Mark Davis (NPI# 1487747713, PAC ID# 9739257387) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1487747713 |
| PAC ID by PECOS | 9739257387 |
| Professional Enrollment ID | I20081008000850 |
| Full Name | Mark Davis |
| Organization Legal Name | SHAWNEE MEDICAL CENTER CLINIC, INC. |
| Address |
3315 Kethley Rd Shawnee OK 74804-9638 |
| Phone Number | 4052735801 |
| Gender | M |
| Graduation Year | 1996 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3870405434 |
| Number of Group Practice Members | 65 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370149 | ST ANTHONY SHAWNEE HOSPITAL |
| 370020 | MERCY HOSPITAL ADA |
| 370037 | ST ANTHONY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3315 Kethley Rd, Shawnee, OK 74804-9638 | 4052735801 | SHAWNEE MEDICAL CENTER CLINIC, INC. |
| Organization Legal Name | SHAWNEE MEDICAL CENTER CLINIC, INC. |
| Physicians | 72 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly Lynn Chesser | Nurse Practitioner | Shawnee Medical Center Clinic, Inc. | 3315 Kethley Rd, Shawnee, OK 74804-9638 |
| Jeremy P Holter | Internal Medicine | Shawnee Medical Center Clinic, Inc. | 3315 Kethley Rd, Shawnee, OK 74804-9638 |
| Matthew M Ryan | Neurology | Shawnee Medical Center Clinic, Inc. | 3315 Kethley Rd, Shawnee, OK 74804-9638 |
| Sunil Mathew | Cardiovascular Disease (cardiology) | Shawnee Medical Center Clinic, Inc. | 3315 Kethley Rd, Shawnee, OK 74804-9638 |
| Chelsea R Mcvey | Family Medicine | Shawnee Medical Center Clinic, Inc. | 3315 Kethley Rd, Shawnee, OK 74804-9638 |
| Cary Nation | Physician Assistant | Shawnee Medical Center Clinic, Inc. | 3315 Kethley Rd, Shawnee, OK 74804-9638 |
| Laynie D Shebester | Physician Assistant | Shawnee Medical Center Clinic, Inc. | 3315 Kethley Rd, Shawnee, OK 74804-9638 |
| Michael W Butcher | Internal Medicine | Shawnee Medical Center Clinic, Inc. | 3315 Kethley Rd, Shawnee, OK 74804-9638 |
| Kelli Denise Koons | Internal Medicine | Shawnee Medical Center Clinic, Inc. | 3315 Kethley Rd, Shawnee, OK 74804-9638 |
| Russell C Click | Family Medicine | Shawnee Medical Center Clinic, Inc. | 3315 Kethley Rd, Shawnee, OK 74804-9638 |
| Street Address |
3315 KETHLEY RD |
| City | SHAWNEE |
| State | OK |
| Zip | 74804-9638 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly Lynn Chesser | Nurse Practitioner | Shawnee Medical Center Clinic, Inc. | 3315 Kethley Rd, Shawnee, OK 74804-9638 |
| Jeremy P Holter | Internal Medicine | Shawnee Medical Center Clinic, Inc. | 3315 Kethley Rd, Shawnee, OK 74804-9638 |
| Matthew M Ryan | Neurology | Shawnee Medical Center Clinic, Inc. | 3315 Kethley Rd, Shawnee, OK 74804-9638 |
| Sunil Mathew | Cardiovascular Disease (cardiology) | Shawnee Medical Center Clinic, Inc. | 3315 Kethley Rd, Shawnee, OK 74804-9638 |
| Chelsea R Mcvey | Family Medicine | Shawnee Medical Center Clinic, Inc. | 3315 Kethley Rd, Shawnee, OK 74804-9638 |
| Cary Nation | Physician Assistant | Shawnee Medical Center Clinic, Inc. | 3315 Kethley Rd, Shawnee, OK 74804-9638 |
| Laynie D Shebester | Physician Assistant | Shawnee Medical Center Clinic, Inc. | 3315 Kethley Rd, Shawnee, OK 74804-9638 |
| Michael W Butcher | Internal Medicine | Shawnee Medical Center Clinic, Inc. | 3315 Kethley Rd, Shawnee, OK 74804-9638 |
| Kelli Denise Koons | Internal Medicine | Shawnee Medical Center Clinic, Inc. | 3315 Kethley Rd, Shawnee, OK 74804-9638 |
| Russell C Click | Family Medicine | Shawnee Medical Center Clinic, Inc. | 3315 Kethley Rd, Shawnee, OK 74804-9638 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Royce Lee Bargas | Cardiovascular Disease (cardiology) | 3700 N Kickapoo Ave, Suite 104, Shawnee, OK 74804-0007 | |
| Kaylan Lanell Bell | Nurse Practitioner | Citizen Potawatomi Nation | 781 Grand Casino Blvd, Shawnee, OK 74804-1005 |
| Katie L. Frost | Nurse Practitioner | 4409 N Kickapoo Ave, Magnolia Clinic, Shawnee, OK 74804-1225 | |
| Britton Liron Adams | Optometry | Shawnee Eye Associates, Pllc | 100 E 45th St, Shawnee, OK 74804-1439 |
| Travis Kliewer | Optometry | Shawnee Eye Associates, Pllc | 100 E 45th St, Shawnee, OK 74804-1439 |
| Desiree Christine Dunlavy | Physical Therapy | Ptms 3.0 LLC | 3930 N Kickapoo Ave, Shawnee, OK 74804-1635 |
| Calyn C Russ | Qualified Audiologist | Hearing Health Care Inc | 3954 N Kickapoo Ave, Suite 5, Shawnee, OK 74804-1635 |
| Kurt Kalies | Qualified Audiologist | Hearing Health Care Inc | 3954 N Kickapoo Ave, Suite 5, Shawnee, OK 74804-1635 |
| Scott K Howard | Physical Therapy | Valir Outpatient Clinics LLC | 3306 N Kickapoo Ave, Suite 200, Shawnee, OK 74804-1717 |
| Janet E Pasquali Bowers | Nurse Practitioner | Ohh Physicians LLC | 3306 N Kickapoo, Suite 150 and 154, Shawnee, OK 74804-1718 |
| Find all physicians in zip 74804 | |||
| City | SHAWNEE |
| Zip Code | 74804 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SHAWNEE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Mark Davis.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.