oklahoma workers' compensation … 11.1.17.pdf · specialty physician/contact info mailing...

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OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS Date: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESP Time: 08:04 (Alphabetical by Specialty) Page: 1 As of July 1, 2017 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. 10124 S Sheridan Rd Suite B pain management Tulsa Tulsa, OK74133 [email protected] Contact: Scheduling Dept. Phone: (918) 986-7533 Fax: ( ) - American Board of Anesthesiology T R MITF Anesthesiology Blake Christensen, D.O. PO 514 All, intervential pain management Oklahoma City Norman, OK73070 [email protected] Contact: Cindy Smiley Phone: (405) 286-9820 Fax: ( ) - Certification Unknown T R MITF Anesthesiology Frank J. Hackl, M.D. 7901 S Sheridan Pain Management Tulsa Tulsa, OK74133 Contact: Phone: (918) 710-4112 Fax: (918) 710-4118 American Board of Anesthesiology - Pain Medicine T * Physician has multiple specialties.

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OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 1

As of July 1, 2017

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

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

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

American Board of AnesthesiologyT

Anesthesiology Emad Attallah-Wasif, M.D. 10124 S Sheridan Rd Suite B pain management TulsaTulsa, OK74133

[email protected]: Scheduling Dept.Phone: (918) 986-7533 Fax: ( ) -

American Board of AnesthesiologyT R MITF

Anesthesiology Blake Christensen, D.O. PO 514 All, intervential pain management Oklahoma CityNorman, OK73070

[email protected]: Cindy SmileyPhone: (405) 286-9820 Fax: ( ) -

Certification UnknownT R MITF

Anesthesiology Frank J. Hackl, M.D. 7901 S Sheridan Pain Management TulsaTulsa, OK74133

Contact: Phone: (918) 710-4112 Fax: (918) 710-4118

American Board of Anesthesiology -Pain Medicine

T

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 2

As of July 1, 2017

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

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

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

American Osteopathic Board ofAnesthesiology & Pain Management

T

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

Contact: schedulingPhone: (918) 857-7246 Fax: (918) 359-5828

American Osteopathic Board ofAnesthesiology-Pain Management

T

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

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

American Board of AnesthesiologyT

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 3

As of July 1, 2017

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

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

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

American Osteopathic Board ofAnesthesiology

T R MITF

Anesthesiology Brian Torgerson, M.D. 6802 S. Olympia Ave Suite 100 pain management TulsaTulsa, OK74132

Contact: AlannaPhone: (918) 513-3228 Fax: ( ) -

Anesthesiology and Pain ManagementT

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

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

Certification UnknownT

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

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

Am Board of AnesiologyT

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 4

As of July 1, 2017

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

Anesthesiology Traci L. White, M.D. 6802 S Olympia Avenue Ste 100 Pain Management Only TulsaTulsa, OK74132

Contact: Danielle PiercePhone: (918) 513-3225 Fax: (918) 447-9308

American Board ofAnesthesiology/Pain Medicine

T

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

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

Certification UnknownT

Chiropractic Seyoung Kim, D.C. 3435 NW 50th St. spine (neck, back), hand Oklahoma CityOklahoma City, OK73112

[email protected] Excl. Body Parts/Svcs:Contact: Kristin or Angie NonePhone: (405) 942-4040 Fax: (405) 773-4267

Certification UnknownT

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

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

Certification UnknownT R MITF

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 5

As of July 1, 2017

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

Chiropractic Jim R. Muse, D.C. 6825 S Western Spine, Extermities Oklahoma CityOklahoma City, OK73139

[email protected]: Amber, PeggyPhone: (405) 634-1127 Fax: (405) 634-1177

Certification UnknownT R

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

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

Certification UnknownT

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

[email protected] Excl. Body Parts/Svcs:Contact: self internal orangs, brain, eyes, mouth

and throatPhone: (580) 256-1555 Fax: (580) 256-3370

Certification UnknownT R MITF

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 6

As of July 1, 2017

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

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

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

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

Certification UnknownT R

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

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

Certification UnknownT MITF

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

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

Certification UnknownT R MITF

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 7

As of July 1, 2017

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

Family Medicine Ken Bowlware, D.O. 14024 Quail Pointe Dr. all OKCOklahoma City, OK73134

Excl. Body Parts/Svcs:Contact: Amy nonePhone: (405) 600-1411 Fax: ( ) -

American Board of Family MedicineT R

Family Medicine John Ellis, MD 5100 N Brookline Ave #465 Occupational & Legal Medicine, OKCEntire BodyOklahoma City, OK73112

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

American Board of Family MedicineT R MITF

Family Medicine Jason M. Leinen, M.D.* 3110 SW 89th Suite 102 all family & sports medicine, pain Oklahoma Citymanagement (evaluate all bodyOklahoma City, OK73159parts)[email protected]

Contact: AmyExcl. Body Parts/Svcs:Phone: (405) 703-3611 Fax: (405) 703-3711none

American Board of Family MedicineT

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 8

As of July 1, 2017

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

Family Medicine Steve Randall, M.D. 3400 S Douglas Blvd Suite 302 Interventional Pain Management Oklahoma CityOklahoma City, OK73150

[email protected] Excl. Body Parts/Svcs:Contact: Kendra FibromyalgiaPhone: (405) 733-8000 Fax: ( ) -

Intervential Pain Management andFamily Medicine

T R

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

[email protected] Excl. Body Parts/Svcs:Contact: Kari Hill NonePhone: (405) 757-5211 Fax: ( ) -

American Board of Family Practice R MITF

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

Contact: schedulingPhone: (918) 857-7246 Fax: (918) 359-5828

American Osteopathic Board ofAnesthesiology-Pain Management

T

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 9

As of July 1, 2017

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

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

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

American Board of Family PhysiciansT R MITF

Hand Surgery Mehdi N. Adham, M.D.* 8100 S Walker Ave Bldg A plastic & reconstructive surgery of Oklahoma Cityhands and wristsOklahoma City, OK73139

[email protected]. Body Parts/Svcs:Contact: Aliceall except plastic surgery ofPhone: (405) 632-4468 Fax: (405) 632-4317hands/wrists

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

T R MITF

Hand Surgery Carolyn Berg, MD 6475 S Yale Ave Suite 301 Hands, Wrists, Forearm TulsaTulsa, OK74136

Excl. Body Parts/Svcs:Contact: all but listedPhone: (918) 494-9300 Fax: ( ) -

American Board of SurgeryT R

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 10

As of July 1, 2017

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

Hand Surgery James F. Bischoff, M.D.* 2448 East 81st Street Suite 1520 hands, wrists TulsaTulsa, OK74137

