Agenda - Oklahoma Board of Medical Licensure and Supervision
Agenda - Oklahoma Board of Medical Licensure and Supervision
Agenda - Oklahoma Board of Medical Licensure and Supervision
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
<strong>Agenda</strong><br />
<strong>Board</strong> <strong>of</strong> <strong>Medical</strong> <strong>Licensure</strong> <strong>and</strong> <strong>Supervision</strong><br />
March 7, 2013<br />
This meeting <strong>of</strong> the <strong>Board</strong> will be held at the <strong>of</strong>fice <strong>of</strong> the <strong>Board</strong>, 101 NE 51 st Street, <strong>Oklahoma</strong> City, <strong>Oklahoma</strong> in<br />
accordance with the Administrative Procedures Act <strong>and</strong> Open Meeting Act <strong>of</strong> <strong>Oklahoma</strong>.<br />
*INDIVIDUAL PROCEEDINGS: Review <strong>and</strong> action on all agenda items noted for individual proceedings. In all<br />
agenda items noted for individual proceedings, a majority <strong>of</strong> a quorum <strong>of</strong> <strong>Board</strong> members, in a recorded vote, may<br />
call for closed deliberations for the purpose <strong>of</strong> engaging in formal deliberations leading to an intermediate or final<br />
decision in an individual proceeding under the legal authority <strong>of</strong> <strong>Oklahoma</strong> state statutes, to wit: Article II <strong>of</strong> the<br />
<strong>Oklahoma</strong> Administrative Procedures Act, 75 O.S. §309 <strong>and</strong> the <strong>Oklahoma</strong> Open Meeting Act, 25 O.S. §307(B)(8).<br />
9:00 A.M.<br />
___<br />
___<br />
___<br />
___<br />
___<br />
___<br />
___<br />
___<br />
___<br />
___<br />
Meeting called to order<br />
Opening remarks – Lyle Kelsey, Executive Director<br />
<strong>Board</strong> Advisor Comments: John Wiggins, JD<br />
*John Michael Lonergan, MD - Staff Motion for Modification <strong>of</strong> Terms <strong>of</strong> Agreement<br />
Mars Baldoza Gonzaga, MD - Staff Motion for Addendum to Terms <strong>of</strong> Agreement<br />
Marsha Pratt, MD - Staff Motion for Termination <strong>of</strong> Agreement<br />
*Miguel Rodriguez, MD - Motion for Termination <strong>of</strong> Probation<br />
*Zachariah Anderson, MD - Motion for Modification <strong>of</strong> Terms <strong>of</strong> Probation<br />
*Johnathan David Millwee – applicant, Apprentice Athletic Trainer license<br />
*Melissa Ann Wergeles – applicant, Apprentice Athletic Trainer license<br />
9:30 A.M.<br />
___<br />
___<br />
___<br />
___<br />
*Homero Avila – applicant, Provisional Respiratory Care Practitioner<br />
*Jimmie E. Howell – applicant, Respiratory Care Practitioner reinstatement after<br />
surrender<br />
*Jennifer Ng – Applicant, full medical license<br />
*Jose Luis Hinojosa – Applicant, full medical license<br />
10:00 A.M.<br />
___<br />
*Sabrina Debra Trieff Frierson – Applicant, full medical license<br />
1
___<br />
*Erik Trevor Shultzaberger – applicant, Provisional Respiratory Care Practitioner<br />
10:30 A.M.<br />
___<br />
*James Kent Robberson – Applicant, Reinstatement after disciplinary action<br />
11:00 A.M.<br />
___<br />
___<br />
*Gregory Keith Morton, MD – Motion For Reconsideration<br />
