Nathan Davis, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

26543 Issued in OK

Practice address

920 Stanton L Young Blvd # 3440
Oklahoma City, OK 73104-5020

Phone

(405) 271-5251

NPI assigned

Jun 16, 2008

Sex

Male

Sole proprietor

No

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

• State of Oklahoma

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Norman, OK
  • NPI 1588755532

  OK

  Medicare reassignment NPD
• Uhs Oklahoma City LLC

  • Psychiatry Physician
  • Oklahoma City, OK
  • NPI 1083985600

  OK

  Medicare reassignment NPD
• State of Oklahoma

  • Skilled Nursing Facility
  • Talihina, OK
  • NPI 1154589430
  NPD
• Childrens' Recovery Center of Oklahoma

  • Psychiatric Residential Treatment Facility
  • Norman, OK
  • NPI 1437321882
  NPD (past)
• Uhs Oklahoma City LLC

  • Psychiatric Hospital
  • Oklahoma City, OK
  • NPI 1598716490
  NPD (past)
• Uhs Oklahoma City, LLC

  • Psychiatric Residential Treatment Facility
  • Oklahoma City, OK
  • NPI 1588836779
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in OK

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 16, 2008.

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213574400000",
    "number": "1679733216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 STANTON L YOUNG BLVD # 3440",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045020",
            "telephone_number": "405-271-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 STANTON L YOUNG BLVD # 3440",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045020",
            "telephone_number": "405-271-5251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "NATHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-16",
        "last_updated": "2008-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OK",
            "license": "26543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mandee Rachelle Davis, PHARM.D., MBA
• Marlon Brad Davis
• Marquesha Davis
• Melvin Allen Davis Jr.
• Monique L Davis
• Nicole Elizabeth Davis, LPN
• Norman Scott Davis, MD
• Philip Davis, PSYD
• Rachel Leanne Davis, MD
• Regan Davis, LCSW

• All providers in Oklahoma City, OK
• Neurology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.