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Active NPI 1255158564 Individual Practitioner Male Practitioner

John Tyler Davis , PA-C

Physician Assistant • Oklahoma City, OK

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

John Davis, PA-C is a certified Physician Assistant practicing in Oklahoma City, OK. With approximately 1 years of clinical experience since completing medical education in 2025, John Davis delivers high-quality medical care to the local community at 5401 N PORTLAND AVE STE 600.

John Davis is affiliated with Integris Ambulatory Care Corporation and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

5401 N Portland Ave Ste 600

Oklahoma City, OK 731122090

Telephone 4057139940
Fax 4057139941

Medicare Profile & Education

Medical School

Other

Graduation Year

2025

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Oklahoma City, OK

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
1 Yrs -9.8 yrs vs City Avg
City Avg: 10.8 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
685 Specialists

Practicing in Oklahoma City, OK (1911 Statewide)

Telehealth Adoption Rate
10.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Davis (1 Years) 1 Yrs
Oklahoma City Specialty Average (10.8 Years) 10.8 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-02-18
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OK 5650

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Integris Ambulatory Care Corporation

5401 N Portland Ave, Oklahoma City, OK 731122121

Phone: 4057139940

Practice Associates & Co-Workers

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

19 Associated Practitioners
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Dr. Charles Bryant , MD

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Dr. Michael Padilla , MD

Orthopaedic Surgery

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Doctor of Medicine (M.D.)

Dustin Wagner , PA

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Kristin Strong , PA-C

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Physician Assistant (Certified)

Taler Henry , PA-C

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NPI 1164077780

Physician Assistant (Certified)

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Business Mailing Address February 18, 2026

Registered at 3001 QUAIL SPRINGS PKWY FL 5, OKLAHOMA CITY, OK 731342640 (Tel: 4057139940)

📍
Updated Practice Location December 08, 2025

Registered at 5401 N PORTLAND AVE STE 600, OKLAHOMA CITY, OK 731122090 (Tel: 4057139940)

📍
Updated Business Mailing Address December 08, 2025

Registered at 13600 N BLACKWELDER AVE APT 374, OKLAHOMA CITY, OK 731344226 (Tel: 8165004811)

👤
Provider Name / Credentials Updated December 08, 2025

Recorded as JOHN DAVIS, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 08, 2025

Physician Assistant (License #5650 in OK)

NPI Profile Active September 26, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location September 26, 2024

Registered at 13975 COLE CROSSING CT, PLATTE CITY, MO 640799697 (Tel: 8165004811)

📍
Updated Business Mailing Address September 26, 2024

Registered at 100 NE 4TH ST APT 4310, OKLAHOMA CITY, OK 731042017 (Tel: 8165004811)

👤
Provider Name / Credentials Updated September 26, 2024

Recorded as JOHN DAVIS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2024

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration September 26, 2024

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: 1255158564
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 26, 2024
Last Update: February 18, 2026
Sole Proprietor: No

Mailing Address

3001 Quail Springs Pkwy Fl 5

Oklahoma City, OK 731342640

Phone: 4057139940

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.