Thomas Wayne Davis, M.D.

Primary specialty

Clinical Pharmacology PhysicianTaxonomy code 208U00000X

License

10683 Issued in OK

Practice address

2129 SW 59TH St
Suite 1238
Oklahoma City, OK 73119-7024

Phone

(405) 713-5779

Fax

(404) 681-8085

NPI assigned

Jul 17, 2007

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 names 1

• Dr. Tom W. Davis Professional name

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

Interoperability endpoints

• Direct secure messaging: tdavis37138@direct-ehr-ssmhc.com

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.

• SSM Health Care of Oklahoma, Inc

  • Certified Registered Nurse Anesthetist
  • Oklahoma City, OK
  • NPI 1033283932
  Medicare reassignment

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184630400000",
    "number": "1962601005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2129 SW 59TH ST",
            "address_2": "SUITE 1238",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731197024",
            "telephone_number": "405-713-5779",
            "fax_number": "404-681-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2129 SW 59TH ST",
            "address_2": "SUITE 1238",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731197024",
            "telephone_number": "405-713-5779",
            "fax_number": "404-681-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "THOMAS",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-17",
        "last_updated": "2007-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "OK",
            "license": "10683",
            "primary": false
        },
        {
            "code": "208U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Pharmacology",
            "state": "OK",
            "license": "10683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TOM",
            "last_name": "DAVIS",
            "middle_name": "W.",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Steven Davis, LPN
• Summer N Davis, APRN
• Taleigh Gabrielle Davis
• Tanecia Davis
• Teresa K Davis, DDS
• Tori Davis
• Tracy Ju'Don Davis
• Tracy Michell Davis
• Walter Davis, ED.D.
• Whitney L Davis, LPC

• Clinical Pharmacology Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Clinical Pharmacology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.