Excl. Body Parts/Svcs:Contact: spine, elbows, shoulders, feet,

ankles, knees, hips, rate onlyPhone: (918) 900-2520 Fax: (918) 900-2521cases

American Board of OrthopedicSurgery

T R

Hand Surgery Brian Chalkin, D.O.* 1809 E 13 St Ste 100 Shoulder, Elbow, Hand, Wrist TulsaTulsa, OK74104

[email protected] Excl. Body Parts/Svcs:Contact: Rae Knee, Ankle, Hip, Spine, Neck,

PelvisPhone: (918) 582-6800 Fax: (918) 301-4293

American Osteopathic Board ofOrthopedic Surgery

T R

Hand Surgery Joel L. Frazier, M.D.* 1044 SW 44 St Ste 600 hands, upper extremities, elbows, Oklahoma CitywristsOklahoma City, OK73109Excl. Body Parts/Svcs:Contact: eRNESTall except hands, elbows, wristsPhone: (405) 631-4263 Fax: ( ) -

American Board of OrthopedicSurgery

T R

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 11

As of July 1, 2017

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

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

[email protected]. Body Parts/Svcs:Contact: Lorineck, back, hips, feetPhone: (405) 230-9270 Fax: (405) 230-9474

American Board of OrthopedicSurgery

T R

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

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

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

American Board of OrthopedicSurgery

T R MITF

Hand Surgery Daron C. Hitt, M.D. 3115 SW 89 Street Hand, Forearm up to, but not Oklahoma Cityincluding elbow.Oklahoma City, OK73159

[email protected]. Body Parts/Svcs:Contact: Carla Webster @[email protected] elbow, unless for plasticsPhone: (405) 486-6800 Fax: (405) 426-6441

American Board of SurgeryT R MITF

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 12

As of July 1, 2017

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

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

[email protected]. Body Parts/Svcs:Contact: Lorispine, (neck,back)Phone: (405) 230-9270 Fax: (405) 230-9424

American Board of OrthopedicSurgery

T R

Hand Surgery Stephen W. Mihalsky, M.D. 105 S Bryant Ste 407 Hand Surgery- Elbow, Wrist, Hand Midwest City,EdmondEdmond, OK73034

[email protected] Excl. Body Parts/Svcs:Contact: Judith Palmer Neck and ShoulderPhone: (405) 348-5060 Fax: (405) 364-8750

American Board of Surgery of theHand, American Board of Surgery

T R MITF

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

Excl. Body Parts/Svcs:Contact: Latoya Everything except Hand and WristPhone: (918) 392-1400 Fax: (918) 392-1401

American Board of Surgery - HandSurgery

T

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 13

As of July 1, 2017

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

Hand Surgery M. Sean O'Brien, D.O.* 3110 SW 89th St., Suite 200C Hands and Shoulders Oklahoma CityOklahoma City, OK73159

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

American Osteopathic Board ofOrthopedic Surgery

T

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

[email protected] Excl. Body Parts/Svcs:Contact: Stephanie Kelley Non-Upper ExtremityPhone: (405) 945-4888 Fax: (405) 945-4887

American Board of OrthopedicSurgery/ Am Bd of Ortho Surg ofHand

T R

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

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

American Board of OrthopedicSurgery, Hand Surgery

T

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 14

As of July 1, 2017

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

Hand Surgery Houshang Seradge, M.D.* 1044 SW 44 Street Suite 518 hands & wrists Oklahoma CityOklahoma City, OK73109

Excl. Body Parts/Svcs:Contact: Misti spinePhone: (405) 634-4263 Fax: ( ) -

American Board of OrthopedicSurgery

T R MITF

Internal Medicine S.A. Chaudhry, M.D. 5611 Mosteller Dr All Parts of the Body Oklahoma CityOklahoma City, OK73112

Excl. Body Parts/Svcs:Contact: Dr. Chaudry Genitals and Female Pelvic OrgansPhone: (405) 843-2345 Fax: (405) 843-8237

American Board of Internal MedicineT R

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

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

American Board of Internal Medicine R MITF

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 15

As of July 1, 2017

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

Internal Medicine Kenneth R. Trinidad, D.O.* 1006 W 23 St Internal Medicine-All body parts TulsaTulsa, OK74107

Excl. Body Parts/Svcs:Contact: Rhonda Pulmonary and Chemical exposure,

including moldPhone: (918) 742-4881 Fax: (918) 742-5854

Internal MedicineT R MITF

Neurology Gabriel Pitman, D.O. 401 SW 80 STE 201 Neurology-Head and Spine, Oklahoma Cityperipheral nerveOklahoma City, OK73139

[email protected]: Paula ByrdPhone: (405) 632-9090 Fax: ( ) -

American Board of NeurologyT

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

Contact: GaryPhone: (405) 271-4488 Fax: (405) 271-8802

American Board of ProfessionalPsychology/Clinical Neuropsych

T R

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 16

As of July 1, 2017

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

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

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

ABPP - Clinical NeuropsychologyT R

Neuropsychology - Clinical Russell Pella, PhD 7146 S Braden Ave Suite 500 clinical neuropsychology TulsaTulsa, OK74136

[email protected] Excl. Body Parts/Svcs:Contact: scheduler all but neuropsychology and

psychiatricPhone: (918) 488-6165 Fax: ( ) -

American Board of ClinicalNeuropsychology

T R MITF

Neuropsychology Faust Bianco, Jr., Ph.D.* 7146 S Braden Ave Ste 500 Rehab Neuropsychology-Brain, TulsaNervous System, all behavioralTulsa, OK74136aspects of physicale psychologicaltraumaContact: Suzan

Phone: (918) 746-0794 Fax: (918) 746-0717Excl. Body Parts/Svcs:Children

Certification UnknownT R MITF

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 17

As of July 1, 2017

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

Neuropsychology Douglas O. Brady, Ph.D.* 1401 SW Park Ridge Blvd Ste D Brain; Back (Spine); Chronic pain Lawtonissues multiple sitesLawton, OK73505

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

American Board of ProfessionalDisability

T R MITF

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

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

Certification Unknown R MITF

Neuropsychology Terry G. Shaw, Ph.D. PO Box 3010 head, brain, psychological overlay TulsaMcAlester, OK74502

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

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

American Board of ProfessionalNeuropsychology

T

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 18

As of July 1, 2017

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

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

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

Certification UnknownT R

Neurosurgery Clinton J. Baird, M.D. 6802 S Olympia Ave Ste 300 Back, Neck, Brain, Carpal Tunnel, TulsaUlnar NerveTulsa, OK74132