Discussion/action – Neonatologist providing care to <strong>and</strong> serving as “physician <strong>of</strong><br />
record” for newborns via telemedicine in low-level NICU with on-site neonatology<br />
nurse practitioner<br />
12:00 P.M.<br />
___<br />
*Steven Constantine Anagnost, MD – Disciplinary hearing alleging fraud, negligence,<br />
<strong>and</strong> incompetence<br />
1:00 P.M.<br />
___<br />
___<br />
___<br />
___<br />
___<br />
___<br />
*Kimberly Dawn Barnett, RC – Disciplinary hearing alleging violation <strong>of</strong> terms <strong>of</strong><br />
probation<br />
*Jason Allen Briggs, RC – Disciplinary hearing alleging entering <strong>of</strong> a plea <strong>of</strong> no contest<br />
to a drug related <strong>of</strong>fense, unauthorized possession <strong>and</strong> use <strong>of</strong> controlled<br />
substances, <strong>and</strong> substance abuse<br />
*Phillip Joseph Knight, MD – Disciplinary hearing alleging substance abuse, narcotics<br />
law violations, prescribing violations, aiding/abetting a criminal operation,<br />
commission <strong>of</strong> an act in violation <strong>of</strong> criminal laws, medical records violations,<br />
inability to practice medicine with reasonable skill <strong>and</strong> safety, <strong>and</strong> dishonorable<br />
or immoral conduct likely to deceive, defraud or harm the public<br />
*Kevin Jay Maxwell, PA – Disciplinary hearing alleging alcohol abuse, sexual<br />
misconduct, fraud or misrepresentation in applying for renewal <strong>of</strong> license, failure<br />
to report adverse action, <strong>and</strong> dishonorable or immoral conduct likely to deceive,<br />
defraud or harm the public<br />
*Wesley E. Pope, MD – Disciplinary hearing alleging sexual misconduct, medical<br />
records violations, narcotics law violations, prescribing violations,<br />
aiding/abetting a criminal operation, failure to cooperate with a lawful<br />
investigation, <strong>and</strong> abuse <strong>of</strong> the physician’s position <strong>of</strong> trust<br />
*William Browning O'Brien, MD – Disciplinary hearing alleging substance abuse, fraud<br />
in applying for renewal <strong>of</strong> license <strong>and</strong> failure to cooperate with a lawful<br />
investigation<br />
2
___<br />
___<br />
___<br />
___<br />
___<br />
___<br />
___<br />
___<br />
*Gary Peter Dickinson, MD – Disciplinary hearing alleging prescribing violations,<br />
medical records violations, procuring/aiding/abetting a criminal operation, <strong>and</strong><br />
dishonorable or immoral conduct likely to deceive/defraud/harm the public<br />
*Bryan Joseph Treacy, MD – Disciplinary hearing alleging sexual misconduct <strong>and</strong><br />
failure to cooperate with an investigation<br />
ANNOUNCEMENTS<br />
Cases continued to a future meeting<br />
*Haisam Al-Khouri, MD – Disciplinary hearing alleging prescribing violations, failure to<br />
establish a physician/patient relationship, aiding/abetting the unlicensed<br />
practice <strong>of</strong> medicine, confession <strong>of</strong> a crime involving antinarcotic laws, failure to<br />
cooperate with a lawful investigation, <strong>and</strong> dishonorable or immoral conduct<br />
