Jim D Davis, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

3845 Issued in OK

Practice address

2400 Palmer Cir
Norman, OK 73069-6301

Phone

(405) 321-6405

Fax

(405) 321-6457

NPI assigned

Nov 4, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Emergency Medicine

Education

Oklahoma State University College of Osteopathic Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Citizen Potawatomi NationGroup PAC ID 3375511488, 35 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy.et1447.epichosted.com/APIProxyPRD/api/FHIR/R4

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.

• Citizen Potawatomi Nation

  dba Citizen Potawatomi Nation West Clinic

  • Federally Qualified Health Center (FQHC)
  • Shawnee, OK
  • NPI 1881981744

  TX

  Medicare reassignment Care Compare group NPD
• Westport Family Medicine, PLLC

  • Family Medicine Physician
  • Norman, OK
  • NPI 1033145370
  NPD Authorized official
• Citizen Potawatomi Nation

  dba Citizen Potawatomi Nation Clinic

  • Federally Qualified Health Center (FQHC)
  • Shawnee, OK
  • NPI 1194752949
  NPD
• Citizen Potawatomi Nation

  • Chiropractor
  • Shawnee, OK
  • NPI 1427659523
  NPD
• Lightstar Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Shawnee, OK
  • NPI 1396736872
  NPD (past)
• Morningstar Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Oklahoma City, OK
  • NPI 1902897556
  NPD (past)
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)
• Wewoka Indian Health

  • Community Health Clinic/Center
  • Wewoka, OK
  • NPI 1689664195
  NPD (past)

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214352000000",
    "number": "1780675975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 PALMER CIR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696301",
            "telephone_number": "405-321-6405",
            "fax_number": "405-321-6457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 PALMER CIR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696301",
            "telephone_number": "405-321-6405",
            "fax_number": "405-321-6457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JIM",
        "middle_name": "D",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2008-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "3845",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "3845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100850260C",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100850260A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Dawn Davis, PHARMD
• Demetri Lashaun Davis
• Erin Elizabeth Davis
• Ginger Kay Davis, LCSW
• Jill Elizabeth Davis, LCSW
• Kimberly Dawn Davis, M.S., R.D.
• Lucas James Davis
• March Davis
• Micah Davis
• Pierre Davis

• Family Medicine Physician in Norman, OK
• Providers in Norman, 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 Jun 25, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.