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

Certification UnknownT R

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

[email protected]. Body Parts/Svcs:Contact: Kimall except specialtyPhone: (918) 491-3512 Fax: (918) 491-3542

Certification UnknownT R

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 19

As of July 1, 2017

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

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

[email protected] Tulsa, OK74063 Excl. Body Parts/Svcs:Contact: Sheila, Melissa extremitiesPhone: (918) 749-0762 Fax: (918) 744-4246

American Board of NeurologicalSurgery

T

Neurosurgery Joseph Bridger Cox, M.D. 4120 W. Memeorial Rd Neck, Back, Wrist (carpal tunnel) OKCOklahoma City, OK73120

[email protected] Excl. Body Parts/Svcs:Contact: Ashley Shoulders, Knees, lower extremitiesPhone: (405) 748-3300 Fax: ( ) -

Certification UnknownT

Neurosurgery Allan S. Fielding, M.D. 2000 S Wheeling Ste 1110 head, neck, back, shoulder, hip, Tulsa (Treatknee, hands (CTS), ulnar neuropathy ONLY) andTulsa, OK74104

Oklahoma CityContact: TeriPhone: (918) 294-0080 Fax: ( ) -

American Board of NeurologicalSurgery

T R MITF

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 20

As of July 1, 2017

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

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

[email protected] Excl. Body Parts/Svcs:Contact: Dana all body parts not specifiedPhone: (405) 945-4900 Fax: (405) 945-4901

American Board of NeurologicalSurgery

T

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

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

extremitiesPhone: (405) 748-3300 Fax: (405) 749-1671

American Board of NeurologicalSurgery

T

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

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

American Board of NeurologicalSurgery

T

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 21

As of July 1, 2017

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

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

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

American Board of NeurologicalSurgery

T

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

[email protected]. Body Parts/Svcs:Contact: AlishaNothing outside of cervical,Phone: (405) 242-4720 Fax: (405) 242-4933lumbar, and brain

American Board of NeurologicalSurgery

T R MITF

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

[email protected]. Body Parts/Svcs:Contact: Marie, AlishaNothing outside of cervical,Phone: (405) 242-4720 Fax: (405) 242-4765lumbar, brain or carpal tunnel

American Board of NeurologicalSurgery

T R MITF

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 22

As of July 1, 2017

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

Neurosurgery Kyle Mangels, M.D. 6802 S Olympia Ave Ste 300 Back, Neck, Brain, Crpal Tunnel, TulsaUlnar NerveTulsa, OK74132

[email protected]. Body Parts/Svcs:Contact: SheilaLegs, Hips, JointsPhone: (918) 749-0762 Fax: (918) 744-4246

American Board of NeurologicalSurgery

T R

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

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

American Osteopathic Board ofSurgery

T R

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

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

American Board of NeurologicalSurgery

T

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 23

As of July 1, 2017

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

Neurosurgery Stan Pelofsky, M.D. 4120 W Memorial Rd Ste 300 Head, Neck, Back, Wrist (Carpal Oklahoma CityTunnel)Oklahoma City, OK73120

[email protected]. Body Parts/Svcs:Contact: Angieshoulders, kneesPhone: (405) 748-3300 Fax: (405) 748-2920

American Board of NeurologicalSurgery

T R

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

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

Certification UnknownT R

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

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

American Board of NeurologicalSurgery

T R

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 24

As of July 1, 2017

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

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

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

American Board of NeurologicalSurgery

T

Neurosurgery James A. Rodgers, M.D. 6565 S Yale Ste 709 Neurp Spine and Cervical Spine TulsaTulsa, OK74136

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

American Board of NeurologicalSurgery

T R

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

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

American Board of NeurologicalSurgery

T

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 25

As of July 1, 2017

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

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

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

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

American Board of NeurologicalSurgery

T

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

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

American Board of NeurologicalSurgery

T

Neurosurgery Frank J. Tomecek, M.D. 6802 S Olympia Ave Ste 300 Back, Neck, Brain, Carpal Tunnel, TulsaUlnar NerveTulsa, OK74132

[email protected]. Body Parts/Svcs:Contact: SheilaLegs, Hips, JointsPhone: (918) 749-0762 Fax: (918) 749-8531

American Board of NeurologicalSurgery

T R

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 26

As of July 1, 2017

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

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

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

American Board of NeurologicalSurgery

T R

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

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

American Board of NeurologicalSurgery

T R

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

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

Am Board of OsteopathicNeurological Surgery

T R

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 27

As of July 1, 2017

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

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

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

American Board of Internal Medicine& Preventive Medicine

T R MITF

Occupational Medicine John W. Hallford, D.O. 5682 W Skelly Dr occupational medicine/General TulsaPracticeTulsa, OK74107

[email protected]. Body Parts/Svcs:Contact: Erin or ChristinanonePhone: (918) 446-1891 Fax: (918) 446-1894

American Osteopathic Board ofFamily Physicians

T R MITF

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

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

American Board of Internal Medicine R MITF

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 28

As of July 1, 2017

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

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

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

Certification Unknown R MITF

Occupational Medicine John A. Munneke, M.D. 36 W Memorial Ste B9 Physical Medicine-Pain Management Oklahoma CityOklahoma City, OK73114

[email protected] Excl. Body Parts/Svcs:Contact: JoAnne Thacker PulmonaryPhone: (405) 755-9702 Fax: (405) 755-9718

Certification UnknownT R MITF

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

Excl. Body Parts/Svcs:Contact: Linda PsychiatricPhone: (918) 496-1991 Fax: ( ) -

Certification Unknown R MITF

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 29

As of July 1, 2017

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

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

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

Certification UnknownT R MITF

Occupational Medicine J. A. Snelling, D.O. PO Box 702738 Spine, Musculoskeletal TulsaTulsa, OK74170

none Excl. Body Parts/Svcs:Contact: Margaret Cardiac-RespiratoryPhone: (918) 749-3187 Fax: (918) 491-9925

American Board of FamilyPhysicians, Am Board of PreventiveMed.

