lumbar) [email protected] Contact: Brenda Excl. Body Parts/Svcs: Phone: (405) 230-9746 Fax: (405) 230-9421 all except spine (shoulders,elbows,hands,hips,knees, ankles/feet)
American Board of Orthopaedic Surgery T R
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 50 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Orthopedic Surgery Dennis E. Foster, M.D. 3130 SW 89 St Ste 100 all Oklahoma City Oklahoma City, OK73159-7900 Excl. Body Parts/Svcs: Contact: None Phone: (405) 378-4472 Fax: (405) 378-3580 American Board of Orhtopedic Surgery T R MITF
Orthopedic Surgery Jeff A. Fox, M.D.* 6585 S Yale Ave Ste 200 knees, ankles, elbow, shoulders Tulsa Tulsa, OK74136 Excl. Body Parts/Svcs: Contact: appt desk hand, spine Phone: (918) 481-7658 Fax: (918) 481-7611 American Board of Orthopedic Surgery T R MITF
Orthopedic Surgery Sami R. Framjee, M.D. 2000 S Wheeling Ave Ste 1110 spine and general orthopaedics Tulsa Tulsa, OK74104 [email protected] Excl. Body Parts/Svcs: Contact: Teri None Phone: (918) 294-0080 Fax: (918) 742-2119 American Board of Orthopedic Surgery T R MITF
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 51 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Orthopedic Surgery Joel L. Frazier, M.D.* 1044 SW 44 St Ste 600 hands, upper extremities, elbows, Oklahoma City Oklahoma City, OK73109 wrists [email protected] Contact: eRNEST Excl. Body Parts/Svcs: Phone: (405) 631-4263 Fax: ( ) - all except hands, elbows, wrists
American Board of Orthopedic Surgery T R
Orthopedic Surgery Charles H. Funderburk, M.D.* 1110 N Lee hands, shoulders, elbows, knees, Oklahoma Ctiy, Oklahoma City, OK73103-2612 wrists, forearm Edmond [email protected] Contact: Excl. Body Parts/Svcs: Phone: (405) 230-9743 Fax: (405) 522-9474 neck, back, hips, feet
American Board of Orthopedic Surgery T R
Orthopedic Surgery Timothy Michael Geib, M.D. 13800 Benson Rd Ste 201 knees, shoulders, elbows, hips, Edmond, OKC Edmond, OK73103 hands, arms [email protected] Contact: Brooke Excl. Body Parts/Svcs: Phone: (405) 517-3719 Fax: ( ) - feet, back
American Board of Orthopedic Surgery T R
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 52 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Orthopedic Surgery Robert A. German, M.D. 1110 N Lee knees, shoulders, elbows, ankles, Oklahoma City, Oklahoma City, OK73103-2612 arms, legs Norman [email protected] Contact: Jennifer Excl. Body Parts/Svcs: Phone: (405) 230-9270 Fax: (405) 230-9600 back, neck
American Board of Orthopedic Surgery T R
Orthopedic Surgery Greg Halko, M.D.* 3301 NW 50 hands, upper extremities Oklahoma City Oklahoma City, OK73112 [email protected] Excl. Body Parts/Svcs: Contact: central scheduling spine, (neck, back) and lower Phone: (405) 947-0911 Fax: (405) 942-5043 extremities
American Board of Orthopedic Surgery T R MITF
Orthopedic Surgery Kevin Wayne Hargrove, M.D. 101 S Saints Blvd Ste 101 shoulders, knees, elbows Edmond Edmond, OK73034 [email protected] Excl. Body Parts/Svcs: Contact: Leanna, Gena spine, hip, hand, foot & no psy Phone: (405) 749-8326 Fax: (405) 749-8328 overlay
American Board of Orthopedic Surgery T R
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 53 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Orthopedic Surgery Bryan Hawkins, M.D.* 6585 S Yale Ave Ste 200 ankles, knees, feet, hip Tulsa Tulsa, OK74136 [email protected] Excl. Body Parts/Svcs: Contact: CSOS neck, spine, wrists, hands, elbows Phone: (918) 481-2767 Fax: (918) 481-7611 American Board of Orthopedic Surgery T R MITF
Orthopedic Surgery Don L. Hawkins, M.D. 6585 S Yale Ave Ste 200 neck and spine Tulsa Tulsa, OK74136 [email protected] Excl. Body Parts/Svcs: Contact: Shann, Brian knees, hips, hands, shoulders, Phone: (918) 481-2767 Fax: (918) 481-7611 ankles
American Board of Orthopedic Surgery T R MITF
Orthopedic Surgery Randall L. Hendricks, M.D. 6585 S Yale Ste 200 neck, spine Tulsa Tulsa, OK74136 [email protected] Excl. Body Parts/Svcs: Contact: Allison shoulders, elbows, hips, knees Phone: (918) 481-2767 Fax: (918) 481-7611 hands, wrists, ankle
American Board of Orthopedic Surgery T R MITF
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 54 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Orthopedic Surgery David R. Hicks, M.D. 6585 S Yale Ave Ste 200 neck and spine Tulsa Tulsa, OK74136 [email protected] Excl. Body Parts/Svcs: Contact: Central States Orthopedics hands, wrists, elbows, shoulders, Phone: (918) 481-2767 Fax: (918) 481-7611 knees, hips, ankles
American Board of Orthopedic Surgery T R MITF
Orthopedic Surgery Robert Frazer Hines, M.D. 1616 S Kelly shoulders, knees Edmond Edmond, OK73013 [email protected] Excl. Body Parts/Svcs: Contact: Naci hips, elbow, back, foot/ankle Phone: (405) 348-6004 Fax: (405) 715-8853 American Board of Orthopedic Surgery T R
Orthopedic Surgery Gregory R. Holt, M.D. 1809 E 13 St Ste 100 hips, knees, shoulders Tulsa Tulsa, OK74104 [email protected] Excl. Body Parts/Svcs: Contact: Rae Cheatham spine Phone: ( ) - Fax: (918) 582-6060 American Board of Orthopedic Surgery T R
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 55 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Orthopedic Surgery Thomas C. Howard, M.D.* 1110 N Lee hands, shoulders, knees, hips and Oklahoma City, Oklahoma City, OK73103-2612 feet Norman [email protected] Contact: scheduling Excl. Body Parts/Svcs: Phone: (405) 230-9752 Fax: (405) 230-9424 spine, (neck,back)
American Board of Orthopedic Surgery T R
