Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark L. Davis, PA-C

Individual provider Medical Physician Assistant · NPI 1487747713

Mark L. Davis, PA-C is a Physician Assistant in Shawnee, Oklahoma. Qualified in 1996, 30 years ago. Practices with Saints Medical Group, LLC, a 431-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oklahoma.

Years since qualifying
30
Licensed in
OK
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

3315 Kethley Rd
Shawnee, OK 74804-9638
Phone: (405) 273-5801
Fax: (405) 878-3814
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA801 (OK)

Record details

NPI number1487747713
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 30, 2006
Last updated in NPPESAugust 29, 2012
Mailing addressPo Box 849, Shawnee, OK 74802-0849

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Saints Medical Group, Llc — 431 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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