R

Occupational Medicine Kenneth R. Trinidad, D.O.* 1006 W 23 St Internal Medicine-All body parts TulsaTulsa, OK74107

Excl. Body Parts/Svcs:Contact: Rhonda Pulmonary and Chemical exposure,

including moldPhone: (918) 742-4881 Fax: (918) 742-5854

Internal MedicineT R MITF

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 30

As of July 1, 2017

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

Occupational Medicine Mark Stephen Wilson, M.D.* 2821 NW 50th Street all orthopedics, continuing medical Tulsa, OKCmaintenanceOklahoma City, OK73112Excl. Body Parts/Svcs:Contact: TU-Sandra, OKC-TaylerNonePhone: (405) 606-6886 Fax: (405) 606-6544

Certification UnknownT R MITF

Orthopedic Surgery Kasra Ahmadinia, M.D. 6475 S. Yale Ave Suite 301 Neck and Spine TulsaTulsa, OK74136

[email protected] Excl. Body Parts/Svcs:Contact: hand, Shoulder, Knee, Ankle, ElbowPhone: (918) 494-9300 Fax: ( ) -

Certification Unknown R MITF

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

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

American Board of OrthopedicSurgery

T R MITF

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 31

As of July 1, 2017

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

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

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

extremitiesPhone: (405) 947-0911 Fax: (405) 948-5177

American Board of OrthopedicSurgery

T R MITF

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

[email protected] Excl. Body Parts/Svcs:Contact: Pam All except brain, neck, spinePhone: (918) 994-4068 Fax: (918) 994-4095

Certification UnknownT R

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

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

American Board of OrthopedicSurgery

T

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 32

As of July 1, 2017

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

Orthopedic Surgery James F. Bischoff, M.D.* 2448 East 81st Street Suite 1520 hands, wrists TulsaTulsa, OK74137

Excl. Body Parts/Svcs:Contact: spine, elbows, shoulders, feet,

ankles, knees, hips, rate onlyPhone: (918) 900-2520 Fax: (918) 900-2521cases

American Board of OrthopedicSurgery

T R

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

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

American Board of OrthopaedicSurgery

T R MITF

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

[email protected] Excl. Body Parts/Svcs:Contact: BROOKE hips, back, foot, anklePhone: (405) 517-3719 Fax: (405) 360-6769

American Board of OrthopaedicSurgery

MITF

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 33

As of July 1, 2017

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

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

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

rate only casesPhone: (918) 494-9300 Fax: (918) 494-9397

American Board of OrthopedicSurgery/Sports Medicine

T R

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

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

shoulders, elbows, no rate only casPhone: (918) 494-9300 Fax: (918) 494-9397

American Board of OrthopedicSurgery/AmBd Ortho Surg of theSpine

T R

Orthopedic Surgery Steven P. Brantley, M.D. 3301 NW 50th Street Knees, Shoulders, Hips, and Elbows Oklahoma CityOklahoma City, OK73112

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

Certification UnknownT

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 34

As of July 1, 2017

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

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

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

shoulders, elbows, no rate onlyPhone: (918) 494-9300 Fax: (918) 494-9397cases

American Board of OrthopedicSurgery

T R

Orthopedic Surgery James D. Cash, M.D.* 2448 East 81st Street, Suite 1520 knees, shoulders TulsaTulsa, OK74137

[email protected] Excl. Body Parts/Svcs:Contact: nonePhone: (918) 900-2520 Fax: (918) 900-2521

American Board of OrthopedicSurgery

T R MITF

Orthopedic Surgery Brian Chalkin, D.O.* 1809 E 13 St Ste 100 Shoulder, Elbow, Hand, Wrist TulsaTulsa, OK74104

[email protected] Excl. Body Parts/Svcs:Contact: Rae Knee, Ankle, Hip, Spine, Neck,

PelvisPhone: (918) 582-6800 Fax: (918) 301-4293

American Osteopathic Board ofOrthopedic Surgery

T R

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 35

As of July 1, 2017

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

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

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

American Board of OrthopedicSurgery

T R

Orthopedic Surgery Ashley Cogar, M.D. 9800 Broadway Extension Suite 201 elbow, wrist, hand Oklahoma CityOklahoma City, OK73114

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

or footPhone: (405) 419-5665 Fax: (405) 419-5429

Certification UnknownT R

Orthopedic Surgery Arthur Hobart Conley, III, M.D. P O Box 891328 (spine) back and neck only Oklahoma CityOklahoma City, OK73189

[email protected] Excl. Body Parts/Svcs:Contact: Sarita all except spinePhone: (405) 703-7306 Fax: (405) 703-7334

American Board of OrthopedicSurgery

T

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 36

As of July 1, 2017

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

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

[email protected] Excl. Body Parts/Svcs:Contact: Nancy spine, feet, handsPhone: (405) 692-3749 Fax: (405) 692-3789

American Board of OrthopedicSurgery

T R MITF

Orthopedic Surgery Steven D. Coupens, M.D. 9800 Broadway Extension Suite 201 all body parts Oklahoma CityOklahoma City, OK73114

[email protected]: Phone: (405) 427-6776 Fax: (405) 424-5415

American Board of OrthopedicSurgery

T R MITF

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

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

American Board of OrthopedicSurgery

T R MITF

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 37

As of July 1, 2017

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

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

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

American Board of OrthopaedicSurgery

T R

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

[email protected] Excl. Body Parts/Svcs:Contact: Denise all but shoulderPhone: (918) 392-1403 Fax: (918) 392-1401

American Board of OrthopedicSurgery

T

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

[email protected] Excl. Body Parts/Svcs:Contact: Lori Spine, Neck, HipPhone: (405) 230-9270 Fax: (405) 230-9505

American Board of OrthopedicSurgery

T

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 38

As of July 1, 2017

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

Orthopedic Surgery Rory C. Dunham, D.O. 9060 Harmony Drive, Ste. B hand, knee, shoulder, ankle, elbow, Midwest Cityhip, feet, backMidwest City, OK73130

[email protected]: Phone: (405) 759-2562 Fax: ( ) -

American Osteopathic Board ofOrthopedic Surgery

T

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

Excl. Body Parts/Svcs:Contact: Denis 918-392-1403 back, neck, handsPhone: (918) 392-1403 Fax: (918) 392-1401

American Board of OrthopedicSurgery

T R

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

[email protected] Excl. Body Parts/Svcs:Contact: Central Scheduling AnklesPhone: (405) 947-0911 Fax: (405) 948-5177

American Board of OrthopedicSurgery

T R

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 39

As of July 1, 2017

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

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

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

American Board of OrthopedicSurgery

T

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

[email protected]. Body Parts/Svcs:Contact: Loriall except spinePhone: (405) 230-9270 Fax: (405) 230-9421(shoulders,elbows,hands,wrist,hips,knees,ankles/f

American Board of OrthopaedicSurgery

T R

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

[email protected]. Body Parts/Svcs:Contact: Sherita, Kendra, TracyNonePhone: (405) 378-4472 Fax: (405) 378-3580

American Board of OrhtopedicSurgery

T R

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 40

As of July 1, 2017

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

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

[email protected] Excl. Body Parts/Svcs:Contact: appt desk spinePhone: (918) 481-7658 Fax: (918) 481-7611

