Individual provider · Type 1 NPI

John Tyler Davis, PA-C

Physician Assistant · Oklahoma City, OK

NPI number 1255158564 Active

Practice location

5401 N Portland Ave Ste 600
Oklahoma City, OK 73112-2090

Fax (405) 604-8486

Mailing address

3001 Quail Springs Pkwy Fl 5
Oklahoma City, OK 73134-2640

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5650 (OK)

Physician Assistant: 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, orde…

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About NPI 1255158564

John Tyler Davis, PA-C's National Provider Identifier is 1255158564, issued on Sep 26, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Oklahoma City, OK. The record was last updated on Aug 14, 2026.