Active NPI
Mercy Health Network of the Southern Region, Inc.
Doing business as Mercy Health Davis
- Obstetrics & Gynecology Physician
- Davis, OK
National Provider Identifier
1083781058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- MERCY HEALTH NETWORK OF THE SOUTHERN REGION, INC.
- Doing business as
- Mercy Health Davis
- Practice address
- 107 S 3Rd St
Davis, OK 73030-2305 - Phone
- (580) 369-2803
- Fax
- (580) 369-3497
- NPI assigned
- Nov 29, 2006
- Last updated
- Sep 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bobby G. Thompson
- Title
- President & Ceo
- Phone
- (580) 220-6611
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | ||
| Obstetrics & Gynecology Physician | 207V00000X | NU | Primary |
Addresses
Primary practice location
107 S 3Rd St
Davis, OK 73030-2305
Mailing address
4401 W Memorial Rd
Suite #141, Attention Becky
Oklahoma City, OK 73134-1785
Phone (405) 936-5800
Other names 1
- Mercy Health Davis
National Provider Directory
National Provider Directory- Tax ID family
- Mercy Health Network of the Southern Region Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Veronica G. Ruiz, MD
- Pediatrics Physician
- Ardmore, OK
- NPI 1417024878
-
dba Mercy Health Ringling
- Physician Assistant
- Ringling, OK
- NPI 1740357011
-
dba Mercy Health Wilson
- Internal Medicine Physician
- Wilson, OK
- NPI 1891862868
Locations
4401 W Memorial Rd
Ste 141
Oklahoma City, OK 73134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1083781058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4401 W MEMORIAL RD",
"address_2": "SUITE #141, ATTENTION BECKY",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731341785",
"telephone_number": "405-936-5800",
"fax_number": "405-936-5810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 S 3RD ST",
"city": "DAVIS",
"state": "OK",
"postal_code": "730302305",
"telephone_number": "580-369-2803",
"fax_number": "580-369-3497"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCY HEALTH NETWORK OF THE SOUTHERN REGION, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-29",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "BOBBY",
"authorized_official_middle_name": "G.",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "580-220-6611"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mercy Health Davis",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Davis, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.