American Board of OrthopedicSurgery

T R MITF

Orthopedic Surgery Sami R. Framjee, M.D. 2000 S Wheeling Ave Ste 1110 spine and general orthopaedics Tulsa (Treatonly) andTulsa, OK74104Oklahoma [email protected] Excl. Body Parts/Svcs:

Contact: Teri NonePhone: (918) 294-0080 Fax: (918) 742-2119

American Board of OrthopedicSurgery

T R MITF

Orthopedic Surgery Joel L. Frazier, M.D.* 1044 SW 44 St Ste 600 hands, upper extremities, elbows, Oklahoma CitywristsOklahoma City, OK73109Excl. Body Parts/Svcs:Contact: eRNESTall except hands, elbows, wristsPhone: (405) 631-4263 Fax: ( ) -

American Board of OrthopedicSurgery

T R

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 41

As of July 1, 2017

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

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

[email protected]. Body Parts/Svcs:Contact: Lorineck, back, hips, feetPhone: (405) 230-9270 Fax: (405) 230-9474

American Board of OrthopedicSurgery

T R

Orthopedic Surgery Timothy Michael Geib, M.D. 13401 N Western Ave, Ste. 301 knees, shoulders, elbows, hips, Edmond, OKChands, armsOklahoma City, OK73114

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

American Board of OrthopedicSurgery

T R

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

[email protected]. Body Parts/Svcs:Contact: Lorispine, neckPhone: (405) 230-9270 Fax: (405) 230-9474

American Board of OrthopedicSurgery

T R

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 42

As of July 1, 2017

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

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

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

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

American Board of OrthopedicSurgery

T R MITF

Orthopedic Surgery Kevin Wayne Hargrove, M.D. 101 S Saints Blvd Ste 101 Orthopaedic Surgery; Sports EdmondMedicince-Shoulders and kneesEdmond, OK73034

[email protected]. Body Parts/Svcs:Contact: Work Comp CordinatorSurgical Spine CasesPhone: (405) 513-8326 Fax: (405) 513-7739

American Board of OrthopedicSurgery

T MITF

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

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

American Board of OrthopedicSurgery

T R MITF

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 43

As of July 1, 2017

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

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

Excl. Body Parts/Svcs:Contact: Allison shoulders, elbows, hips, knees

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

American Board of OrthopedicSurgery

T R MITF

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

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

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

American Board of OrthopedicSurgery

T R MITF

Orthopedic Surgery Robert Frazer Hines, M.D. 9800 Broadway Extension Suite 201 shoulders, knees Oklahoma CityOklahoma City, OK73114

[email protected] Excl. Body Parts/Svcs:Contact: Naci Neck, back, foot and ankle, elbow,

hipPhone: (405) 348-6004 Fax: (405) 715-8853

American Board of OrthopedicSurgery

T

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 44

As of July 1, 2017

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

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

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

American Board of OrthopedicSurgery

T R MITF

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

[email protected]. Body Parts/Svcs:Contact: Lorispine, (neck,back)Phone: (405) 230-9270 Fax: (405) 230-9424

American Board of OrthopedicSurgery

T R

Orthopedic Surgery Christopher Shane Hume, D.O. 3115 SW 89th spine (neck & back) Oklahoma CityOklahoma City, OK73159

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

Board EligibleT

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 45

As of July 1, 2017

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

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

[email protected] Excl. Body Parts/Svcs:Contact: Latoya spine, handsPhone: (918) 392-1400 Fax: (918) 392-1401

American Board of OrthopedicSurgery

T

Orthopedic Surgery Paul Jacob, D.O. 9800 Broadway Extension Suite 201 adult reconstruction total joint Oklahoma CityreplacementOklahoma City, OK73114

[email protected]. Body Parts/Svcs:Contact: Joann Ellisuper extremity injuriesPhone: (405) 424-5426 Fax: (405) 424-5416

Certification UnknownT MITF

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

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

American Board of Family Medicine &Orthopaedic Surgery

T R

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 46

As of July 1, 2017

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

Orthopedic Surgery J. Calvin Johnson, M.D. 9800 Broadway Extension Suite 203 knees, shoulders Oklahoma CityOklahoma City, OK73114

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

American Board of OrthopedicSurgery

T

Orthopedic Surgery Wayne A. Johnson, M.D. PO Box 7137 Knee, Shoulder, Hand LawtonLawton, OK73506

[email protected] Excl. Body Parts/Svcs:Contact: Cassandra Back, Neck, HipPhone: (580) 536-2265 Fax: (580) 536-7805

American Board of OrthopedicSurgery

T R MITF

Orthopedic Surgery Daniel J. Jones, M.D. 8100 S Walker Ave Bldg A knee, shoulder, foot, ankle, legs, Oklahoma Cityarms, elbowsOklahoma City, OK73139

[email protected]. Body Parts/Svcs:Contact: Alice Mataspine and neckPhone: (405) 632-4468 Fax: (405) 632-4317

American Board of OrthopaedicSurgery

T R MITF

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 47

As of July 1, 2017

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

Orthopedic Surgery Michael E. Kiehn, M.D. 3301 NW 50 St Knees and Shoulders Oklahoma CityOklahoma City, OK73112

Excl. Body Parts/Svcs:Contact: Central Scheduling Spine (neck and back)Phone: (405) 947-0911 Fax: (405) 942-5043

American Board of OrthopaedicSurgery

T R

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

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

American Board of OrthopaedicSurgery

T R

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

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

Certification UnknownT R

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 48

As of July 1, 2017

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

Orthopedic Surgery Mark F. Kowalski, M.D. 4140 W Memorial Rd Ste 308 Shoulders, Arms, Elbows, Hands, Oklahoma CityHips, Legs, Knees, Ankles, and FeetOklahoma City, OK73120Excl. Body Parts/Svcs:Contact: Laura Shelton, Diane EnglesNeck and BackPhone: (405) 749-7031 Fax: (405) 749-7036

American Board of OrthopedicSurgery

T R

Orthopedic Surgery Sarat Kunapuli, D.O. 6475 S Yale Suite 301 Knees, Hips and Shoulders TulsaTulsa, OK74136

Excl. Body Parts/Svcs:Contact: Lori all except listedPhone: (918) 494-9300 Fax: ( ) -

American Osteopathic AssociationT R

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

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

American Board of OrthopedicSurgery & Spine Surgery

T

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 49

As of July 1, 2017

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

Orthopedic Surgery Ronald S. LaButti, D.O.* 6585 S Yale Ave Ste 200 Total Joint Reconstruction, Hip and TulsaKneeTulsa, OK74136

