| Jim D Davis, DO | |
|
2400 Palmer Cir, Norman, OK 73069-6301 | |
| (405) 321-6405 | |
| (405) 321-6457 |
| Full Name | Jim D Davis |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 2400 Palmer Cir, Norman, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780675975 | NPI | - | NPPES |
| 100850260C | Medicaid | OK | |
| 100850260A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 3845 (Oklahoma) | Secondary |
| 207Q00000X | Family Medicine | 3845 (Oklahoma) | Primary |
| Entity Name | Citizen Potawatomi Nation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881981744 PECOS PAC ID: 3375511488 Enrollment ID: O20140123000876 |
| Mailing Address | Practice Location Address |
|---|---|
| Jim D Davis, DO 2400 Palmer Cir, Norman, OK 73069-6301 Ph: (405) 321-6405 | Jim D Davis, DO 2400 Palmer Cir, Norman, OK 73069-6301 Ph: (405) 321-6405 |
Kathryn J Lofgren, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15951 Little Axe Dr, Norman, OK 73026 Phone: 405-447-0300 Fax: 405-701-7631 | |
Brant T Mccall, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 E Robinson St Ste 2300, Norman, OK 73071 Phone: 405-307-1000 | |
Ms. Kathleen E Lewis, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1300 Mcgee Dr, Ste 100, Norman, OK 73072 Phone: 405-321-0406 Fax: 405-447-6293 | |
Jayson D Henry, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 E Robinson St, Suite 2200, Norman, OK 73071 Phone: 405-515-0380 Fax: 405-928-2054 | |
Dr. Lorene Nicole Rodriguez, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3300 Healthplex Pkwy, Norman, OK 73072 Phone: 405-515-1000 | |
Bobby L Elliott, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 24th Ave Nw, Norman, OK 73069 Phone: 405-573-5400 Fax: 405-573-5406 | |
Dr. Aaron Michael Smathers, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3400 W Tecumseh Rd Ste 101, Norman, OK 73072 Phone: 405-515-0649 Fax: 405-360-6769 |