Jefferey L Davis, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2361 Issued in OK

Practice address

2021 S Elm Place
Broken Arrow, OK 74012-7031

Phone

(918) 806-6461

Fax

(918) 806-6710

NPI assigned

Jun 26, 2006

Last updated

Sep 29, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Microvas Treatment Centers of America

  • Legal Medicine
  • Tulsa, OK
  • NPI 1689875213
  NPD (past)
• Nemri Medical Services, Inc.

  • Family Medicine Physician
  • Lindsay, OK
  • NPI 1114040219
  NPD (past)
• New Tradition Clinic LLC

  • Clinic/Center
  • Broken Arrow, OK
  • NPI 1669405437
  NPD (past)
• Okmulgee Emergency PLLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Okmulgee, OK
  • NPI 1609865666
  NPD (past)

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1164459277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 S ELM PLACE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740127031",
            "telephone_number": "918-806-6461",
            "fax_number": "918-806-6710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 S ELM PLACE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740127031",
            "telephone_number": "918-806-6461",
            "fax_number": "918-806-6710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JEFFEREY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "2361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200017310A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph William Davies Sr., PHARMACIST
• Raeleen Jenell Davis-Perry
• Blake Davis
• Darrick Davis, DC
• Heather Brooke Davis
• Jonathan Charles Davis
• Laura B Davis, RPTA
• Melissa Jean Davis, PT
• Mwindaace Davis
• Stacey Elaine Dawes, COTA/L

• Family Medicine Physician in Broken Arrow, OK
• Providers in Broken Arrow, 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 Sep 29, 2026; 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.