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

American Osteopathic Aacademy ofOrthopedics

T R MITF

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

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

American Board of OrthopaedicSurgery

T R MITF

Orthopedic Surgery Brian A. Levings, D.O. 8100 S Walker Ave Bldg A arms, legs, shoulders, knees, feet, Oklahoma Cityankles, elbowsOklahoma City, OK73139

[email protected]. Body Parts/Svcs:Contact: Alice Mataback, neckPhone: (405) 632-4468 Fax: (405) 632-4317

American Osteopathic Board ofOrthopaedic Surgery

T R MITF

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 50

As of July 1, 2017

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

Orthopedic Surgery Alan G. Lewis, M.D. 2448 East 81st Street, Suite 1520 feet, ankles, knees TulsaTulsa, OK74137

Excl. Body Parts/Svcs:Contact: spine, hips, hands, elbows,

shoulders, rate only casesPhone: (918) 900-2520 Fax: (918) 900-2521

Premier Orthopedic Specialists ofTulsa

T R

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

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

American Board of OrthopedicSurgery

T R MITF

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

[email protected] Excl. Body Parts/Svcs:Contact: Lori spine, hands, hips, feetPhone: (918) 494-9300 Fax: (918) 494-9397

American Board of OrthopedicSurgery

T R

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 51

As of July 1, 2017

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

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

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

Orthopedic SurgeryT R MITF

Orthopedic Surgery Bradley Margo, M.D. PO Box 268981 shoulders, knees Oklahoma City,Norman, EdmondOklahoma City, OK73126--898

[email protected] Excl. Body Parts/Svcs:Contact: Lori backs, necks, hips, feet, handsPhone: (405) 230-9270 Fax: (405) 230-9475

American Board of OrthopaedicSurgery

T R

Orthopedic Surgery Robert Marsh, D.O. 6475 S Yale Ave. Suite 301 all body parts but spine and neck TulsaTulsa, OK74136

Excl. Body Parts/Svcs:Contact: Wendy spine and neckPhone: (918) 494-9300 Fax: ( ) -

American Osteopathic AssociationT R

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 52

As of July 1, 2017

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

Orthopedic Surgery James C. Mayoza, M.D. 6122 E 61 St Orthopedic surgery all body parts TulsaTulsa, OK74136-2117

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

American Board of OrthopedicSurgery

T R MITF

Orthopedic Surgery Yogesh Mittal, M.D. 1809 E 13 St Ste 100 Orthopedic Surgeon-Total Joint- TulsaKnees-HipsTulsa, OK74104Excl. Body Parts/Svcs:Contact: Nancy 918-925-3204spinePhone: (918) 582-6800 Fax: (918) 301-4293

American Board of OrthopaedicSurgery

T

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

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

American Board of OrthopaedicSurgery

T R MITF

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 53

As of July 1, 2017

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

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

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

American Osteopathic Board ofOrthopedfic Surgery

T R MITF

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

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

American Board of OrthopaedicSurgery

T R

Orthopedic Surgery Ryan L. Nelson, D.O 1616 S. Kelly Orthopedic Surgery (Shoulder, EdmondElsbow, Knee, Trauma/Fractures Hip,Edmond, OK73013Wrist, Ankle)[email protected]

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

Certification UnknownT R MITF

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 54

As of July 1, 2017

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

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

[email protected] Excl. Body Parts/Svcs:Contact: Melissa neck, spine, hips, hands and wristsPhone: (918) 481-2767 Fax: (918) 481-7611

American Board of OrthopedicSurgery

T R MITF

Orthopedic Surgery M. Sean O'Brien, D.O.* 3110 SW 89th St., Suite 200C Hands and Shoulders Oklahoma CityOklahoma City, OK73159

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

American Osteopathic Board ofOrthopedic Surgery

T

Orthopedic Surgery James M. Odor, M.D. 14100 Parkway Commons Dr Ste 200 Spine surgery (Neck and entire Oklahoma CitySpine)Oklahoma City, OK73134Excl. Body Parts/Svcs:Contact: Valerie, ReneeAmything NOT connected with thePhone: (405) 242-4345 Fax: (405) 242-4333spine (neck and back)

American Board of OrthopedicSurgery

T

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 55

As of July 1, 2017

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

Orthopedic Surgery L. Todd Olsen, D.O. Olsen Orthopedics knees, shoulders OKC3400 S Douglas Blvd Ste 302

[email protected] Oklahoma City, OK73150 Excl. Body Parts/Svcs:Contact: Andrea backsPhone: (405) 733-8000 Fax: (405) 733-7820

American Osteopathic Board ofOrthopedic Surgery

T R MITF

Orthopedic Surgery Victor R. Palomino, D.O.* 1809 E 13 St Ste 100 Orthopedics; Sports Medicine TulsaTulsa, OK74104

[email protected] Excl. Body Parts/Svcs:Contact: Rae Back, Foot/ankle, handPhone: (918) 582-6800 Fax: ( ) -

American Osteopathic BoardT

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

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

AOAT R MITF

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 56

As of July 1, 2017

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

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

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

American Board of OrthopaedicSurgery

T R MITF

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

[email protected] Excl. Body Parts/Svcs:Contact: Stephanie Kelley Non-Upper ExtremityPhone: (405) 945-4888 Fax: (405) 945-4887

American Board of OrthopedicSurgery/ Am Bd of Ortho Surg ofHand

T R

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

[email protected] Excl. Body Parts/Svcs:Contact: Monique nonePhone: (405) 364-7900 Fax: (405) 310-6866

Certification UnknownT R MITF

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 57

As of July 1, 2017

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

Orthopedic Surgery R. Clio Robertson, M.D.* 6585 S Yale Ave Ste 200 shoulder, elbows, wrists, hips, Tulsaknees, ankles, neck spineTulsa, OK74136

[email protected]: Phone: (918) 481-2767 Fax: (918) 481-7611

American Board of OrthopedicSurgery

T R MITF

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

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

American Board of OrthopedicSurgery, Hand Surgery

T

Orthopedic Surgery Houshang Seradge, M.D.* 1044 SW 44 Street Suite 518 hands & wrists Oklahoma CityOklahoma City, OK73109

Excl. Body Parts/Svcs:Contact: Misti spinePhone: (405) 634-4263 Fax: ( ) -

American Board of OrthopedicSurgery

T R MITF

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 58

As of July 1, 2017

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

Orthopedic Surgery Blake Shockley, M.D. 6585 S Yale Ave Suite 200 shoulder, elbow, hip, knee and Tulsa areaankleTulsa, OK74136

[email protected]. Body Parts/Svcs:Contact: Jennifer. Angiespine, handPhone: (918) 481-2767 Fax: ( ) -

