NPIMap

Individual provider Active NPI

Joel Mark Davis, M.D.

  • Orthopaedic Surgery Physician
  • Edmond, OK
National Provider Identifier
1689876435
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
29037 Issued in OK
Practice address
116 N Saints Blvd
Edmond, OK 73034
Phone
(405) 768-1600
Fax
(405) 786-1601
NPI assigned
Jun 4, 2007
Last updated
Mar 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X 29037 OK
Orthopaedic Surgery Physician 207X00000X 29037 OK Primary

Addresses

Primary practice location

116 N Saints Blvd
Edmond, OK 73034

Mailing address

PO Box 2378
Edmond, OK 73083-2378
Phone (405) 768-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120815000330 OK Practitioner - Orthopedic Surgery 6800042417 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Oklahoma College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joel M Davis MD PHD PLLCGroup PAC ID 8527496041, 2 clinicians

Practice addresses (Care Compare)

1800 Renaissance Blvd
Suite 210
Edmond, OK 73013-3023
Phone (405) 768-1600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Joel M Davis MD PHD PLLC Orthopaedic Surgery CurrentSince Feb 1, 2020 Accepting new patients
Orthopedic Foot and Ankle Associates Current Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Summit Medical Center Past Accepting new patients
Ortho Plus Holdings LLC Past Accepting new patients
Mercy Hospital Oklahoma City, Inc PastSince Jan 3, 2023 Accepting new patients

Locations

116 N Saints Blvd
Edmond, OK 73034
Phone (405) 768-1600

1800 Renaissance Blvd
#210
Edmond, OK 73013

1800 Renaissance Blvd
Ste 210
Edmond, OK 73013
Phone (405) 470-6767

941 W I 35 Frontage Rd
Ste 164
Edmond, OK 73034
Phone (405) 285-2994

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22137/brand/2/csg/21/fhir/r4
  • Direct secure messaging: joel.davis.1@22137.direct.athenahealth.com

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1689876435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2378",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730832378",
            "telephone_number": "405-768-1600",
            "fax_number": "405-768-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 N SAINTS BLVD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "73034",
            "telephone_number": "405-768-1600",
            "fax_number": "405-786-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JOEL",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "OK",
            "license": "29037",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OK",
            "license": "29037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.