JOEL M DAVIS MD PHD PLLC (NPI# 1063045516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063045516 |
| Entity Type | Organization |
| Organization Name | JOEL M DAVIS MD PHD PLLC |
| Practice Address |
941 W I 35 Frontage Rd Ste 164 Edmond OK 73034-7375 |
| Practice Telephone | 4052852994 |
| Mailing Telephone | 4052852994 |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2020-02-24 |
| Authorized Official Name | JOEL M DAVIS (OWNER) |
| Authorized Official Telephone | 4058881546 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
Allopathic & Osteopathic Physicians |
| Street Address |
941 W I 35 FRONTAGE RD STE 164 |
| City | EDMOND |
| State | OK |
| Zip Code | 73034-7375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689876435 | Joel Mark Davis | Orthopaedic Surgery | 941 W I 35 Frontage Rd Ste 164, Edmond, OK 73034-7375 | 2007-06-04 |
| 1306331921 | Blair Terry | Physician Assistant | 941 W I 35 Frontage Rd Ste 164, Edmond, OK 73034-7375 | 2018-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447172 | Saints Medical Group, LLC | Family Medicine | 2749 Progressive Dr, Suite B, Edmond, OK 73034 | 2020-11-06 |
| 1194339861 | Susan Haesook Kim | Pharmacist | 1400 2nd St, Edmod, Edmond, OK 73034 | 2020-09-01 |
| 1821616038 | Aaron Michael Gowens | Specialist/Technologist | 015 Wantland Hall 100 University Dr., Edmond, OK 73034 | 2020-07-14 |
| 1043834849 | Paddington Place Lcc | Intermediate Care Facility, Mental Illness | 3225 French Park Drive, Suite 6, Edmond, OK 73034 | 2020-06-08 |
| 1083254932 | Purpose Healthcare Inc | Psychologist | 301 South Blvd, Suite 117, Edmond, OK 73034 | 2020-01-08 |
| 1740773662 | Healthcare Express, LLP | Family Medicine | 2300 E 2nd St, Edmond, OK 73034 | 2018-06-14 |
| 1427555713 | Sara Nicole Smith | Specialist/Technologist | 100 N University Drive, Attn: Athletic Training Room, Edmond, OK 73034 | 2018-04-12 |
| 1619475084 | Carissa Leigh Brackelsberg | Chiropractor | 3709 E 2nd St, Edmond, OK 73034 | 2018-01-31 |
| 1760996177 | Laurel Michelle Glendening | Physical Therapist | 3531 River Wood Lane, Edmond, OK 73034 | 2017-11-21 |
| 1134643380 | Keith S Quinn | Dentist | 3008 Peaceful Ln, Edmond, OK 73034 | 2017-07-31 |
| Find all providers in zip 73034 | ||||
| Taxonomy Code | 207XX0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Foot and Ankle Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689876435 | Joel Mark Davis | Orthopaedic Surgery | 941 W I 35 Frontage Rd Ste 164, Edmond, OK 73034-7375 | 2007-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316987217 | John Ryan Gallagher | Orthopaedic Surgery | 3216 N Main St, Altus, OK 73521-1307 | 2006-06-08 |
| 1477653293 | Ryan Gallagher Pllc | Orthopaedic Surgery | 3216 N Main St, Altus, OK 73521-1307 | 2006-09-22 |
| 1306854765 | Orthopaedic and Sports Medicine Center-norman, P.C. | Orthopaedic Surgery | 825 E Robinson St, Norman, OK 73071-6610 | 2006-08-03 |
| 1013984251 | Wesley M Stotler | Orthopaedic Surgery | 4802 S 109th East Ave, Tulsa, OK 74146-5822 | 2006-03-07 |
| 1598761736 | Joseph Grillo | Orthopaedic Surgery | 1044 S.w. 44th St., Oklahoma City, OK 73109 | 2005-06-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.