American Board of OrthopedicSurgery

T R MITF

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

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

American Board of OrthopedicSurgery

T

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

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

Orthopedic SurgeryT

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 59

As of July 1, 2017

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

Orthopedic Surgery Sheryl C. Smith, M.D. 9800 Broadway Extension Suite 201 foot, ankle Oklahoma CityOklahoma City, OK73114

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

Certification UnknownT R

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

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

American Board of OrthopedicSurgery

T R

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

[email protected] Excl. Body Parts/Svcs:Contact: Denise all except feet and anklesPhone: (918) 392-1403 Fax: (918) 392-1401

American Osteopathic Board ofOrthopedic Surgery

T

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 60

As of July 1, 2017

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

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

[email protected] Excl. Body Parts/Svcs:Contact: Darcy spine, lower extremitiesPhone: (405) 692-3700 Fax: (405) 923-3783

Certification UnknownT R MITF

Orthopedic Surgery Mark Stephen Wilson, M.D.* 2821 NW 50th Street all orthopedics, continuing medical Tulsa, OKCmaintenanceOklahoma City, OK73112Excl. Body Parts/Svcs:Contact: TU-Sandra, OKC-TaylerNonePhone: (405) 606-6886 Fax: (405) 606-6544

Certification UnknownT R MITF

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

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

American Board of OrthopedicSurgery

T R MITF

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 61

As of July 1, 2017

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

Orthopedic Surgery Michael Wright, M.D. 3115 SW 89 Spine (evaluat all body parts) Oklahoma CityOklahoma City, OK73159

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

American Board of Spine SurgeryT R

Orthopedic Surgery Gregory J. Zeiders, D.O. 1800 S. Renaissance Blvd, Suite 210 hands, wrists, elbows, shoulders, Edmondfeet, ankles, knees, hipsEdmond, OK73013

[email protected]. Body Parts/Svcs:Contact: LindsayComplex Hand or SpinePhone: (405) 509-7370 Fax: (405) 509-7373

American Osteopathic Board ofOrthopedic Surgery

T R

Orthopedics Darnell E. Blackmon, M.D.* 1809 E 13 Ste 100 Sports Medicine, Food and Ankle TulsaTulsa, OK74104

Excl. Body Parts/Svcs:Contact: Rae spine, handPhone: (918) 582-6800 Fax: (918) 582-6060

American Board of OrthopaedicSurgery

T R

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 62

As of July 1, 2017

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

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

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

Certification UnknownT R MITF

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

[email protected] Excl. Body Parts/Svcs:Contact: Lori all except foot and anklePhone: (405) 230-9270 Fax: (405) 230-9424

American Board of OrthopaedicSurgery

T R

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

[email protected] Excl. Body Parts/Svcs:Contact: Lori Spine, Neck, Hip, Ankles, Feet,

ElbowsPhone: (405) 230-9270 Fax: (405) 230-9475

American Board of OrthopaedicSurgery & Sports Medicine

T

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 63

As of July 1, 2017

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

Orthopedics Michael Brandon Johnson, M.D. 9800 Broadway Extension Suite 203 all within specialty OKCOklahoma City, OK73114

Excl. Body Parts/Svcs:Contact: Debra Lewis SpinePhone: (405) 424-5417 Fax: (405) 424-5418

Certification UnknownT

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

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

Certification UnknownT R MITF

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

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

American Board of OrthopaedicSurgery

T R

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 64

As of July 1, 2017

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

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

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

American Board of OtolaryngologyT R

Otolaryngology Alen Munson Fuller, M.D. 1725 E 19 St Ste 100 Ears, Nose, Throat, Hearing- TulsaCummulative Noise ExposureTulsa, OK74104

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

American Board of OtolaryngologyT R

Otolaryngology John R. Houck, M.D. 800 Stanton L Young AAT 1400 ear, nose, throat OKCOklahoma City, OK73104

[email protected] Excl. Body Parts/Svcs:Contact: Tiffney tiffaney-cardwell@ouhs complaints of dizziness or hearing

lossPhone: (405) 271-1368 Fax: (405) 271-3248

American Board of OtolaryngologyT

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 65

As of July 1, 2017

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

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

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

American Board of OtolaryngologyT R

Physical Medicine and Donald E. Adams, M.D. 1616 S Kelly pain management EdmondRehabilitation Edmond, OK73013-3651

[email protected] Excl. Body Parts/Svcs:Contact: Joann feet, anklesPhone: (405) 330-0032 Fax: (405) 330-0092

American Board of Medicine &Rehabilitation & Pain Medicine

T R

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

[email protected]: Stacey/SergioPhone: (405) 949-6481 Fax: (405) 795-5909

American Board of PhysicalMedicine/Rehabilitation

T

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 66

As of July 1, 2017

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

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

problemsContact: Jean/Cecylia

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

American Board of PhysicalMedicine/Rehabilitation

T R

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

and joint [email protected]: Cecylia/Jean

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

American Academy of PhysicalMedicine/Rehab

T R

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

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

American Board of Physical Medicineand Rehab-Pain Management

T R

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 67

As of July 1, 2017

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

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

shoulders (Physiatry)[email protected]: Allison

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

American Board of PhysicalMedicine/Rehabilitation

T R MITF

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

medical [email protected]: SarahPhone: (405) 601-5899 Fax: (405) 601-5903

American Board of Physical Medicineand Rehabilitation

T

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

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

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

American Board of PhysicalMedicine/Rehabilitation/Electrodiagnos

T R

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 68

As of July 1, 2017

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

Plastic Surgery Mehdi N. Adham, M.D.* 8100 S Walker Ave Bldg A plastic & reconstructive surgery of Oklahoma Cityhands and wristsOklahoma City, OK73139

[email protected]. Body Parts/Svcs:Contact: Aliceall except plastic surgery ofPhone: (405) 632-4468 Fax: (405) 632-4317hands/wrists

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

T R MITF

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

[email protected] Excl. Body Parts/Svcs:Contact: NonePhone: (405) 348-4141 Fax: (405) 340-0686

Certification UnknownT

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

[email protected] Excl. Body Parts/Svcs:Contact: Brandie Upper BodyPhone: (405) 631-4263 Fax: (405) 616-2670

American Board of Podiatric SurgeryT

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 69

As of July 1, 2017

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

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

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

American Board of Podiatric SurgeryT R MITF

Podiatry William K. Smith, D.P.M. 1627 N Kickapoo Foot and Ankle Shawnee,Oklahoma CityShawnee, OK74804

[email protected]: Crissy,275-8234 Lori4059437797Phone: (405) 275-8234 Fax: (405) 275-7298