Orthopedic Surgery John B. Hughes, D.O. 2149 SW 59 St Ste 102 all Oklahoma City Oklahoma City, OK73119 [email protected] Excl. Body Parts/Svcs: Contact: Tammy none Phone: (405) 682-5351 Fax: (405) 685-5563 American Board of Orthopedic Surgery T R MITF
Orthopedic Surgery Christopher Shane Hume, D.O. 10001 S. Western Ave spine (neck & back) Oklahoma City Oklahoma City, OK73139 Excl. Body Parts/Svcs: Contact: scheduler all except speciality Phone: (405) 427-3705 Fax: ( ) - Board Eligible T
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 56 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Orthopedic Surgery Antoine I. Jabbour, M.D. 4802 S 109 E Ave knees, shoulders Tulsa Tulsa, OK74146 [email protected] Excl. Body Parts/Svcs: Contact: Latoya spine, hands Phone: (918) 392-1437 Fax: (918) 392-1401 American Board of Orthopedic Surgery T
Orthopedic Surgery Paul Jacob, D.O. 1616 S. Kelly Ave. adult reconstruction total joint Edmond Edmond, OK73013 replacement [email protected] Contact: Joann Ellis Excl. Body Parts/Svcs: Phone: (405) 715-8803 Fax: ( ) - uper extremity injuries
Certification Unknown T R MITF
Orthopedic Surgery Thomas P. Janssen, M.D. 1110 N Lee knees, hips, shoulders, feet, hands Oklahoma City Oklahoma City, OK73103-2612 [email protected] Excl. Body Parts/Svcs: Contact: appt scheduling 405-230-9270 neck,back Phone: (405) 230-9743 Fax: (405) 230-9474 American Board of Family Medicine & Orthopaedic Surgery T R
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 57 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Orthopedic Surgery J. Calvin Johnson, M.D. 6205 N Santa Fe Ste 200 knees, shoulders Oklahoma City Oklahoma City, OK73118 [email protected] Excl. Body Parts/Svcs: Contact: Jennifer back,hands,ankles Phone: (405) 419-5412 Fax: (405) 419-5468 American Board of Orthopedic Surgery T
Orthopedic Surgery Wayne A. Johnson, M.D. 8212 NW Stonebridge Ct shoulder, knee, hand/wrist, Lawton Lawton, OK73506 foot/ankle [email protected] Contact: Cassandra Excl. Body Parts/Svcs: Phone: (580) 536-2265 Fax: (580) 536-7805 back
American Board of Orthopedic Surgery T R MITF
Orthopedic Surgery Daniel J. Jones, M.D. 8100 S Walker Ave Bldg A knee, shoulder, foot, ankle, legs, Oklahoma City Oklahoma City, OK73139 arms, carpal tunnel Contact: Julie Excl. Body Parts/Svcs: Phone: (405) 632-4468 Fax: (405) 632-4317 spine
American Board of Orthopaedic Surgery T R MITF
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 58 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Orthopedic Surgery Michael E. Kiehn, M.D. 3301 NW 50 St knees, shoulders Oklahoma City Oklahoma City, OK73112 [email protected] Excl. Body Parts/Svcs: Contact: Jaye Dee Watts spine (neck, back) Phone: (405) 947-0911 Fax: (405) 942-5043 American Board of Orthopaedic Surgery T R MITF
Orthopedic Surgery Richard Kirkpatrick, M.D.* 3400 W Tecumseh Rd Ste 101 knees, shoulders, elbows, hands, Norman, Norman, OK73072 hips, ankles, arms Oklahoma City [email protected] Contact: Brooke Excl. Body Parts/Svcs: Phone: (405) 517-3719 Fax: (405) 360-6769 spine
American Board of Orthopaedic Surgery T R MITF
Orthopedic Surgery Zakary A. Knutson, M.D. 3400 W Tecumseh Ste 101 hips, knees, shoulders, elbows Norman, Edmond Norman, OK73072 [email protected] Excl. Body Parts/Svcs: Contact: Brooke foot, ankle, neck and back Phone: (405) 517-3719 Fax: ( ) - Certification Unknown T R
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 59 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Orthopedic Surgery Mark F. Kowalski, M.D. 4140 W Memorial Rd Ste 308 all orthopaedic surgery except Oklahoma City Oklahoma City, OK73120 spine, hips, and neck Contact: Kayla, Shawna, Cathy Excl. Body Parts/Svcs: Phone: (405) 749-7031 Fax: (405) 749-7036 hips, back, neck
American Board of Orthopedic Surgery T R
Orthopedic Surgery E. Alexander L'Heureux, Jr., M.D. 1405 NW 150 St cervical, thoracic and lumbar spine Edmond Edmond, OK73013 Excl. Body Parts/Svcs: Contact: Jennifer all except spine Phone: (405) 844-5222 Fax: (405) 744-2166 American Board of Orthopedic Surgery & Spine Surgery T
Orthopedic Surgery Ronald S. LaButti, D.O.* 6585 S Yale Ave Ste 200 hips, knees, ankles, foot Tulsa Tulsa, OK74136 [email protected] Excl. Body Parts/Svcs: Contact: appt desk hand, elbow, arms, shoulders Phone: (918) 481-2767 Fax: (918) 481-7611 American Osteopathic Aacademy of Orthopedics T R MITF
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 60 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Orthopedic Surgery Bradley J. Lawson, M.D. 6585 S Yale Ave Ste 200 ankle, shoulder, hip, knee, foot, Tulsa Tulsa, OK74136 elbow, hand, wrist [email protected] Contact: scheduling Excl. Body Parts/Svcs: Phone: (918) 481-2767 Fax: ( ) - none
American Board of Orthopaedic Surgery T R MITF
Orthopedic Surgery Brian A. Levings, D.O. 8100 S Walker Ave Bldg A arms, legs, shoulders, knees, feet, Oklahoma City Oklahoma City, OK73139 ankles, elbows Contact: WALT Excl. Body Parts/Svcs: Phone: (405) 632-4468 Fax: (405) 632-4317 back, neck
American Osteopathic Board of Orthopaedic Surgery T R MITF
Orthopedic Surgery Alan G. Lewis, M.D. 6475 S Yale Ave Ste 301 feet, ankles, knees Tulsa Tulsa, OK74136-7824 [email protected] Excl. Body Parts/Svcs: Contact: CJ/Linda spine, hips, hands, elbows, Phone: (918) 494-9351 Fax: (918) 494-9397 shoulders, rate only cases
American Board of Orthopedic Surgery T R
