KELLY VAN DAVIS (NPI# 1871554139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871554139 |
| Entity Type | Individual |
| Full Name | KELLY VAN DAVIS |
| Credential | M.D. |
| Practice Address |
10907 S Knoxville Ave Ste B Tulsa OK 74137-6624 |
| Mailing Address |
10907 S Knoxville Ave Tulsa OK 74137-6624 |
| Practice Telephone | 9182990323 |
| Practice Fax Number | 9182990323 |
| Mailing Telephone | 9189785588 |
| Mailing Fax Number | 9182990323 |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2020-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 23418 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | AETNA EDI # | 7591838 | 01 |
| OK | TAX ID # | 731297740 | 01 |
| OK | 200077080A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669081089 | Kelly Davis | Dental Hygienist | 741 Crystal Ln, Strasburg, VA 22657-2373 | 2020-07-31 |
| 1699270637 | Kelly Elise Davis | Student in an Organized Health Care Education/Training Program | 13001 E. 17th Pl., Campus Box F546, Bldg. 500, Room E2322, Aurora, CO 80045 | 2018-03-29 |
| 1659820074 | Kelly Kathleen Davis | Nurse Practitioner | 410 Lockerman St, Denton, MD 21629-1048 | 2016-09-27 |
| 1891243135 | Kelly Ann Davis | Nurse Anesthetist, Certified Registered | 19446 Parker St, Livonia, MI 48152-1579 | 2016-09-15 |
| 1881049120 | Kelly Ann Davis | Obstetrics & Gynecology | 7447 W Talcott Ave Ste 531, Chicago, IL 60631-3716 | 2016-04-24 |
| 1144611336 | Kelly Davis | Psychologist | 9525 S 93rd East Ave, Tulsa, OK 74133-6160 | 2015-02-10 |
| 1346501202 | Kelly Lynn Davis | Contractor | 18247 W Running Springs Rd, Park Hill, OK 74451-2017 | 2012-06-06 |
| 1518251826 | Kelly Megan Davis | Developmental Therapist | 10025 Hillview Dr Apt 28, Pensacola, FL 32514-5744 | 2011-06-03 |
| 1710271168 | Kelly Denise Davis | Developmental Therapist | 311 Heritage Dr, Mayfield, KY 42066-3432 | 2011-06-02 |
| 1386952307 | Kelly Davis | Speech-Language Pathologist | 2611 S Lees Summit Rd, Independence, MO 64055 | 2010-09-24 |
| Street Address |
10907 S KNOXVILLE AVE STE B |
| City | TULSA |
| State | OK |
| Zip Code | 74137-6624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205487493 | Christopher Thibeault | Physician Assistant | 10326 S Oswego Ave, Tulsa, OK 74137 | 2019-09-27 |
| 1851896237 | Leslie King | Nurse Practitioner | 4809 East 89th Street South, Suite 100, Tulsa, OK 74137 | 2018-03-27 |
| 1245756428 | Olakunle Ajanaku | Dentist | 4818 East 113th Place South, Tulsa, OK 74137 | 2017-08-18 |
| 1831610096 | Cameron Craig | Dentist | 9671 South Riverside Drive East, Tulsa, OK 74137 | 2017-06-28 |
| 1669915336 | Verum Health | Chiropractor | 5014 East 101st Street, Suite 200, Tulsa, OK 74137 | 2016-11-29 |
| 1518327014 | Richard A Felmlee | General Practice | 8955 S. College Place, Tulsa, OK 74137 | 2016-02-26 |
| 1164815395 | John F Carletti Dds Prof Corp | Dentist | 2808 E. 101st St., Tulsa, OK 74137 | 2015-03-12 |
| 1023356581 | The Bair Foundation | Exclusive Provider Organization | 2921 E. 91st St, Tulsa, OK 74137 | 2013-01-17 |
| 1588900328 | Isaac Newton Causey | Counselor | 9325 S. Erie Avenue, Tulsa, OK 74137 | 2012-12-26 |
| 1952656894 | Crystal I Phillips | Behavioral Analyst | 2921 E 91st, Tulsa, OK 74137 | 2012-07-17 |
| Find all providers in zip 74137 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033688270 | Results Medical Aesthetics LLC | Internal Medicine | 8014 S. 101st E. Ave., Suite 200, Tulsa, OK 74133-4580 | 2018-11-16 |
| 1598175077 | Jm Medical | Internal Medicine | 4181 Oak Rd, Tulsa, OK 74105 | 2014-05-05 |
| 1891131223 | Rebecca Thrun | Internal Medicine | 6600 S Yale Ave Ste 800, Tulsa, OK 74136 | 2013-05-13 |
| 1477811321 | Syed Tahsin Ahmed | Internal Medicine | 7356 S Trenton Ave, Tulsa, OK 74136-7357 | 2012-04-30 |
| 1861761660 | Satyabama C Johnson Sr. | Internal Medicine | 3145 East 82 Street, Ok74137, Tulsa, OK 74137 | 2011-12-22 |
| 1447541172 | Kara Marie Beair-butler | Internal Medicine | 5018 E 68th St Ste 200, Tulsa, OK 74136-3338 | 2011-04-28 |
| 1235428921 | John Charles Hervert | Internal Medicine | 9645 Riverside Pkwy Ste C, Tulsa, OK 74137-7427 | 2011-04-04 |
| 1366747149 | Zubair Ashraf | Internal Medicine | 1145 S Utica Ave Ste 1109, Tulsa, OK 74104-4010 | 2011-01-25 |
| 1679892764 | Lindsey Tricinella | Internal Medicine | 3345 S Harvard Ave Ste 201, Tulsa, OK 74135-1809 | 2010-05-27 |
| 1770800435 | South Tulsa Urgent Care LLC | Internal Medicine | 7731 E 91st St, Suite C, Tulsa, OK 74133-6022 | 2010-04-21 |
| Find all providers in TULSA | ||||
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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.