Active NPI
Kristie L Davis, M.D.
- Anesthesiology Physician
- Bartlesville, OK
National Provider Identifier
1861471286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 29411
- Practice address
- 3500 E Frank Phillips Blvd
Bartlesville, OK 74006-2411 - Phone
- (918) 331-1555
- Fax
- (918) 331-1695
- NPI assigned
- Jan 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 29411 | OK | Primary |
| Anesthesiology Physician | 207L00000X | C-7912 | AR |
Addresses
Primary practice location
3500 E Frank Phillips Blvd
Bartlesville, OK 74006-2411
Mailing address
3500 E Frank Phillips Blvd
Bartlesville, OK 74006-2411
Phone (918) 331-1555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125536001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-7912 | AR | MD | Anesthesiology Physician |
| 29411 | OK | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Buerkle Street Emergency Physicians LLC | Past | Accepting new patients | |
| Stuttgart Regional Medical Center | Past | Accepting new patients | |
| Anesthesia Specialists of Arkansas | Past | Accepting new patients | |
| St. Vincent Infirmary Medical Center | Anesthesiology | Past | Accepting new patients |
| Stuttgart Regional Medical Center | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Interventional Pain Medicine Physician
- Little Rock, AR
- NPI 1659430734
-
- Emergency Medicine Physician
- Stuttgart, AR
- NPI 1427212950
-
- Certified Registered Nurse Anesthetist
- Sherwood, AR
- NPI 1316991847
Anesthesiology
-
- General Acute Care Hospital
- Stuttgart, AR
- NPI 1306921747
-
- Certified Registered Nurse Anesthetist
- Stuttgart, AR
- NPI 1316955891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363651200000",
"number": "1861471286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 E FRANK PHILLIPS BLVD",
"city": "BARTLESVILLE",
"state": "OK",
"postal_code": "740062411",
"telephone_number": "918-331-1555",
"fax_number": "918-331-1695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 E FRANK PHILLIPS BLVD",
"city": "BARTLESVILLE",
"state": "OK",
"postal_code": "740062411",
"telephone_number": "918-331-1555",
"fax_number": "918-331-1695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "KRISTIE",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-13",
"last_updated": "2013-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OK",
"license": "29411",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AR",
"license": "C-7912",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "125536001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bartlesville, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.