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 61 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Orthopedic Surgery J. Patrick Livingston, M.D. 1211 N Shartel Suite 500 orthopedic surgery, neck, back, Oklahoma City Oklahoma City, OK73103 shoulders, hips, arms, legs, hands, feet Contact: Allison Phone: (405) 463-0407 Fax: (405) 463-0425 Excl. Body Parts/Svcs: head, brain, lungs, heart urogenital, gastrointestinal
American Board of Orthopedic Surgery T R MITF
Orthopedic Surgery Jay D. Lorton, M.D. 6475 S Yale Ave Ste 301 knees, shoulders, elbows Tulsa Tulsa, OK74136 [email protected] Excl. Body Parts/Svcs: Contact: Lori Pile spine, hands, hips, feet Phone: (918) 494-9384 Fax: (918) 494-9397 American Board of Orthopedic Surgery T R
Orthopedic Surgery Paul D. Maitino, D.O. 3110 SW 89 Street Ste 200D hips, knees, shoulders Oklahoma City Oklahoma City, OK73159 [email protected] Excl. Body Parts/Svcs: Contact: Jessica head Phone: (405) 680-5633 Fax: (405) 735-6435 Orthopedic Surgery T R MITF
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 62 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Orthopedic Surgery Bradley Margo, M.D. 1110 N Lee shoulders, knees Oklahoma City Oklahoma City, OK73103-2612 [email protected] Excl. Body Parts/Svcs: Contact: Central Sched 405-230-9270 backs, necks, hips, feet, hands Phone: (405) 230-9000 Fax: ( ) - American Board of Orthopaedic Surgery T R
Orthopedic Surgery James C. Mayoza, M.D. 6122 E 61 St lumbar and cervical spine & Tulsa Tulsa, OK74136-2117 extremities Contact: Nicci or Morgie Phone: (918) 492-3133 Fax: (918) 493-2215
American Board of Orthopedic Surgery T R MITF
Orthopedic Surgery James D. Mitchell, M.D. 1110 N Lee hips, knees OKC, Norman Oklahoma City, OK73103 [email protected] Excl. Body Parts/Svcs: Contact: shoulders, wrists, elbows, hands, Phone: (405) 230-9600 Fax: (405) 230-9424 feet, spine
American Board of Orthopaedic Surgery T R
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 63 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Orthopedic Surgery Yogesh Mittal, M.D. 1809 E 13 St Ste 100 hips, knees Tulsa Tulsa, OK74104 [email protected] Excl. Body Parts/Svcs: Contact: Rae spine Phone: (918) 582-6800 Fax: (918) 301-4293 American Board of Orthopaedic Surgery T R
Orthopedic Surgery Mac E. Moore, M.D. 10001 S Western Ste 200 shoulders, elbows, knees Oklahoma City Oklahoma City, OK73139-2997 Excl. Body Parts/Svcs: Contact: Belinda none Phone: (405) 692-3737 Fax: (405) 692-3707 American Board of Orthopaedic Surgery T R MITF
Orthopedic Surgery Jeffrey R. Morris, D.O.* 6585 S. Yale Ave Suite 200 shoulder, hand, wrist, hip, knee, Tulsa Tulsa, OK74136 ankles & total joint replacements [email protected] Contact: Reggie 918-583-7076 Excl. Body Parts/Svcs: Phone: (918) 481-2767 Fax: (918) 583-7908 neck, spine
American Osteopathic Board of Orthopedfic Surgery T R MITF
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 64 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Orthopedic Surgery Mark Robert Moses, M.D. 825 E Robinson hips, knees, shoulders,hands, Norman Norman, OK73071 wrists [email protected] Contact: Gaylene Excl. Body Parts/Svcs: Phone: (405) 364-7900 Fax: (405) 366-6214 neck, back
American Board of Orthopaedic Surgery T R
Orthopedic Surgery Gene L. Muse, M.D. 4200 W Memorial Rd Ste 1001 shoulders, knees, hips Oklahoma City Oklahoma City, OK73120 [email protected] Excl. Body Parts/Svcs: Contact: Penny (spine) back, neck Phone: (405) 787-7678 Fax: (405) 751-3367 American Board of Orthopedic Surgery T R
Orthopedic Surgery Ryan L. Nelson, D.O 1616 S. Kelly shoulder, elbow, knee Edmond Edmond, OK73013 (trauma/fractures) hip, wrist, ankle Contact: Joann Phone: (405) 330-8847 Fax: ( ) - Excl. Body Parts/Svcs: none
Certification Unknown T R MITF
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 65 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Orthopedic Surgery David E. Nonweiler, M.D. 6585 S Yale Ave Ste 200 shoulders, knees Tulsa Tulsa, OK74136 [email protected] Excl. Body Parts/Svcs: Contact: Melissa neck and spine Phone: (918) 481-2767 Fax: (918) 481-7611 American Board of Orthopedic Surgery T R MITF
Orthopedic Surgery M. Sean O'Brien, D.O.* PO Box 890358 hands and shoulders Oklahoma City Oklahoma City, OK73189 Excl. Body Parts/Svcs: Contact: Marilyn back, neck, feet Phone: (405) 759-2663 Fax: ( ) - American Osteopathic Board of Orthopedic Surgery T
Orthopedic Surgery James M. Odor, M.D. 14100 Parkway Commons Dr Ste 200 cervical, thoracic & lumbar spine Oklahoma City Oklahoma City, OK73134 (neck and back) Contact: Valerie, Renee Excl. Body Parts/Svcs: Phone: (405) 242-4345 Fax: (405) 242-4333 None
American Board of Orthopedic Surgery T
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 66 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Orthopedic Surgery L. Todd Olsen, D.O. Olsen Orthopedics knees, shoulders MWC 3400 S Douglas Blvd Ste 302 Oklahoma City, OK73150 Excl. Body Parts/Svcs: Contact: Wendy, Cheryl backs Phone: (405) 733-8000 Fax: (405) 733-7820 American Osteopathic Board of Orthopedic Surgery T
Orthopedic Surgery Victor R. Palomino, D.O.* 1809 E 13 St Ste 100 knees, shoulders Tulsa Tulsa, OK74104 [email protected] Excl. Body Parts/Svcs: Contact: Rae spine, foot/ankle, hand/elbow Phone: (918) 925-3226 Fax: ( ) - American Osteopathic Board T R
Orthopedic Surgery Kris Parchuri, D.O. 9101 S Toledo Ave Ste B spine Tulsa Tulsa, OK74137 sostulsa.com Excl. Body Parts/Svcs: Contact: Sarah hands, feet Phone: (539) 664-4448 Fax: (539) 664-4288 AOA T R MITF
