Active NPI
Chad N Hudson, P.A.
- Physician Assistant
- Midwest City, OK
National Provider Identifier
1023075124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA961
- Practice address
- 2825 Parklawn Dr
Midwest City, OK 73110-4201 - Phone
- (405) 610-4411
- NPI assigned
- May 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA961 | OK | Primary |
Addresses
Primary practice location
2825 Parklawn Dr
Midwest City, OK 73110-4201
Mailing address
4401 W Memorial Rd
Suite 140
Oklahoma City, OK 73134-1785
Phone (405) 752-3162
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100108190A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050912000037 | OK | Practitioner - Physician Assistant | 2163455155 | Reassigns benefits to 5 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Oklahoma College of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Clinic Oklahoma Communities
Practice addresses (Care Compare)
4300 W Memorial Rd
Oklahoma City, OK 73120-8304
Phone (405) 755-1515
Hospital & facility affiliations
- Mercy Hospital Oklahoma City, Inc
- Mercy Hospital Kingfisher, Inc
- Mercy Hospital Logan County
- Oklahoma Heart Hospital, LLC
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital Logan County, Inc | Current | Accepting new patients | |
| Mercy Hospital Logan County Inc | Current | Accepting new patients | |
| Mercy Hospital Oklahoma City, Inc | Current | Accepting new patients | |
| Mercy Hospital Watonga Inc | Current | Accepting new patients | |
| Mercy Hospital Kingfisher, Inc | Current | Accepting new patients | |
| Mercy Hospital Oklahoma City, Inc | Current | Accepting new patients | |
| Mercy Clinic Oklahoma Communities | Current | Accepting new patients | |
| Mercy Hospital Kingfisher, Inc | Current | Accepting new patients |
Locations
200 S Academy Rd
Guthrie, OK 73044
Phone (405) 260-4165
1000 Hospital Dr
Kingfisher, OK 73750
Phone (405) 375-3141
4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962
4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455
500 N Clarence Nash Blvd
Watonga, OK 73772
Phone (580) 623-2233
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Endocrinology, Diabetes & Metabolism Physician
- Oklahoma City, OK
- NPI 1750986295
-
- Diagnostic Radiology Physician
- Kingfisher, OK
- NPI 1285064618
-
- Rural Health Clinic/Center
- Crescent, OK
- NPI 1659652071
-
- Diagnostic Radiology Physician
- Yukon, OK
- NPI 1730326406
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1184721722
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400544000000",
"number": "1023075124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4401 W MEMORIAL RD",
"address_2": "SUITE 140",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731341785",
"telephone_number": "405-752-3162",
"fax_number": "405-936-5211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2825 PARKLAWN DR",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "731104201",
"telephone_number": "405-610-4411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON",
"first_name": "CHAD",
"middle_name": "N",
"name_prefix": "Mr.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-01",
"last_updated": "2014-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "PA961",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100108190A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Midwest City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.