Ada Family Medical Center, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

3540 Issued in OK

Legal business name

ADA FAMILY MEDICAL CENTER, PLLC

Practice address

530 N Monte Vista St
Ada, OK 74820-4612

Phone

(580) 310-9510

Fax

(580) 436-4447

NPI assigned

May 22, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Marc Jason Davis, D.O.NPI 1194763060

Title

Owner / Physician

Phone

(580) 310-9510

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marc J Davis, D.O.

  • Family Medicine Physician
  • Ada, OK
  • NPI 1194763060
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023063997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 N MONTE VISTA ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748204612",
            "telephone_number": "580-310-9510",
            "fax_number": "580-436-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 N MONTE VISTA ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748204612",
            "telephone_number": "580-310-9510",
            "fax_number": "580-436-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADA FAMILY MEDICAL CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "OWNER / PHYSICIAN",
        "authorized_official_telephone_number": "580-310-9510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "3540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ada City Schools
• Ada Dentistry and Braces (Ada Dentistry)
• Ada Family Chiropractic P.L.L.C.
• Ada Family Dentistry Inc.
• Ada Family Eye Care Inc
• Ada Gynecology & Obstetrics
• Ada Health First Inc
• Ada Medical Group PLLC
• Ada Medical Inc (Ada Physical Therapy)
• Ada Men's Clinic LLC (Ada Family Wellness Clinic)

• Family Medicine Physician in Ada, OK
• Providers in Ada, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.