Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1265793947 Individual Practitioner Female Practitioner

Dr. Lacy S Davis , MD

Pediatrics • Edmond, OK

Professional Overview & Biography Verified Profile Summary

Dr. Lacy Davis, MD is a registered healthcare professional specializing in Pediatrics in Edmond, OK. Practice services are available at 2017 W I 35 FRONTAGE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2017 W I 35 Frontage Rd
Suite 150

Edmond, OK 730138504

Telephone 4057573365
Fax 4057573366
Associated Practice Facility / Clinic
🏢 Mercy Pharmacy Services, Llc Facility NPI 1306265640

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Edmond, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 35.0 Yrs
State Avg: 22.7 Yrs
Regional Practice Density
24 Specialists

Practicing in Edmond, OK (730 Statewide)

Telehealth Adoption Rate
4.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License OK 29259

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Breanna White , ARNP

Nurse Practitioner - Family

NPI 1053619254

Advanced Registered Nurse Practitioner

Shelby Jester , PA-C

Physician Assistant - Medical

NPI 1073004768

Physician Assistant (Certified)

Dr. Alice Mankin , MD

Family Medicine

NPI 1104086321

Doctor of Medicine (M.D.)

NPI 1205804424

Doctor of Medicine (M.D.)

Jenna Weathers , RN

Nurse Practitioner

NPI 1306315783

Registered Nurse

Buffy Gabel , NP

Nurse Practitioner - Family

NPI 1447960729

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active January 13, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 13, 2017

Registered at 2017 W I 35 FRONTAGE RD, SUITE 150, EDMOND, OK 730138504 (Tel: 4057573365)

📍
Updated Business Mailing Address January 13, 2017

Registered at 2017 W I 35 FRONTAGE RD, SUITE 150, EDMOND, OK 730138504 (Tel: 4057573365)

👤
Provider Name / Credentials Updated January 13, 2017

Recorded as LACY DAVIS, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2017

Pediatrics (License #29259 in OK)

NPI Profile Active August 07, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 07, 2015

Registered at 2017 W I 35 FRONTAGE RD, SUITE 150, EDMOND, OK 730138504 (Tel: 4057573365)

📍
Updated Business Mailing Address August 07, 2015

Registered at 2017 W I 35 FRONTAGE RD, SUITE 150, EDMOND, OK 730138504 (Tel: 4057573365)

👤
Provider Name / Credentials Updated August 07, 2015

Recorded as LACY DAVIS, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2015

Pediatrics (License #29259 in OK)

🟢
Initial NPI Registration & Enumeration May 30, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265793947
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 30, 2012
Last Update: January 13, 2017
Sole Proprietor: No

Mailing Address

2017 W I 35 Frontage Rd, Suite 150

Edmond, OK 730138504

Phone: 4057573365

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.