NPIMap

Individual provider Active NPI

Pete C. Chambers, D.O.

  • Family Medicine Physician
  • Ardmore, OK
National Provider Identifier
1023106580
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3712 Issued in OK
Practice address
1306 12TH Ave NW
Ardmore, OK 73401-1285
Phone
(580) 223-6003
Fax
(580) 223-6999
NPI assigned
Oct 10, 2006
Last updated
Aug 23, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3712 OK Primary

Addresses

Primary practice location

1306 12TH Ave NW
Ardmore, OK 73401-1285

Mailing address

1306 12TH Ave NW
Ardmore, OK 73401-1285
Phone (580) 223-6003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
3712OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Healthcare of Oklahoma Inc Past Accepting new patients
Knobbe Eye Care and Laser Center, P.a. Past Accepting new patients
Baptist Healthcare of Oklahoma, Inc Past Accepting new patients
Marshall County Hma LLC Family Medicine Past Accepting new patients
Wapiti Orthopedics PC Past Accepting new patients
Marshall County HMPN, LLC Family Medicine Past Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471910400000",
    "number": "1023106580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 12TH AVE NW",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011285",
            "telephone_number": "580-223-6003",
            "fax_number": "580-223-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 12TH AVE NW",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011285",
            "telephone_number": "580-223-6003",
            "fax_number": "580-223-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERS",
        "first_name": "PETE",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2016-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "3712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.