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State Medical Board of Ohio

 

physician assistants

 

 

 


 

 


 

 

 


applications for supervising physicians

physician assistant licensure information

licensee profile & status

on-line change of address

on-line license renewal

on-line verification form

lost wallet or wall certificate

name change affidavit

certificate to practice numbers information

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cme

national commission on certification of physician assistants (NCCPA)

treatment & compliance


supervisory plan

alternate supervising physician form

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addendum for multiple Physician Assistants

addendum for multiple Supervising Physicians

special services application

model supervisory plan for Cryotherapy

 

policy

physician assistant policy committee

calendar

minutes


faq

frequently asked questions

statutes

rules

Physician Assistant Policy Committee
(Revised 10/25/12)

David Ballinger, PA-C (chair)
Kirtland, OH
Ohio Association of Physician Assistants Member

 

Melissa Bowlby, PA-C
Hilliard, OH
Ohio Association of Physician Assistants Member

 

Robert Flora, MD
Akron, OH
Ohio State Medical Association Member

 

James Fry, PA-C
Middletown, OH
Ohio Association of Physician Assistants Member

 

Teresa K. Hoffmann, Pharm.D.
Lima, OH
Ohio Pharmacists Association Member

 

Eric Jeffrey Luckage, Esq.
Columbus, OH
Consumer Member

 

Michael Moné, R.Ph., J.D.      
Dublin, Ohio
State Board of Pharmacy Member

 

Anita Steinbergh, DO
Westerville, OH
State Medical Board Member

 

Sean Stiltner, DO
Piketon, OH
Ohio Osteopathic Association Member

Board Staff Liaisons

Cathy Hacker, PA Program Administrator
Cathy.hackera@med.state.oh.us
Ph: (614) 466-7297

 

Sallie Debolt, General Counsel
sallie.debolt@med.state.oh.us

Ph: (614) 644-7021


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30 East Broad Street, 3rd Floor, Columbus, Ohio 43215-6127 | Telephone: (614) 466-3934 | Fax: (614) 728-5946
Complaint Forms: (800) 554-7717 | Licensure Verification: (800) 357-7720