DR. JUSTIN MARK DAVIS (NPI# 1568666121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568666121 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN MARK DAVIS |
| Credential | MD |
| Practice Address |
5501 N Portland Ave Oklahoma City OK 73112-2074 |
| Mailing Address |
Po Box 248875 Suite 300 Oklahoma City OK 73124-8875 |
| Practice Telephone | 4056046000 |
| Mailing Telephone | 9183922944 |
| Mailing Fax Number | 9186642521 |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2014-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 27437 | OK | Allopathic & Osteopathic Physicians |
| Y | 207L00000X | Anesthesiology | BP1-0026250 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200286500A | 05 | |
| MYUTMB 3849060601-COMMERCIAL NUMBER | 3849060601 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184258790 | Justin B Davis | Chiropractor | 52 Heritage Ct, Woodcliff Lake, NJ 07677-8347 | 2020-02-24 |
| 1770984320 | Justin Davis | Occupational Therapist | 1719 Chapel Tree Cir, Brandon, FL 33511-9326 | 2014-09-12 |
| 1811300718 | Justin N Davis | Nurse Anesthetist, Certified Registered | 2610 S Rockingchair Rd, Paragould, AR 72450-9609 | 2014-06-09 |
| 1609189513 | Justin Michael Davis | Chiropractor | 9370 Sw Greenburg Rd # 605, Tigard, OR 97223-5442 | 2010-07-20 |
| 1114240843 | Justin Elijah Davis | Chiropractor | 607w Chandler St, Arlington, MN 55307-2127 | 2010-03-09 |
| 1043853302 | Justin William Davis | Nurse Practitioner | 110 W John Rowan Blvd, Bardstown, KY 40004-2663 | 2019-10-18 |
| 1437714375 | Justin Davis | Student in an Organized Health Care Education/Training Program | 600 Highland Ave, Madison, WI 53792-0001 | 2019-05-06 |
| 1437631330 | Justin Davis | Nurse Practitioner | 1700 S Tamiami Trl, Sarasota, FL 34239-3509 | 2018-09-06 |
| 1710464094 | Justin Davis | Behavioral Analyst | 1900 Embarcadero Ste 310, Oakland, CA 94606-5227 | 2018-07-19 |
| 1205327525 | Justin W Davis | Surgery | 1200 Pleasant St, Des Moines, IA 50309-1406 | 2018-05-22 |
| Street Address |
5501 N PORTLAND AVE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73112-2074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558364422 | Michael A Thayer | Physician Assistant | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2005-05-24 |
| 1255966685 | Traci Mcclay | Nurse Practitioner | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2020-03-05 |
| 1154954873 | Nathan C Defee | Nurse Anesthetist, Certified Registered | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2020-02-20 |
| 1114566270 | Marianna Gail Eubanks | Nurse Anesthetist, Certified Registered | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2020-01-06 |
| 1104475151 | William R Low | Nurse Anesthetist, Certified Registered | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2019-09-11 |
| 1477117638 | Meryl Elaine Williamson | Emergency Medicine | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2019-04-23 |
| 1831663657 | Integris Baptist Medical Center, Inc | Rehabilitation Unit | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2019-01-15 |
| 1720563711 | Austin Graham Trent | Nurse Anesthetist, Certified Registered | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2018-09-26 |
| 1912432048 | Deaconess Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2017-04-26 |
| 1053844365 | Ellen Mclain | Registered Nurse | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2017-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972145886 | Crystopher J Long | Physical Therapist | Parkway Post Acute Recovery Center, 6312 N Portland, Oklahoma City, OK 73112 | 2019-10-11 |
| 1700448974 | Joy Healthcare Services of Okc LLC | Home Health | 4200 Perimeter Center Drive, Suite 125, Oklahoma City, OK 73112 | 2019-07-08 |
| 1801380159 | Crysten Cheatwood Do, PC | Obstetrics & Gynecology | 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 | 2018-06-20 |
| 1306352521 | Victoria Ann Kappel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3466 Nw 56th St. Suite 760, Oklahoma City, OK 73112 | 2017-12-26 |
| 1871014886 | Tanesia Michelle Smith | Case Management | 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 | 2017-06-29 |
| 1619414257 | Edwige Gwanyama | Student in an Organized Health Care Education/Training Program | 2401 Nw 39 Th Expy Ste 103, Oklahoma City, OK 73112 | 2017-01-20 |
| 1619424017 | Jennifer Beaver | Peer Specialist | 2808 Nw 31st, Oklahoma City, OK 73112 | 2016-09-02 |
| 1417305368 | Gabriel Plank | Counselor | 3000 Founders Blvd Suite239, Oklahoma City, OK 73112 | 2016-06-01 |
| 1912364365 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4101 N May Ave, Oklahoma City, OK 73112 | 2016-01-15 |
| 1679938922 | Portland Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 5501 N Porland Ave, Oklahoma City, OK 73112 | 2015-12-30 |
| Find all providers in zip 73112 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417463548 | Integrated Anesthesia Services, Pllc | Anesthesiology | 5030 N May # 291, Oklahoma City, OK 73112-6010 | 2017-12-27 |
| 1942710066 | Christopher C. Shadid, Md, Pllc | Anesthesiology | 837 Nw 41st St, Oklahoma City, OK 73118-6822 | 2017-10-03 |
| 1699124297 | Sterling Etim Euk Udom | Anesthesiology | 750 Ne 13th, Suite 200, College of Medicine, Oklahoma City, OK 73104 | 2016-06-06 |
| 1710331079 | Joseph Mosley | Anesthesiology | 750 Ne 13th Oac 200, Oklahoma City, OK 73104 | 2016-04-22 |
| 1639570427 | Rrm Medical Pllc | Anesthesiology | 3048 Sw 89th St Ste A, Oklahoma City, OK 73159-6359 | 2014-09-11 |
| 1962763110 | Sheila Busch Campbell | Anesthesiology | 3532 Quail Creek Rd, Oklahoma City, OK 73120-8911 | 2012-06-05 |
| 1497012272 | Neda Sadeghi | Anesthesiology | 12016 Dahoon Dr, Oklahoma City, OK 73120-8131 | 2012-04-18 |
| 1861760837 | John Bernard Gilleran | Anesthesiology | 4940 Nw 31st St, Oklahoma City, OK 73122 | 2011-12-06 |
| 1609161231 | Ksenia Koltun | Anesthesiology | 13321 N. Meridian Suite 402, Oklahoma City, OK 73120 | 2011-06-11 |
| 1861722357 | Anesthesia and Tee Services, PC | Anesthesiology | 149 Lake Aluma Dr, Oklahoma City, OK 73121-3401 | 2010-01-05 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73112 |
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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.