Individual provider Active NPI

Christopher Goodwill, MD

  • Emergency Medicine Physician
  • Ada, OK
National Provider Identifier
1073976791
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A151751 Issued in CA
Practice address
1921 Stonecipher Dr
Ada, OK 74820-3439
Phone
(580) 436-3980
Fax
(580) 421-6283
NPI assigned
Mar 30, 2016
Last updated
Feb 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A151751 CA Primary

Addresses

Primary practice location

1921 Stonecipher Dr
Ada, OK 74820-3439

Mailing address

1921 Stonecipher Dr
Ada, OK 74820-3439
Phone (580) 436-3980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190808001029 OK Practitioner - Emergency Medicine 7315295334 Reassigns benefits to 2 organizations
I20200601000861 TX Practitioner - Emergency Medicine 7315295334 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Nevada School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rolling Plains Memorial HospitalGroup PAC ID 4688575228, shared by 6 NPIs, 19 clinicians
Century Integrated Partners, IncGroup PAC ID 6406151703, 330 clinicians

Practice addresses (Care Compare)

201 E Arizona Ave
Sweetwater, TX 79556-7119
Phone (325) 219-6237

4700 Alliance Blvd
Plano, TX 75093-5323
Phone (469) 814-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A151751CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rolling Plains Memorial Hospital CurrentSince Jan 13, 2026 Accepting new patients
Chickasaw Nation Division of Health Current Accepting new patients
Mercy Clinic Oklahoma Communities CurrentSince Jul 15, 2019 Accepting new patients
Ies ER Oklahoma LLC Emergency Medicine CurrentSince Oct 1, 2025 Accepting new patients
Century Integrated Partners, Inc Emergency Medicine CurrentSince Mar 1, 2025 Accepting new patients
Chickasaw Nation Division of Health Chickasaw Nation Medical Center CurrentSince Nov 6, 2020 Accepting new patients
Chickasaw Nation Division of Health CurrentSince Nov 6, 2020 Accepting new patients
Rolling Plains Memorial Hospital Emergency Medicine CurrentSince Jan 13, 2026 Accepting new patients

Locations

1921 Stonecipher Dr
Ada, OK 74820
Phone (580) 421-4570

430 N Monte Vista St
Ada, OK 74820
Phone (580) 226-1251

1011 14th Ave NW
Ardmore, OK 73401
Phone (580) 220-6658

2510 Chickasaw Blvd
Ardmore, OK 73401
Phone (580) 226-8181

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

1438 Hardcastle Blvd
Purcell, OK 73080
Phone (405) 527-4700

817 E 6th St
Tishomingo, OK 73460
Phone (580) 371-2392

10501 E 91st St
Tulsa, OK 74133
Phone (918) 307-6000

3500 Gaston Ave
Dallas, TX 75246

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

4700 Alliance Blvd
Plano, TX 75093
Phone (469) 814-2000

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

200 E Arizona Ave
Sweetwater, TX 79556
Phone (325) 235-1701

201 E Arizona Ave
Sweetwater, TX 79556
Phone (325) 235-1701

Interoperability endpoints

  • Direct secure messaging: cgoodwill22069@direct.chickasawnationhealth.net
  • FHIR API: https://fhir-usa.unify.chbase.com/org/rolling-5861da2b

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1073976791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 STONECIPHER DR",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748203439",
            "telephone_number": "580-436-3980",
            "fax_number": "580-421-6283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 STONECIPHER DR",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748203439",
            "telephone_number": "580-436-3980",
            "fax_number": "580-421-6283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWILL",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-30",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A151751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ada, OK

Sources for this page

Verify at the official NPI Registry.