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 67 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Orthopedic Surgery Andrew Parkinson, M.D. 3301 NW 50 St spine, (neck, back), lower Oklahoma City Oklahoma City, OK73112 extremities [email protected] Contact: central scheduling Excl. Body Parts/Svcs: Phone: (405) 947-0911 Fax: ( ) - all except spine & lower extremities
American Board of Orthopaedic Surgery T R MITF
Orthopedic Surgery Corey Eugene Ponder, M.D. 13800 Benson Rd Ste 201 joint replacement and revision Edmond Edmond, OK73013 (knees and hips only) [email protected] Contact: Brooke Excl. Body Parts/Svcs: Phone: (405) 517-3719 Fax: ( ) - all except knees, hips
American Board of Orthopedic Surgery T R
Orthopedic Surgery Ghazi M. Rayan, M.D.* 3366 NW Expressway Ste 700 shoulder, elbow, wrist, hand Oklahoma City Oklahoma City, OK73112-4418 Excl. Body Parts/Svcs: Contact: back Phone: (405) 945-4888 Fax: (405) 945-4887 American Board of Orthopedic Surgery/ Am Bd of Ortho Surg of Hand T R MITF
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 68 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Orthopedic Surgery Vytautas M. Ringus, M.D. 825 E Robinson foot and ankle Norman Norman, OK73071 [email protected] Excl. Body Parts/Svcs: Contact: Donna none Phone: (405) 364-8855 Fax: (405) 310-6866 Certification Unknown T R
Orthopedic Surgery R. Clio Robertson, M.D.* 6585 S Yale Ave Ste 200 neck, spine, shoulder, elbows, Tulsa Tulsa, OK74136 wrists, hips, knees, ankles [email protected] Contact: Phone: (918) 481-2767 Fax: (918) 481-7611
American Board of Orthopedic Surgery T R MITF
Orthopedic Surgery Richard A. Ruffin, M.D.* 3301 NW 50 hands, wrists, elbows, shoulders Oklahoma City Oklahoma City, OK73112-5691 Excl. Body Parts/Svcs: Contact: Central Scheduling neck & back (spine), feet, knees Phone: (405) 947-0911 Fax: (405) 947-4263 American Board of Orthopedic Surgery, Hand Surgery T
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 69 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Orthopedic Surgery David Saxton, M.D. 1110 N Lee knees, shoulders, elbows OKC, Norman, Oklahoma City, OK73103 Edmond [email protected] Excl. Body Parts/Svcs: Contact: Vickie hands, spine, hips Phone: (405) 230-9437 Fax: (405) 230-9421 American Board of Orthopaedic Surgery & Sports Medicine T R
Orthopedic Surgery Steven Schultz, M.D. 825 E Robinson hips, knees (total hip replacement Norman Norman, OK73071 & total knee replacement) [email protected] Contact: Donna Excl. Body Parts/Svcs: Phone: (405) 364-8855 Fax: ( ) - back, neck
American Board of Orthopaedic Surgery T R MITF
Orthopedic Surgery Houshang Seradge, M.D.* 1044 SW 44 Street Suite 518 spine, foot, wrist, elbow, Oklahoma City Oklahoma City, OK73109 shoulder, hip, knee, ankle Contact: Misti Phone: (405) 634-4263 Fax: ( ) -
American Board of Orthopedic Surgery T R MITF
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 70 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Orthopedic Surgery Blake Shockley, M.D. 9716 S. Riverside Drive Ste 101 shoulder, elbow, hip, knee and Tulsa area Jenks, OK74137 ankle [email protected] Contact: Jennifer. Angie Excl. Body Parts/Svcs: Phone: (918) 528-3300 Fax: ( ) - spine, hand
Certification Unknown T R MITF
Orthopedic Surgery James C. Slater, M.D. 4802 S 109 E Ave adult reconstruction Tulsa Tulsa, OK74146 Excl. Body Parts/Svcs: Contact: Latoya hands, feet,back, neck, (spine) Phone: (918) 392-1437 Fax: (918) 392-1401 American Board of Orthopedic Surgery T
Orthopedic Surgery Glenn L. Smith, D.O. 2149 SW 59 Ste 101 all orthopedic surgery Oklahoma City Oklahoma City, OK73119 [email protected] Excl. Body Parts/Svcs: Contact: Linda None Phone: (405) 682-4651 Fax: (405) 682-3391 Orthopedic Surgery T R
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 71 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Orthopedic Surgery Sheryl C. Smith, M.D. 6205 N Santa Fe Ste 200 foot, ankle Oklahoma City Oklahoma City, OK73118 Excl. Body Parts/Svcs: Contact: Kim all except foot & ankle Phone: (405) 419-5610 Fax: (405) 419-5429 Certification Unknown T R
Orthopedic Surgery Cheng-Lun Soo, M.D. 1044 SW 44 Street spine, neck, lumbar, cervical Oklahoma City Oklahoma City, OK73109 [email protected] Excl. Body Parts/Svcs: Contact: Ernest all except neck and back Phone: (405) 631-4263 Fax: (405) 631-1767 American Board of Orthopedic Surgery T R
Orthopedic Surgery Richard M. Stamile, M.D. 4802 S 109 E Ave #100 general orthopedics no surgery Tulsa Tulsa, OK74146 [email protected] Excl. Body Parts/Svcs: Contact: Latoya back, neck, hands Phone: (918) 392-1437 Fax: (918) 392-1401 American Board of Orthopedic Surgery T R
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 72 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Orthopedic Surgery Wesley Michael Stotler, D.O. 4802 S 109 E Ave foot, ankle Tulsa Tulsa, OK74146 [email protected] Excl. Body Parts/Svcs: Contact: Latoya all except feet and ankles Phone: (918) 392-1437 Fax: (918) 392-1401 American Osteopathic Board of Orthopedic Surgery T
Orthopedic Surgery Richard D. Thomas, M.D. 4802 S 109 E Ave spine (neck, back) Tulsa Tulsa, OK74146 Excl. Body Parts/Svcs: Contact: Latoya all except back & neck Phone: (918) 392-1437 Fax: (918) 392-1401 American Board of Orthopedic Surgery T
