Lael Davis, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2020033962 Issued in MO

Practice address

5571 N 21St St
Ozark, MO 65721-7488

Phone

(417) 317-5330

NPI assigned

Aug 16, 2022

Last updated

Aug 16, 2022By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Ozark Valley Medical Clinic, LLC

  • Family Medicine Physician
  • Ozark, MO
  • NPI 1639686850
  NPD (past)

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1386362481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5571 N 21ST ST",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657217488",
            "telephone_number": "417-317-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5571 N 21ST ST",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657217488",
            "telephone_number": "417-317-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2020033962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia N Dancey, PA
• Poppy Daniels, MD
• Steven K Daugherty, MD
• Davis Chiropractic PC
• Jessica L. Davis, PA-C
• Paul Eugene Davis, D.C.
• Tracy Dawn Davis, DDS
• Elizabeth Dawson, M.S., CCC-SLP
• Kristy Delong, PHARMD
• Sherri Rena Delozier Carter, MS, PLPC

• Family Medicine Physician in Ozark, MO
• Providers in Ozark, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.