Ada Family Medical Center, PLLC
Organization Active NPI Family Medicine Physician · Ada, OK
NPI 1023063997 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1023063997
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 3540 (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
- Organization subpart
- No
Authorized official
- Name
- Dr. Marc Jason Davis, D.O.
- Title
- Owner / Physician
- Phone
- (580) 310-9510
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 3540 | OK | Yes |
Addresses
Primary practice location
530 N Monte Vista St
Ada, OK 74820-4612
Mailing address
530 N Monte Vista St
Ada, OK 74820-4612
Phone (580) 310-9510
Other providers in Ada, OK
- Ada City Schools
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- 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 Men'S Clinic LLC
All providers in Ada, OK · Family Medicine Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.