Orthopedic Surgery Robert S. Unsell, M.D. 10001 S Western Ste 101 hands, wrist, elbows Oklahoma City Oklahoma City, OK73139 [email protected] Excl. Body Parts/Svcs: Contact: Darcy spine, lower extremities Phone: (405) 692-3748 Fax: (405) 923-3783 Certification Unknown T R MITF
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 73 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Orthopedic Surgery Mark Stephen Wilson, M.D.* 5522 S Lewis all orthopedics, continuing medical Tulsa, OKC Tulsa, OK74105 maintenance Contact: TU-Sandra, OKC-Tayller Excl. Body Parts/Svcs: Phone: (918) 488-8285 Fax: (405) 949-1801 None
Certification Unknown T R MITF
Orthopedic Surgery David K. Wong, M.D. 6585 S Yale Ave Ste 200 hands, wrists, elbows, shoulders Tulsa Tulsa, OK74136 [email protected] Excl. Body Parts/Svcs: Contact: Patti neck, spine, knees, hips, ankles Phone: (918) 481-2767 Fax: (918) 481-7611 American Board of Orthopedic Surgery T R MITF
Orthopedic Surgery Michael Wright, M.D. 3115 SW 89 spine Oklahoma City Oklahoma City, OK73159 Excl. Body Parts/Svcs: Contact: Krista None Phone: (405) 424-5630 Fax: (405) 692-1632 American Board of Spine Surgery T R
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 74 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Orthopedic Surgery Gregory J. Zeiders, D.O. 1600 Medical Center Drive hands, wrists, elbows, shoulders, Edmond, Edmond, OK73034 feet, ankles, knees, hips Shawnee, [email protected] Oklahoma City Contact: Lindsay Excl. Body Parts/Svcs: Phone: (405) 359-2266 Fax: (405) 341-1578 spine
American Osteopathic Board of Orthopedic Surgery T R
Orthopedics Darnell E. Blackmon, M.D.* 1809 E 13 Ste 100 shoulder, knee, foot, ankle Tulsa Tulsa, OK74104 [email protected] Excl. Body Parts/Svcs: Contact: Rae spine, hand Phone: (918) 925-3226 Fax: (918) 582-6060 American Board of Orthopaedic Surgery T
Orthopedics Joel M. Davis, M.D. 3301 NW 50 Street lower extremities, feet, ankles OKC Oklahoma City, OK73112 [email protected] Excl. Body Parts/Svcs: Contact: central scheduling neck, back Phone: (405) 947-0911 Fax: (405) 947-1341 Certification Unknown T R MITF
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 75 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Orthopedics William Bentley Edmonds, M.D. 1110 N Lee foot, ankle Oklahoma City, Oklahoma City, OK73103-2612 Edmond, Norman [email protected] Excl. Body Parts/Svcs: Contact: Chiquita, Cindy all except foot and ankle Phone: (405) 230-9745 Fax: (405) 230-9424 American Board of Orthopaedic Surgery T R
Orthopedics David Holden, M.D. 1110 N Lee knees & shoulders only Oklahoma City Oklahoma City, OK73103-2612 [email protected] Excl. Body Parts/Svcs: Contact: Lynn back & neck Phone: (405) 230-9406 Fax: ( ) - American Board of Orthopaedic Surgery & Sports Medicine T
Orthopedics Michael Brandon Johnson, M.D. 6205 N. Santa Fe Suite 200 all within specialty OKC Oklahoma City, OK73118 Excl. Body Parts/Svcs: Contact: Debra Lewis Spine Phone: (405) 427-6776 Fax: ( ) - Certification Unknown T R MITF
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 76 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Orthopedics Faustino Kazenske, D.O. 3301 NW 50th Street Lower extremities, hips, knees Oklahoma City Oklahoma City, OK73112 Excl. Body Parts/Svcs: Contact: Central Scheduling Upper extremities and back Phone: (405) 947-0911 Fax: ( ) - Certification Unknown T R MITF
Orthopedics Richard Kirkpatrick, M.D.* 3400 W Tecumseh Rd Ste 101 knees, shoulders, elbows, hands, Oklahoma City, Norman, OK73072 hips, ankles, arms Norman [email protected] Contact: Brooke Excl. Body Parts/Svcs: Phone: (405) 517-3719 Fax: (405) 360-6769 spine
American Board of Orthopaedic Surgery T R MITF
Orthopedics John Wheeler, M.D. 3115 SW 89 all within specialty Oklahoma City Oklahoma City, OK73159 Excl. Body Parts/Svcs: Contact: Kim none Phone: (405) 424-5630 Fax: ( ) - American board of Orthopedic Surgery T R
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 77 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Otolaryngology R. Stanley Baker, M.D. 3400 NW 56 St ears Oklahoma City Oklahoma City, OK73112 [email protected] Excl. Body Parts/Svcs: Contact: Dawn all other than ears Phone: (405) 946-5563 Fax: ( ) - American Board of Otolaryngology T R
Otolaryngology Alen Munson Fuller, M.D. 1725 E 19 St Ste 100 ears (cumulative hearing loss) Tulsa Tulsa, OK74104 [email protected] Excl. Body Parts/Svcs: Contact: Betsi surgical cases Phone: (918) 742-7376 Fax: (918) 743-2117 American Board of Otolaryngology T R
Otolaryngology John R. Houck, M.D. 920 Stanton L Young WP 1290 ear, nose, throat OKC Oklahoma City, OK73104 Excl. Body Parts/Svcs: Contact: Tiffney complaints of dizziness Phone: (405) 271-5504 Fax: (405) 271-3248 American Board of Otolaryngology T
Otolaryngology Paul David Hunter, M.D.* 535 NW 9th Street #300 Ears, nose, throat and facial Oklahoma City Oklahoma City, OK73102 trauma [email protected] Contact: Dianne Hunter Excl. Body Parts/Svcs: Phone: (405) 272-6027 Fax: (405) 272-8315 all others but listed
AM Board of Otolaryngology T
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 78 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Otology Mark Wood, M.D. 3400 NW 56 St ears, hearing, including dizziness Oklahoma City Oklahoma City, OK73112 [email protected] Excl. Body Parts/Svcs: Contact: Valoree anything other than ears Phone: (405) 946-5563 Fax: (405) 945-7185 American Board of Otolaryngology T R