American Board of Podiatric SurgeryT R MITF

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

[email protected] Excl. Body Parts/Svcs:Contact: Lanae anything above the ankle and ankle

surgeryPhone: (405) 755-7600 Fax: (405) 755-7680

Certification UnknownT R MITF

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 70

As of July 1, 2017

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

Psychiatry Willis Holloway, M.D. 6613 N Meridian Ave psychiatry Oklahoma CityOklahoma City, OK73116

Excl. Body Parts/Svcs:Contact: Jenica nonePhone: (405) 603-8450 Fax: ( ) -

PsychitryT R MITF

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

Contact: Mary GouglerPhone: (918) 491-5767 Fax: (918) 491-5771

American Board of Psychiatry andNeurology

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

[email protected]: Susie JonesPhone: (405) 634-5529 Fax: (405) 634-1673

American Board of Pyschiatry andNeurology

T

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 71

As of July 1, 2017

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

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

Contact: GaryPhone: (405) 271-4488 Fax: (405) 271-8802

American Board of ProfessionalPsychology/Clinical Neuropsych

T R

Psychology - Clinical Faust Bianco, Jr., Ph.D.* 7146 S Braden Ave Ste 500 Rehab Neuropsychology-Brain, TulsaNervous System, all behavioralTulsa, OK74136aspects of physicale psychologicaltraumaContact: Suzan

Phone: (918) 746-0794 Fax: (918) 746-0717Excl. Body Parts/Svcs:Children

Certification UnknownT R MITF

Psychology - Clinical Douglas O. Brady, Ph.D.* 1401 SW Park Ridge Blvd Ste D Brain; Back (Spine); Chronic pain Lawtonissues multiple sitesLawton, OK73505

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

American Board of ProfessionalDisability

T R MITF

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 72

As of July 1, 2017

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

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

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

Certification UnknownT

Psychology - Clinical David E. Johnsen, Ph.D. 2601 NW Expway Ste 410 W Neuropsychology, Psychology, Oklahoma CityChronic PainOklahoma City, OK73112

[email protected]. Body Parts/Svcs:Contact: Sarah Baskervillehead/brain, psychological overlay,Phone: (405) 755-8576 Fax: (405) 755-6026pain management, trauma

Certification UnknownT R

Psychology - Clinical Edgar J. Kranau, Ph.D.* PO Box 14082 psychological overlay, pain TulsamanagementTulsa, OK74159-4082

[email protected]. Body Parts/Svcs:Contact: selfNonePhone: (918) 712-9020 Fax: (918) 712-9021

Certification UnknownT R MITF

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 73

As of July 1, 2017

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

Psychology - Clinical Doris Wise, Ph.D. P.O. Box 60847 psychological: mood, coping, Oklahoma Cityadjustment, rehabOklahoma City, OK73146

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

Certification UnknownT

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

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

ABPP - Clinical NeuropsychologyT R

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

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

Certification UnknownT R MITF

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 74

As of July 1, 2017

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

Psychology Edgar J. Kranau, Ph.D.* PO Box 14082 psychological overlay, pain TulsamanagementTulsa, OK74159-4082

[email protected]. Body Parts/Svcs:Contact: selfNonePhone: (918) 712-9020 Fax: (918) 712-9021

Certification UnknownT R MITF

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

Excl. Body Parts/Svcs:Contact: Lisa Burgess 405-947-3345 all except respiratory diseasePhone: (405) 917-5439 Fax: (405) 949-0849

American Board of InternalMedicine, Am Bd - Pulmonary Disease

T

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

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

American Board of OrthopedicSurgery

T R MITF

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 75

As of July 1, 2017

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

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

[email protected] Excl. Body Parts/Svcs:Contact: Pam All except brain, neck, spinePhone: (918) 994-4068 Fax: (918) 994-4095

Certification UnknownT R

Sports Medicine Darnell E. Blackmon, M.D.* 1809 E 13 Ste 100 Sports Medicine, Food and Ankle TulsaTulsa, OK74104

Excl. Body Parts/Svcs:Contact: Rae spine, handPhone: (918) 582-6800 Fax: (918) 582-6060

American Board of OrthopaedicSurgery

T R

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

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

rate only casesPhone: (918) 494-9300 Fax: (918) 494-9397

American Board of OrthopedicSurgery/Sports Medicine

T R

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 76

As of July 1, 2017

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

Sports Medicine James D. Cash, M.D.* 2448 East 81st Street, Suite 1520 knees, shoulders TulsaTulsa, OK74137

[email protected] Excl. Body Parts/Svcs:Contact: nonePhone: (918) 900-2520 Fax: (918) 900-2521

American Board of OrthopedicSurgery

T R MITF

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

[email protected] Excl. Body Parts/Svcs:Contact: appt desk spinePhone: (918) 481-7658 Fax: (918) 481-7611

American Board of OrthopedicSurgery

T R MITF

Sports Medicine Troy A. Glaser, D.O. 6585 S Yale Ave Ste 200 Hand, Shoulder, Knee TulsaTulsa, OK74136

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

American Board of Family MedicineT R MITF

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 77

As of July 1, 2017

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

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

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

American Board of OrthopedicSurgery

T R MITF

Sports Medicine Ronald S. LaButti, D.O.* 6585 S Yale Ave Ste 200 Total Joint Reconstruction, Hip and TulsaKneeTulsa, OK74136

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

American Osteopathic Aacademy ofOrthopedics

T R MITF

Sports Medicine Jason M. Leinen, M.D.* 3110 SW 89th Suite 102 all family & sports medicine, pain Oklahoma Citymanagement (evaluate all bodyOklahoma City, OK73159parts)[email protected]

Contact: AmyExcl. Body Parts/Svcs:Phone: (405) 703-3611 Fax: (405) 703-3711none

American Board of Family MedicineT

* Physician has multiple specialties.

OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMSDate: 11/01/2017 LIST OF QUALIFIED INDEPENDENT MEDICAL EXAMINERS Rpt ID: IMESPTime: 08:04 (Alphabetical by Specialty) Page: 78

As of July 1, 2017

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

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

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

American Osteopathic Board ofOrthopedfic Surgery

T R MITF

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

[email protected] Excl. Body Parts/Svcs:Contact: Rae Back, Foot/ankle, handPhone: (918) 582-6800 Fax: ( ) -

American Osteopathic BoardT

Sports Medicine R. Clio Robertson, M.D.* 6585 S Yale Ave Ste 200 shoulder, elbows, wrists, hips, Tulsaknees, ankles, neck spineTulsa, OK74136

[email protected]: Phone: (918) 481-2767 Fax: (918) 481-7611

American Board of OrthopedicSurgery

T R MITF

* Physician has multiple specialties.