Active NPI
Edwin Seldon Davis, DO
- Family Medicine Physician
- Lawton, OK
National Provider Identifier
1437894680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0000000
- Practice address
- 3401 W Gore Blvd
Lawton, OK 73505-6332 - Phone
- (580) 585-5545
- NPI assigned
- May 2, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0000000 | OK | Primary |
Addresses
Primary practice location
3401 W Gore Blvd
Lawton, OK 73505-6332
Mailing address
21 Crossway
Scarsdale, NY 10583-7157
Phone (914) 960-5932
Medicare participation
Medicare enrollment files- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000000 | OK | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651449600000",
"number": "1437894680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 CROSSWAY",
"city": "SCARSDALE",
"state": "NY",
"postal_code": "105837157",
"telephone_number": "914-960-5932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 W GORE BLVD",
"city": "LAWTON",
"state": "OK",
"postal_code": "735056332",
"telephone_number": "580-585-5545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "EDWIN",
"middle_name": "SELDON",
"name_prefix": "Mr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-02",
"last_updated": "2022-05-02",
"certification_date": "2022-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "0000000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.