Physical Medicine and Donald E. Adams, M.D. 1616 S Kelly pain management Oklahoma City, Rehabilitation Edmond, OK73013-3651 Edmond [email protected] Excl. Body Parts/Svcs: Contact: Joann feet, ankles Phone: (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 City Rehabilitation Oklahoma City, OK73112 & rehabilitation [email protected] Contact: Stacey Excl. Body Parts/Svcs: Phone: (405) 949-6481 Fax: (405) 795-5909 spinal cord injury with paraplegia, quadriplegia
American Board of Physical Medicine/Rehabilitation T
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 79 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Physical Medicine and Albert J. Bisson, M.D. 4120 W Memorial Rd Ste 118 physiatry - head, spine, upper and Oklahoma City Rehabilitation Oklahoma City, OK73120 lower extremities, nerve and joint [email protected] problems Contact: Cecylia Phone: (405) 748-4700 Fax: (405) 748-5638 Excl. Body Parts/Svcs: narcotic mngmt, rsd
American Board of Physical Medicine/Rehabilitation T R
Physical Medicine and Christopher Bouvette, M.D. 4120 W Memorial Rd Ste 118 physiatry, neck, spine, upper & Oklahoma City Rehabilitation Oklahoma City, OK73120 lower extremities, nerve and joint [email protected] problems Contact: Ceyclia Phone: (405) 748-4700 Fax: (405) 748-5638 Excl. Body Parts/Svcs: narcotic pain management
American Board of Physical Medicine/Rehabilitation + T R
Physical Medicine and Michael S. Brown, M.D. 4120 W Memorial Rd Ste 118 physiatry - head, neck, spine Oklahoma City Rehabilitation Oklahoma City, OK73120 upper and lower extremities, nerve [email protected] and joint problems Contact: Cecylia Phone: (405) 748-4700 Fax: (405) 748-5638 Excl. Body Parts/Svcs: narcotic pain management, RSD
American Academy of Physical Medicine/Rehab T R
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 80 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Physical Medicine and A. E. Moorad, M.D.* 4221 S Western Ste 3010 all PM & R, pain managment Oklahoma City Rehabilitation Oklahoma City, OK73109 Contact: Marilyn Phone: (405) 636-7450 Fax: (405) 631-2296 American Board of Internal Medicine T R MITF
Physical Medicine and Lam D. Nguyen, D.O. 9320 South Mingo Road all pain management Tulsa Rehabilitation Tulsa, OK74133 asalgueroa@advanced paintulsa.com Excl. Body Parts/Svcs: Contact: Scheduling none Phone: (918) 879-1700 Fax: (918) 879-1701 American Board of Physical Medicine and Rehab T
Physical Medicine and Darryl Dermot Robinson, M.D. 3110 SW 89 Ste 102 all within speciality Oklahoma City Rehabilitation Oklahoma City, OK73159 [email protected] Excl. Body Parts/Svcs: Contact: Lindsey None Phone: (405) 703-4950 Fax: (405) 703-4955 American Board of Physical Medicine and Rehab-Pain Management T R MITF
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 81 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Physical Medicine and Charles Shields, M.D. 330 S 5 St Ste 305 all physical medicine and Enid Rehabilitation Enid, OK73701 rehabilitation, all neuro-musculo- skeletal Contact: Amber Phone: (580) 242-1224 Fax: ( ) -
American Board of Physical Medicine/Rehabilitation T R
Physical Medicine and Kathleen M. Sisler, M.D. 6585 S Yale Ave Ste 200 elbows, hands, knees, hips, neck, Tulsa Rehabilitation Tulsa, OK74136 spine, feet, ankles, wrists, [email protected] shoulders (Physiatry) Contact: Allison Phone: (918) 481-2767 Fax: (918) 481-7669 Excl. Body Parts/Svcs: none
American Board of Physical Medicine/Rehabilitation T R MITF
Physical Medicine and Michael Shawn Smith, M.D. 5100 N Brookline Ste 500 PM&R, spine, spinal cord and brain Oklahoma City Rehabilitation Oklahoma City, OK73112 injuries [email protected] Contact: Alecia Phone: (405) 605-8780 Fax: (405) 605-8782
American Board of Physical Medicine/Rehabilitation T R MITF
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 82 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Physical Medicine and Jonathan B. Stone, D.O. 700 NW 7 Street Ste 115 all within speciality chronic Oklahoma City Rehabilitation Oklahoma City, OK73102 medication management, continuing medical maintenance Contact: Phone: (405) 601-5899 Fax: (405) 601-5903
American Board of Physical Medicine and Rehabilitation T
Physical Medicine and D. Brent Tipton, M.D. 5100 N Brookline Ste 530 muscles and nerves Oklahoma City Rehabilitation Oklahoma City, OK73112 [email protected] Excl. Body Parts/Svcs: Contact: Linda heart, lungs, GI, Renal, medical Phone: (405) 604-6652 Fax: (405) 604-6653 maintenance, pain management
American Board of Physical Medicine/Rehabilitation/Electrodiag nos T R
Plastic Surgery Mehdi N. Adham, M.D.* 8100 S Walker Ave Bldg A plastic & reconstructive surgery of Oklahoma City Oklahoma City, OK73139 hands and wrists Contact: Julie Excl. Body Parts/Svcs: Phone: (405) 632-4468 Fax: (405) 632-4317 all except plastic surgery of hands/wrists
American Board of Plastic Surgery & Am Bd Plastic Surg of Hand T R MITF
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 83 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Plastic Surgery Paul David Hunter, M.D.* 535 NW 9th Street #300 Ears, nose, throat and facial Oklahoma City Oklahoma City, OK73102 trauma [email protected] Contact: Dianne Hunter Excl. Body Parts/Svcs: Phone: (405) 272-6027 Fax: (405) 272-8315 all others but listed
AM Board of Otolaryngology T
Podiatry Armando A. Carro, D.P.M. 600 W 15 St foot, ankle Edmond Edmond, OK73013 Excl. Body Parts/Svcs: Contact: Darla None Phone: (405) 348-4141 Fax: (405) 340-0686 Certification Unknown T
