Jeffrey C Davenport MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

I37465 Issued in OK

Legal business name

JEFFREY C DAVENPORT MD PC

Practice address

105 S Bryant Ave Ste 301
Edmond, OK 73034-6331

Phone

(405) 341-1234

Fax

(405) 359-1770

NPI assigned

Oct 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey C Davenport, MDNPI 1336171925

Title

Physician

Phone

(405) 341-1231

Specialties & licenses 1

Addresses

Locations

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.

• Jeffrey Craig Davenport, MD

  • Family Medicine Physician
  • Edmond, OK
  • NPI 1336171925
  NPD (past) Authorized official

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1396924015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S BRYANT AVE STE 301",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346331",
            "telephone_number": "405-341-1234",
            "fax_number": "405-359-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S BRYANT AVE STE 301",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346331",
            "telephone_number": "405-341-1234",
            "fax_number": "405-359-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY C DAVENPORT MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "405-341-1231",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "I37465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanne M Schaefer MD PLLC (First Choice Pediatrics)
• Jeff Seaman MD PC
• Marquis Marie Jeffcoat, NP-C
• Mikel Michele Jefferson
• Shenita R Jefferson
• Jeffrey C. Davenport, MD, PC
• Jeffrey T Shaver PC
• Jodi Jenista, APRN-CNP
• Cameron Jenkins
• Keri L Jenkins, MS, LPC

• Family Medicine Physician in Edmond, OK
• Providers in Edmond, 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 Oct 30, 2007; 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.