likely to deceive/defraud/harm the public<br />
*Jonathan Keith Brewer, MD – Disciplinary hearing alleging substance abuse, violation<br />
<strong>of</strong> a <strong>Board</strong> Order, violation <strong>of</strong> antinarcotic laws, inability to practice medicine<br />
with reasonable skill <strong>and</strong> safety, <strong>and</strong> dishonorable or immoral conduct likely to<br />
deceive/defraud/harm the public<br />
*Michael Edward Hume, PA – Disciplinary hearing alleging dishonorable/immoral<br />
conduct, prescribing violations, <strong>and</strong> records violations<br />
*Joseph Knight, MD – Disciplinary hearing alleging prescribing violations, records<br />
violations, failure to provide necessary on-going medical treatment, violation <strong>of</strong><br />
physician-patient confidentiality, fraud or misrepresentation in applying for a<br />
medical license <strong>and</strong> reregistration <strong>of</strong> a medical license, gross or repeated<br />
negligence, inability to practice medicine with reasonable skill, use <strong>of</strong><br />
false/fraudulent/deceptive statement in a document connected with the<br />
practice <strong>of</strong> medicine <strong>and</strong> dishonorable or immoral conduct likely to deceive,<br />
defraud or harm the public<br />
*Gary Paul Kula, MD – Disciplinary hearing alleging fraud or misrepresentation in<br />
applying for reregistration <strong>of</strong> a medical license, incapacity or incompetence to<br />
practice medicine <strong>and</strong> dishonorable or immoral conduct likely to deceive,<br />
defraud or harm the public<br />
*Medhat S.F. Michael, MD – Disciplinary hearing alleging sexual misconduct, records<br />
violations, narcotics law violations, prescribing violations, failure to establish a<br />
physician/patient relationship, fraud in applying for renewal <strong>of</strong> license, failure to<br />
cooperate with a lawful investigation, inability to practice medicine with<br />
reasonable skill <strong>and</strong> safety, <strong>and</strong> dishonorable or immoral conduct likely to<br />
deceive/defraud/harm the public<br />
3
___<br />
___<br />
___<br />
___<br />
___<br />
___<br />
___<br />
*David Hill Stallcup, RC – Disciplinary hearing alleging violation <strong>of</strong> controlled<br />
substances laws <strong>and</strong> habitual intemperate or addicted use <strong>of</strong> controlled<br />
substance that could result in behavior that interferes with the practice <strong>of</strong><br />
respiratory care<br />
*Koteswar Sureddi, MD – Disciplinary hearing alleging dishonorable/immoral conduct,<br />
prescribing violations, narcotic law violations, records violations, failure to<br />
establish a physician/patient relationship, <strong>and</strong> procuring/aiding/abetting a<br />
criminal operation<br />
UNSCHEDULED ITEMS<br />
Review/action - minutes <strong>of</strong> the January 10, 2013 meeting<br />
Ratify applications approved by the Secretary/circularization<br />
Review/action – Committee recommendations<br />
Advisory Committee on Orthotics & Prosthetics<br />
Advisory Committee on Pedorthics<br />
Advisory Committee on Therapeutic Recreation<br />