Podiatry David C. Cavallaro, D.P.M. 1044 SW 44 floor 6 feet, ankles and related structures Oklahoma City Oklahoma City, OK73109 [email protected] Excl. Body Parts/Svcs: Contact: Stephanie anything above the ankle Phone: (405) 631-4263 Fax: (405) 616-2670 American Board of Podiatric Surgery T
Podiatry Timothy Siegfried, D.P.M. 10229 E 96 Street North Ste 100 foot, ankle Owasso, Sapulpa Owasso, OK74055 [email protected] Excl. Body Parts/Svcs: Contact: Becki none within specialty Phone: (918) 494-2902 Fax: (918) 272-8922 American Board of Podiatric Surgery T R MITF
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 84 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Podiatry William K. Smith, D.P.M. 1627 N Kickapoo toes, feet, ankles Shawnee, Shawnee, OK74804 Oklahoma City Contact: Glenda, Lori Phone: (405) 275-8234 Fax: (405) 275-7298 American Board of Podiatric Surgery T R MITF
Podiatry Richard J Traczyk, II, D.P.M. 4205 McAuley Blvd Ste 465 foot, ankle Oklahoma City Oklahoma City, OK73120 [email protected] Excl. Body Parts/Svcs: Contact: Lanae anything above the ankle Phone: (405) 755-7600 Fax: (405) 755-7680 Certification Unknown T R MITF
Psychiatry Sarah E. Land, D.O. 3314 E 46 Street Ste 200 Psychiatry Tulsa Tulsa, OK74135 [email protected] Excl. Body Parts/Svcs: Contact: Jennifer none Phone: (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 Tulsa Tulsa, OK74136-8308 Contact: Mary, Mitzie Phone: (918) 491-5767 Fax: (918) 491-5771 American Board of Psychiatry and Neurology
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 85 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Psychiatry Siavash Nael, M.D. 4720 S Western Ave psychiatry Oklahoma City Oklahoma City, OK73109-3834 [email protected] Contact: any staff member Phone: (405) 634-5529 Fax: (405) 634-1673 American Board of Pyschiatry and Neurology T
Psychology - Clinical Russell L. Adams, Ph.D.* PO Box 26901 WP3440 brain, pain management, Oklahoma City Oklahoma City, OK73126 psychological overlay Contact: Gary Phone: (405) 271-8001 Fax: (405) 271-8802
American Board of Professional Psychology/Clinical Neuropsych T R
Psychology - Clinical Faust Bianco, Jr., Ph.D.* 7146 S Braden Ave Ste 500 Rehabilitation (nervous system, Tulsa Tulsa, OK74136 whole body) Trauma Related Disorders (pain stress, depression, Contact: Suzan brain) Phone: (918) 746-0794 Fax: (918) 746-0717 Excl. Body Parts/Svcs: none
Certification Unknown T R MITF
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 86 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Psychology - Clinical Douglas O. Brady, Ph.D.* 1401 SW Park Ridge Blvd Ste D medical psychology, neuropsychology Lawton Lawton, OK73505 evaluations [email protected] Contact: D'Ann Phone: (580) 355-7474 Fax: (580) 355-6765
American Board of Professional Disability T R MITF
Psychology - Clinical R. Keith Green, Ph.D. 5929 N May Ave Ste 508 psychological evaluations and Oklahoma City Oklahoma City, OK73112 therapy [email protected] Contact: Virginia Excl. Body Parts/Svcs: Phone: (405) 842-6446 Fax: (405) 842-5644 None
Certification Unknown T
Psychology - Clinical David E. Johnsen, Ph.D. 2601 NW Expway Ste 410 W psychological overlay, chronic Oklahoma City Oklahoma City, OK73112 pain, neuropsychology [email protected] Contact: Lea or Angela Excl. Body Parts/Svcs: Phone: (405) 755-8576 Fax: (405) 755-6026 None
Certification Unknown T R
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 87 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Psychology - Clinical Edgar J. Kranau, Ph.D.* PO Box 14082 psychological overlay, pain Tulsa Tulsa, OK74159-4082 management Contact: self Excl. Body Parts/Svcs: Phone: (918) 712-9020 Fax: (918) 712-9021 None
Certification Unknown T R MITF
Psychology - Clinical Doris Wise, Ph.D. 3441 W Memorial Ste 7 psychological: mood, coping, Oklahoma City Oklahoma City, OK73134 adjustment, rehab [email protected] Contact: Debbie Excl. Body Parts/Svcs: Phone: (405) 286-6000 Fax: ( ) - none
Certification Unknown T R MITF
Psychology Michael R. Basso, Ph.D.* Univ of Tulsa Dept of Psychology head/brain - diatnostic testing, Tulsa 800 S Tucker Drive psychological overlay [email protected] Tulsa, OK74104 Contact: Dr. Basso Excl. Body Parts/Svcs: Phone: (918) 631-3151 Fax: (918) 631-2833 None
ABPP - Clinical Neuropsychology R MITF
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 88 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Psychology Stephen D. Carella, Ph.D. 3035 NW 63 Ste 103 psychological overlay Oklahoma City Oklahoma City, OK73116 [email protected] Contact: Sue Phone: (405) 840-4212 Fax: (405) 840-4258 Certification Unknown T R MITF
Psychology Jeri Fritz, Ph.D. 624 S Boston Ste 311 psychological overlay Tulsa Tulsa, OK74119 [email protected] Excl. Body Parts/Svcs: Contact: Dr. Jeri Fritz Physical Phone: (918) 584-6694 Fax: (918) 584-6229 Certification Unknown T
Psychology Edgar J. Kranau, Ph.D.* PO Box 14082 psychological overlay, pain Tulsa Tulsa, OK74159-4082 management Contact: self Excl. Body Parts/Svcs: Phone: (918) 712-9020 Fax: (918) 712-9021 None
Certification Unknown T R MITF
Pulmonary Diseases Dennis M. Parker, M.D. 3366 NW Expressway Ste 660 pulmonary (lungs) Oklahoma City Oklahoma City, OK73112 Excl. Body Parts/Svcs: Contact: Lisa Burgess 405-947-3345 all except respiratory disease Phone: (405) 917-5439 Fax: (405) 494-0849 American Board of Internal Medicine, Am Bd - Pulmonary Disease T R MITF
