DAVENPORT MEDICAL CENTER LLC
NPI 1992094049
Physician Assistant - Medical in Davenport, OK

Q: What is Davenport Medical Center LLC's NPI number?

The NPI number for Davenport Medical Center LLC is 1992094049. It was assigned to this organization in the NPPES registry on March 29, 2011.

Q: What is Davenport Medical Center LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Active since March 29, 2011

203 N BROADWAY, DAVENPORT, OK 74026(405) 249-9611 Get Directions Write a Review

NPPES record last updated: March 29, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Davenport Medical Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVENPORT MEDICAL CENTER LLC (NPI 1992094049) is a healthcare organization registered as a medical in Davenport, Oklahoma and active in the NPI registry since March 2011. The organization lists Tracy Wohlgemuth, Manager, as its authorized official.

NPPES Registry Identity

NPI1992094049

Entity TypeOrganization

Primary Taxonomy363AM0700X

Legal Business NameDAVENPORT MEDICAL CENTER LLC

Location Address203 N BROADWAYDavenport, OK 74026

Mailing Address203 N BroadwayDavenport, OK 74026

Phone(405) 249-9611

Organization SubpartNo

Authorized OfficialTracy WohlgemuthManager · (405) 249-9611

Enumeration DateMarch 29, 2011

✔ NPI 1992094049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in OK · 242

203 N BROADWAY, Davenport, OK 74026

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Davenport Medical Center LLC's NPI number?

The NPI number for Davenport Medical Center LLC is 1992094049. It was assigned to this organization in the NPPES registry on March 29, 2011.

Where is Davenport Medical Center LLC located?

Davenport Medical Center LLC is located at 203 N Broadway, Davenport, OK 74026. The listed phone number is (405) 249-9611.

What is Davenport Medical Center LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Davenport Medical Center LLC was last updated on March 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.