___<br />
___<br />
___<br />
___<br />
___<br />
___<br />
___<br />
___<br />
Review/action – Ratify Committee recommendations approved on circularization<br />
Advisory Committee on Dietetic Registration<br />
Athletic Trainers Advisory Committee<br />
Occupational Therapy Advisory Committee<br />
Physical Therapy Committee<br />
Respiratory Care Advisory Committee<br />
Appoint/Reappoint members to the Therapeutic Recreation Committee<br />
Appoint member to the Occupational Therapy Advisory Committee<br />
Executive Director's report to the <strong>Board</strong><br />
Financial Report<br />
Proposed amendments to OAC 435:10-1-4. Definitions<br />
License compact discussion<br />
Maintenance <strong>of</strong> <strong>Licensure</strong> discussion<br />
___ Executive Session for the purpose <strong>of</strong> discussing personnel matters pursuant to 25 O.S. § 307<br />
(B) (4) & (7) – report on positions <strong>of</strong> <strong>Board</strong> Secretary <strong>and</strong> <strong>Medical</strong> Advisor<br />
___<br />
New Business – any matter not known about or which reasonably could not have been<br />
foreseen prior to the time <strong>of</strong> posting<br />
4
OKLAHOMA STATE BOARD OF MEDICAL LICENSURE & SUPERVISION<br />
LICENSES ISSUED FROM 1/11/13 TO 3/6/13<br />
AA Apprentice Athletic Trainer<br />
582 SIMMONS, JORDAN ALEXANDER<br />
585 MEDLEY, MELISSA LEIGH<br />
AT Licensed Athletic Trainer<br />
703 SINGER, JENNA<br />
717 FRIERDICH, ANTONY JAMES<br />
720 CRAIG, BRITANY NICOLE<br />
LD Licensed Dietitian<br />
1873 KOLBENSVIK, JENNIFER LEE<br />
1878 JOHNSON, TARA BETH<br />
1883 GEURIN, KELSEY R<br />
1884 BEASON, STEPHANIE LYNN<br />
1885 SANDERS, NATALIE NICOLE<br />
1886 CRAWFORD, BRITTANY DAWN<br />
586 GUILD, LAUREL KARINE<br />
588 MAXWELL, DAVID CHRISTOPHER<br />
721 CIOLINO, STEVE<br />
731 GORDON, JUSTIN WAYNE<br />
736 PADEN, JEFFREY SCOTT<br />
1888 PORTER, RACHAEL KRISTIN<br />
1889 BONE, CONSTANCE FAYE<br />
1890 MYERS, LINDSEY<br />
1891 PITTS, LAUREN<br />
1892 MCCLURG, ELIZABETH MARIE<br />
1893 GLAZIER, SHERI<br />
744 BELSHER, KELSEY<br />
1894 HILDEBRAND, MEGAN KAYLENE<br />
1896 VANLANDINGHAM, BRITTA J<br />
1897 DAVIS-FUNKHOUSER, JANEL L<br />
1898 DENNIS, CASI ALISHA<br />
LPED Licensed Pedorthist<br />
139 ALLEN, KAREN K 141 GOZA, HEATHER COX<br />
MD MEDICAL DOCTOR<br />
27086 SAM, SIBY<br />
27739 AKMAN-CARMICHAEL, JULIDE<br />
27743 NGUYEN, TOMMY TIEN<br />
27937 HUSSAIN, FAROOQ M<br />
28302 JINDAL, PARUL<br />
28344 LONERGAN, JOHN MICHAEL<br />
28437 SMITH, LLOYD NATHAN<br />
28449 PORTER, MICHAEL WARREN<br />
28455 HATFIELD, JESSE LEE<br />
28485 BROWN, LOREN ELIZABETH<br />
28502 WILLIAMS, EMILY ANNE<br />
28516 CANTON-VAFABAKHSH, ALI N<br />
28529 STORER, BROOKE LAWREN<br />
28563 PALM, SARAH MARIE<br />
28568 BRANCH, AARON CHRISTIAN<br />
28580 CHEN, JENNY QI<br />
28604 MCCOY, DAVID RUSSELL<br />
28620 BUTRON, WILLIAM DAVID<br />
28650 WILLIAMS, CHRISTOPHER LEE<br />
29040 PLATENBERG, ROBERT CRAIG<br />
29066 UPDIKE, WESLEY ALAN<br />
29147 ELSIESY, HUSSIEN A<br />
29211 ARMSTRONG, NICHOLAS E<br />
29283 ROSEBROCK, RICHARD ERIC<br />
29328 HULL, STEVEN GLEN<br />
MDV MEDICAL DOCTOR - Volunteer<br />
60 LIVINGSTON, HARRY EARL<br />
OA Occupational Therapy Assistant<br />