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 89 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Radiology Douglas Preston Beall, M.D. 1800 Renaissance Blvd Second Floor interventional pain management of Edmond Edmond, OK73013 spine and joints [email protected] Contact: scheduling Excl. Body Parts/Svcs: Phone: (405) 601-2325 Fax: (405) 359-2491 general medicine
American Board of Radiology T
Sports Medicine Gary B. Anderson, M.D.* 3301 NW 50 St knees, shoulders, hips, elbows Oklahoma City Oklahoma City, OK73112 [email protected] Excl. Body Parts/Svcs: Contact: Scheduling spine (back, neck), hands Phone: (405) 947-0911 Fax: (405) 947-0775 American Board of Orthopedic Surgery T R MITF
Sports Medicine Clint Justin Basener, D.O.* 9709 E 79 Street S all within specialty Tulsa Tulsa, OK74133-4566 [email protected] Excl. Body Parts/Svcs: Contact: Pam back, neck Phone: (918) 994-4068 Fax: (918) 994-4095 Certification Unknown T R
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 90 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Sports Medicine Darnell E. Blackmon, M.D.* 1809 E 13 Ste 100 shoulder, knee, foot, ankle Tulsa Tulsa, OK74104 [email protected] Excl. Body Parts/Svcs: Contact: Rae spine, hand Phone: (918) 925-3226 Fax: (918) 582-6060 American Board of Orthopaedic Surgery T
Sports Medicine Bradford Boone, M.D.* 6475 S Yale Ave Ste 301 knees, shoulders, elbows Tulsa Tulsa, OK74136-7824 [email protected] Excl. Body Parts/Svcs: Contact: CJ spine, hips, feet, ankles, hands & Phone: (918) 494-9351 Fax: (918) 494-9397 rate only cases
American Board of Orthopedic Surgery/Sports Medicine T R
Sports Medicine James D. Cash, M.D.* 6585 S Yale Ave Ste 200 knees, shoulders Tulsa Tulsa, OK74136 [email protected] Excl. Body Parts/Svcs: Contact: none Phone: (918) 481-2767 Fax: (918) 481-7611 American Board of Orthopedic Surgery T R MITF
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 91 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Sports Medicine Jeff A. Fox, M.D.* 6585 S Yale Ave Ste 200 knees, ankles, elbow, shoulders Tulsa Tulsa, OK74136 Excl. Body Parts/Svcs: Contact: appt desk hand, spine Phone: (918) 481-7658 Fax: (918) 481-7611 American Board of Orthopedic Surgery T R MITF
Sports Medicine Troy A. Glaser, D.O. 6585 S Yale Ave Ste 200 spine, knees, ankles, shoulders & Tulsa Tulsa, OK74136 foot [email protected] Contact: Appt Desk Excl. Body Parts/Svcs: Phone: (918) 481-7658 Fax: (918) 481-7611 tailbone
American Board of Family Medicine T R MITF
Sports Medicine Bryan Hawkins, M.D.* 6585 S Yale Ave Ste 200 ankles, knees, feet, hip Tulsa Tulsa, OK74136 [email protected] Excl. Body Parts/Svcs: Contact: CSOS neck, spine, wrists, hands, elbows Phone: (918) 481-2767 Fax: (918) 481-7611 American Board of Orthopedic Surgery T R MITF
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 92 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Sports Medicine Ronald S. LaButti, D.O.* 6585 S Yale Ave Ste 200 hips, knees, ankles, foot Tulsa Tulsa, OK74136 [email protected] Excl. Body Parts/Svcs: Contact: appt desk hand, elbow, arms, shoulders Phone: (918) 481-2767 Fax: (918) 481-7611 American Osteopathic Aacademy of Orthopedics T R MITF
Sports Medicine Gary Robert Lee, M.D.* 5577 South Lewis Ave all Tulsa Tulsa, OK74105 [email protected] Excl. Body Parts/Svcs: Contact: Gail None Phone: (918) 749-0003 Fax: ( ) - American Board of Family Medicine - Sports Medicine T R MITF
Sports Medicine Jason M. Leinen, M.D.* 3115 SW 89 Street all family & sports medicine, pain Oklahoma City Oklahoma City, OK73159 management Contact: Amy Excl. Body Parts/Svcs: Phone: (405) 600-1411 Fax: (405) 600-1531 none
American Board of Family Medicine T R
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 93 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Sports Medicine Jeffrey R. Morris, D.O.* 6585 S. Yale Ave Suite 200 shoulder, hand, wrist, hip, knee, Tulsa Tulsa, OK74136 ankles & total joint replacements [email protected] Contact: Reggie 918-583-7076 Excl. Body Parts/Svcs: Phone: (918) 481-2767 Fax: (918) 583-7908 neck, spine
American Osteopathic Board of Orthopedfic Surgery T R MITF
Sports Medicine Venkatesh Movva, M.D.* 6565 S Yale Ste 212 pain management Tulsa Tulsa, OK74136 Excl. Body Parts/Svcs: Contact: Michelle migraines Phone: (918) 502-4008 Fax: (918) 502-4001 American Board of Internal Medicine T
Sports Medicine Victor R. Palomino, D.O.* 1809 E 13 St Ste 100 knees, shoulders Tulsa Tulsa, OK74104 [email protected] Excl. Body Parts/Svcs: Contact: Rae spine, foot/ankle, hand/elbow Phone: (918) 925-3226 Fax: ( ) - American Osteopathic Board T R
* Physician has multiple specialties. Date: 12/04/2015 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 15:52 (Alphabetical by Specialty) Page: 94 As of July 1, 2015
Specialty Physician/Contact Info Mailing Address Body Parts/Type of Services/ City of Exam Board Certified
Sports Medicine R. Clio Robertson, M.D.* 6585 S Yale Ave Ste 200 neck, spine, shoulder, elbows, Tulsa Tulsa, OK74136 wrists, hips, knees, ankles [email protected] Contact: Phone: (918) 481-2767 Fax: (918) 481-7611
American Board of Orthopedic Surgery T R MITF
Urology Roy Warren Bankhead, M.D. 2349 N Thompkins prostate, kidney, bladder, penis, OKC Bethany, OK73008 vagina [email protected] Contact: Makayla Excl. Body Parts/Svcs: Phone: (405) 495-6134 Fax: (405) 787-8466 all within specialty
American Board of Urology T
* Physician has multiple specialties.