1243 COLLINS, JOSHUA JERELL<br />
1275 MILLER, AMY ELIZABETH<br />
29338 HARTMAN, JOSHUA ALBERT<br />
29353 BEEN, LAURA<br />
29379 KABLE, SANOBER<br />
29394 VAN DAM, DAVID KURT<br />
29428 CHANG, ANDREW LUKE<br />
29432 GABE, MICHAEL<br />
29433 ABDUL-HAQQ, NOOR JIHAN<br />
29438 JAFRI, SYED FARRUKH HASAN<br />
29443 AHMAD, YASMEEN<br />
29451 WHITTEN, JAMES R<br />
29453 INGUI, CHRISTIAN JOSPEH<br />
29457 PREVO, PATRICK TIMOTHY<br />
29459 FAASE, MARIA ELISABETH<br />
29461 SADO, ANTHONY SIDNEY<br />
29464 GOSCIN, LEE ALICE<br />
29465 CHA, YOON-HEE KIM<br />
29470 ALI, AMER<br />
29471 ESPOSITO, SHARON MARIE<br />
29474 STEELMAN, LYDIA MARIE<br />
29475 IHEUKWUMERE, ESTHER O<br />
29481 BUCHANAN, BENNION D<br />
29484 PALLA, AMRUTH RATNAKAR<br />
29487 FRIAS, LUIS A.<br />
29490 MCALLISTER, JOSHUA RUSSEL<br />
29494 BENNETT, ROBERT<br />
1283 JACKSON, SHAWN RENE'E<br />
1293 STOLINSKI, BENJAMIN A<br />
29496 LOWRANCE, RICHARD A III<br />
29497 GLOMSET, JOHN LARSON III<br />
29498 GREENWELL, MARK WILLIAM<br />
29499 RAY, BAPPADITYA<br />
29500 ROSS, DAVID BYASA<br />
29501 LENTZ, CHRISTOPHER WILLIAM<br />
29509 HALL, BRIAN GEOFFREY<br />
29510 PRESKORN, SHELDON H<br />
29512 WILLIAMS, WENDELL NELSON<br />
29513 NDI, JULIUS SAMA<br />
29514 MCARTHUR, SAMUEL A<br />
29518 WEBSTER, CLINTON B<br />
29520 RAMSEY, JUSTIN WAYNE<br />
29521 AZIZ, BILAL<br />
29522 MARSHALL, JOHN BLAINE<br />
29529 BUSH, MATTHEW DONALD<br />
29531 SKILES, ROGER GLYNN<br />
29534 LUBIN, EDITH JOANNE<br />
29536 ADAMS, LAN LE<br />
29540 SCHREINER, JARED<br />
29545 DUGGAN, FRANCIS PAUL<br />
29547 BEALS, JENNIFER LYNN<br />
29548 GODBOLE, KETAN DEEPAK<br />
29561 GARCIA, CAROLYN LOUISE<br />
29567 HAQ, SALMAN ADEEL<br />
1295 BLACK, LINDA<br />
1300 SOLLER, ANNIE MARY
1305 KINCHELOE, RACHEL ANN<br />
1314 DIMICK, JENNIFER ANN<br />
1326 WILLIAMSON, HALEIGH JANEE<br />
OT Occupational Therapist<br />
1788 BRIGGS, EMILY ROSE<br />
1334 BASLER, PEGGY LYNNE<br />
1337 RAMIREZ, ADAM FRED JR<br />
1342 CLARK, MEGHAN ELIZABETH<br />
1344 DEGARMO, BETH ASHLEY<br />
1349 WOOD, TIFFANY BROOKE<br />
PA Physician Assistant<br />
2132 RICHARD, STEPHEN LIVAIN<br />
2159 ROSE, RITA BOCKHOLT<br />
2160 SONG, KATHY<br />
2162 REID, DIXIE JUNE<br />
PD Provisionally Licensed Dietitian<br />
652 WEGENER, EMILY JANAE<br />
PR Provisional Respiratory Care Practitioner<br />
1417 EPSTEIN, JESSICA<br />
1422 SPURLOCK, AMANDA DAWN<br />
2163 HOMER, CAROL LE<br />
2164 WASHINGTON, AARON SHANE<br />
2165 BELANGER, ERIN RENEE<br />
2166 LARSEN, JENNIFER ALLISON<br />
1423 MCCASKILL, JENNIFER DIANE<br />
1435 TRINIDAD, PRANDI REYES<br />
2167 STOWE, RICHARD R.<br />
2169 BENGE, TIMOTHY FRED<br />
2170 BEELER, JACQUELINE LYNN<br />
2172 THOMPSON, ELIZABETH L<br />
PT Physical Therapist<br />
4497 VALENTINE, NATALIE RENAE<br />
4617 GARRETT, JENNA<br />
4621 BAIRD, CODY BRENT<br />
4629 WILLENBRING, WHITNEY<br />
4630 WILLENBRING, RICK<br />
4640 SIMMONS, DENISE EVYONNE E<br />
4642 CLAPP, JAMIE CAROLYNN<br />
4647 MACDONALD, KERRY RENEE<br />
RC Respiratory Care Practitioner<br />
3686 WADE, HEATHER CHRISTINE 3788 SCHUSTER, LEON CHRISTOPHER 3819 COULTER, SHANNON RAE<br />
TA Physical Therapist Assistant<br />
2190 PATEL, SONAL<br />
2192 LOYD, MICHAIL ANNETTE
Change language